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缓解期和残留期精神分裂症患者听觉P300波幅:与临床特征的相关性

Amplitudes of auditory P300 in remitted and residual schizophrenics: correlations with clinical features.

作者信息

Strik W K, Dierks T, Maurer K

机构信息

Department of Psychiatry, University of Würzburg, FRG.

出版信息

Neuropsychobiology. 1993;27(1):54-60. doi: 10.1159/000118953.

Abstract

The parameters of auditory P300 were studied with reference-independent methods in a group of 18 remitted and residual schizophrenics, and in 18 age- and sex-matched controls. In the schizophrenic group, significant inverse correlations were found between P300 amplitudes and level of psychopathology assessed with the Scale for Assessment of Negative Symptoms and with the Brief Psychiatric Rating Scale. Clinical variables regarding social functioning and adaptation, assessed with the Schedule for Affective Disorders and Schizophrenia, and with axis V of DSM-III-R, correlated significantly with low amplitudes. The scalp locations of the maxima and minima of the P300 potentials had the tendency to be dislocated to the right in schizophrenics compared with controls. The results indicate low P300 amplitudes to be associated with pervasive cognitive impairment. Future studies will determine whether low P300 amplitudes have prognostic validity for course and outcome of schizophrenic disorders.

摘要

采用与参照无关的方法,对18名已康复和仍有残留症状的精神分裂症患者以及18名年龄和性别匹配的对照组进行了听觉P300参数研究。在精神分裂症组中,发现P300波幅与用阴性症状评定量表和简明精神病评定量表评估的精神病理学水平之间存在显著的负相关。用情感障碍和精神分裂症评定量表以及DSM-III-R的轴V评估的关于社会功能和适应的临床变量与低波幅显著相关。与对照组相比,精神分裂症患者P300电位最大值和最小值的头皮位置有向右移位的趋势。结果表明低P300波幅与普遍存在的认知障碍有关。未来的研究将确定低P300波幅对精神分裂症的病程和结局是否具有预后价值。

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