Oie M, Rund B R, Sundet K, Bryhn G
National Centre for Child and Adolescent Psychiatry, University of Oslo, Norway.
Schizophr Bull. 1998;24(4):643-52. doi: 10.1093/oxfordjournals.schbul.a033356.
In this study, auditory laterality and selective attention were examined in patients with early-onset schizophrenia using a dichotic listening (DL) test. Deficient performance on this test has repeatedly been found in adult patients with chronic schizophrenia, indicating abnormalities in left hemisphere function. The hypothesis in the present study was that subjects with early-onset schizophrenia manifest deficits in DL test performance similar to adult chronic patients. A group of 19 patients with early-onset schizophrenia were compared with a group of 20 adolescents with attention-deficit hyperactivity disorder and a group of 30 normal adolescents. Results indicated no significant differences between the three groups on any of the measures. Alternative hypotheses are put forth to explain the findings, among them that deficits in DL performance may be secondary to long-time illness and/or drug treatment, and that these deficits may become apparent only after interaction with maturational neurodevelopmental changes during adolescence.
在本研究中,使用双耳分听(DL)测试对早发性精神分裂症患者的听觉偏侧性和选择性注意力进行了检查。在成年慢性精神分裂症患者中反复发现该测试表现不佳,表明左半球功能存在异常。本研究的假设是,早发性精神分裂症患者在DL测试表现上存在与成年慢性患者相似的缺陷。将一组19例早发性精神分裂症患者与一组20例注意力缺陷多动障碍青少年和一组30例正常青少年进行了比较。结果表明,三组在任何测量指标上均无显著差异。提出了替代假说来解释这些发现,其中包括DL表现缺陷可能继发于长期疾病和/或药物治疗,并且这些缺陷可能仅在与青春期成熟的神经发育变化相互作用后才会显现出来。