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青少年内源性精神病首发患者认知异常的动态变化

Dynamics of cognitive anomalies in patients with first episodes of juvenile endogenous psychosis.

作者信息

Kaleda V G, Lebedeva I S, Barkhatova A N, Omel'chenko M A, Golubev S A, Sidorova M A

机构信息

Scientific Center for Mental Health, Russian Academy of Medical Sciences, Moscow, Russia.

出版信息

Neurosci Behav Physiol. 2010 Mar;40(3):339-45. doi: 10.1007/s11055-010-9261-0.

DOI:10.1007/s11055-010-9261-0
PMID:20151329
Abstract

The therapeutic dynamics of neuropsychological and neurophysiological markers of impairments to cognitive functions were studied in groups of patients with first episodes of juvenile endogenous psychosis (90 patients). At the initial stage of remission, subjects were found to show improvements in processes associated with voluntary regulation of cognitive functions (due to the activity of extensive networks of cortical and subcortical structures), while more automatic processes (associated mainly with the temporal areas of the brain) remained abnormal. Changes in neurocognitive anomalies during the onset of remission were also identified in groups of patients in whom episodes had different syndromal structures - catatonic, hallucinatory-delusional, and affective-delusional.

摘要

对首次发作的青少年内源性精神病患者组(90例患者)的认知功能障碍的神经心理学和神经生理学标志物的治疗动态进行了研究。在缓解初期,发现受试者与认知功能的自主调节相关的过程有所改善(归因于广泛的皮质和皮质下结构网络的活动),而更多的自动过程(主要与大脑颞叶区域相关)仍存在异常。在发作具有不同综合征结构(紧张性、幻觉妄想性和情感妄想性)的患者组中,也发现了缓解期开始时神经认知异常的变化。

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1
Dynamics of cognitive anomalies in patients with first episodes of juvenile endogenous psychosis.青少年内源性精神病首发患者认知异常的动态变化
Neurosci Behav Physiol. 2010 Mar;40(3):339-45. doi: 10.1007/s11055-010-9261-0.
2
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本文引用的文献

1
The association between pre-morbid adjustment, duration of untreated psychosis and outcome in first-episode psychosis.病前适应、未治疗精神病持续时间与首发精神病结局之间的关联。
Psychol Med. 2008 Aug;38(8):1157-66. doi: 10.1017/S0033291708003449. Epub 2008 Apr 30.
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Neurophysiological characteristics of cognitive functions in patients with first episodes of endogenous psychosis.首发内源性精神病患者认知功能的神经生理学特征
Neurosci Behav Physiol. 2008 Mar;38(3):259-67. doi: 10.1007/s11055-008-0038-7.
3
Brain volume in first-episode schizophrenia: systematic review and meta-analysis of magnetic resonance imaging studies.
首发精神分裂症患者的脑容量:磁共振成像研究的系统评价与荟萃分析
Br J Psychiatry. 2006 Jun;188:510-8. doi: 10.1192/bjp.188.6.510.
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The treatment of schizophrenia: from premorbid manifestations to the first episode of psychosis.精神分裂症的治疗:从前兆症状到精神病首次发作
Dialogues Clin Neurosci. 2005;7(1):7-16. doi: 10.31887/DCNS.2005.7.1/mdavidson.
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The correlation between positive symptoms and left temporal event-related potentials in the P300 time window is auditory specific and training sensitive.P300时间窗内阳性症状与左侧颞叶事件相关电位之间的相关性具有听觉特异性且对训练敏感。
Schizophr Res. 2005 Oct 15;78(2-3):117-25. doi: 10.1016/j.schres.2005.06.013.
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[Non-manifested stages of schizophrenia: psychopathology and therapy].[精神分裂症的未显现阶段:精神病理学与治疗]
Zh Nevrol Psikhiatr Im S S Korsakova. 2005;105(5):4-10.
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Approaching a consensus cognitive battery for clinical trials in schizophrenia: the NIMH-MATRICS conference to select cognitive domains and test criteria.为精神分裂症临床试验建立共识性认知成套测验:美国国立精神卫生研究所-精神分裂症认知功能评估委员会会议选定认知领域及测试标准
Biol Psychiatry. 2004 Sep 1;56(5):301-7. doi: 10.1016/j.biopsych.2004.06.023.
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Correlates of cognitive deficits in first episode schizophrenia.首发精神分裂症认知缺陷的相关因素
Schizophr Res. 2004 May 1;68(1):1-9. doi: 10.1016/S0920-9964(03)00097-5.
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Gender differences and outcome in schizophrenia: a 2-year follow-up study in a large community sample.精神分裂症中的性别差异与预后:一项针对大型社区样本的两年随访研究。
Eur Psychiatry. 2003 Oct;18(6):282-4. doi: 10.1016/j.eurpsy.2003.06.001.
10
Gender differences in schizophrenia.精神分裂症中的性别差异。
Psychoneuroendocrinology. 2003 Apr;28 Suppl 2:17-54. doi: 10.1016/s0306-4530(02)00125-7.