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精神分裂症患者的P300波幅更低且潜伏期更短:单次试验分析。

Schizophrenics have fewer and smaller P300s: a single-trial analysis.

作者信息

Ford J M, White P, Lim K O, Pfefferbaum A

机构信息

Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, CA.

出版信息

Biol Psychiatry. 1994 Jan 15;35(2):96-103. doi: 10.1016/0006-3223(94)91198-3.

Abstract

Because P300 is typically measured from an average of single trials, variations among individual trials may account for P300 amplitude reduction so often seen in patients with schizophrenia. We tested three hypotheses regarding single-trial contribution to small average P300s in schizophrenics: normal P300s are elicited on some trials and no P300s on others, all trials have consistently small P300s, or P300 latency varies over trials. Nineteen schizophrenics and 35 controls were tested on a two-tone auditory oddball event-related potential (ERP) paradigm. ERPs recorded from the parietal electrode (Pz) were subjected to a P300-screening procedure in which a 2 Hz half-sine wave template was moved across the electroencephalogram (EEG) to find the point of best fit. If, for the point of best fit, the EEG:Template covariance was greater in the signal epoch (280-600 msec) than in the noise epoch (610-930 msec), and if the EEG:Template correlation was statistically significant, the trial passed the P300-screen and was deemed to have a P300. Three types of average ERPs were constructed: Traditional Average from all good (artifact-free, correct response) trials, P300-Screen Average from all good trials that also passed the P300-screen, and Latency Adjusted Average by aligning the P300-screen trials at the latency of maximum covariance. Traditional average ERPs were significantly smaller in schizophrenics than in controls. The results of the P300-screen confirmed all three hypotheses: schizophrenics had fewer trials passing the P300-screen, smaller P300s on each trial, and P300s that were more variable in latency across trials.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

由于P300通常是通过对单次试验进行平均来测量的,个体试验之间的差异可能是精神分裂症患者中经常出现的P300波幅降低的原因。我们测试了关于单次试验对精神分裂症患者小平均P300贡献的三个假设:一些试验诱发正常P300,而另一些试验则无P300;所有试验的P300都持续较小;或者P300潜伏期在各试验中有所变化。19名精神分裂症患者和35名对照者接受了双音听觉oddball事件相关电位(ERP)范式测试。从顶叶电极(Pz)记录的ERP经过P300筛选程序,其中一个2赫兹的半正弦波模板在脑电图(EEG)上移动以找到最佳拟合点。如果在最佳拟合点,信号时段(280 - 600毫秒)的EEG:模板协方差大于噪声时段(610 - 930毫秒),并且EEG:模板相关性具有统计学意义,则该试验通过P300筛选并被视为有P300。构建了三种类型的平均ERP:来自所有良好(无伪迹、正确反应)试验的传统平均值、来自所有通过P300筛选的良好试验的P300筛选平均值,以及通过将P300筛选试验在最大协方差潜伏期对齐得到的潜伏期调整平均值。精神分裂症患者的传统平均ERP明显小于对照者。P300筛选结果证实了所有三个假设:精神分裂症患者通过P300筛选的试验较少,每次试验的P300较小,并且P300在各试验中的潜伏期变化更大。(摘要截断于250字)

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