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学科主题: 精神卫生
题名:
Neurological soft signs discriminate schizophrenia from major depression but not bipolar disorder
作者: Zhao, Qing1,2; Ma, Yan-tao3; Lui, Simon S. Y.1,2,4; Liu, Wen-hua5; Xu, Ting1,2; Yu, Xin3; Tan, Shu-Ping6; Wang, Zhi-ren6; Qu, Miao7; Wang, Ya1; Huang, Jia1; Cheung, Eric F. C.4; Dazzan, Paola8; Chan, Raymond C. K.1
关键词: Bipolar disorder ; Discriminant analysis ; Major depression ; Neurological soft signs ; Prevalence rate ; Schizophrenia
刊名: PROGRESS IN NEURO-PSYCHOPHARMACOLOGY & BIOLOGICAL PSYCHIATRY
发表日期: 2013-06-03
DOI: 10.1016/j.pnpbp.2012.12.006
卷: 43, 页:72-78
收录类别: SCI ; SSCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Clinical Neurology ; Neurosciences ; Pharmacology & Pharmacy ; Psychiatry
研究领域[WOS]: Neurosciences & Neurology ; Pharmacology & Pharmacy ; Psychiatry
关键词[WOS]: 1ST-EPISODE SCHIZOPHRENIA ; PSYCHOSIS ; SCALE ; ABNORMALITIES ; INSTRUMENT ; INVENTORY ; CONTINUUM ; FEATURES ; REELIN
英文摘要:

Background: Neurological soft signs (NSS) are minor neurological abnormalities, including motor, sensory, and inhibitory dysfunction. Schizophrenia and other neuropsychiatric disorders are associated with a higher prevalence of NSS. However, the relationships between NSS and schizophrenia, bipolar disorder, and major depression are unclear. The present study aimed to examine the specificity of NSS among these three clinical groups.

Method: A total of 120 demographically matched participants (30 each in schizophrenia, bipolar disorder, major depression, and healthy controls) were recruited for the study. NSS subscales of the Cambridge Neurological Inventory (CNI) were administered to each participant.

Results: Significant differences were found in the total score of NSS (p<0.01), and the subscale scores for motor coordination (p<0.01), sensory integration (p = 0.01) and disinhibition (p<0.01). Both patients with schizophrenia and bipolar disorder showed more total NSS signs than healthy controls (p<0.01). Patients with schizophrenia also showed more total NSS signs than patients with major depression (p = 0.02). Both patients with schizophrenia and patients with bipolar disorder showed more motor coordination signs than healthy controls and patients with major depression (p<0.05). Moreover, compared with healthy controls, patients with schizophrenia showed more disinhibition signs (p<0.01), while patients with bipolar disorder showed more sensory integration signs (p<0.01). Discriminant analysis showed 77.5% of correct classification of patients with schizophrenia and bipolar disorder from patients with major depression and healthy controls.

Conclusions: NSS are not unique to schizophrenia, but are also found in bipolar disorder, while patients with major depression are comparable to normal controls. Our results suggest that NSS, especially motor-coordination signs, can differentiate schizophrenia from major depression but not bipolar disorder. Our results may provide further evidence to support the similarity between schizophrenia and bipolar disorder from the dimension of behavioral expression. (c) 2012 Elsevier Inc. All rights reserved.

语种: 英语
所属项目编号: 81088001 ; 2012BAI36B01 ; KSCX2-EW-J-8
项目资助者: National Science Foundation China Outstanding Young Investigator Award ; National Key Technologies RD Programme ; Knowledge Innovation Project of the Chinese Academy of Sciences ; Key Laboratory of Mental Health, Institute of Psychology ; NARSAD ; BIAL Foundation
WOS记录号: WOS:000317878700010
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/53164
Appears in Collections:北京大学精神卫生研究所_期刊论文

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作者单位: 1.Castle Peak Hosp, Hong Kong, Hong Kong, Peoples R China
2.Beijing Hui Long Guan Hosp, Ctr Biol Psychiat, Beijing, Peoples R China
3.Chinese Acad Sci, Inst Psychol, Key Lab Mental Hlth, Neuropsychol & Appl Cognit Neurosci Lab, Beijing 100101, Peoples R China
4.Univ Chinese Acad Sci, Beijing, Peoples R China
5.Peking Univ, Inst Mental Hlth, Affiliated Hosp 6, Beijing 100871, Peoples R China
6.Guangzhou Med Univ, Fac Humanities & Social Sci, Guangzhou, Guangdong, Peoples R China
7.Beijing Univ Chinese Med, Affiliated Hosp 3, Encephalopathy Dept, Beijing, Peoples R China
8.Kings Coll London, Inst Psychiat, London WC2R 2LS, England

Recommended Citation:
Zhao, Qing,Ma, Yan-tao,Lui, Simon S. Y.,et al. Neurological soft signs discriminate schizophrenia from major depression but not bipolar disorder[J]. PROGRESS IN NEURO-PSYCHOPHARMACOLOGY &amp; BIOLOGICAL PSYCHIATRY,2013,43:72-78.
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