事件相关电位在军人精神障碍医学检查中的应用前景

A. A. Volodarskaya, A. V. Lobachev, A. Marchenko, I. J. Habarov
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引用次数: 0

摘要

的相关性。考虑到临床医生对评估军人心理健康的其他有效方法的需求,工具性方法,包括心理生理学和神经心理学工具,对精神障碍(MD)提供客观检测尤为重要。事件相关电位(ERP)是一种很有前途的精神病理表现客观化的新方法,可以获得与任意注意、识别和决策相关的过程的神经生理参数。本文综述了事件相关电位作为精神障碍诊断工具的研究现状和成果,以及事件相关电位在军人精神障碍医学检查中的诊断和预后潜力。为了评估ERP的诊断信息价值,我们分析了近10年来发表的40多篇关于事件相关电位及其在MDs、各种脑结构损伤和相关功能障碍中的应用的科学研究。我们还总结了应用该方法研究患者认知能力和综合功能的结果。结果和讨论。我们对科学研究的分析表明,ERP值在不同的MDs中有显著差异,例如:精神分裂症谱系障碍、情感障碍或成瘾病理。结论:对各种ERP修改相关参数的评估可提高军人精神障碍诊断和预后结果的客观性。事件相关电位在评估知觉、注意力、短期记忆损伤和认知障碍的严重程度方面具有重要的诊断意义。ERP可以帮助确定军队精神障碍的边界值和诊断标准,以及评估治疗效果和结果。此外,ERP可以作为一种新的研究方法,在军事体检中对军人心理状态进行客观化评价。
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Prospects of using event-related potentials in medical examination of military mental disorders
Relevance. Considering the demand for additional efficient methods among clinicians to assess military mental health, instrumental methods, including psychophysiological and neuropsychological tools, providing objectifying detection of mental disorders (MD) are of particular importance. Event-related potentials (ERP) are a promising additional method of objectification of psychopathological manifestations, allowing to obtain neurophysiological parameters for processes associated with arbitrary attention, identification and decision-making.Objective. The study provides a generalized analysis of contemporary investigations and research outcomes regarding event-related potentials as a diagnostic tool for mental disorders, its diagnostic and prognostic potential in medical examination of military mental disorders.Methods. To assess the ERP diagnostic informative value, we analyzed over 40 scientific studies published within the last 10 years dealing with event-related potentials and their implementation in MDs, various brain structure damages and associated functional disorders. We also summarized the results of applying this method to study patients’ cognitive abilities and integrative functions.Results and discussion. Our analysis of scientific studies shows that the ERP value differs significantly for various MDs, such as: schizophrenic spectrum disorders, affective disorders, or addictive pathology. The conclusion suggests that the assessment of the parameters associated with various ERP modifications can improve objectivity of diagnostic and prognostic outcomes in military mental disorders.Conclusion. Event-related potentials is a promising method of diagnostic significance to assess severity of perception, attention, short-term memory damage, as well as cognitive disorders. ERP can help determine the boundary values and diagnostic criteria, as well as evaluate treatment efficiency and outcomes in military mental disorders. Moreover, ERP could be a promise as an additional research method to objectify MDs in mental state assessment of the military at military medical examination.
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0.00%
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28
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