Impact of childhood trauma on sensory gating in patients with first-episode schizophrenia.

Impact of childhood trauma on sensory gating in patients with first-episode schizophrenia.
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童年创伤对首发精神分裂症患者感觉门控的影响

DOI:
10.1186/s12888-018-1807-7
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发表时间:
2018-08-16
期刊:
影响因子:
4.4
通讯作者:
Wang CY
Wang CY
中科院分区:
医学2区
文献类型:
--
作者:
Li XB;Bo QJ;Tian Q;Yang NB;Mao Z;Zheng W;Wen YJ;Wang CY

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背景已发现儿童创伤(CT)会导致精神分裂症的发病,而听觉感觉门控缺陷是精神分裂症的主要内表型。然而,首发精神分裂症中 CT 与感觉门控之间的关联仍然难以捉摸。方法使用儿童创伤问卷简表 (CTQ-SF) 评估 CT,使用阳性和阴性症状量表 (PANSS) 评估症状严重程度,对 56 名患者和 49 名年龄和性别匹配的健康对照进行评估。使用改进的范式、感知空间分离诱导的前脉冲抑制(PSS-PPI)和感知空间共置PPI(PSC-PPI或经典PPI)测试感觉门控。结果与健康对照相比,患者的性虐待得分显着较高(t= 2.729,p< 0.05),较低的PSS-PPI,% (ISI = 120 ms 和 ISI = 60 ms)(t= − 3.089,− 4.196,p< 0.05)。单变量分析显示 CT、PPI 范式和症状之间不存在显着相关性。然而,多元线性回归分析显示CTQ-SF总和与PSS PPI呈负相关(ISI = 120 ms)(p= 0.018)。 结论本研究说明CT对首发精神分裂症患者感觉门控的影响,因此我们得出结论,CT可能通过其对感觉门控的影响而成为精神分裂症发生的危险因素。
BackgroundChildhood trauma (CT) has been found to contribute to the onset of schizophrenia and auditory sensory gating deficit is a leading endophenotype for schizophrenia. However, the association between the CT and sensory gating in first-episode schizophrenia remains elusive.MethodsFifty-six patients and 49 age and sex-matched healthy controls were assessed using the Childhood Trauma Questionnaire-Short Form (CTQ-SF) for CT and Positive and Negative Syndrome Scale (PANSS) for symptoms severity. Sensory gating was tested using the modified paradigm, perceived spatial separation-induced prepulse inhibition (PSS-PPI), and the perceived spatial co-location PPI (PSC-PPI or classical PPI).ResultsComparing with healthy controls, the patients had significantly higher score on sexual abuse (t= 2.729,p< 0.05), lower PSS- PPI, % (ISI = 120 ms and ISI = 60 ms) (t= − 3.089, − 4.196,p< 0.05). Univariate analysis revealed the absence of a significant correlation among CT, PPI paradigms and symptoms. However, multiple linear regression analyses demonstrated the CTQ-SF total was negatively associated with PSS PPI (ISI = 120 ms) (p= 0.018).ConclusionThe current study illustrates that the impact of CT on sensory gating in patients with first-episode schizophrenia, and thus we conclude that CT may be a risk factor to the occurrence of schizophrenia through its impact on sensory gating.
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