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精神分裂症中的事件相关电位异常:无法“纳入”显著信息?

Event-related potential abnormalities in schizophrenia: a failure to "gate in" salient information?

作者信息

Brenner Colleen A, Kieffaber Paul D, Clementz Brett A, Johannesen Jason K, Shekhar Anantha, O'Donnell Brian F, Hetrick William P

机构信息

University of British Columbia, Department of Psychology, Vancouver, BC, Canada.

出版信息

Schizophr Res. 2009 Sep;113(2-3):332-8. doi: 10.1016/j.schres.2009.06.012. Epub 2009 Jul 23.

Abstract

Sensory gating refers to the central nervous system's ability to filter sensory inputs, and can be measured by comparing the suppression of event-related brain potential (ERP) amplitudes in a paired auditory stimulus procedure. Poor gating scores in schizophrenia may be caused by abnormal responses to the first (S1), the second (S2) or both of the paired stimuli. However, since S1 and S2 responses may index separate psychological phenomenon, corresponding to the ability to "gate in" and "gate out" sensory stimuli respectively, the precise mechanism affected in schizophrenia remains unclear. To examine the extent to which saliency processing abnormalities may contribute to S1 response deficits, standard and rare (15% probability) paired stimuli were presented to 21 participants with schizophrenia and 22 healthy controls. P50 and N100 ERP amplitude as well as low, beta and gamma frequency power were measured to examine the time course and relative contributions of oscillatory activity affecting auditory processing in schizophrenia. In this study, schizophrenia patients exhibited less evoked beta 1 power (12-20 Hz) in response to salient stimuli at S1, and lower N100 amplitude in response to all S1 stimuli. No group differences were found in the low, beta 2 (20-30 Hz), or gamma frequency ranges. These findings suggest aberrant sensory processing during stages of stimulus evaluation and saliency detection in schizophrenia.

摘要

感觉门控是指中枢神经系统过滤感觉输入的能力,可通过在配对听觉刺激程序中比较事件相关脑电位(ERP)振幅的抑制情况来测量。精神分裂症患者门控分数较低可能是由于对配对刺激中的第一个(S1)、第二个(S2)或两者的异常反应所致。然而,由于S1和S2反应可能分别指示不同的心理现象,分别对应于“传入”和“传出”感觉刺激的能力,因此精神分裂症中受影响的精确机制仍不清楚。为了研究显著性加工异常在多大程度上可能导致S1反应缺陷,向21名精神分裂症患者和22名健康对照者呈现标准和罕见(15%概率)的配对刺激。测量P50和N100 ERP振幅以及低频、β和γ频率功率,以研究影响精神分裂症听觉加工的振荡活动的时间进程和相对贡献。在本研究中,精神分裂症患者对S1处的显著刺激表现出较低的诱发β1功率(12 - 20 Hz),对所有S1刺激表现出较低的N100振幅。在低频、β2(20 - 30 Hz)或γ频率范围内未发现组间差异。这些发现表明精神分裂症在刺激评估和显著性检测阶段存在异常的感觉加工。

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