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阐明 p300 在发展过程中心理病理学实证结构中的位置。

Clarifying the place of p300 in the empirical structure of psychopathology over development.

机构信息

Department of Psychology, University of Pennsylvania.

Department of Psychology, University of Minnesota, Twin Cities.

出版信息

J Psychopathol Clin Sci. 2024 Nov;133(8):733-744. doi: 10.1037/abn0000937.

Abstract

Psychophysiology can help elucidate the structure and developmental mechanisms of psychopathology, consistent with the Research Domain Criteria initiative. Cross-sectional research using categorical diagnoses indicates that P300 is an electrocortical endophenotype indexing genetic vulnerability to externalizing problems. However, current diagnostic systems' limitations impede a precise understanding of risk. The Hierarchical Taxonomy of Psychopathology (HiTOP) overcomes these limitations by delineating reliable dimensions ranging in specificity from broad spectra to narrow syndromes. The current study used a HiTOP-aligned approach to clarify P300's associations with a higher-order externalizing factor versus syndrome-specific manifestations within externalizing and internalizing spectra during middle and late adolescence. Participants from the Minnesota Twin Family Study's Enrichment Sample contributed psychophysiological and clinical data at age 14 (N = 930) and follow-up clinical data at age 17 (N = 913). Blunted target P300 at age 14 was selectively associated with externalizing as manifested at age 17 at the superspectrum level (rather than specific externalizing syndromes). Unlike in prior work, target P300 amplitude was positively associated with age 17 depressive symptoms (once controlling for standard stimuli). No association was observed with lifetime symptoms of childhood externalizing or depression evident by age 14. The results indicate that blunted target P300 elucidates specific risk for the development of late-adolescent/young-adult expressions of general externalizing, over and above symptoms evident by middle adolescence. Additionally, the findings speak to the synergistic utility of studying HiTOP-aligned dimensions using multiple measurement modalities to build a more comprehensive understanding of the development of psychopathology. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

摘要

心理生理学可以帮助阐明精神病理学的结构和发展机制,这与研究领域标准倡议一致。使用分类诊断的横断面研究表明,P300 是一种电皮质内表型,可指示对外生问题的遗传易感性。然而,当前的诊断系统的局限性阻碍了对风险的准确理解。精神病理学的分层分类法(HiTOP)通过描绘从广泛谱到狭窄综合征的特异性范围的可靠维度来克服这些局限性。当前的研究使用与 HiTOP 一致的方法来阐明 P300 与较高阶的外显因子的关联,以及在外生和内生谱中,从 14 岁到 17 岁的青少年中期和后期,特定的综合征表现。明尼苏达州双胞胎家庭研究的丰富样本中的参与者提供了心理生理学和临床数据(N = 930),并在 17 岁时(N = 913)进行了后续的临床数据。14 岁时的目标 P300 迟钝与 17 岁时的外显水平(而不是特定的外显综合征)表现出的外显因子有选择性的关联。与以前的工作不同,目标 P300 幅度与 17 岁时的抑郁症状呈正相关(一旦控制了标准刺激)。在 14 岁时,没有观察到与儿童期外显或抑郁的终生症状的关联。研究结果表明,目标 P300 迟钝可阐明一般外显症在青少年后期/青年早期发展的特定风险,而不仅仅是青少年中期明显的症状。此外,这些发现说明了使用多种测量模式研究与 HiTOP 一致的维度的协同效用,以更全面地了解精神病理学的发展。(PsycInfo 数据库记录(c)2024 APA,保留所有权利)。

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