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自发性伽马相干性可作为精神分裂症的一种特质标志物:一项探索性研究。

Spontaneous gamma coherence as a possible trait marker of schizophrenia-An explorative study.

机构信息

Central Institute of Psychiatry, Ranchi, India.

出版信息

Asian J Psychiatr. 2011 Sep;4(3):172-7. doi: 10.1016/j.ajp.2011.06.006. Epub 2011 Jul 27.

DOI:10.1016/j.ajp.2011.06.006
PMID:23051113
Abstract

OBJECTIVES

Integration of sensory information by cortical network binding appears to be crucially involved in sensory processing activity. Studies in schizophrenia using functional neuroimaging, event-related potentials and EEG coherence indicate an impairment of cortical network coupling in this disorder. Previous electrophysiological investigations in animals and humans suggested that gamma activity (oscillations at around 30-100Hz) is essential for cortical network binding. This is the first investigation of spontaneous gamma activity in schizophrenics and their first degree relatives as compared to normal controls.

METHOD

Resting EEG was recorded in 20 drug naïve/drug free male schizophrenic patients, their pair matched male first degree relatives and 20 age-, sex-, education- and handedness-matched normal controls. Power spectrum and coherence of gamma band activity was analysed using MATLAB 6.5.

RESULTS

Schizophrenic patients had significantly less interhemispheric spontaneous gamma coherence and increased gamma power compared to normal controls. But there was no significant difference in gamma coherence between patients and their first degree relatives. Spontaneous gamma coherence had significant correlation with few PANSS subscale scores.

CONCLUSIONS

There is cortical hyperactivation and a reduced spontaneous and induced gamma coherence abnormality in schizophrenia. The abnormal gamma coherence appears explaining the psychopathology and poor performance on cognitive task in schizophrenia. This study has also generated hypotheses that the gamma band abnormality may be a trait abnormality in schizophrenics as seen by the similarity between the patient and their clinically asymptomatic first degree relatives.

摘要

目的

皮层网络绑定对感觉信息的整合似乎对感觉处理活动至关重要。使用功能神经影像学、事件相关电位和脑电图相干性对精神分裂症的研究表明,这种疾病存在皮层网络耦合的损伤。以前在动物和人类中的电生理研究表明,伽马活动(约 30-100Hz 的振荡)对皮层网络绑定至关重要。这是首次对精神分裂症患者及其一级亲属与正常对照者进行自发性伽马活动的研究。

方法

记录 20 名未服用药物的男性精神分裂症患者、他们配对的一级男性亲属和 20 名年龄、性别、教育和惯用手匹配的正常对照者的静息 EEG。使用 MATLAB 6.5 分析伽马频带活动的功率谱和相干性。

结果

与正常对照组相比,精神分裂症患者的大脑两半球间自发性伽马相干性显著降低,伽马功率增加。但患者与一级亲属之间的伽马相干性无显著差异。自发性伽马相干性与少数 PANSS 子量表评分显著相关。

结论

精神分裂症存在皮层过度激活以及自发性和诱发性伽马相干性异常。异常的伽马相干性可能解释了精神分裂症的精神病理学和认知任务表现不佳。这项研究还提出了假设,即伽马频带异常可能是精神分裂症的一种特质异常,因为患者和其临床上无症状的一级亲属之间存在相似性。

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