Journal of Capital Medical University ›› 2017, Vol. 38 ›› Issue (2): 178-185.doi: 10.3969/j.issn.1006-7795.2017.02.007

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Prepulse inhibition and the related factors among healthy people and patients with chronic schizophrenia

Fan Yu1, Yang Ningbo1, Tian Qing1, Zhu Xiuqiang2, Wang Chuanyue1   

  1. 1. Department of Psychiatry, Beijing Key Laboratory of Mental Disorders, Beijing Institute for Brain Disorders Center of Schizophrenia, Beijing Anding Hospital, Capital Medical University, Beijing 100088, China;
    2. Daxing Mental Hospital, Beijing 102600, China
  • Received:2017-01-20 Online:2017-03-21 Published:2017-04-17
  • Supported by:
    This study was supported by National Natural Science Foundation of China(81471365), Beijing Municipal Science and Technology Project(Z161100002616017), Beijing Institute for Brain Disorders(PXM2015_014226_000051)

Abstract: Objective To study the prepulse inhibition (PPI) and its related factors among healthy people and patients with chronic schizophrenia. Methods The PPI and cognitive performance (repeatable battery for the assessment of neuropsychological status (RBANS) and Stroop Color-world test) were tested in 50 healthy people (HP)and 75 chronic schizophrenia patients (SCZ). Positive and negative syndrome scale (PANSS) was used to evaluate the psychotic symptoms of patients. Results (1) Compared with HP, SCZ showed decreased PPI% (9.4%±29.3% vs 31.7%±26.2%,P<0.001), and the difference between two groups was found in cognitive performance (RBANS scores and its scores of all items in RBANS, Stroop color and word time). (2) Related factors of PPI% in healthy people:univariate analysis in PPI% showed that gender (male vs female, P<0.05), smoking (r=0.29,P<0.05), RBANS scores (r=0.30,P<0.05) and attention item scores (r=0.29,P<0.05) on the impact of the PPI% were statistically significant. Furthermore, multivariate ridge regression showed the same results as well as univariate analysis (ridge parameter k=2.95, adjusted R2=0.33, P<0.05). (3) Related factors of PPI% in people with chronic schizophrenia:PPI% was significantly correlated with smoking (r=0.23,P<0.05), relapses (>3 times vs≤3 times, P<0.05) in univariate analysis. And mutlivariate ridge regression showed the significantly related factors of PPI% in schizophrenia patients were gender, smoking and relapses (ridge parameter k=2.58, adjusted R2=0.26, P<0.05). Conclusion PPI% is an indicator of sensory gating, and its related factors may be different for different groups. Female and smoking may be protective factors for sensory gating in schizophrenia, more recurrence may be destroy the sensory gating function of patients with schizophrenia.

Key words: schizophrenia, prepulse inhibition, cognitive function, ridge regression

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