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22q11.2 缺失综合征患者与精神分裂症患者的年轻参与者在智力匹配组中的记忆。

Memory in intellectually matched groups of young participants with 22q11.2 deletion syndrome and those with schizophrenia.

机构信息

NIHR Biomedical Research Centre, South London and Maudsley NHS Foundation Trust/Institute of Psychiatry (King's College London), De Crespigny Park, London SE5 8AF, UK.

出版信息

Res Dev Disabil. 2010 May-Jun;31(3):864-8. doi: 10.1016/j.ridd.2010.03.003. Epub 2010 Mar 21.

Abstract

The 22q11.2 deletion syndrome (22qDS) and schizophrenia have genetic and neuropsychological similarities, but are likely to differ in memory profile. Confirming differences in memory function between the two disorders, and identifying their genetic determinants, can help to define genetic subtypes in both syndromes, identify genetic risk factors for the emergence of psychosis, and develop pharmacological interventions for cognitive dysfunction. However, no study has compared memory function between 22qDS and schizophrenia, while indirect comparisons are confounded by marked differences in IQ between the two populations. We compared verbal and visual memory in 29 children and adolescents with 22qDS and 15 intellectually matched youths with schizophrenia using age-appropriate, directly comparable, Wechsler scales. Verbal memory was markedly superior in the 22qDS group by 21 points. There were no group differences in visual memory. The inherently low COMT activity in 22qDS merits investigation as a potential protective factor for verbal memory.

摘要

22q11.2 缺失综合征(22qDS)与精神分裂症在遗传学和神经心理学上具有相似性,但记忆特征可能不同。确认两种疾病之间的记忆功能差异,并确定其遗传决定因素,有助于在两种综合征中定义遗传亚型,确定精神病出现的遗传风险因素,并开发认知功能障碍的药物干预措施。然而,尚无研究比较 22qDS 与精神分裂症之间的记忆功能,而间接比较受到两种人群之间智商差异的显著影响。我们使用适合年龄的、直接可比的韦氏量表,比较了 29 名患有 22qDS 的儿童和青少年与 15 名智力匹配的患有精神分裂症的青少年的言语和视觉记忆。言语记忆在 22qDS 组中显著高出 21 分。两组在视觉记忆方面没有差异。22qDS 中 COMT 活性固有较低,值得研究其作为言语记忆的潜在保护因素。

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