Balogh Lívia, Czobor Pál
Semmelweis Egyetem, Pszichiatriai es Pszichoterapias Klinika, Budapest.
Psychiatr Hung. 2010;25(2):121-32.
Error-related bioelectric signals constitute a special subgroup of event-related potentials. Researchers have identified two evoked potential components to be closely related to error processing, namely error-related negativity (ERN) and error-positivity (Pe), and they linked these to specific cognitive functions. In our article first we give a brief description of these components, then based on the available literature, we review differences in error-related evoked potentials observed in patients across psychiatric disorders.
The PubMed and Medline search engines were used in order to identify all relevant articles, published between 2000 and 2009. For the purpose of the current paper we reviewed publications summarizing results of clinical trials.
Patients suffering from schizophrenia, anorexia nervosa or borderline personality disorder exhibited a decrease in the amplitude of error-negativity when compared with healthy controls, while in cases of depression and anxiety an increase in the amplitude has been observed. Some of the articles suggest specific personality variables, such as impulsivity, perfectionism, negative emotions or sensitivity to punishment to underlie these electrophysiological differences.
Research in the field of error-related electric activity has come to the focus of psychiatry research only recently, thus the amount of available data is significantly limited. However, since this is a relatively new field of research, the results available at present are noteworthy and promising for future electrophysiological investigations in psychiatric disorders.
与错误相关的生物电信号构成了事件相关电位的一个特殊亚组。研究人员已经确定了两个与错误处理密切相关的诱发电位成分,即错误相关负波(ERN)和错误正波(Pe),并将它们与特定的认知功能联系起来。在我们的文章中,首先我们简要描述这些成分,然后基于现有文献,我们回顾了在患有各种精神疾病的患者中观察到的与错误相关的诱发电位的差异。
使用PubMed和Medline搜索引擎来识别2000年至2009年期间发表的所有相关文章。为了本文的目的,我们回顾了总结临床试验结果的出版物。
与健康对照组相比,患有精神分裂症、神经性厌食症或边缘型人格障碍的患者在错误负波的幅度上有所降低,而在抑郁症和焦虑症患者中则观察到幅度增加。一些文章表明,特定的人格变量,如冲动性、完美主义、负面情绪或对惩罚的敏感性是这些电生理差异的基础。
与错误相关的电活动领域的研究直到最近才成为精神病学研究的焦点,因此可用数据的数量明显有限。然而,由于这是一个相对较新的研究领域,目前可得的结果对于未来精神病学疾病的电生理研究来说是值得注意且有前景的。