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精神分裂症中的脑电图相干性与综合征

EEG coherence and syndromes in schizophrenia.

作者信息

Norman R M, Malla A K, Williamson P C, Morrison-Stewart S L, Helmes E, Cortese L

机构信息

London Health Sciences Centre, Ontario, Canada.

出版信息

Br J Psychiatry. 1997 May;170:411-5. doi: 10.1192/bjp.170.5.411.

Abstract

BACKGROUND

Frith et al (1995) and others have hypothesised that disruptions in the connection between left frontal and temporal areas of the brain are a central deficit in schizophrenia. In this paper we examine whether such connectivity as assessed by EEG coherence is related to level of symptoms in patients with schizophrenia.

METHOD

For 73 patients with schizophrenia, assessment of the EEG coherence between frontal and temporal regions were carried out under conditions of activation by a mathematical task, and between frontal and occipital regions when performing a visuo-spatial task. We then examined the relationship between these coherence measures and the reality distortion, disorganisation and psychomotor poverty dimensions of symptomatology.

RESULTS

Only left frontal-temporal connectivity was found to have a significant negative relationship to symptomatology. This relationship was, however, specific to reality distortion rather than to symptoms of disorganisation or psychomotor poverty, and may be more characteristic of males than females.

CONCLUSIONS

Disruption of frontal-temporal connectivity appears to have a specific relationship to reality distortion symptoms in schizophrenia.

摘要

背景

弗里思等人(1995年)及其他研究者曾提出假设,认为大脑左额叶与颞叶区域之间的连接中断是精神分裂症的核心缺陷。在本文中,我们研究了通过脑电图相干性评估的这种连接性是否与精神分裂症患者的症状水平相关。

方法

对73例精神分裂症患者,在进行数学任务激活的条件下评估额叶与颞叶区域之间的脑电图相干性,以及在执行视觉空间任务时评估额叶与枕叶区域之间的脑电图相干性。然后我们研究了这些相干性测量值与症状学的现实扭曲、紊乱和精神运动迟缓维度之间的关系。

结果

仅发现左额叶-颞叶连接性与症状学存在显著负相关。然而,这种关系特定于现实扭曲,而非紊乱或精神运动迟缓症状,且可能在男性中比女性更具特征性。

结论

额叶-颞叶连接中断似乎与精神分裂症的现实扭曲症状存在特定关系。

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