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篇名
未服藥思覺失調症病人的 P300 相關因子之性別差異
並列篇名
Sex Differences Infl uence Correlates of P300 in Drug-naïve Patients with Schizophrenia
作者 張維紘陳高欽楊延光陳柏熹 (Po-Hsi Chen)陸汝斌葉宗烈李怡慧
英文摘要
Objectives: The objective of this study was to explore how sex differences infl uence the correlations between P300 and cognitive function as well as the severity of psychopathologies in drug-naïve patients with schizophrenia. Methods: The study included 28 drug-naïve patients with schizophrenia (male = 15, female = 13, mean age = 24.03 ± 5.67 years). Clinical psychopathology and cognitive function were measured using Positive and Negative Syndrome Scale (PANSS) and the Wechsler Memory Scale-Revised (WMS-R), respectively. We also assessed Spearman’s r correlations and partial correlations, controlling participants’ age and the duration of illness, between P300 and cognitive functions/psychopathologies. Results: In the male patients with schizophrenia, the signifi cant correlations existed between the latency of P300 at the midline electrodes (central electrode (Cz) and parietal electrode (Pz)) and the scores of negative symptoms in PANSS (p < 0.05, p < 0.001). Also, the signifi cant positive correlation existed between positive symptoms in PANSS and latency of P300 at Pz only in male subjects (p < 0.05). In the female patients, the latency of P300 at Cz was signifi cantly correlated with both the verbal memory and attention/concentration index of the WMS-R (p < 0.01) respectively, and the amplitude of P300 at Pz was signifi cantly correlated with visual memory index (ρ = 0.61, p < 0.05). The above signifi cances still existed after controlling patients’ age and the duration of illness (p < 0.05). But after multiple comparison, only signifi cant correlation existed between the latency of P300 at Pz and the scores of negative symptoms in PANSS in male subjects (ρ = 0.88, p < 0.001). Conclusion: Our study revealed that the correlations between clinical symptoms and P300 variations may be sex-linked.
起訖頁 204-213
關鍵詞 drug-naïve schizophreniaP300psychopathologiessex differences
刊名 台灣精神醫學雜誌  
期數 201709 (31:3期)
出版單位 台灣精神醫學會
該期刊-上一篇 台灣精神衛生法修正版的演繹
該期刊-下一篇 精神科住院病人隔離約束與其他台灣臨床成效指標 (TCPI) 相關研究:比較經常及不常隔離約束精神病人之差異
 

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