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脑电图相干性与功率在精神疾病及药物疗效鉴别中的应用

EEG coherence and power in the discrimination of psychiatric disorders and medication effects.

作者信息

Ford M R, Goethe J W, Dekker D K

出版信息

Biol Psychiatry. 1986 Oct;21(12):1175-88. doi: 10.1016/0006-3223(86)90224-6.

Abstract

Electroencephalogram (EEG) coherence (COH) and power measures were included in a series of stepwise discriminant analyses to determine which variables were most sensitive in the differentiation of four psychiatric inpatient groups and two major classes of psychotropic medication. Eight channels of eyes-closed, bipolar EEG activity were recorded from 74 inpatients (paranoid schizophrenics, dysthymics, major affectives receiving tricyclics, neuroleptics, or no medication, and geriatrics). Discriminant analyses were conducted for theta, alpha, and fast beta frequency bands for power variables, COH variables, and the resultant significant power and COH discriminating variables. Without exception, COH measures, usually in the alpha band, were more sensitive than power measures in differentiating the various groups. Results suggested that COH decreases with age, is greatest in paranoid schizophrenics, decreases with neuroleptic medication, and increases with tricyclic antidepressants. Group differences were interpreted in accordance with an arousal model for COH.

摘要

脑电图(EEG)相干性(COH)和功率测量被纳入一系列逐步判别分析中,以确定哪些变量在区分四个精神科住院患者组和两类主要精神药物方面最为敏感。从74名住院患者(偏执型精神分裂症患者、心境恶劣者、接受三环类药物、抗精神病药物或未接受药物治疗的重度情感障碍患者以及老年患者)记录了8个闭眼双极EEG活动通道。对功率变量、COH变量以及由此产生的显著功率和COH判别变量,在θ、α和快β频段进行了判别分析。无一例外,通常在α频段的COH测量在区分不同组时比功率测量更敏感。结果表明,COH随年龄增长而降低,在偏执型精神分裂症患者中最高,随抗精神病药物治疗而降低,随三环类抗抑郁药治疗而增加。根据COH的唤醒模型对组间差异进行了解释。

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