Raghavan D Vijaya, Shanmugiah Arumugam, Bharathi P, Jeyaprakash Ramasamy
Department of Psychiatry, Institute of Mental Health, Madras Medical College, Chennai, Tamil Nadu, India.
Indian J Psychiatry. 2016 Oct-Dec;58(4):454-458. doi: 10.4103/0019-5545.196709.
Patients with schizophrenia and their first-degree relatives' exhibit abnormalities in neuropsychological and electrophysiological measures especially P300. The aim was to study the P300 and neuropsychological measures together in patients with schizophrenia, their unaffected siblings, and normal controls.
Thirty patients diagnosed as schizophrenia, their unaffected biological siblings, and normal controls were included in the study. Inpatient group, the severity of symptoms was assessed by Positive and Negative Syndrome Scale. All subjects were administered P300 event-related potential, which was measured using oddball paradigm and specific neuropsychological tests from NIMHANS neuropsychiatry battery.
Both patients with schizophrenia and their unaffected biological siblings showed lower P300 amplitude and longer P300 latency when compared with the normal controls. The three groups showed statistically significant differences in digit symbol substitution test, digit vigilance test, Trail making test B and Stroop test ( < 0.001).
Patients with schizophrenia and their unaffected biological siblings show deficits in both cognitive function tests and P300 event-related potential. Our results suggest a continuum in the electrophysiological and neuropsychological measures among the three groups.
精神分裂症患者及其一级亲属在神经心理学和电生理测量尤其是P300方面表现出异常。目的是同时研究精神分裂症患者、其未患病的同胞以及正常对照者的P300和神经心理学测量。
本研究纳入30例被诊断为精神分裂症的患者、其未患病的亲生同胞以及正常对照者。住院患者组,症状严重程度通过阳性和阴性症状量表进行评估。所有受试者均接受P300事件相关电位检查,采用oddball范式进行测量,并进行来自NIMHANS神经精神病学成套测验的特定神经心理学测试。
与正常对照者相比,精神分裂症患者及其未患病的亲生同胞均表现出较低的P300波幅和较长的P300潜伏期。三组在数字符号替换测验、数字警觉测验、连线测验B和Stroop测验中显示出统计学显著差异(<0.001)。
精神分裂症患者及其未患病的亲生同胞在认知功能测试和P300事件相关电位方面均表现出缺陷。我们的结果表明三组在电生理和神经心理学测量方面存在连续性。