Department of Psychiatry, Tbilisi State Medical University, Tbilisi, Georgia.
Psychiatry Res. 2012 Jul 30;198(2):235-40. doi: 10.1016/j.psychres.2012.02.020. Epub 2012 Apr 1.
Recent genetic, behavioral, and clinical studies suggest that functional psychoses (schizophrenia, bipolar disorder, schizoaffective disorder), previously thought to be distinct from each other, may belong to one continuum. The shine-through masking paradigm is a potential endophenotype of schizophrenia with high sensitivity and specificity for discriminating between patients, their clinically unaffected relatives, and healthy controls. Hence, if schizophrenia, bipolar disorder and schizoaffective disorder belong to one common disease, strong masking deficits are expected to occur in all three diseases whereas no masking deficits are expected for abstinent alcoholic or depressive patients. Indeed, we found masking to be much stronger in psychotic patients compared to controls and to depressive patients and abstinent alcoholics, who performed on similar levels.
最近的遗传、行为和临床研究表明,以前被认为彼此不同的功能性精神病(精神分裂症、双相情感障碍、分裂情感性障碍)可能属于一个连续统。透光掩蔽范式是精神分裂症的一个潜在的内表型,对区分患者、其临床未受影响的亲属和健康对照具有很高的敏感性和特异性。因此,如果精神分裂症、双相情感障碍和分裂情感性障碍属于一种常见疾病,那么在所有三种疾病中都应该出现强烈的掩蔽缺陷,而在戒酒或抑郁的患者中则不应出现掩蔽缺陷。事实上,我们发现,与对照组和抑郁患者以及戒酒的患者相比,精神病患者的掩蔽程度要强得多,而后者的表现则相似。