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精神分裂症患者大脑偏侧化异常。

Abnormalities of cerebral lateralization in schizophrenia patients.

作者信息

Schweitzer L, Becker E, Welsh H

出版信息

Arch Gen Psychiatry. 1978 Aug;35(8):982-5. doi: 10.1001/archpsyc.1978.01770320076006.

DOI:10.1001/archpsyc.1978.01770320076006
PMID:678047
Abstract

Initial lateral eye movements (LEMs) have been shown to be associated with activation of the contralateral frontal lobes. Using LEM as a criterion measure of activation, schizophrenics were compared to normals with respect to the processing of four types of stimuli: verbal nonemotional (VNE), verbal emotional (VE), spatial nonemotional (SNE), and spatial emotional (SE). Our results indicate that schizophrenics initiate thought in their left hemisphere significantly more often than controls when one compares all test conditions and on VNE, VE, and SE material. Neither medication nor level of education had an appreciable effect on LEM in either group. However, sex was a significant variable; women irrespective of diagnosis consistently used the left hemisphere more often than men. The inappropriate initiation of thought on SE material as well as the overall increase in left hemisphere activity suggest left hemisphere disorder. This is consistent with other findings that suggest a left hemisphere locus of disturbance in schizophrenia.

摘要

最初的眼球横向运动(LEMs)已被证明与对侧额叶的激活有关。以LEM作为激活的标准测量指标,就四种类型的刺激(言语非情感性刺激VNE、言语情感性刺激VE、空间非情感性刺激SNE和空间情感性刺激SE)的处理情况,将精神分裂症患者与正常人进行了比较。我们的结果表明,当比较所有测试条件以及VNE、VE和SE材料时,精神分裂症患者在左半球启动思维的频率明显高于对照组。药物治疗和教育水平对两组的LEM均无明显影响。然而,性别是一个显著变量;无论诊断如何,女性使用左半球的频率始终高于男性。在SE材料上思维启动不当以及左半球活动的总体增加表明存在左半球功能紊乱。这与其他表明精神分裂症中干扰位于左半球的研究结果一致。

相似文献

1
Abnormalities of cerebral lateralization in schizophrenia patients.精神分裂症患者大脑偏侧化异常。
Arch Gen Psychiatry. 1978 Aug;35(8):982-5. doi: 10.1001/archpsyc.1978.01770320076006.
2
Differences of cerebral lateralization among schizophrenic and depressed patients.精神分裂症患者与抑郁症患者大脑半球偏侧化的差异。
Biol Psychiatry. 1979 Oct;14(5):721-33.
3
Cerebral lateralization: relation to subject's sex.大脑半球偏侧化:与受试者性别的关系。
Cortex. 1980 Dec;16(4):559-66. doi: 10.1016/s0010-9452(80)80003-7.
4
Left hemispheric overactivation in schizophrenia: relationship to clockwise circling.精神分裂症中的左半球过度激活:与顺时针旋转的关系。
Psychiatry Res. 1987 Mar;20(3):215-20. doi: 10.1016/0165-1781(87)90081-3.
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Brain function in psychiatric disorders. III. Regional cerebral blood flow in unmedicated schizophrenics.
Arch Gen Psychiatry. 1985 Apr;42(4):329-34. doi: 10.1001/archpsyc.1985.01790270015001.
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Evidence of right cerebral hemisphere dysfunction in schizophrenic patients with left hemisphere overactivation.左半球过度激活的精神分裂症患者右大脑半球功能障碍的证据。
Biol Psychiatry. 1982 Jun;17(6):655-73.
7
Left hemisphere hyperactivity in schizophrenia: abnormality inherent to psychosis or neuroleptic side-effects?精神分裂症中的左半球功能亢进:是精神病固有的异常还是抗精神病药物的副作用?
Psychopharmacology (Berl). 1982;77(2):168-70. doi: 10.1007/BF00431942.
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Disordered emotional processing in schizophrenia and one-sided brain damage.精神分裂症和单侧脑损伤中的情绪加工障碍
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Cerebral dysfunctions of emotion-cognition interactions in adolescent-onset schizophrenia.青少年期起病精神分裂症中情绪-认知交互作用的脑功能障碍
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引用本文的文献

1
Telemetered EEG in schizophrenia: spectral analysis during abnormal behaviour episodes.精神分裂症患者的遥测脑电图:异常行为发作期间的频谱分析
J Neurol Neurosurg Psychiatry. 1982 May;45(5):385-95. doi: 10.1136/jnnp.45.5.385.
2
Left hemisphere hyperactivity in schizophrenia: abnormality inherent to psychosis or neuroleptic side-effects?精神分裂症中的左半球功能亢进:是精神病固有的异常还是抗精神病药物的副作用?
Psychopharmacology (Berl). 1982;77(2):168-70. doi: 10.1007/BF00431942.
3
Eye movement research with schizophrenic patients and normal controls using corneal reflection-pupil center measurement.
使用角膜反射-瞳孔中心测量法对精神分裂症患者和正常对照者进行眼动研究。
Eur Arch Psychiatry Neurol Sci. 1986;235(4):243-54. doi: 10.1007/BF00379980.