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Fiziol Cheloveka ; 40(6): 75-87, 2014.
Artigo em Russo | MEDLINE | ID: mdl-25711111

RESUMO

With the aim to study neurophysiologic correlates and to search for some possible predictors of therapeutic response correlation analysis has been carried out of links between temporal parameters of components of auditory event-related potentials (AERPs) and dynamics of quantitative clinical assessments of mental state conditions in two groups of patients--with depressive-delusional conditions (group 1) and with manic-delusional conditions (group 2) in the frames of attack-like schizophrenia. Statistically significant correlations have been revealed between values of peak latencies of main AERPs components and severity of psychopathologic symptoms before beginning of treatment course, as well as between initial (before treatment course) AERPs temporal parameters and quantitative clinical assessments at the stage of remission establishment. Larger severity of residual positive, negative and common psychopathologic symptoms of schizophrenia (and also of depression and anxiety in group 1) after course of treatment was associated with smaller initial (before treatment course) values of peak latencies of "early" (P1 and N1) and with larger initial values of "late" (P2, N2 and P3) AERPs components in both groups of patients. The data obtained allow to justify basic views on brain mechanisms of affective-delusional disorders, and to reveal possible neurophysiologic predictors of treatment efficacy in such disorders.


Assuntos
Transtornos Psicóticos Afetivos/fisiopatologia , Transtornos Psicóticos Afetivos/terapia , Transtorno Bipolar/fisiopatologia , Transtorno Bipolar/terapia , Delusões/fisiopatologia , Delusões/terapia , Potenciais Evocados Auditivos , Estimulação Acústica , Adulto , Transtornos Psicóticos Afetivos/psicologia , Transtorno Bipolar/psicologia , Interpretação Estatística de Dados , Delusões/psicologia , Feminino , Humanos , Pessoa de Meia-Idade , Testes Neuropsicológicos , Estimulação Luminosa , Índice de Gravidade de Doença , Adulto Jovem
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