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听觉皮层可塑性驱动精神分裂症训练诱导的认知变化。

Auditory Cortical Plasticity Drives Training-Induced Cognitive Changes in Schizophrenia.

作者信息

Dale Corby L, Brown Ethan G, Fisher Melissa, Herman Alexander B, Dowling Anne F, Hinkley Leighton B, Subramaniam Karuna, Nagarajan Srikantan S, Vinogradov Sophia

机构信息

Department of Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, CA; Northern California Institute for Research and Education (NCIRE), San Francisco Veterans' Affairs Medical Center, San Francisco, CA;

Department of Neurology and.

出版信息

Schizophr Bull. 2016 Jan;42(1):220-8. doi: 10.1093/schbul/sbv087. Epub 2015 Jul 6.

Abstract

Schizophrenia is characterized by dysfunction in basic auditory processing, as well as higher-order operations of verbal learning and executive functions. We investigated whether targeted cognitive training of auditory processing improves neural responses to speech stimuli, and how these changes relate to higher-order cognitive functions. Patients with schizophrenia performed an auditory syllable identification task during magnetoencephalography before and after 50 hours of either targeted cognitive training or a computer games control. Healthy comparison subjects were assessed at baseline and after a 10 week no-contact interval. Prior to training, patients (N = 34) showed reduced M100 response in primary auditory cortex relative to healthy participants (N = 13). At reassessment, only the targeted cognitive training patient group (N = 18) exhibited increased M100 responses. Additionally, this group showed increased induced high gamma band activity within left dorsolateral prefrontal cortex immediately after stimulus presentation, and later in bilateral temporal cortices. Training-related changes in neural activity correlated with changes in executive function scores but not verbal learning and memory. These data suggest that computerized cognitive training that targets auditory and verbal learning operations enhances both sensory responses in auditory cortex as well as engagement of prefrontal regions, as indexed during an auditory processing task with low demands on working memory. This neural circuit enhancement is in turn associated with better executive function but not verbal memory.

摘要

精神分裂症的特征是基本听觉处理功能障碍,以及言语学习和执行功能的高级操作障碍。我们研究了针对听觉处理的定向认知训练是否能改善对语音刺激的神经反应,以及这些变化与高级认知功能之间的关系。精神分裂症患者在接受50小时的定向认知训练或电脑游戏对照训练前后,于脑磁图检查期间执行听觉音节识别任务。健康对照受试者在基线时和经过10周无接触期后接受评估。训练前,患者(N = 34)相对于健康参与者(N = 13)在初级听觉皮层中的M100反应降低。在重新评估时,只有定向认知训练患者组(N = 18)表现出M100反应增加。此外,该组在刺激呈现后立即在左背外侧前额叶皮层内以及随后在双侧颞叶皮层中表现出诱发的高伽马波段活动增加。与训练相关的神经活动变化与执行功能评分的变化相关,但与言语学习和记忆无关。这些数据表明,针对听觉和言语学习操作的计算机化认知训练增强了听觉皮层中的感觉反应以及前额叶区域的参与度,这在对工作记忆要求较低的听觉处理任务中得到体现。这种神经回路增强反过来与更好的执行功能相关,但与言语记忆无关。

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