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精神分裂症中改变的物理和社会因果关系判断的神经基础。

Neural basis of altered physical and social causality judgements in schizophrenia.

作者信息

Wende Kim C, Nagels Arne, Stratmann Mirjam, Chatterjee Anjan, Kircher Tilo, Straube Benjamin

机构信息

Department of Psychiatry and Psychotherapy, Philipps-University Marburg, Rudolf-Bultmann-Straße 8, D-35039 Marburg, Germany; Institute of Neurosciences IoNs, Groupe COSY, Université Catholique de Louvain, 53 av. Mounier, 1200 Brussels, Belgium.

Department of Psychiatry and Psychotherapy, Philipps-University Marburg, Rudolf-Bultmann-Straße 8, D-35039 Marburg, Germany.

出版信息

Schizophr Res. 2015 Feb;161(2-3):244-51. doi: 10.1016/j.schres.2014.11.007. Epub 2014 Nov 28.

Abstract

Patients with schizophrenia (SZ) often make aberrant cause and effect inferences in non-social and social situations. Likewise, patients may perceive cause-and-effect relationships abnormally as a result of an alteration in the physiology of perception. The neural basis for dysfunctions in causality judgements in the context of both physical motion and social motion is unknown. The current study used functional magnetic resonance imaging (fMRI) to investigate a group of patients with SZ and a group of control subjects performing judgements of causality on animated collision sequences (launch-events, Michotte, 1963) and comparable "social" motion stimuli. In both types of animations, similar motion trajectories of the affected object were configured, using parametrical variations of space (angle deviation) and time (delay). At the behavioural level, SZ patients made more physical and less social causal judgements than control subjects, and their judgements were less influenced by motion attributes (angle/time delay). In the patients group, fMRI revealed greater BOLD-responses, during both physical and social causality judgements (group×task interaction), in the left inferior frontal gyrus (L.IFG). Across conditions (main effect), L.IFG-interconnectivity with bilateral occipital cortex was reduced in the patient group. This study provides the first insight into the neural correlates of altered causal judgements in SZ. Patients with SZ tended to over-estimate physical and under-estimate social causality. In both physical and social contexts, patients are influenced less by motion parameters (space and time) than control subjects. Imaging findings of L.IFG-disconnectivity and task-related hyper-activation in the patient group could indicate common dysfunctions in the neural activations needed to integrate external cue-information (space/time) with explicit (top-down) cause-effect judgements of object motions in physical and social settings.

摘要

精神分裂症(SZ)患者在非社交和社交情境中常常做出异常的因果推断。同样,由于感知生理的改变,患者可能会异常地感知因果关系。在物理运动和社会运动背景下,因果判断功能障碍的神经基础尚不清楚。当前研究使用功能磁共振成像(fMRI)来调查一组SZ患者和一组对照受试者,他们对动画碰撞序列(启动事件,米乔特,1963)和类似的“社会”运动刺激进行因果判断。在这两种类型的动画中,通过空间(角度偏差)和时间(延迟)的参数变化,配置了受影响物体的相似运动轨迹。在行为层面,SZ患者做出的物理因果判断比对照受试者多,而社会因果判断比对照受试者少,并且他们的判断受运动属性(角度/时间延迟)的影响较小。在患者组中,fMRI显示在物理和社会因果判断期间(组×任务交互),左侧额下回(L.IFG)的血氧水平依赖(BOLD)反应更强。在所有条件下(主效应),患者组中L.IFG与双侧枕叶皮质的连通性降低。这项研究首次揭示了SZ患者因果判断改变的神经关联。SZ患者倾向于高估物理因果关系而低估社会因果关系。在物理和社会情境中,患者比对照受试者受运动参数(空间和时间)的影响更小。患者组中L.IFG连通性中断和任务相关的过度激活的影像学发现可能表明,在将外部线索信息(空间/时间)与物理和社会环境中物体运动的明确(自上而下)因果判断整合所需的神经激活中存在共同的功能障碍。

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