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精神分裂症中的半球不对称性。

Hemispheric asymmetries in schizophrenia.

作者信息

Newlin D B, Carpenter B, Golden C J

出版信息

Biol Psychiatry. 1981 Jun;16(6):561-82.

PMID:7260218
Abstract

The growing literature on hemispheric asymmetries in schizophrenic populations is critically reviewed. Studies of lateral asymmetries in schizophrenics are discussed which have employed a wide range of methodologies, including assessment of motor, sensory, electrophysiological, neuropsychological, and structural abnormalities. This literature is discussed in relation to two theoretical viewpoints, one emphasizing impaired functioning of the corpus callosum, and the other positing left hemisphere overactivation and dysfunction in schizophrenic populations. It is concluded that the hypothesis of impaired callosal function has not been adequately tested because of methodological problems, the most serious of which is the failure to show differential deficit. The hypothesis of left hemisphere abnormality has gained consistent support, although methodological problems were noted. This research suggests a structural locus for schizophrenic pathology which is consistent with the symptomatology of the disorder, and provides avenues for further research.

摘要

本文对有关精神分裂症患者半球不对称性的不断增长的文献进行了批判性综述。讨论了对精神分裂症患者的侧向不对称性研究,这些研究采用了广泛的方法,包括对运动、感觉、电生理、神经心理学和结构异常的评估。结合两种理论观点对这些文献进行了讨论,一种观点强调胼胝体功能受损,另一种观点认为精神分裂症患者存在左半球过度激活和功能障碍。结论是,由于方法学问题,胼胝体功能受损的假设尚未得到充分检验,其中最严重的问题是未能显示出差异缺陷。尽管注意到了方法学问题,但左半球异常的假设得到了一致支持。这项研究提出了一个与该疾病症状相符的精神分裂症病理学结构位点,并为进一步研究提供了途径。

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