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抗精神病药物剂量和迟发性运动障碍与服药的精神分裂症患者的注意力、信息处理及心理生理学的关系。

Relation of neuroleptic dose and tardive dyskinesia to attention, information-processing, and psychophysiology in medicated schizophrenics.

作者信息

Spohn H E, Coyne L, Lacoursiere R, Mazur D, Hayes K

出版信息

Arch Gen Psychiatry. 1985 Sep;42(9):849-59. doi: 10.1001/archpsyc.1985.01790320017003.

Abstract

Relationships of neuroleptic dosage and tardive dyskinesia with measures of attentional, information-processing, and psychophysiological dysfunctions in medicated chronic schizophrenics were explored by correlational and stepwise multiple-regression analysis. High neuroleptic dosage was found to be associated with increased reaction time, reduced span of apprehension, low basal skin conductance level, and reduced skin conductance reactivity. Severe abnormal involuntary movements were associated with increased eye-tracking dysfunction, increased scanning eye-movement rate, increased reaction time, and reduced skin conductance reactivity. These findings led to the hypothesis that neuroleptic dosage and tardive dyskinesia may be sources of error variance in the measurement of attentional, information-processing, and psychophysiological functions in schizophrenics.

摘要

通过相关性和逐步多元回归分析,探讨了抗精神病药物剂量及迟发性运动障碍与药物治疗的慢性精神分裂症患者注意力、信息处理及心理生理功能障碍指标之间的关系。研究发现,高剂量抗精神病药物与反应时间延长、理解广度降低、基础皮肤电导水平降低及皮肤电导反应性降低有关。严重的异常不自主运动与眼动追踪功能障碍增加、扫视眼动速率增加、反应时间延长及皮肤电导反应性降低有关。这些发现引出了一个假说,即抗精神病药物剂量和迟发性运动障碍可能是精神分裂症患者注意力、信息处理及心理生理功能测量中误差方差的来源。

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