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通过系统的认知神经精神病学映射确定的精神分裂症两个亚组。

Two subgroups of schizophrenia identified by systematic cognitive neuropsychiatric mapping.

机构信息

Department of Psychiatry, University of Szeged, 6 Semmelweis str., 6725, Szeged, Hungary.

出版信息

Eur Arch Psychiatry Clin Neurosci. 2010 Apr;260(3):257-66. doi: 10.1007/s00406-009-0073-6. Epub 2009 Oct 15.

Abstract

The description of the heterogeneous phenomenological, pathophysiological, and etiological nature of schizophrenia is under way; however, the relationships between heterogeneity levels are still unclear. We performed a robust cross-sectional study, including a systematic neuropsychological battery, assessment of clinical symptoms, neurological soft signs, morphogenetic anomalies and smell identification, and measurement of event-related potentials on 50 outpatients with schizophrenia in their compensated states. An explorative fuzzy cluster analysis revealed two subgroups in this sample that could be distinguished from each other on symptomatological, cognitive and neurological levels. The patterns of cognitive dysfunctions and neurological developmental anomalies equally indicate that there may be hemispherical differences between the patients belonging to the different clusters.

摘要

精神分裂症的异质表现型、病理生理学和病因学性质的描述正在进行中;然而,异质水平之间的关系尚不清楚。我们进行了一项稳健的横断面研究,包括系统的神经心理学测试、临床症状评估、神经软体征、形态发生异常和嗅觉识别,以及对 50 名处于代偿期的精神分裂症门诊患者的事件相关电位测量。探索性模糊聚类分析显示,在这个样本中可以根据症状、认知和神经水平将两个亚组区分开来。认知功能障碍和神经发育异常的模式同样表明,属于不同聚类的患者之间可能存在半球差异。

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