工作记忆损害作为精神分裂症素质的一种内表型标记

WORKING MEMORY IMPAIRMENT AS AN ENDOPHENOTYPIC MARKER OF A SCHIZOPHRENIA DIATHESIS.

作者信息

Park Sohee, Gooding Diane C

机构信息

Departments of Psychology and Psychiatry, Vanderbilt University 111, 21 Avenue South, Nashville, TN 37240 USA.

Departments of Psychology and Psychiatry, University of Wisconsin-Madison, 1202 West Johnson Street, Madison, WI 53706 USA.

出版信息

Schizophr Res Cogn. 2014 Sep 1;1(3):127-136. doi: 10.1016/j.scog.2014.09.005.

Abstract

This chapter focuses on the viability of working memory impairment as an endophenotypic marker of a schizophrenia diathesis. It begins with an introduction of the construct of working memory. It follows with a review of the operational criteria for defining an endophenotype. Research findings regarding the working memory performance of schizophrenia and schizophrenia-spectrum patients, first-degree relatives of schizophrenia patients and healthy controls, are reviewed in terms of the criteria for being considered an endophenotypic marker. Special attention is paid to specific components of the working memory deficit (namely, encoding, maintenance, and manipulation), in terms of which aspects are likely to be the best candidates for endophenotypes. We consider the extant literature regarding working memory performance in bipolar disorder and major depression in order to address the issue of relative specificity to schizophrenia. Despite some unresolved issues, it appears that working memory impairment is a very promising candidate for an endophenotypic marker of a schizophrenia diathesis but not for mood disorders. Throughout this chapter, we identify future directions for research in this exciting and dynamic area of research and evaluate the contribution of working memory research to our understanding of schizophrenia.

摘要

本章聚焦于工作记忆损害作为精神分裂症素质内表型标记的可行性。开篇介绍了工作记忆的概念。接着回顾了定义内表型的操作标准。根据被视为内表型标记的标准,对精神分裂症及精神分裂症谱系患者、精神分裂症患者的一级亲属和健康对照者的工作记忆表现的研究结果进行了综述。特别关注了工作记忆缺陷的特定组成部分(即编码、维持和操作),就哪些方面可能是内表型的最佳候选者进行了探讨。我们考量了关于双相情感障碍和重度抑郁症工作记忆表现的现有文献,以解决与精神分裂症相对特异性的问题。尽管存在一些未解决的问题,但工作记忆损害似乎是精神分裂症素质内表型标记的一个非常有前景的候选者,而非心境障碍的候选者。在本章中,我们确定了这一令人兴奋且充满活力的研究领域未来的研究方向,并评估了工作记忆研究对我们理解精神分裂症的贡献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58f1/5779108/f525344c7e9f/gr1.jpg

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