Improving causality perception judgments in schizophrenia spectrum disorder via transcranial direct current stimulation.

IF 4.1 2区 医学 Q2 NEUROSCIENCES
Journal of Psychiatry & Neuroscience Pub Date : 2023-07-04 Print Date: 2023-07-01 DOI:10.1503/jpn.220184
Rasmus Schülke, Christina V Schmitter, Benjamin Straube
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引用次数: 0

Abstract

Background: Deficient causality perception and attribution may underlie key symptoms of schizophrenia spectrum disorder (SSD), such as delusions and ideas of reference. Although transcranial direct current stimulation (tDCS) can increase the influence of spatial information on perceptual causality judgments among healthy participants, its effect among patients with SSD remains unknown. We sought to determine whether tDCS modulates the contribution of stimulus characteristics to perceptual causality judgments among patients with SSD; we predicted that right parietal tDCS would increase the influence of spatial stimulus characteristics on patients' causality perception.

Methods: Patients with SSD received frontal, parietal, frontoparietal and sham tDCS in 4 separate sessions. Pre- and post-tDCS, patients viewed video clips of ball A colliding with ball B. Spatial linearity (ball B's angle of egress) and temporal contiguity (delay between collision and ball B's movement) varied parametrically. After each launching event, patients rated perceived causality.

Results: Among 19 patients with SSD, we found a brain region-dependent effect of tDCS regarding sensitivity to violations of spatial linearity. After right parietal anodal tDCS, the influence of angle variations on patients' perceptual causality judgments increased, reflected by a higher probability of perceived causality for stimuli with small angles and a lower probability of perceived causality for stimuli with high angles.

Conclusion: Transcranial direct current stimulation increased the influence of spatial stimulus characteristics on causality perception among patients with SSD. Future research should explore potential links between tDCS-induced changes in basic perceptual processes and clinical symptoms, such as delusions and ideas of reference.

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通过经颅直流电刺激改善精神分裂症谱系障碍患者的因果关系感知判断。
背景:因果关系感知和归因缺陷可能是精神分裂症谱系障碍(SSD)的主要症状(如妄想和参照观念)的基础。虽然经颅直流电刺激(tDCS)可以增加空间信息对健康参与者因果关系感知判断的影响,但其对精神分裂症谱系障碍患者的影响仍然未知。我们试图确定 tDCS 是否会调节刺激特征对 SSD 患者感知因果关系判断的贡献;我们预测右顶叶 tDCS 会增加空间刺激特征对患者因果关系感知的影响:方法:SSD 患者分别在 4 个疗程中接受额叶、顶叶、前顶叶和假 tDCS 治疗。空间线性(B 球的出球角)和时间连续性(碰撞与 B 球运动之间的延迟)随参数变化。每次发射事件发生后,患者对感知的因果关系进行评分:结果:在 19 名 SSD 患者中,我们发现 tDCS 对空间线性违反敏感性的影响取决于大脑区域。右顶叶阳极 tDCS 后,角度变化对患者感知因果关系判断的影响增加,反映在小角度刺激的感知因果关系概率较高,而大角度刺激的感知因果关系概率较低:结论:经颅直流电刺激增加了空间刺激特征对 SSD 患者因果关系感知的影响。未来的研究应探索经颅直流电刺激诱导的基本感知过程变化与临床症状(如妄想和参照观念)之间的潜在联系。
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来源期刊
CiteScore
6.80
自引率
2.30%
发文量
51
审稿时长
2 months
期刊介绍: The Journal of Psychiatry & Neuroscience publishes papers at the intersection of psychiatry and neuroscience that advance our understanding of the neural mechanisms involved in the etiology and treatment of psychiatric disorders. This includes studies on patients with psychiatric disorders, healthy humans, and experimental animals as well as studies in vitro. Original research articles, including clinical trials with a mechanistic component, and review papers will be considered.
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