明确 p300 在心理病理学发展过程中的经验结构中的位置。

IF 3.1 Q2 PSYCHIATRY Journal of psychopathology and clinical science Pub Date : 2024-11-01 DOI:10.1037/abn0000937
Emily R Perkins, Jeremy Harper, Jonathan D Schaefer, Stephen M Malone, William G Iacono, Sylia Wilson, Christopher J Patrick
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引用次数: 0

摘要

心理生理学有助于阐明精神病理学的结构和发展机制,这与研究领域标准倡议是一致的。使用分类诊断进行的横断面研究表明,P300 是一种电皮质内表型,可反映外化问题的遗传易感性。然而,当前诊断系统的局限性阻碍了对风险的准确理解。精神病理学层次分类法(HiTOP)克服了这些局限性,它划分了从广谱到狭义综合征等特异性的可靠维度。本研究采用了与 HiTOP 一致的方法来阐明 P300 与高阶外化因素的关联,以及青春期中后期外化和内化谱系中特定综合征的表现。明尼苏达双胞胎家庭研究的丰富样本参与者提供了 14 岁时的心理生理学和临床数据(930 人)以及 17 岁时的后续临床数据(913 人)。14岁时的目标P300减弱与17岁时超谱水平(而非特定的外化综合征)表现出的外化有选择性关联。与之前的研究不同,目标 P300 振幅与 17 岁时的抑郁症状呈正相关(一旦控制了标准刺激)。与童年外化症状或 14 岁时明显的抑郁症状没有关联。研究结果表明,目标 P300 的减弱阐明了晚期青少年/青年期一般外化表现发展的特定风险,超过了青春期中期的明显症状。此外,研究结果还表明,使用多种测量模式研究 HiTOP 相关维度具有协同作用,可以更全面地了解心理病理学的发展。(PsycInfo Database Record (c) 2024 APA,保留所有权利)。
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Clarifying the place of p300 in the empirical structure of psychopathology over development.

Psychophysiology can help elucidate the structure and developmental mechanisms of psychopathology, consistent with the Research Domain Criteria initiative. Cross-sectional research using categorical diagnoses indicates that P300 is an electrocortical endophenotype indexing genetic vulnerability to externalizing problems. However, current diagnostic systems' limitations impede a precise understanding of risk. The Hierarchical Taxonomy of Psychopathology (HiTOP) overcomes these limitations by delineating reliable dimensions ranging in specificity from broad spectra to narrow syndromes. The current study used a HiTOP-aligned approach to clarify P300's associations with a higher-order externalizing factor versus syndrome-specific manifestations within externalizing and internalizing spectra during middle and late adolescence. Participants from the Minnesota Twin Family Study's Enrichment Sample contributed psychophysiological and clinical data at age 14 (N = 930) and follow-up clinical data at age 17 (N = 913). Blunted target P300 at age 14 was selectively associated with externalizing as manifested at age 17 at the superspectrum level (rather than specific externalizing syndromes). Unlike in prior work, target P300 amplitude was positively associated with age 17 depressive symptoms (once controlling for standard stimuli). No association was observed with lifetime symptoms of childhood externalizing or depression evident by age 14. The results indicate that blunted target P300 elucidates specific risk for the development of late-adolescent/young-adult expressions of general externalizing, over and above symptoms evident by middle adolescence. Additionally, the findings speak to the synergistic utility of studying HiTOP-aligned dimensions using multiple measurement modalities to build a more comprehensive understanding of the development of psychopathology. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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