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精神分裂症患者出现幻听时,听觉皮质区的大脑两半球间脑电图相干性降低。

Interhemispheric EEG coherence is reduced in auditory cortical regions in schizophrenia patients with auditory hallucinations.

机构信息

Department of Audiology and Speech Pathology, The University of Melbourne, Australia.

出版信息

Int J Psychophysiol. 2013 Jul;89(1):63-71. doi: 10.1016/j.ijpsycho.2013.05.005. Epub 2013 May 21.

Abstract

Central auditory processing has been reported to be impaired in schizophrenia patients who experience auditory hallucinations, and interhemispheric transfer in auditory circuits may be compromised. In this study, we used EEG spectral coherence to examine interhemispheric connectivity between cortical areas known to be important in the processing of auditory information. Coherence was compared across three subject groups: schizophrenia patients with a recent history of auditory hallucinations (AH), schizophrenia patients who did not experience auditory hallucinations (nonAH), and healthy controls (HC). Subjects listened to pure tone and word stimuli while EEG was recorded continuously. Upper alpha and upper beta band coherence was calculated from six pairs of electrodes located over homologous auditory areas in the left and right cerebral hemispheres. Significant between-group differences were found on four electrode pairs (C3-C4, C5-C6, Ft7-Ft8 and Cp5-Cp6) in the upper alpha band. Relative to both the HC and nonAH groups, coherence was lower in the AH patients, consistent with the hypothesis that interhemispheric connectivity is reduced in these patients.

摘要

已有研究报道,存在幻听的精神分裂症患者的中枢听觉处理能力受损,而听觉回路中的大脑两半球间的信息传递可能受损。在这项研究中,我们使用 EEG 频谱相干性来检查已知在听觉信息处理中起重要作用的皮质区域之间的大脑两半球间连通性。将相干性与三组研究对象进行比较:有近期幻听史的精神分裂症患者(AH 组)、无幻听史的精神分裂症患者(nonAH 组)和健康对照组(HC 组)。在连续记录 EEG 的同时,让受试者聆听纯音和单词刺激。从位于大脑左、右半球的同源听觉区域的 6 对电极计算出上部 alpha 和上部 beta 波段的相干性。在上部 alpha 波段的 4 对电极(C3-C4、C5-C6、Ft7-Ft8 和 Cp5-Cp6)上发现了组间有显著差异。与 HC 组和 nonAH 组相比,AH 患者的相干性更低,这与大脑两半球间连通性降低的假设一致。

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