University Clinic of Psychiatry, Skopje, Republic of Macedonia.
Psychiatr Danub. 2012 Mar;24(1):51-6.
Gender issues are extensively explored in schizophrenia. A mounting body of research evidence suggests that there are gender differences in the age at onset, duration of untreated psychosis and presented psychopathology. In recent years, in order to obtain neurophysiologic explanation for the disturbed behavior and thinking in schizophrenia, numerous studies have been performed focusing on the QEEG parameters. However, the results were inconclusive. The aim of this study was to investigate the gender differences in some clinical and QEEG parameters in schizophrenia patients.
Thirty schizophrenia patients were enrolled in the study (M/F ratio 13/17; mean age 34 years). The QEEG parameters which were analyzed were amplitude, mean frequency and relative power of the main bands of the basic activity. Clinical assessment was performed using the PANSS, BPRS and CGI scales.
QEEG parameters demonstrating statistically significant difference were amplitude and relative power in beta activity and lower mean theta frequency over left frontal, temporal and parietal regions in female patients who also had statistically significant differences in PANSS and BPRS scores.
Differences in amplitude and relative power in the beta bands in female schizophrenic patients are associated with more severe actual psychopathology. Considering the relatively small sample, the current results must be replicated with a larger group of drug-free patients to confirm the findings.
精神分裂症中广泛探讨了性别问题。越来越多的研究证据表明,在发病年龄、未治疗精神病持续时间和表现出的精神病理学方面存在性别差异。近年来,为了从神经生理学上解释精神分裂症中紊乱的行为和思维,进行了大量研究,重点关注 QEEG 参数。然而,结果尚无定论。本研究旨在探讨精神分裂症患者一些临床和 QEEG 参数的性别差异。
本研究纳入了 30 名精神分裂症患者(男女比例为 13/17;平均年龄 34 岁)。分析的 QEEG 参数包括基本活动的主要频段的幅度、平均频率和相对功率。临床评估使用 PANSS、BPRS 和 CGI 量表进行。
女性患者的 QEEG 参数表现出统计学显著差异,包括β活动的幅度和相对功率,以及左额、颞和顶叶区域的θ平均频率降低,并且在 PANSS 和 BPRS 评分中也存在统计学显著差异。
女性精神分裂症患者β频段的幅度和相对功率差异与更严重的实际精神病理学有关。考虑到样本相对较小,必须用更大的无药物治疗患者群体来复制当前的结果,以确认这些发现。