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精神分裂症患者在情绪处理过程中杏仁核激活改变。

Altered amygdala activation in schizophrenia patients during emotion processing.

机构信息

Department of Psychiatry and Psychotherapy, Charité - Universitätsmedizin Berlin, Charité Campus Mitte, Germany.

出版信息

Schizophr Res. 2013 Oct;150(1):101-6. doi: 10.1016/j.schres.2013.07.015. Epub 2013 Aug 2.

Abstract

Dysfunctional emotion processing in patients suffering from schizophrenia is a prominent clinical feature of great importance for social functioning and subjective well-being. The neurobiological underpinnings are still poorly understood. Here we investigated a large sample of schizophrenia patients and matched healthy controls with an event-related fMRI task during emotion processing using emotional pictures from the International Affective Picture System (IAPS). Schizophrenia patients revealed stronger right amygdala activation during negative and attenuated response during positive affective picture processing compared to healthy controls. Further analysis indicated that medication status influences activation of the ventral anterior cingulate cortex during negative affective stimuli processing. These results might represent a correlate of altered emotional experience in schizophrenia patients who are known to report less positive and more negative affective states in daily life situations.

摘要

精神分裂症患者的情绪处理功能障碍是其重要的临床特征,对社交功能和主观幸福感有很大影响。其神经生物学基础仍知之甚少。在这里,我们使用国际情感图片系统(IAPS)中的情绪图片,通过事件相关 fMRI 任务,对大量精神分裂症患者和匹配的健康对照者进行了研究。与健康对照组相比,精神分裂症患者在处理负面情绪图片时右侧杏仁核的激活更强,而在处理积极情绪图片时的反应则减弱。进一步的分析表明,药物治疗状态会影响负性情绪刺激处理过程中腹侧前扣带回的激活。这些结果可能代表了精神分裂症患者情绪体验改变的一个相关指标,因为这些患者在日常生活中报告的积极情绪较少,消极情绪较多。

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