Lazarev V V
Laboratory of Clinical Neurophysiology, Instituto Fernandes Figueira, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil.
Int J Psychophysiol. 1998 Aug;29(3):277-89. doi: 10.1016/s0167-8760(98)00008-7.
In 67 borderline psychiatric patients suffering from schizotypal/slowly developing schizophrenic disorders and 18 patients suffering from cyclothymia, the factor structure of the period (interval-amplitude) parameters of the EEG proved to be similar to that obtained in normal subjects during mental activity and reported in part I (Lazarev, Int. J. Psychophysiol., 28 (1998) 77-98). However, 51 patients with schizotypal disorders with a predominance of asthenic-like symptomatology, characterized by mild thought disorders with difficulty in focusing attention, were distinguished from normal subjects, cyclothymic patients and other patients of schizotypy without well-defined asthenic symptoms by significantly increased values of EEG Factor II which was positively related to the index-presence in epoch, frequency and regularity of low-amplitude beta-waves, and reduced values of an EEG Factor III which was positively correlated with mean alpha-period and theta-index. According to normative data (part I; Lazarev, Int. J. Psychophysiol., 28 (1998) 77-98), this probably reflects a neurodynamic imbalance between an excess of 'cortical excitation' (Factor II) and a deficit of 'active selective inhibition' (Factor III). This imbalance appears to be opposite to the changes in values of these factors found in normal subjects during focusing attention and motor automation, when compared with relaxed wakefulness. The functional properties of Factors II and III ascribed on the basis of psychological testing suggest that such an imbalance could reflect a predominance of successively organised associative mental processes over the selective inhibition of irrelevant associations. This could cause difficulties in voluntary attention, mental automation and in the performance of simultaneous mental operations. In most cases, there was no difference in Factor I which was positively related to the index, amplitude and regularity of alpha-activity and wave amplitudes in other bands, and negatively related to the indices and mean periods of delta- and theta-waves, the factor presumed to depict 'general activation'.
在67名患有分裂样/缓慢发展型精神分裂症的边缘性精神病患者和18名患有环性心境障碍的患者中,脑电图周期(间期-波幅)参数的因子结构被证明与正常受试者在精神活动期间所获得的结构相似,部分内容已在第一部分报告(拉扎列夫,《国际心理生理学杂志》,28 (1998) 77 - 98)。然而,51名以虚弱样症状为主的分裂样障碍患者,其特征为轻度思维障碍且难以集中注意力,与正常受试者、环性心境障碍患者以及其他无明确虚弱症状的分裂样患者不同,他们的脑电图因子II值显著升高,该因子与低幅β波的出现指数、频率和规律性呈正相关,而脑电图因子III值降低,该因子与平均α周期和θ指数呈正相关。根据标准数据(第一部分;拉扎列夫,《国际心理生理学杂志》,28 (1998) 77 - 98),这可能反映了“皮质兴奋”(因子II)过度与“主动选择性抑制”(因子III)不足之间的神经动力学失衡。与放松觉醒状态相比,这种失衡似乎与正常受试者在集中注意力和运动自动化过程中这些因子值的变化相反。基于心理测试归因于因子II和III的功能特性表明,这种失衡可能反映了相继组织的联想性心理过程相对于无关联想的选择性抑制占优势。这可能导致在自愿注意、心理自动化以及同时进行心理操作方面出现困难。在大多数情况下,与“一般激活”相关的因子I没有差异,该因子与α活动的指数、波幅和规律性以及其他波段的波幅呈正相关,与δ波和θ波的指数及平均周期呈负相关。