精神分裂症视听感觉整合缺陷的ERP机制及其与精神症状的相关性

批准号:
31200844
项目类别:
青年科学基金项目
资助金额:
20.0 万元
负责人:
刘涛生
依托单位:
学科分类:
C0907.认知心理学
结题年份:
2015
批准年份:
2012
项目状态:
已结题
项目参与者:
邓光辉、唐云翔、孙锦华、潘霄、董薇、崔轶、拓楠
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中文摘要
精神分裂症(SZ)是一种常见而病因未明的精神障碍,后期社会功能衰退明显,给患者家庭及社会带来沉重负担,由于其无法根治性,对其症状发生机制的研究课题一直具有重要意义。其中,SZ多感觉整合尤其视听感觉整合的潜在缺陷与症状发生的关系逐渐成为当前新兴研究热点,但目前SZ视听感觉整合缺陷的本质、发生阶段及范围广度远未被阐明。我们基于以往对正常健康人情绪性视听线索整合加工的研究,拟利用具有高时间分辨率的ERP技术,使用简单或复杂视听刺激全方位地动态考察SZ对简单刺激、面孔人声以及情绪性线索的视听感觉整合潜在缺陷及其发生的加工阶段,以加深对SZ视听感觉整合缺陷本质的理解,同时结合PANSS及SDSS量表评定,以探索SZ多感觉整合缺陷与患者临床症状包括社会功能状态的相关性。本项目的开展将可以弥补当前SZ视听感觉整合加工神经机制研究的匮乏,有助于加深对SZ症状发生机制的理解,为将来可能的治疗提供实证基础。
英文摘要
In the world, about 1 in every 100 persons will develop schizophrenia in their lifetime, and the patients with schizophrenia often end in poor social functioning, which would bring a heavy burden on the patients' family and society. It's significant to do the research about the mechanism of the psychiatric symptoms insofar there is no fundamental solution for schizophrenia. .Most events in the natural environment generate stimulation to several modalities, which requires the brain to integrate a variety of different inputs from sense organs into a single percept of the situation. Give Schizophrenia is characterized by 'split of mind', we posit that deficit in multisensory integration (MSI) should contribute to the form of the psychiatric symptoms in schizophrenia. Recently, the researchs of deficit in MSI in schizophrenia and the relationship between the deficit and the psychiatric symptoms have been booming, however, the nature, impaired cognitive stage and span for the MSI deficit in SZ were far from understood..Our previous study on audiovisual integration of emotional cues from face and voice in the healthy subjects showed that the MSI effect of emotional cues occurred as early as 200 ms post-stimuli. Base on our previous studies, this time we wanted to focus on the deficit in MSI in schizophrenia. In this proposal, the ERP technique with a high time resolution would be employed to study the deficit in MSI in schizophrenia and both simple and complex stimuli would be introduced in the research to check whether and how the deficit in MSI in schizophrenia. The severity of patient's psychiatric symptoms and social functional impairment would be assessed by PANSS and SDSS, then, the correlation of the deficit in MSI and patient's clinical symptoms would be explored.The study would help us to understand the potential mechanism of patient's symptoms and would provide the empirical evidence for the patient's future treatment strategies.
精神分裂症(Schizophrenia, SZ) 一般人群发生率约为1%,是一类可导致严重精神残疾的常见脑功能性疾病。SZ病因迄今尚未完全阐明,从其疾病名称分析,该病隐含着患者各个精神活动之间不协调、精神活动整合困难;而加工整合来自多种感觉通道的信息,形成统一整体感知的能力,即多感觉整合加工(Multisensory Integration, MSI)是一个个体在自然社会环境中正常履行其各项功能的必需基本能力。据此,一个科学问题越来越受到关注,即SZ是否存有MSI障碍以及SZ患者的精神残疾尤其社会功能缺陷是否与MSI障碍相关?当前对该问题的研究多停留在行为学方面,且相互之间结论不一。本项目结合事件相关电位(Event Related Potentials, ERP)技术,使用不同视听刺激素材考察了SZ首发患者对简单刺激、复杂刺激以及情绪性线索的视听整合加工认知过程,并探索了MSI与SZ临床症状包括社会功能状态的相关性。.相关结果显示行为学上SZ首发患者组(SZ组)对简单刺激的反应时长于正常健康组(NC组),并且在多感觉整合效应累积频率范围较窄;药物干预1月后,SZ组的反应时及累积频率范围与NC组仍存有差异,但有所改善,且与精神症状评分变化呈一定正相关。ERP分析显示SZ组对面孔和面孔加声音的N170波幅小于NC组;与NC组变化相反,SZ组面孔加声音刺激的P270潜伏期长于面孔刺激;面孔刺激条件下,SZ组P400波幅低于、潜伏期早于NC组,但面孔加声音刺激条件下,两组无差异。.这些结果说明SZ对简单刺激存有MSI缺陷,而且该缺陷可能只是状态性,而不是特质性;SZ对复杂刺激的MSI缺陷尚不能明确,面孔加工能力的缺陷在视听刺激中仍有所表现,但另一方面SZ患者对复杂视听刺激的分类加工仍能获利于同时存在的听觉刺激。
期刊论文列表
专著列表
科研奖励列表
会议论文列表
专利列表
Stimultaneous face and voice processing in schizophrenia
精神分裂症的刺激面部和声音处理
DOI:--
发表时间:--
期刊:Behavioural Brain Research
影响因子:2.7
作者:Tao Sheng Liu
通讯作者:Tao Sheng Liu
DOI:--
发表时间:2015
期刊:中华精神科杂志
影响因子:--
作者:魏燕燕;刘涛生;苏彤;唐云翔
通讯作者:唐云翔
Visual emotional information processing in male schizophrenia patients: Combining ERP, clinical and behavioral evidence
男性精神分裂症患者的视觉情绪信息处理:结合 ERP、临床和行为证据
DOI:10.1016/j.neulet.2013.06.022
发表时间:2013-08
期刊:Neuroscience Letters
影响因子:2.5
作者:Nestor, Paul G.;McCarley, Robert W.;Goncalves, Oscar F.;Niznikiewicz, Margaret A.
通讯作者:Niznikiewicz, Margaret A.
Correlation Between Brain Activation Changes and Cognitive Improvement Following Cognitive Remediation Therapy in Schizophrenia: An Activation Likelihood Estimation Meta-analysis.
精神分裂症认知矫正治疗后大脑激活变化与认知改善之间的相关性:激活可能性估计荟萃分析
DOI:10.4103/0366-6999.176983
发表时间:2016-03-05
期刊:Chinese medical journal
影响因子:6.1
作者:Wei YY;Wang JJ;Yan C;Li ZQ;Pan X;Cui Y;Su T;Liu TS;Tang YX
通讯作者:Tang YX
Abnormalities in the processing of emotional prosody from single words in schizophrenia.
精神分裂症患者对单个单词的情感韵律处理异常
DOI:10.1016/j.schres.2013.10.042
发表时间:2014-01
期刊:Schizophrenia research
影响因子:4.5
作者:Pinheiro AP;Rezaii N;Rauber A;Liu T;Nestor PG;McCarley RW;Gonçalves OF;Niznikiewicz MA
通讯作者:Niznikiewicz MA
国内基金
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