Frodl-Bauch T, Gallinat J, Meisenzahl E M, Möller H J, Hegerl U
Department of Clinical Neurophysiology, EEG, Psychiatric Hospital, Ludwig Maximilians Universität, Munich, Germany.
Biol Psychiatry. 1999 Jan 1;45(1):116-26. doi: 10.1016/s0006-3223(98)00108-5.
The aim of the study was to investigate abnormalities of P300 subcomponents in schizophrenic patients as well as relationships between these subcomponents and positive versus negative schizophrenic symptoms.
Nineteen schizophrenic patients and 19 healthy controls were tested with an auditory event-related potential oddball paradigm designed to elicit the P300. The P300 data were analyzed by separating P300 subcomponents with a recently developed dipole source model.
Compared to healthy controls, schizophrenic patients showed reduced P300 amplitudes of the temporo-basal dipoles, corresponding mainly to P3b. Positive symptoms of the Positive and Negative Syndrome Scale correlated positively with the temporo-basal but not with temporo-superior dipole P300 activities, whereas negative symptoms correlated positively with the temporo-superior but not with temporo-basal dipole activities.
The P300 subcomponents separated with the dipole model are affected in a different manner by positive versus negative symptoms. Furthermore, the positive correlation between the severity of psychopathology and the P300 amplitudes of the different dipole activities appears to be a state-dependent effect, which has to be separated from the P300 amplitude reduction as a trait marker in schizophrenic patients.
本研究旨在调查精神分裂症患者P300子成分的异常情况,以及这些子成分与精神分裂症阳性和阴性症状之间的关系。
采用旨在引出P300的听觉事件相关电位oddball范式对19例精神分裂症患者和19名健康对照者进行测试。通过最近开发的偶极子源模型分离P300子成分来分析P300数据。
与健康对照者相比,精神分裂症患者颞叶基底偶极子的P300波幅降低,主要对应于P3b。阳性和阴性症状量表的阳性症状与颞叶基底偶极子的P300活动呈正相关,而与颞叶上部偶极子的P300活动无相关性,阴性症状与颞叶上部偶极子的活动呈正相关,而与颞叶基底偶极子的活动无相关性。
偶极子模型分离出的P300子成分受阳性和阴性症状的影响方式不同。此外,精神病理学严重程度与不同偶极子活动的P300波幅之间的正相关似乎是一种状态依赖性效应,必须将其与精神分裂症患者作为特质标记的P300波幅降低区分开来。