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精神分裂症青少年及其同胞的事件相关电位:与注意力缺陷多动障碍的比较。

Event-related potentials in adolescents with schizophrenia and their siblings: a comparison with attention-deficit/hyperactivity disorder.

作者信息

Groom Madeleine J, Bates Alan T, Jackson Georgina M, Calton Timothy G, Liddle Peter F, Hollis Chris

机构信息

Developmental Psychiatry, University of Nottingham, Nottingham, England.

出版信息

Biol Psychiatry. 2008 Apr 15;63(8):784-92. doi: 10.1016/j.biopsych.2007.09.018. Epub 2007 Oct 30.

Abstract

BACKGROUND

Identifying trait markers specific to schizophrenia might uncover mechanisms underlying illness susceptibility. Previous research shows the N2 and P3 event-related potentials are abnormal in schizophrenia; specificity of these potential trait markers has not been well established.

METHODS

Electroencephalogram data were recorded from four adolescent groups: early-onset schizophrenia patients (SZ; n = 30); non-psychotic siblings of schizophrenia patients (SZ-SIB; n = 36); healthy control subjects (HC; n = 36); a neurodevelopmental attention-deficit/hyperactivity disorder (ADHD) comparison group (n = 27), during auditory oddball and visual go/no-go tasks. The P3 was measured to targets in the oddball task. The N2 and P3 were measured to go and no-go stimuli in the go/no-go task.

RESULTS

Compared with the HC group, the SZ and SZ-SIB groups showed significantly reduced auditory oddball P3 amplitude. Visual P3 amplitude was significantly reduced in the SZ group for no-go stimuli and the SZ-SIB group for go and no-go stimuli. The P3 amplitude in the ADHD group was not significantly reduced for either paradigm. The SZ and ADHD groups showed significantly reduced N2 amplitude in the go/no-go task; the SZ-SIB group was not significantly different from the HC group.

CONCLUSIONS

Results revealed reduced P3 amplitude in schizophrenia patients and adolescent non-psychotic siblings in an auditory oddball and a visual go/no-go task. The SZ-SIB and ADHD groups showed a different ERP profile when each was compared with the HC group: siblings showed reduced P3 amplitude in both tasks and normal N2 in the go/no-go task; the opposite pattern was observed in the ADHD group.

摘要

背景

识别精神分裂症特有的特质标记可能会揭示疾病易感性的潜在机制。先前的研究表明,精神分裂症患者的N2和P3事件相关电位异常;这些潜在特质标记的特异性尚未得到充分证实。

方法

记录了四组青少年的脑电图数据:早发性精神分裂症患者(SZ;n = 30);精神分裂症患者的非精神病性兄弟姐妹(SZ-SIB;n = 36);健康对照受试者(HC;n = 36);一个神经发育性注意力缺陷多动障碍(ADHD)比较组(n = 27),在听觉oddball任务和视觉go/no-go任务期间。在oddball任务中测量对目标的P3。在go/no-go任务中测量对go和no-go刺激的N2和P3。

结果

与HC组相比,SZ组和SZ-SIB组的听觉oddball P3波幅显著降低。对于no-go刺激,SZ组的视觉P3波幅显著降低;对于go和no-go刺激,SZ-SIB组的视觉P3波幅显著降低。ADHD组在两种范式下的P3波幅均未显著降低。在go/no-go任务中,SZ组和ADHD组的N2波幅显著降低;SZ-SIB组与HC组无显著差异。

结论

结果显示,在听觉oddball任务和视觉go/no-go任务中,精神分裂症患者及青少年非精神病性兄弟姐妹的P3波幅降低。当将SZ-SIB组和ADHD组分别与HC组进行比较时,显示出不同的ERP模式:兄弟姐妹在两项任务中P3波幅降低,在go/no-go任务中N2正常;而ADHD组则呈现相反的模式。

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