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哌甲酯对健康志愿者听觉信息处理的影响:一项脑电图/脑磁图联合研究。

The effect of methylphenidate on auditory information processing in healthy volunteers: a combined EEG/MEG study.

作者信息

Korostenskaja Milena, Kicić Dubravko, Kähkönen Seppo

机构信息

BioMag Laboratory, HUSLAB, Helsinki University Central Hospital, Helsinki, Finland.

出版信息

Psychopharmacology (Berl). 2008 Apr;197(3):475-86. doi: 10.1007/s00213-007-1065-8. Epub 2008 Feb 9.

Abstract

INTRODUCTION

The psychomotor stimulant methylphenidate (MPH) has been shown to improve attentional processes, reflected in behavioural measures such as vigilance, reaction time and visual attention tasks. The neural mechanisms of MPH action on sensory information processing, however, remain poorly understood. To the authors' knowledge, this present study is the first to investigate whether a single dose of MPH affects neural substrates of passive attention in healthy adults studied with simultaneous whole-head magnetoencephalography (MEG) and electroencephalography (EEG).

METHODS

Monaural left-ear auditory stimuli were presented in an oddball paradigm with infrequent deviant tones differing in frequency and duration. Neuronal activity was recorded with simultaneous whole-head MEG and EEG in 13 healthy subjects (five females; aged 27 +/- 5 years) after oral administration of 40 mg MPH or placebo in a randomised, double-blind, cross-over design. We analysed both electric and magnetic N100, P200 and mismatch negativity (MMN) components.

RESULTS

MPH increased arousal levels in visual analogue scales. MPH had no effect on the dipole strength of MMN or MMNm in either frequency or duration deviations. MPH did, however, reduce P200 amplitudes in EEG.

CONCLUSIONS

The lack of effect of MPH on either MMN or MMNm suggests no association between catecholaminergic activities and MMN generation. However, our findings imply that MPH may change the neural bases of auditory information processing such as the early stimulus evaluation reflected in the P200 component. Dopamine and noradrenaline neurotransmitter systems could be responsible for the modulation of these processes. The exclusive effect of MPH on the P200 component could have a clinical application.

摘要

引言

精神运动兴奋剂哌甲酯(MPH)已被证明可改善注意力过程,这在诸如警觉性、反应时间和视觉注意力任务等行为测量中有所体现。然而,MPH对感觉信息处理的神经机制仍知之甚少。据作者所知,本研究是首次使用同步全脑磁脑电图(MEG)和脑电图(EEG)对健康成年人进行研究,以探究单剂量MPH是否会影响被动注意力的神经基质。

方法

在一个奇偶数范式中呈现单耳左耳听觉刺激,其中罕见的偏差音调在频率和持续时间上有所不同。在13名健康受试者(5名女性;年龄27±5岁)中,采用随机、双盲、交叉设计,在口服40毫克MPH或安慰剂后,同时用全脑MEG和EEG记录神经元活动。我们分析了电和磁N100、P200和失配负波(MMN)成分。

结果

MPH提高了视觉模拟量表中的唤醒水平。MPH对频率或持续时间偏差中的MMN或MMNm的偶极强度均无影响。然而,MPH确实降低了EEG中的P200波幅。

结论

MPH对MMN或MMNm均无影响,这表明儿茶酚胺能活动与MMN产生之间没有关联。然而,我们的研究结果表明,MPH可能会改变听觉信息处理的神经基础,例如P200成分所反映的早期刺激评估。多巴胺和去甲肾上腺素神经递质系统可能负责这些过程的调节。MPH对P200成分的独特作用可能具有临床应用价值。

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