Event-related potentials in psychiatry: differentiating depression and dementia in the elderly.

W S Brown, J T Marsh, A LaRue
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Abstract

Event-related potentials (ERPs) were recorded from 25 elderly patients and 26 normal controls to determine whether ERPs can aid in the differential diagnosis of depression and dementia. Two ERP measures were used: (1) P300 latency, and (2) N1 amplitude increase for a 14db tone intensity increase (i.e. intensity augmenting-reducing). While augmenting-reducing proved of little benefit, P300 latency was highly correlated with Mini-Mental State (MMS) scores and correctly identified 10 of 18 demented patients. None of the seven patients with psychiatric disorders (primarily depression) or 26 normals were misclassified. Better differentiation of depression and dementia resulted from combined use of P300 latency and MMS scores.

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精神病学事件相关电位:区分老年抑郁症和痴呆。
记录25例老年患者和26例正常人的事件相关电位,以确定事件相关电位是否有助于抑郁症和痴呆的鉴别诊断。使用了两种ERP测量方法:(1)P300潜伏期,(2)14db音调强度增加(即强度增强-降低)时N1幅度增加。虽然增强-减少被证明没有什么好处,但P300潜伏期与迷你精神状态(MMS)评分高度相关,并正确识别了18名痴呆患者中的10名。7名精神障碍患者(主要是抑郁症)和26名正常人均未被错误分类。联合使用P300潜伏期和MMS评分可以更好地区分抑郁和痴呆。
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Evoked potential instrumentation, methodology and theory. Brain generators of evoked potentials: the late (endogenous) components. Endogenous event-related potentials: prospective applications in neuropsychology and behavioral neurology. Clinical applications of visual evoked potentials in neurology. Somatosensory evoked potentials: applications in clinical neurology.
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