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精神分裂症思维中断时颞叶结构破坏的指征:亚稳平衡的作用

Indication of Disrupted Temporal Structure in the Case of Thought Blocks in Schizophrenia: The Role of the Metastable Balance.

作者信息

Koutsoukos Elias, Angelopoulos Elias

机构信息

Medical School, 1st Psychiatric Department, Eginition Hospital, Athens University, 72-74 Vas. Sofias Ave., 115 28 Athens, Greece.

Signal Processing Laboratory, University Mental Health Research Institute, 2 Soranou Efessiou, 115 27 Athens, Greece.

出版信息

Behav Neurol. 2018 Sep 2;2018:4031207. doi: 10.1155/2018/4031207. eCollection 2018.

Abstract

This study is aimed at investigating probable disruption of the metastable balance relevant to a disruption of the mental processes observed in the neurophenomenal level. This disruption was found to occur under dense auditory verbal hallucinations (AVHs) which are accompanied by thought blocking (TB) phenomena. The entropy that quantifies the complexity of the spontaneous coupling has been used to describe the observed transitions. According to our findings, the high synchrony-derived entropy (SE) defines a metastable state, where formations of cortical areas are able to coordinate transiently under the demands of stimulus-oriented processes or other internal cognitive associations. It was also found that the disruption of the sensitive balance to the side of oversynergy (overconnectedness) rather than the side of independence (coincidental coupling) is relevant with functional fixations under the specific symptom of schizophrenia. An introduced measure relative to the persistence of coupling indicated that the overcoupled brain areas exhibit a kind of "stiffness" in processing incoherent phasic components. Our consideration enhances the understanding of the role the metastability plays in the interpretation of deeply subjective phenomena, such as AVHs and TBs that affect the normal information routing in the brain.

摘要

本研究旨在调查与在神经现象层面观察到的心理过程中断相关的亚稳态平衡可能受到的干扰。发现这种干扰发生在伴有思维阻滞(TB)现象的密集听觉言语幻觉(AVH)之下。用于量化自发耦合复杂性的熵已被用来描述观察到的转变。根据我们的研究结果,高同步衍生熵(SE)定义了一种亚稳态,在这种状态下,皮层区域的形成能够在以刺激为导向的过程或其他内部认知关联的需求下进行短暂协调。还发现,对超协同(过度连接)而非独立(偶然耦合)一侧的敏感平衡的破坏与精神分裂症特定症状下的功能固定有关。一种引入的与耦合持续性相关的测量表明,过度耦合的脑区在处理不连贯的相位成分时表现出一种“僵硬”。我们的思考增强了对亚稳态在解释诸如影响大脑正常信息路由的AVH和TB等深度主观现象中所起作用的理解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1a2/6139220/46c6bcc6a788/BN2018-4031207.001.jpg

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