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慢性精神分裂症患者的皮肤电反应/无反应及瞳孔测量学:对格鲁泽列尔和维纳布尔斯研究的验证

Skin conductance responding/nonresponding and pupiliometrics in chronic schizophrenia. A confirmation of Gruzelier and Venables.

作者信息

Patterson T

出版信息

J Nerv Ment Dis. 1976 Sep;163(3):200-9. doi: 10.1097/00005053-197609000-00008.

Abstract

In a number of reports, Gruzelier and Venables have demonstrated that about 50% of the schizophrenic population do not show the skin conductance orienting response (S.C.O.R.), while those that do respond, do not show normal habituation. Zahn (Orienting response in schizophrenics. J. Nerv. Ment. Dis., 162: 195-199, 1976) has questioned the bimodality of the S.C.O.R. in schizophrenia and suggests that responding/nonresponding could well be due to differential effects of phenothiazine medication. In two experiments (with equally medicated patients), in two different hospitals, the present report confirms the finding of a large proportion of nonresponding in schizophrenia but also suggests that both normal and nonhabituation are seen within schizophrenics and normals. Differential pupillary dilation and constriction parameters are seen in responders and nonresponders although both of these patient groups show tachycardia (the most usual effect of phenothiazines) in comparison to the normal group. The results do not fit easily into the differential effect of phenothiazines hypothesis proposed by Zahn.

摘要

在多篇报告中,格鲁泽列尔和维纳布尔斯证实,约50%的精神分裂症患者未表现出皮肤电导率定向反应(S.C.O.R.),而有反应的患者也未表现出正常的习惯化。扎恩(《精神分裂症患者的定向反应。神经与精神疾病杂志》,162: 195 - 199, 1976)对精神分裂症中S.C.O.R.的双峰性提出质疑,并认为反应/无反应很可能是由于吩噻嗪类药物的不同作用。在两个不同医院进行的两项实验(针对用药情况相同的患者)中,本报告证实了精神分裂症患者中很大一部分无反应的发现,但也表明在精神分裂症患者和正常人中都能观察到正常反应和非习惯化情况。有反应者和无反应者的瞳孔扩张和收缩参数存在差异,尽管与正常组相比,这两组患者都表现出心动过速(吩噻嗪类药物最常见的作用)。这些结果并不容易符合扎恩提出的吩噻嗪类药物不同作用假说。

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