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右半球损伤患者对情感幻灯片的自主反应与主观反应的分离

Dissociation of autonomic and subjective responses to emotional slides in right hemisphere damaged patients.

作者信息

Meadows M E, Kaplan R F

机构信息

Department of Neurology, Tufts University School of Medicine, Boston, Massachusetts.

出版信息

Neuropsychologia. 1994 Jul;32(7):847-56. doi: 10.1016/0028-3932(94)90022-1.

Abstract

Autonomic and subjective responses to emotional and neutral slides were studied in patients with right hemisphere damage (RHD), left hemisphere damage (LHD) and normal controls (CON). Orienting and habituation to a series of pure tones (1000 Hz) were also examined. All subjects showed appropriate slide recognition and there were no group differences in subjective ratings. The CON group showed higher skin conductance responses (SCRs) to the emotional slides relative to the neutral slides, while the RHD group showed lower SCRs to both sets of slides. The LHD group showed higher SCRs independent of slide type. The results support the hypothesis (Heilman and Watson, Handbook of Neurology, Elsevier Science, 1989) that emotional paucity in RHD patients may be related to reduced autonomic arousal. However, there were no significant differences between groups in the orienting response or habituation to loud tones, suggesting that decreased arousal following RHD is not ubiquitous.

摘要

研究了右半球损伤(RHD)患者、左半球损伤(LHD)患者和正常对照组(CON)对情绪性和中性幻灯片的自主神经反应及主观反应。还检测了对一系列纯音(1000赫兹)的定向反应和习惯化情况。所有受试者对幻灯片的识别均正常,且主观评分无组间差异。与中性幻灯片相比,CON组对情绪性幻灯片表现出更高的皮肤电导率反应(SCR),而RHD组对两组幻灯片的SCR均较低。LHD组的SCR较高,且与幻灯片类型无关。这些结果支持了如下假设(Heilman和Watson,《神经病学手册》,爱思唯尔科学出版社,1989年):RHD患者的情绪缺乏可能与自主神经唤醒降低有关。然而,在对响亮声音的定向反应或习惯化方面,各组之间无显著差异,这表明RHD后唤醒降低并非普遍现象。

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