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精神分裂症中与治疗反应相关的电生理证据。

Electrophysiological Evidence in Schizophrenia in Relation to Treatment Response.

作者信息

Sueyoshi Kazuki, Sumiyoshi Tomiki

机构信息

Department of Preventive Intervention for Psychiatric Disorders, National Institute of Mental Health, National Center of Neurology and Psychiatry, Kodaira, Japan.

出版信息

Front Psychiatry. 2018 Jun 13;9:259. doi: 10.3389/fpsyt.2018.00259. eCollection 2018.

DOI:10.3389/fpsyt.2018.00259
PMID:29951008
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6008315/
Abstract

Several domains of cognitive function, e.g., verbal memory, information processing, fluency, attention, and executive function are impaired in patients with schizophrenia. Cognitive impairments in schizophrenia have attracted interests as a treatment target, because they are considered to greatly affect functional outcome. Electrophysiological markers, including electroencephalogram (EEG), particularly, event-related potentials, have contributed to psychiatric research and clinical practice. In this review, we provide a summary of studies relating electrophysiological findings to cognitive performance in schizophrenia. Electrophysiological indices may provide an objective marker of cognitive processes, contributing to the development of effective interventions to improve cognitive and social outcomes. Further efforts to understand biological mechanisms of cognitive disturbances, and develop effective therapeutics are warranted.

摘要

精神分裂症患者存在多个认知功能领域受损,例如言语记忆、信息处理、流畅性、注意力和执行功能。精神分裂症中的认知障碍作为一个治疗靶点已引起关注,因为它们被认为会极大地影响功能结局。包括脑电图(EEG)在内的电生理标志物,尤其是事件相关电位,已对精神病学研究和临床实践有所贡献。在本综述中,我们总结了将电生理结果与精神分裂症认知表现相关联的研究。电生理指标可能提供认知过程的客观标志物,有助于开发有效的干预措施以改善认知和社会结局。有必要进一步努力了解认知障碍的生物学机制并开发有效的治疗方法。

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本文引用的文献

1
Different P50 sensory gating measures reflect different cognitive dysfunctions in schizophrenia.不同的P50感觉门控测量反映了精神分裂症中不同的认知功能障碍。
Schizophr Res Cogn. 2015 Sep 9;2(3):166-169. doi: 10.1016/j.scog.2015.07.002. eCollection 2015 Sep.
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Clinical and Cognitive Significance of Auditory Sensory Processing Deficits in Schizophrenia.精神分裂症听觉感觉处理缺陷的临床和认知意义。
Am J Psychiatry. 2018 Mar 1;175(3):275-283. doi: 10.1176/appi.ajp.2017.16111203. Epub 2017 Dec 5.
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Schizophr Res Cogn. 2016 Sep 28;6:9-14. doi: 10.1016/j.scog.2016.08.001. eCollection 2016 Dec.
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Auditory verbal hallucinations are related to cortical thinning in the left middle temporal gyrus of patients with schizophrenia.听觉言语幻觉与精神分裂症患者左侧颞中回皮质变薄有关。
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Mismatch negativity (MMN) deficiency: a break-through biomarker in predicting psychosis onset.失匹配负波(MMN)缺失:预测精神病发作的突破性生物标志物。
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The utility of P300 as a schizophrenia endophenotype and predictive biomarker: clinical and socio-demographic modulators in COGS-2.P300作为精神分裂症内表型和预测生物标志物的效用:COGS-2中的临床和社会人口学调节因素
Schizophr Res. 2015 Apr;163(1-3):53-62. doi: 10.1016/j.schres.2014.09.024. Epub 2014 Oct 11.
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Disruption of structure-function coupling in the schizophrenia connectome.精神分裂症连接组中结构-功能耦合的破坏。
Neuroimage Clin. 2014 May 9;4:779-87. doi: 10.1016/j.nicl.2014.05.004. eCollection 2014.
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Mismatch negativity is a stronger indicator of functional outcomes than neurocognition or theory of mind in patients with schizophrenia.精神分裂症患者的错配负波比神经认知或心理理论更能预示功能结局。
Prog Neuropsychopharmacol Biol Psychiatry. 2014 Jan 3;48:213-9. doi: 10.1016/j.pnpbp.2013.10.010. Epub 2013 Oct 22.
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Neural basis for the ability of atypical antipsychotic drugs to improve cognition in schizophrenia.非典型抗精神病药物改善精神分裂症认知功能的神经基础。
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