Zahn T P
J Nerv Ment Dis. 1976 Mar;162(3):195-9. doi: 10.1097/00005053-197603000-00006.
Data are presented from four of the author's studies on the electrodermal orienting responss which fail to confirm the findings of Gruzelier and Venables of a markedly bimodal distribution of ORs in schizophrenic populations. A review of the findings of other earlier studies, none of which confirm the bimodal hypothesis although some used patients taking phenothiazines, shows that differential effects of drugs, although probably an important factor, by itself cannot account entirely for the discrepancies in results. It is hypothesized that due to changes in hospital discharge policies, the groups of patients tested by Gruzelier and Venables, compared to those tested in earlier studies, were more heavily weighted with patients whose symptoms were resistant to phenothiazines. These patients may either have come from the extremes of the responsivity distribution or have atypical reactions to neuroleptic drugs.
本文呈现了作者关于皮肤电定向反应的四项研究数据,这些数据未能证实格鲁泽列尔和维纳布尔斯在精神分裂症患者群体中发现的ORs明显双峰分布的结果。对其他早期研究结果的回顾表明,尽管有些研究使用了服用吩噻嗪类药物的患者,但没有一项研究证实双峰假说,这表明药物的差异效应虽然可能是一个重要因素,但仅凭其本身并不能完全解释结果上的差异。据推测,由于医院出院政策的变化,与早期研究中测试的患者相比,格鲁泽列尔和维纳布尔斯测试的患者群体中,对吩噻嗪类药物耐药的患者比例更高。这些患者可能要么来自反应性分布的极端情况,要么对神经安定药物有非典型反应。