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Somatosensory evoked potentials in schizophrenia. A lateralisation study.
The British Journal of Psychiatry : the Journal of Mental Science
|December 1, 1990
Summary
This study found no significant differences in somatosensory evoked potentials (SSEPs) between schizophrenic patients and healthy controls, challenging previous findings on lateralization in schizophrenia. Myogenic contamination may affect prior research results.
Area of Science:
- Neuroscience
- Psychiatry
- Clinical Neurophysiology
Background:
- Previous research suggested abnormal lateralization in somatosensory evoked potentials (SSEPs) of schizophrenic patients.
- Diagnostic criteria for schizophrenia have evolved, necessitating updated neurophysiological investigations.
Purpose of the Study:
- To compare SSEPs between individuals diagnosed with schizophrenia and healthy controls.
- To investigate the presence and degree of lateralization in SSEPs in schizophrenia.
Main Methods:
- SSEPs were recorded from 19 schizophrenic patients (defined by RDC, DSM-III, and PSE criteria) and a control group of healthy volunteers.
- Stimulation of the left and right index fingers was used to assess ipsilateral and contralateral responses.
- Analysis included peak latency, amplitude, morphology, and a percentage lateralization quotient.
Main Results:
- No significant differences in amplitude or morphology were found between schizophrenic patients and controls.
- No significant differences in peak latency for any SSEP component were observed between groups.
- The percentage lateralization quotient showed no significant differences, indicating similar lateralization patterns in both groups.
- Contralateral SSEP components were consistently larger in amplitude than ipsilateral components across both groups.
Conclusions:
- The study did not replicate previous findings of abnormal lateralization in SSEPs in schizophrenia.
- Current findings suggest that SSEP lateralization may not be a distinguishing feature of schizophrenia.
- Potential myogenic contamination in previous studies using SSEPs was highlighted as a factor to consider.