JOHN P. JOHN, M.D., Senior Resident, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bangalore- 560 029.
Indian J Psychiatry. 2002 Apr;44(2):97-107.
The aim of this study was to evaluate the correlation between psychopathological dimensions in recent-onset neuroleptic-naive schizophrenic patients and EEG alpha coherence in the resting state. 37 neuroleptic-naive recent-onset schizophrenic patients were assessed on the Scale for the Assessment of Negative Symptoms and the Scale for the Assessment of Positive Symptoms, and psychopathological dimension scores on reality distortion, psychomotor poverty and disorganization were calculated. EEG alpha coherence was computed across 14 intra-hemispheric and 8 interhemispheric electrode pairs in the resting eyes closed and eyes open conditions. The relationship between the psychopathological dimension scores and coherence values was assessed using Pearson's product moment correlation with Bonferroni correction for levels of significance. Significant associations between higher psychomotor poverty scores and lower inter-hemispheric coherence values were found across the central and parietal regions in the eyes closed condition and across central regions in the eyes open condition. Reality distortion and disorganization dimensions were not significantly correlated with intra- or inter-hemispheric coherences in both eyes closed and eyes open conditions. However there was a trend for an inverse correlation between disorganization dimension and intra-hemispheric coherence across left frontal, left temporo-parietal and right parieto-occipital regions in the eyes open condition. These findings suggest a possible differential pattern in the extent of brain involvement across the three psychopathological dimensions of schizophrenia in neurolepticnaive patients with recent-onset illness.
本研究旨在评估新近发病的未经抗精神病药物治疗的精神分裂症患者的精神病理学维度与静息状态下 EEGα 相干性之间的相关性。对 37 名未经抗精神病药物治疗的新近发病的精神分裂症患者进行了阴性症状评定量表和阳性症状评定量表的评估,并计算了现实扭曲、精神运动贫乏和思维紊乱的精神病理学维度评分。在静息闭眼和睁眼状态下,计算了 14 对内半球和 8 对外半球电极对之间的 EEGα 相干性。使用 Pearson 乘积矩相关分析,并对显著性水平进行 Bonferroni 校正,评估了精神病理学维度评分与相干值之间的关系。在闭眼状态下,在中央和顶区以及在睁眼状态下在中央区,发现精神运动贫乏评分较高与半球间相干值较低之间存在显著关联。在闭眼和睁眼两种状态下,现实扭曲和思维紊乱维度与半球内或半球间相干性均无显著相关性。然而,在睁眼状态下,在左额、左颞顶和右顶枕区,思维紊乱维度与半球内相干性之间存在反向相关的趋势。这些发现提示,在新近发病的未经抗精神病药物治疗的精神分裂症患者中,三个精神病理学维度的大脑受累程度可能存在差异模式。