Neuwirth J, Andresen B, Seifert R, Stark F M, Spehr W, Thomasius R, Rosenkranz T
Psychiatrische und Nervenklinik, Universitätskrankenhauses Hamburg-Eppendorf.
Fortschr Neurol Psychiatr. 1995 Feb;63(2):78-89. doi: 10.1055/s-2007-996606.
We performed an exploratory study of quantitative EEG in aetiopathogenetically different paranoid-hallucinatory psychoses divided into the following groups: a) patients with familial psychoses (n = 12), b) patients with neuropsychological deficits (n = 16), c) patients with alcohol and drug abuse (n = 22) and d) patients with so-called sporadic psychoses (n = 12). We found a significant reduction of relative alpha power in the group with neuropsychological deficits. In the group with familial psychosis there was a significant reduction of absolute delta power and a significant increase of relative beta power and dominant beta frequency, especially for the frontal leads. Patients with drug abuse showed a reduction of absolute beta power and an increase of absolute and relative theta power. The group with sporadic psychosis showed a significant slowing of the dominant beta frequency and a significant increase of the absolute power of fast alpha rhythms. The group with sporadic psychoses showed lowered scores for the paranoid-hallucinatory basic symptom factor. The group with neuropsychological deficits showed the most visceral-somatoform basic symptoms, the highest nicotine consumption, increased dyskinesias and more perinatal complications. This group also showed the highest level of neuroleptic and antiparkinson medication. All in all, the group with neuropsychological deficits showed a complex interaction of somatic-exogenic and medical-iatrogenic factors. Furthermore, there was a significant positive correlation between paranoid-hallucinatory basic symptoms and nicotine abuse and high frequency beta waves.
我们对病因不同的偏执幻觉性精神病患者进行了定量脑电图的探索性研究,这些患者分为以下几组:a)家族性精神病患者(n = 12),b)有神经心理缺陷的患者(n = 16),c)酗酒和药物滥用患者(n = 22),d)所谓的散发性精神病患者(n = 12)。我们发现,有神经心理缺陷的组中相对α波功率显著降低。在家族性精神病组中,绝对δ波功率显著降低,相对β波功率和主导β频率显著增加,尤其是额部导联。药物滥用患者表现出绝对β波功率降低,绝对和相对θ波功率增加。散发性精神病组表现出主导β频率显著减慢,快速α节律的绝对功率显著增加。散发性精神病组的偏执幻觉基本症状因子得分较低。有神经心理缺陷的组表现出最多的内脏-躯体形式基本症状、最高的尼古丁消耗量、运动障碍增加和更多的围产期并发症。该组还表现出最高水平的抗精神病药物和抗帕金森药物使用。总体而言,有神经心理缺陷的组表现出躯体-外源性和医源性因素的复杂相互作用。此外,偏执幻觉基本症状与尼古丁滥用和高频β波之间存在显著正相关。