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儿童期和成年期起病精神分裂症的信息处理缺陷

Information-processing deficits across childhood- and adult-onset schizophrenia.

作者信息

Strandburg R J, Marsh J T, Brown W S, Asarnow R F, Guthrie D

机构信息

Dept. of Psychology, Rhodes College, Memphis, TN 38112-1690.

出版信息

Schizophr Bull. 1994;20(4):685-95. doi: 10.1093/schbul/20.4.685.

Abstract

Event-related potentials were recorded for childhood- and adult-onset schizophrenia subjects performing the span of apprehension (Span) task, which is sensitive to vulnerability factors in schizophrenia. Subjects responded to the onset of the Span arrays in a reaction time condition and then responded differentially to the presence of one of two target letters in the Span condition. While neither the childhood- nor the adult-onset group exhibited abnormalities in preparatory contingent negative variation activity, both groups produced significantly less endogenous negative activity between 100 and 300 ms after Span stimulus onset than age-matched normals. This endogenous negative activity reflects attentional effort associated with serial search and stimulus identification. These results support the position that schizophrenia subjects are impaired in their ability to allocate adequate attentional resources for processing Span stimuli. Moreover, the similarity of this information-processing deficit in the two groups suggests that childhood- and adult-onset schizophrenia lie on a continuum in this regard.

摘要

对患有儿童期起病型和成年期起病型精神分裂症的受试者进行了事件相关电位记录,这些受试者正在执行理解广度(Span)任务,该任务对精神分裂症的易感性因素敏感。在反应时间条件下,受试者对Span阵列的开始做出反应,然后在Span条件下对两个目标字母之一的出现做出不同反应。虽然儿童期起病组和成年期起病组在预备性关联性负变化活动中均未表现出异常,但两组在Span刺激开始后100至300毫秒之间产生的内源性负活动均明显少于年龄匹配的正常受试者。这种内源性负活动反映了与序列搜索和刺激识别相关的注意力努力。这些结果支持这样一种观点,即精神分裂症患者在为处理Span刺激分配足够注意力资源的能力方面存在缺陷。此外,两组中这种信息处理缺陷的相似性表明,在这方面,儿童期起病型和成年期起病型精神分裂症处于连续统一体上。

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