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具有显著阴性症状的精神分裂症患者的扫视功能损害

Saccadic impairment in schizophrenia with prominent negative symptoms.

作者信息

Gurvich Caroline T, Fitzgerald Paul B, Georgiou-Karistianis Nellie, White Owen B

机构信息

Monash Alfred Psychiatry Research Centre, Alfred Hospital, Monash University School of Psychology, Psychiatry and Psychological Medicine, Prahran, Victoria 3004, Australia.

出版信息

Neuroreport. 2008 Sep 17;19(14):1435-9. doi: 10.1097/WNR.0b013e32830e4622.

Abstract

Motor disturbances are frequently reported in schizophrenia, particularly in association with negative symptoms, and may reflect frontostriatal dysfunction. This study investigated the timing of self-paced and reprogrammed saccades in 21 patients with schizophrenia, 11 with and 10 without prominent negative symptoms, as compared with 14 healthy controls. Results indicated that schizophrenia patients with increased negative symptoms scores had increased intraindividual variability in their timing of self-paced and reprogrammed saccades and performed saccades with increased peak velocities. It is possible that increased variability may reflect frontostriatal impairments and increased peak velocity may reflect serotonin changes or prefrontal cortex dysfunction.

摘要

运动障碍在精神分裂症中经常被报道,尤其是与阴性症状相关时,可能反映了额纹状体功能障碍。本研究调查了21例精神分裂症患者(11例有明显阴性症状,10例无明显阴性症状)与14名健康对照者的自定步速扫视和重新编程扫视的时间。结果表明,阴性症状评分增加的精神分裂症患者在自定步速扫视和重新编程扫视时间上的个体内变异性增加,且扫视峰值速度增加。变异性增加可能反映额纹状体损伤,峰值速度增加可能反映血清素变化或前额叶皮质功能障碍。

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