精神分裂症患者伽马同步性缺陷的证据越来越多。

B J Roach, J M Ford, R E Hoffman, D H Mathalon
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引用次数: 34

摘要

背景:在听觉稳态反应(ASSRs)的脑电图(EEG)研究中,精神分裂症患者表现出功率和/或锁相缺陷,特别是在这些反应共振的40hz频率处。此外,对单音诱发的瞬态伽玛波段响应(GBR)的研究揭示了精神分裂症患者的伽玛功率和锁相缺陷。我们研究了40赫兹ASSR和瞬时GBR到单音的相关程度,以及它们是否评估了精神分裂症中重叠或不同的γ波段异常。方法:对28例精神分裂症或分裂情感性障碍(SZ)患者和25例年龄和性别匹配的健康对照(HC)进行40 Hz ASSR和听觉怪异范式的脑电图记录。用500 ms的“咔”声序列诱发ASSR,用古怪范式的标准音调诱发瞬态GBR。使用Morlet小波变换计算的Gamma相位和幅度值用于推导总功率和锁相措施。结果:相对于HC, SZ患者在基于ASSR和基于gbr的测量中有明显的总伽马功率和锁相缺陷。在两组中,40 Hz ASSR和GBR锁相测量显着相关,总功率测量也有类似的趋势。此外,GBR的共变大大降低了40 Hz ASSR功率和组间锁相差异。结论:尽管相对于相应的GBR值,40hz ASSR总功率和锁相值总体上增强,但40hz ASSR和瞬态GBR测量提供了精神分裂症患者听觉伽马异常的非常相似的信息。
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Converging evidence for gamma synchrony deficits in schizophrenia.

Background: In electroencephalogram (EEG) studies of auditory steady-state responses (ASSRs), patients with schizophrenia show a deficit in power and/or phase-locking, particularly at the 40 Hz frequency where these responses resonate. In addition, studies of the transient gamma-band response (GBR) elicited by single tones have revealed deficits in gamma power and phase-locking in schizophrenia. We examined the degree to which the 40 Hz ASSR and the transient GBR to single tones are correlated and whether they assess overlapping or distinct gamma-band abnormalities in schizophrenia.

Methods: EEG was recorded during 40 Hz ASSR and auditory oddball paradigms from 28 patients with schizophrenia or schizoaffective disorder (SZ) and 25 age- and gender-matched healthy controls (HC). The ASSR was elicited by 500 ms click trains, and the transient GBR was elicited by the standard tones from the oddball paradigm. Gamma phase and magnitude values, calculated using Morlet wavelet transformations, were used to derive total power and phase-locking measures.

Results: Relative to HC, SZ patients had significant deficits in total gamma power and phase-locking for both ASSR- and GBR-based measures. Within both groups, the 40 Hz ASSR and GBR phase-locking measures were significantly correlated, with a similar trend evident for the total power measures. Moreover, co-varying for GBR substantially reduced 40 Hz ASSR power and phase-locking differences between the groups.

Conclusions: 40 Hz ASSR and transient GBR measures provide very similar information about auditory gamma abnormalities in schizophrenia, despite the overall enhancement of 40 Hz ASSR total power and phase-locking values relative to the corresponding GBR values.

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The auditory steady-state response (ASSR): a translational biomarker for schizophrenia. Auditory-evoked alpha oscillations imply reduced anterior and increased posterior amplitudes in schizophrenia. Early auditory gamma band response abnormalities in first hospitalized schizophrenia. Converging evidence for gamma synchrony deficits in schizophrenia. Connectivity and local activity within the fronto-posterior brain network in schizophrenia.
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