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精神分裂症的缺陷症状学与味觉识别能力减弱有关:一项横断面研究的结果

Deficit Symptomatology of Schizophrenia Is Associated with Attenuated Taste Identification: Findings from a Cross-Sectional Study.

作者信息

Wroński Michał, Samochowiec Jerzy, Pełka-Wysiecka Justyna, Liśkiewicz Paweł, Bieńkowski Przemysław, Misiak Błażej

机构信息

Department of Psychiatry, Pomeranian Medical University, 71-460 Szczecin, Poland.

Department of Psychiatry, Warsaw Medical University, 02-091 Warsaw, Poland.

出版信息

Brain Sci. 2022 Nov 9;12(11):1520. doi: 10.3390/brainsci12111520.

Abstract

Schizophrenia is the subject of many studies. There have been reports of taste disturbances in mental disorders. We found a possible relationship between deficit symptoms of schizophrenia and the dysgeusia of monosodium glutamate (MSG). Dysgeusia is a disorder that distorts the sense of taste. People describe all foods as tasting sweet, sour, bitter, or metallic. We aimed to verify whether the level of MSG taste perception may be related to the severity of deficit symptoms. MSG detection threshold was assessed via sublingual administration of three fluid samples containing MSG or water. The MSG samples had different concentrations in each sample. The task was to indicate which of the samples contained MSG, determine the intensity of the taste, and assess the taste as pleasant, unpleasant, or neutral. The study group included 200 patients diagnosed with paranoid schizophrenia according to ICD-10. We found a significant negative correlation between mean intensity of taste and the number of deficit symptoms. The symptoms of taste disturbances reported by the patient should be monitored by clinicians and differentiated between the actual deficits in the field of taste perception and the taste hallucinations as a symptom of psychosis. It is important to continue research in this area.

摘要

精神分裂症是许多研究的主题。有报告称精神障碍中存在味觉障碍。我们发现精神分裂症的缺陷症状与味精(MSG)味觉障碍之间可能存在关联。味觉障碍是一种扭曲味觉的病症。人们将所有食物都描述为甜、酸、苦或金属味。我们旨在验证味精味觉感知水平是否可能与缺陷症状的严重程度相关。通过舌下含服三种含有味精或水的液体样本评估味精检测阈值。每个样本中味精的浓度不同。任务是指出哪个样本含有味精,确定味觉强度,并将味道评估为愉悦、不愉悦或中性。研究组包括200名根据ICD - 10诊断为偏执型精神分裂症的患者。我们发现味觉平均强度与缺陷症状数量之间存在显著负相关。临床医生应监测患者报告的味觉障碍症状,并区分味觉感知领域的实际缺陷和作为精神病症状的幻味。继续在该领域开展研究很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f92e/9688164/d0ca15051a66/brainsci-12-01520-g001.jpg

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