Bartfai A, Levander S E, Nybäck H, Schalling D
Acta Psychiatr Scand. 1987 Mar;75(3):321-9. doi: 10.1111/j.1600-0447.1987.tb02796.x.
Bilateral skin conductance (SC) and heart rate (HR) were measured for 18 RDC diagnosed schizophrenic patients during rest and during presentation of identical tones. Computed tomography scans were evaluated. All but two patients were on neuroleptic medication. Six patients were nonresponders, seven habituated to the tones and five were nonhabituators. Nonresponders had lower SC level, fewer SC spontaneous fluctuations and higher HR level than the other subgroups. On neuropsychological tests the performance of the habituator group was closest to that of healthy subjects. Nonresponders did not differ in clinical symptoms, anamnestic data or in the prevalence of psychiatric morbidity in their families. Seventeen percent of the nonresponders had poor premorbidity adjustment vs 80% of the nonhabituators. Nonhabituators had higher ranks in the following symptoms: Presence of commenting voices, and inability to feel. They also tended to have wider third ventricles than the other two subgroups. The results support earlier findings in our laboratory suggesting nonhabituators as an important subgroup among schizophrenic patients.
对18名经研究诊断标准(RDC)确诊的精神分裂症患者在静息状态和呈现相同音调时的双侧皮肤电导率(SC)和心率(HR)进行了测量。对计算机断层扫描进行了评估。除两名患者外,所有患者均服用抗精神病药物。6名患者无反应,7名患者对音调产生了习惯化,5名患者未产生习惯化。无反应者比其他亚组的皮肤电导率水平更低,皮肤电导率自发波动更少,心率水平更高。在神经心理学测试中,习惯化组的表现最接近健康受试者。无反应者在临床症状、既往史数据或其家族中精神疾病患病率方面没有差异。17%的无反应者病前适应不良,而未习惯化者的这一比例为80%。未习惯化者在以下症状方面得分较高:存在评论性幻听以及情感缺失。他们的第三脑室也往往比其他两个亚组更宽。这些结果支持了我们实验室早期的研究发现,表明未习惯化者是精神分裂症患者中的一个重要亚组。