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精神分裂症患者体感、视觉和听觉诱发电位的时间变异性

Temporal variability of somatosensory, visual, and auditory evoked potentials in schizophrenia.

作者信息

Shagass C, Roemer R A, Straumanis J J, Amadeo M

出版信息

Arch Gen Psychiatry. 1979 Nov;36(12):1341-51. doi: 10.1001/archpsyc.1979.01780120071009.

Abstract

Previous findings in chronic schizophrenics showed greater than normal somatosensory evoked potential (SEP) waveshape stability before 100-ms after stimulus and reduced stability after 100 ms. To confirm and extend these findings, EPs to left and right median nerve stimuli, visual pattern flashes (VEPs), and auditory clicks (AEPs) were recorded from 14 locations in 86 patients and 33 controls. Three sets of analyses compared different patient groups with age- and sex-matched controls. The results confirmed previous SEP findings in chronic schizophrenics; no other subject group displayed the combination of high early and low late SEP stability. The SEP results did not generalize to VEPs and AEPs. Lead location was important for group differences. In overt schizophrenics, late epoch stability was low in all EPs. The results suggest certain limitations to the hypothesis of an impaired subcortical filtering mechanism in chronic schizophrenics.

摘要

先前针对慢性精神分裂症患者的研究结果显示,在刺激后100毫秒之前,体感诱发电位(SEP)波形稳定性高于正常水平,而在100毫秒之后稳定性降低。为了证实并拓展这些发现,对86例患者和33名对照者的14个部位记录了对左右正中神经刺激的诱发电位(EPs)、视觉模式闪光(VEP)和听觉滴答声(AEP)。三组分析将不同患者组与年龄和性别匹配的对照者进行了比较。结果证实了先前在慢性精神分裂症患者中关于SEP的研究结果;没有其他受试者组表现出早期SEP稳定性高和晚期SEP稳定性低的这种组合。SEP的结果并未推广到VEP和AEP。导联位置对组间差异很重要。在明显的精神分裂症患者中,所有EPs的晚期时段稳定性都很低。结果提示了慢性精神分裂症患者皮质下过滤机制受损这一假说存在某些局限性。

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