Behavioral and P3 amplitude enhancement in schizophrenia following feedback training

被引:15
作者
Fukuda, M
Niwa, SI
Hiramatsu, KI
Hata, A
Saitoh, O
Hayashida, S
Nakagome, K
Iwanami, A
Sasaki, T
Honda, H
Itoh, K
机构
[1] FUKUSHIMA MED COLL,DEPT NEUROPSYCHIAT,FUKUSHIMA,JAPAN
[2] TOYAMA MED & PHARMACEUT UNIV,FAC MED,DEPT NEUROPSYCHIAT,TOYAMA,JAPAN
[3] TEIKYO UNIV,SCH MED,MIZONOKUCHI HOSP,DEPT NEUROPSYCHIAT,TOKYO 173,JAPAN
[4] SHOWA UNIV,SCH MED,DEPT PSYCHIAT,TOKYO 142,JAPAN
[5] YOKOHAMA REHABIL CTR,KANAGAWA,JAPAN
[6] UNIV TOKYO,FAC MED,RES INST LOGOPED & PHONIATR,TOKYO 113,JAPAN
[7] TEIKYO UNIV,SCH MED,DEPT NEUROPSYCHIAT,TOKYO 173,JAPAN
关键词
behavioral deficit; event-related potential; P3; component; rehabilitation; schizophrenia; training;
D O I
10.1016/S0920-9964(97)00028-5
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
In order to clarify the remediability of behavioral and electrophysiological abnormalities in schizophrenia, hit rate, reaction time, and P3 amplitude from auditory event-related potentials were evaluated before and after feedback training of a task in 14 schizophrenics and 12 age-matched normal controls. Although mean changes in the three indices due to the training were nonsignificant in both schizophrenic and normal control groups as a whole, the changes in hit rate and reaction time correlated significantly with the P3 amplitude change in the schizophrenic (r = 0.60 and -0.58, respectively) but not in the normal control group. The P3 amplitude change also correlated with the P3 amplitude before the training only in the schizophrenic group (r =-0.68), suggesting that the training was more effective for the schizophrenic patients with marked P3 amplitude reduction. The observed P3 amplitude increase due to training may represent an electrophysiological correlate of a remediable aspect of behavioral deficits in schizophrenics,which may underlie the effectiveness of nonpharmacological treatments. (C) 1997 Elsevier Science B.V.
引用
收藏
页码:231 / 242
页数:12
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