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精神分裂症患者与疾病阶段和临床症状严重程度相关的运动相关振荡活动。

Motor-related oscillatory activity in schizophrenia according to phase of illness and clinical symptom severity.

机构信息

Sir Peter Mansfield Imaging Centre, School of Physics and Astronomy, University of Nottingham, University Park, Nottingham NG7 2RD, United Kingdom.

Sir Peter Mansfield Imaging Centre, School of Physics and Astronomy, University of Nottingham, University Park, Nottingham NG7 2RD, United Kingdom.

出版信息

Neuroimage Clin. 2021;29:102524. doi: 10.1016/j.nicl.2020.102524. Epub 2020 Dec 3.

Abstract

Magnetoencephalography (MEG) measures magnetic fields generated by synchronised neural current flow and provides direct inference on brain electrophysiology and connectivity, with high spatial and temporal resolution. The movement-related beta decrease (MRBD) and the post-movement beta rebound (PMBR) are well-characterised effects in magnetoencephalography (MEG), with the latter having been shown to relate to long-range network integrity. Our previous work has shown that the PMBR is diminished (relative to controls) in a group of schizophrenia patients. However, little is known about how this effect might differ in patients at different stages of illness and degrees of clinical severity. Here, we extend our previous findings showing that the MEG derived PMBR abnormality in schizophrenia exists in 29 recent-onset and 35 established cases (i.e., chronic patients), compared to 42 control cases. In established cases, PMBR is negatively correlated with severity of disorganization symptoms. Further, using a hidden Markov model analysis, we show that transient pan-spectral oscillatory "bursts", which underlie the PMBR, differ between healthy controls and patients. Results corroborate that PMBR is associated with disorganization of mental activity in schizophrenia.

摘要

脑磁图(MEG)测量由同步神经电流产生的磁场,并提供对大脑电生理学和连通性的直接推断,具有高空间和时间分辨率。运动相关的β波下降(MRBD)和运动后β波反弹(PMBR)是脑磁图(MEG)中特征明显的效应,后者已被证明与长程网络完整性有关。我们之前的工作表明,在一组精神分裂症患者中,PMBR (与对照组相比)降低。然而,对于处于疾病不同阶段和临床严重程度不同的患者,这种效应可能会有何不同,目前知之甚少。在这里,我们扩展了之前的研究结果,表明在 29 例新发和 35 例确诊(即慢性)病例中存在精神分裂症的 MEG 衍生 PMBR 异常,而对照组为 42 例。在确诊病例中,PMBR 与精神错乱症状的严重程度呈负相关。此外,使用隐马尔可夫模型分析,我们表明,作为 PMBR 基础的全频谱振荡“爆发”在健康对照组和患者之间存在差异。结果证实,PMBR 与精神分裂症中精神活动的紊乱有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/642b/7750164/c26b3dfc46e1/gr1.jpg

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