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精神分裂症患者的探索性眼球运动功能障碍:作为精神分裂症鉴别指标的可能性

Exploratory eye movement dysfunctions in patients with schizophrenia: possibility as a discriminator for schizophrenia.

作者信息

Matsushima E, Kojima T, Ohta K, Obayashi S, Nakajima K, Kakuma T, Ando H, Ando K, Toru M

机构信息

Department of Neuropsychiatry, Tokyo Medical and Dental University, Japan.

出版信息

J Psychiatr Res. 1998 Sep-Oct;32(5):289-95. doi: 10.1016/S0022-3956(98)00019-3.

Abstract

In our previous studies patients with schizophrenia and their parents had less frequent eye fixations and a more limited area of inspection than normal controls while freely viewing stationary S-shaped figures. The present study attempted to discriminate schizophrenics from non-schizophrenics using exploratory eye movements. Two groups (A and B) were formed, each comprising 30 schizophrenic and 70 non-schizophrenic subjects (10 each of patients with depression, methamphetamine psychosis, alcohol psychosis, anxiety disorder, temporal lobe epilepsy, frontal lobe lesions and healthy normal controls). Discriminant analysis was performed on group A to obtain a discriminant. The validity of applying this discriminant to group B was investigated. By focussing on exploratory eye movements, schizophrenics could be discriminated from non-schizophrenics with a sensitivity of 76.7% and a specificity of 81.4%. These results show that exploratory eye movements are a useful discriminator for schizophrenia.

摘要

在我们之前的研究中,精神分裂症患者及其父母在自由观看静止的S形图形时,与正常对照组相比,有更少的眼注视次数和更有限的注视范围。本研究试图利用探索性眼动来区分精神分裂症患者和非精神分裂症患者。形成了两组(A组和B组),每组包括30名精神分裂症患者和70名非精神分裂症患者(分别为抑郁症患者、甲基苯丙胺精神病患者、酒精性精神病患者、焦虑症患者、颞叶癫痫患者、额叶病变患者和健康正常对照组各10名)。对A组进行判别分析以获得一个判别函数。研究了将该判别函数应用于B组的有效性。通过关注探索性眼动,可以以76.7%的敏感性和81.4%的特异性区分精神分裂症患者和非精神分裂症患者。这些结果表明,探索性眼动是精神分裂症的一种有用的判别指标。

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