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精神分裂症患者的 Go 和 NoGo P3 电位缺陷。

Deficits in Go and NoGo P3 potentials in patients with schizophrenia.

机构信息

Department of Psychiatry, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.

Department of Physiology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.

出版信息

Psychiatry Res. 2017 Aug;254:126-132. doi: 10.1016/j.psychres.2017.04.052. Epub 2017 Apr 24.

Abstract

Cognitive control processes elicited during a cued continuous performance test were evaluated using event-related potentials in 46 patients who were within the first 5 years of diagnosis of schizophrenia, and 29 healthy controls. Patients had longer reaction times, lower hit rates, and higher false alarm rates compared with controls. Patients had an overall P3 amplitude reduction that was more prominent on NoGo compared with Go trials. This greater P3 reduction on NoGo trials was present in central and parietal regions, but was absent in the frontal region, where the P3 reduction was comparable on NoGo and Go trials. Our findings suggest that the neural activity contributing to Go and NoGo P3s are both deteriorated in schizophrenia, but those contributing to central and parietal NoGo P3s are the most severely affected ones. We conclude that the cognitive control processes engaged during execution, and particularly during inhibition of a prepared motor response were disturbed in the early course of schizophrenia. Our findings might be related to our sample being in relatively early stages of schizophrenia and/or related to the use of atypical antipsychotics by most of our patients.

摘要

使用事件相关电位,我们评估了 46 名首发精神分裂症患者和 29 名健康对照者在提示连续绩效测试期间的认知控制过程。与对照组相比,患者的反应时间更长,击中率更低,虚报率更高。与 Go 试验相比,患者的整体 P3 振幅降低更为明显,而在 NoGo 试验中则更为明显。这种在 NoGo 试验中 P3 减少更多发生在中央和顶叶区域,但在前额区域则不存在,在该区域,NoGo 和 Go 试验的 P3 减少是相当的。我们的研究结果表明,在精神分裂症中,与 Go 和 NoGo P3 相关的神经活动均恶化,但与中央和顶叶 NoGo P3 相关的神经活动受影响最严重。我们得出的结论是,在精神分裂症的早期阶段,执行过程中,特别是在抑制已准备好的运动反应过程中,认知控制过程受到干扰。我们的研究结果可能与我们的样本处于精神分裂症的相对早期阶段有关,也可能与我们的大多数患者使用非典型抗精神病药物有关。

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