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[青少年虚证综合征抑郁症患者认知功能障碍的神经生理学相关性]

[Neurophysiologic correlations of cognitive dysfunction in depressed patients with syndrome of juvenile asthenic deficiency].

作者信息

Mikhaĭlova E S, Tsutsul'kovskaia M Ia, Oleĭchik I V

出版信息

Zh Nevrol Psikhiatr Im S S Korsakova. 1998;98(2):20-5.

PMID:9532712
Abstract

Peculiarities of cognitive process were studied in 34 right-handed endogenously depressed patients with "juvenile asthenic deficiency" ("endogener juveniler Versagensyndrome" according to J. Glatzel and G Huber, 1968) by means of visual evoked potentials (EP) in the emotional recognition task. Two control groups consisted of 19 healthy individuals and 20 patients with other types of depressions. The main and control groups were matched for age, sex, handedness and education level. Compared to controls the patients with "juvenile asthenic deficiency" demonstrated highly significant alterations in indices of EP late negative wave in anterior areas of the left hemisphere which related to neither the nosology of "juvenile asthenic deficiency" (cyclothymia, schizophrenia) nor the types of dominant cognitive disorders. Dependence on both nosology and clinical subtype of asthenic deficiency was found only for separate characteristics of earlier EP waves. The results suggest the disturbance of the final stages of information processing and the decision making specific for "juvenile asthenic deficiency".

摘要

通过在情绪识别任务中利用视觉诱发电位(EP),对34名右利手、患有“青少年虚弱性缺陷”(根据J.格拉策尔和G.胡贝尔,1968年,即“内源性青少年功能不全综合征”)的内源性抑郁症患者的认知过程特点进行了研究。两个对照组分别由19名健康个体和20名其他类型抑郁症患者组成。主要组和对照组在年龄、性别、利手和教育水平方面进行了匹配。与对照组相比,患有“青少年虚弱性缺陷”的患者在左半球前部区域的EP晚期负波指标上表现出高度显著的改变,这既与“青少年虚弱性缺陷”(环性心境障碍、精神分裂症)的疾病分类无关,也与主要认知障碍类型无关。仅在早期EP波的个别特征方面发现了与虚弱性缺陷的疾病分类和临床亚型的相关性。结果表明,“青少年虚弱性缺陷”存在信息处理和决策的最终阶段的干扰。

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