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精神分裂症中的言语工作记忆功能障碍:一项功能磁共振成像研究。

Verbal working memory dysfunction in schizophrenia: an FMRI investigation.

作者信息

Pae Chi-Un, Juh Rahyeong, Yoo Seung-Schik, Choi Byung-Gil, Lim Hyun-Kook, Lee Chul, Paik In-Ho, Jeun Sin Su, Lee Chang-Uk

机构信息

Department of Psychiatry, Kangnam St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea.

出版信息

Int J Neurosci. 2008 Oct;118(10):1467-87. doi: 10.1080/00207450701591131.

Abstract

Impaired processing of working memory information is one of the cognitive deficits seen in patients with schizophrenia. This study aims at corroborating the differences in the brain activities involved in the process of working memory between patients with schizophrenia and the controls. Twelve patients with schizophrenia and 11 controls participated in the study. Functional magnetic resonance imaging (fMRI) was used to assess cortical activities during the performance of a two-back verbal working memory paradigm using the Korean alphabet as mnemonic content. Group analysis revealed that inferior fontal, middle frontal, and superior temporal region showed decreased cortical activities in the patient group compared to those of the controls. This study showed a decreased activation in inferior fontal (BA 47), middle frontal (BA 6), and superior temporal (BA 22/38) neural networks from the patient group and confirmed the earlier findings on the impaired working memory of schizophrenic patients in the fMRI investigation.

摘要

工作记忆信息处理受损是精神分裂症患者出现的认知缺陷之一。本研究旨在证实精神分裂症患者与对照组在工作记忆过程中大脑活动的差异。12名精神分裂症患者和11名对照组参与了该研究。使用功能磁共振成像(fMRI)来评估在以韩文字母作为记忆内容的双背言语工作记忆范式执行过程中的皮质活动。组间分析显示,与对照组相比,患者组的额下回、额中回和颞上区皮质活动减少。本研究显示患者组额下回(BA 47)、额中回(BA 6)和颞上回(BA 22/38)神经网络的激活减少,并在fMRI研究中证实了先前关于精神分裂症患者工作记忆受损的发现。

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