Lembreghts M, Crasson M, el Ahmadi A, Timsit-Berthier M
Unité de psychiatrie, aspirant au fonds national de la recherche scientifique, CHU Sart-Tilman, Liège, Belgique.
Neurophysiol Clin. 1995;25(4):203-23. doi: 10.1016/0987-7053(96)80176-6.
The use of P300 in psychopathology raises the important problem of the constitution of reference normative data and of the high variability of auditive ERP's in controls. To handle better this problem, we recorded 86 control subjects, using an auditory oddball paradigm with motor response. We analyzed the successive components of the ERP's evoked by target and standard stimuli (N1, P2, N2, P3a, P3b and slow wave negativity). Our results underlined the role of age, sex and psychological factors on the ERP's interindividual variability: P3 amplitude decreased and its latency increased with age, while its topography was more frontal in the older than in the younger subjects. The P300 occurrence after standard stimuli and P3 amplitude after target stimuli were different according to sex. Moreover, P300 amplitude, latency and topography were related to the subject's anxiety level. Finally, our results also propose new description modes of ERP's relying on P3a and P3b relative peak amplitude (P300 with prominent P3a or P3b), topographical predominance (frontal or parietal P300) and duration of the late positive complex (brief or long-lasting P300). These data will improve the clinical use of P300.
P300在精神病理学中的应用引发了重要问题,即参考规范数据的构成以及对照组中听觉事件相关电位(ERP)的高度变异性。为了更好地处理这个问题,我们使用带有运动反应的听觉Oddball范式记录了86名对照受试者。我们分析了由目标刺激和标准刺激诱发的ERP的连续成分(N1、P2、N2、P3a、P3b和慢波负波)。我们的结果强调了年龄、性别和心理因素对ERP个体间变异性的作用:P3波幅随年龄增长而降低,潜伏期随年龄增长而延长,且老年受试者的P3波地形图比年轻受试者更靠前。标准刺激后P300的出现情况以及目标刺激后P3波幅因性别而异。此外,P300波幅、潜伏期和地形图与受试者的焦虑水平有关。最后,我们的结果还提出了基于P3a和P3b相对峰值波幅(突出P3a或P3b的P300)、地形图优势(额叶或顶叶P300)以及晚期正复合体持续时间(短暂或持久P300)的ERP新描述模式。这些数据将改善P300的临床应用。