Sun Qiaoling, Fang Yehua, Shi Yongyan, Wang Lifeng, Peng Xuemei, Tan Liwen
Department of Psychiatry, Mental Health Institute of the Second Xiangya Hospital, Central South University, Changsha, China.
Department of Clinical Psychology, Zhuzhou Central Hospital, Zhuzhou, China.
Front Psychiatry. 2021 Jun 4;12:544746. doi: 10.3389/fpsyt.2021.544746. eCollection 2021.
Auditory verbal hallucinations (AVH), with unclear mechanisms, cause extreme distresses to schizophrenia patients. Deficits of inhibitory top-down control may be linked to AVH. Therefore, in this study, we focused on inhibitory top-down control in schizophrenia patients with AVH. The present study recruited 40 schizophrenia patients, including 20 AVH patients and 20 non-AVH patients, and 23 healthy controls. We employed event-related potentials to investigate the N2 and P3 amplitude and latency differences among these participants during a Go/NoGo task. Relative to healthy controls, the two patient groups observed longer reaction time (RT) and reduced accuracy. The two patient groups had smaller NoGo P3 amplitude than the healthy controls, and the AVH patients showed smaller NoGo P3 amplitude than the non-AVH patients. In all the groups, the parietal area showed smaller NoGo P3 than frontal and central areas. However, no significant difference was found in N2 and Go P3 amplitude between the three groups. AVH patients might have worse inhibitory top-down control, which might be involved in the occurrence of AVH. Hopefully, our results could enhance understanding of the pathology of AVH.
言语性幻听(AVH)机制不明,给精神分裂症患者带来极大痛苦。自上而下抑制控制的缺陷可能与言语性幻听有关。因此,在本研究中,我们聚焦于有言语性幻听的精神分裂症患者的自上而下抑制控制。本研究招募了40名精神分裂症患者,包括20名有言语性幻听的患者和20名无言语性幻听的患者,以及23名健康对照者。我们采用事件相关电位来研究这些参与者在Go/NoGo任务期间N2和P3波幅及潜伏期的差异。相对于健康对照者,两个患者组的反应时间(RT)更长,准确性更低。两个患者组的NoGo P3波幅均小于健康对照者,且有言语性幻听的患者的NoGo P3波幅小于无言语性幻听的患者。在所有组中,顶叶区域的NoGo P3波幅小于额叶和中央区域。然而,三组之间在N2和Go P3波幅上未发现显著差异。有言语性幻听的患者可能具有更差的自上而下抑制控制,这可能与言语性幻听的发生有关。希望我们的结果能增进对言语性幻听病理的理解。