School of Psychology, Centre for Health Initiatives and Illawarra Health and Medical Research Institute, University of Wollongong, Wollongong, NSW, Australia.
School of Psychology and Priority Research Centre for Translational Neuroscience and Mental Health University of Newcastle, Newcastle, NSW, Australia.
Psychiatry Res Neuroimaging. 2016 Aug 30;254:83-91. doi: 10.1016/j.pscychresns.2016.06.011. Epub 2016 Jun 21.
Schizophrenia may be conceptualised using a dimensional approach to examine trait-like expression such as schizotypy within non-clinical populations to better understand pathophysiology. A candidate psychosis-risk marker, the auditory mismatch negativity (MMN) is thought to index the functionality of glutamatergic NMDA receptor mediated neurotransmission. Although the MMN is robustly reduced in patients with schizophrenia, the association between MMN and schizotypy in the general population is under-investigated. Thirty-five healthy participants completed the Schizotypal Personality Questionnaire (SPQ) and a multi-feature MMN paradigm (standards 82%, 50ms, 1000Hz, 80dB) with duration (100ms), frequency (1200Hz) and intensity (90dB) deviants (6% each). Spearman's correlations were used to explore the association between schizotypal personality traits and MMN amplitude. Few associations were identified between schizotypal traits and MMN. Higher Suspiciousness subscale scores tended to be correlated with larger frequency MMN amplitude. A median-split comparison of the sample on Suspiciousness scores showed larger MMN (irrespective of deviant condition) in the High compared to the Low Suspiciousness group. The trend-level association between MMN and Suspiciousness is in contrast to the robustly attenuated MMN amplitude observed in schizophrenia. Reductions in MMN may reflect a schizophrenia-disease state, whereas non-clinical schizotypy may not be subserved by similar neuropathology.
精神分裂症可以使用维度方法进行概念化,以检查非临床人群中的类似特质的表现,如精神分裂症特质,从而更好地理解病理生理学。听觉失匹配负波 (MMN) 是一种候选的精神病风险标志物,被认为指数谷氨酸能 NMDA 受体介导的神经传递功能。尽管精神分裂症患者的 MMN 明显减少,但一般人群中 MMN 与精神分裂症特质之间的关联尚未得到充分研究。35 名健康参与者完成了精神分裂症人格问卷 (SPQ) 和多特征 MMN 范式 (82%的标准,50ms,1000Hz,80dB,持续时间为 100ms,频率为 1200Hz,强度为 90dB 的变异性为 6% )。使用 Spearman 相关系数来探讨精神分裂症特质与 MMN 振幅之间的关联。精神分裂症特质与 MMN 之间的关联很少。较高的可疑性分量表得分往往与更大的频率 MMN 振幅相关。在可疑性得分上对样本进行中位数分割比较显示,在高可疑性组中,MMN(无论变异性条件如何)均大于低可疑性组。MMN 与可疑性之间的趋势关联与精神分裂症中观察到的 MMN 振幅明显减弱形成对比。MMN 的减少可能反映了精神分裂症的疾病状态,而非临床精神分裂症特质可能不受类似的神经病理学支配。