《中国康复理论与实践》 ›› 2006, Vol. 12 ›› Issue (11): 983-986.

• 临床研究 • 上一篇    下一篇

抑郁症患者注意功能的反应时研究

王荫华1; 李宁1,2; 高旭光2   

  1. 1.北京大学第一医院神经内科,北京市 100034;2.北京大学人民医院神经内科,北京市 100044
  • 收稿日期:2006-04-10 出版日期:2006-11-01 发布日期:2006-11-01

Reaction Time in Patients with Depression

WANG Yin-hua, LI Ning, GAO Xu-guang   

  1. Department of Neurology, the First Hospital, Peking University, Beijing 100034,China
  • Received:2006-04-10 Published:2006-11-01 Online:2006-11-01

摘要: 目的评定抑郁症患者的注意功能。方法35例根据ICD-10和CCMD-Ⅲ诊断为抑郁症的患者以及与之在受教育程度、年龄、性别相匹配的35名健康人接受了持续注意、选择注意、注意瞬脱测试。结果与健康人相比,抑郁症被试在持续作业测试(CPT)中反应时延长,错误率增加;但反应时段差别无显著性差异。在Stroop颜色命名测试中,抑郁患者选择反应时延长,干扰效应明显。在注意瞬脱范式下,两组被试能同等程度地捕捉靶刺激,均存在注意瞬脱现象,但抑郁患者瞬脱更多,时间更长。结论抑郁症患者警觉性较差,Stroop干扰效应明显,注意瞬脱更多,时间更长。

关键词: 抑郁症, 持续注意, 选择注意, 注意瞬脱

Abstract: ObjectiveTo investigate whether subjects with major depression display attention deficits.Methods35 antidepressant-free,non-elderly patients with unipolar depression diagnosis according to ICD-10 and CCMD-Ⅲ as well as 35 health control subjects matched for education,age and sex were administered three tests for attention(sustained attention,Selective attention and Attention Blink).ResultsOn the Continuous Performance Test(CPT),depressed participants needed more reaction time and made more mistake than nondepressed participants.There were no differences between two block in reaction time in the CPT of patients and control subjects.The performance on the Stroop Color-Word Test was impaired in depression.Compared with normal subjects,depressed participants presented increased choice reaction times(CRT).Stroop interference was higher in depressed patients than in controls.On Attention Blink(AB) paradigm,both groups performed equally well at reporting the first target appearing in a rapidly presented stream of stimuli.All groups showed an AB,and AB for depressive participants were larger and longer.Correlations were observed between the HAMD score and the reaction time in CPT.ConclusionThe depressive participants showed a decrement tendency in vigilance,a higher Stroop interference and a larger and longer AB.

Key words: depression, sustained attention, selective attention, Attention Blink