Timsit-Berthier M, Abraham P, Verhey F
Acta Psychiatr Belg. 1985;85:712-33.
The authors first review neurobiological and psychopathological data supporting the use of Contingent Negative Variation (CNV) for the study of Schizophrenia. Next, results obtained with the method are presented (i.e. with S1-S2 interval = 1 sec, and recording leads = Cz and Fz) comparing 34 control subjects with 29 schizophrenic patients, all diagnosed with the "Present State Examination" test or PSE (Wing and Sartorius). In patients, reduced CNV amplitude (p less than 0.0001), together with reduced CNV resolution (p less than 0.02) and less differentiated topographical spreading (p less than 0.02) were observed relatively to controls. There is also a slower reaction time (p less than 0.02). Such abnormalities are sufficiently frequent as to allow CNV as a helping diagnostic tool, with a sensitivity rate of 83% and a specificity rate of 85%. These results are discussed with respect to the psychopathological and neurobiological problems in relation with schizophrenia.
作者首先回顾了支持将关联性负变(CNV)用于精神分裂症研究的神经生物学和精神病理学数据。接下来,展示了使用该方法(即S1 - S2间隔 = 1秒,记录导联 = Cz和Fz)所获得的结果,该结果比较了34名对照受试者和29名精神分裂症患者,所有患者均通过“现况检查”测试或PSE(温格和萨托里厄斯)进行诊断。与对照组相比,在患者中观察到CNV波幅降低(p小于0.0001),同时CNV分辨率降低(p小于0.02)以及地形性扩散分化程度降低(p小于0.02)。反应时间也较慢(p小于0.02)。这些异常情况足够常见,以至于CNV可作为一种辅助诊断工具,其灵敏度为83%,特异度为85%。针对与精神分裂症相关的精神病理学和神经生物学问题对这些结果进行了讨论。