Spontaneous neural activity underlying neutral and happy speech recognition in noise and its association with psychiatric symptoms in patients with schizophrenia

IF 3.6 2区 医学 Q1 PSYCHIATRY
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Abstract

Background

Deficits in speech and emotion perception are intertwined with psychiatric symptoms. How the happy prosody embedded in speech affects target speech-in-noise recognition (TSR) and relates to psychiatric symptoms in patients with schizophrenia (SCHs) remains unclear. This study examined spontaneous brain activity underlying happy TSR and its association with psychiatric symptom dimensions in SCHs.

Methods

Fifty-four SCHs and 59 healthy control participants (HCs) underwent the TSR task, Positive and Negative Syndrome Scale (PANSS) assessment, and magnetic resonance imaging scanning. Multivariate analyses of partial least squares (PLS) regression were used to explore the associations between whole-brain fractional amplitude of low-frequency fluctuations (fALFF), happy-neutral TSR (target pseudo-sentences were uttered in happy and neutral prosodies), and five PANSS factor scores (excitement/hostility, depression/anxiety, cognition, positive, and negative).

Results

The happy prosody did not alter TSR or TSR changing rates in either SCHs or HCs. SCHs exhibited lower happy and neutral TSR than HCs. A fALFF PLS component (including precentral/postcentral gyrus, Subcallosal Cortex, several temporal regions, and cerebellum) was associated with happy and neutral TSR. SCHs demonstrated higher PLS fALFF scores and PLS TSR scores than HCs. In SCHs, PLS fALFF scores were correlated with the PANSS positive factor score, and PLS TSR scores were correlated with the PANSS cognition factor score.

Conclusions

The positive-psychiatric-symptoms-related spontaneous activity profile was associated with happy and neutral TSR, contributing to the cognition psychiatric symptoms dimension. The findings suggest the potential to improve positive and cognitive symptoms by enhancing happy and neutral TSR in schizophrenia based on neuroplasticity.

噪声中中性和快乐语音识别的自发神经活动及其与精神分裂症患者精神症状的关系
背景语音和情感感知障碍与精神症状相互交织。言语中的快乐前奏如何影响目标噪声言语识别(TSR)以及与精神分裂症患者(SCHs)的精神症状之间的关系仍不清楚。方法54名精神分裂症患者和59名健康对照参与者(HCs)接受了TSR任务、阳性和阴性综合征量表(PANSS)评估以及磁共振成像扫描。采用偏最小二乘法(PLS)回归多变量分析探讨了全脑低频波动分数振幅(fALFF)、快乐-中性TSR(以快乐和中性拟态说出目标伪句子)和五个PANSS因子得分(兴奋/敌对、抑郁/焦虑、认知、积极和消极)之间的关联。 结果快乐拟态没有改变SCHs或HCs的TSR或TSR变化率。SCHs 的快乐和中性 TSR 均低于 HCs。fALFF PLS成分(包括中央前回/中央后回、胼胝体下皮层、几个颞区和小脑)与快乐和中性TSR相关。SCHs 的 PLS fALFF 分数和 PLS TSR 分数均高于 HCs。在 SCHs 中,PLS fALFF 分数与 PANSS 阳性因子分数相关,而 PLS TSR 分数与 PANSS 认知因子分数相关。研究结果表明,在神经可塑性的基础上,通过增强精神分裂症患者的快乐和中性TSR,有可能改善其阳性症状和认知症状。
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来源期刊
Schizophrenia Research
Schizophrenia Research 医学-精神病学
CiteScore
7.50
自引率
8.90%
发文量
429
审稿时长
10.2 weeks
期刊介绍: As official journal of the Schizophrenia International Research Society (SIRS) Schizophrenia Research is THE journal of choice for international researchers and clinicians to share their work with the global schizophrenia research community. More than 6000 institutes have online or print (or both) access to this journal - the largest specialist journal in the field, with the largest readership! Schizophrenia Research''s time to first decision is as fast as 6 weeks and its publishing speed is as fast as 4 weeks until online publication (corrected proof/Article in Press) after acceptance and 14 weeks from acceptance until publication in a printed issue. The journal publishes novel papers that really contribute to understanding the biology and treatment of schizophrenic disorders; Schizophrenia Research brings together biological, clinical and psychological research in order to stimulate the synthesis of findings from all disciplines involved in improving patient outcomes in schizophrenia.
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