Impaired mismatch negativity (MMN) generation in schizophrenia as a function of stimulus deviance, probability, and interstimulus/interdeviant interval

Daniel C Javitt, Sandra Grochowski, Anne-Marie Shelley, Walter Ritter
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引用次数: 214

Abstract

Schizophrenia is a severe mental disorder associated with disturbances in perception and cognition. Event-related potentials (ERP) provide a mechanism for evaluating potential mechanisms underlying neurophysiological dysfunction in schizophrenia. Mismatch negativity (MMN) is a short-duration auditory cognitive ERP component that indexes operation of the auditory sensory (`echoic') memory system. Prior studies have demonstrated impaired MMN generation in schizophrenia along with deficits in auditory sensory memory performance. MMN is elicited in an auditory oddball paradigm in which a sequence of repetitive standard tones is interrupted infrequently by a physically deviant (`oddball') stimulus. The present study evaluates MMN generation as a function of deviant stimulus probability, interstimulus interval, interdeviant interval and the degree of pitch separation between the standard and deviant stimuli. The major findings of the present study are first, that MMN amplitude is decreased in schizophrenia across a broad range of stimulus conditions, and second, that the degree of deficit in schizophrenia is largest under conditions when MMN is normally largest. The pattern of deficit observed in schizophrenia differs from the pattern observed in other conditions associated with MMN dysfunction, including Alzheimer's disease, stroke, and alcohol intoxication.

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精神分裂症患者失配负性(MMN)的产生与刺激偏差、概率和刺激间/偏差间隔有关
精神分裂症是一种与感知和认知障碍相关的严重精神障碍。事件相关电位(ERP)提供了一种评估精神分裂症神经生理功能障碍潜在机制的机制。失配负性(MMN)是一种短时听觉认知ERP成分,它反映了听觉(回声)记忆系统的运行情况。先前的研究表明,精神分裂症患者的MMN生成受损,并伴有听觉记忆表现的缺陷。MMN是在听觉怪异范式中引发的,在这种范式中,一系列重复的标准音调很少被物理异常(“怪异”)刺激打断。本研究将MMN的产生作为偏差刺激概率、刺激间间隔、偏差间隔和标准刺激与偏差刺激之间的音高分离程度的函数来评估。本研究的主要发现是,首先,精神分裂症的MMN振幅在广泛的刺激条件下下降,其次,精神分裂症的缺陷程度在MMN通常最大的条件下最大。在精神分裂症中观察到的缺陷模式不同于在其他与MMN功能障碍相关的疾病中观察到的模式,包括阿尔茨海默病、中风和酒精中毒。
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