Title Izvršne funkcije u shizofreniji
Title (english) Executive function in schizopfrenia patients
Author Anamarija Parić
Mentor Dalibor Karlović (mentor)
Mentor Anamarija Bogović Dijaković (mentor)
Committee member Ljiljana Pačić Turk (predsjednik povjerenstva)
Committee member Anamarija Bogović Dijaković (član povjerenstva)
Committee member Dalibor Karlović (član povjerenstva)
Granter Catholic University of Croatia (Department of Psychology) Zagreb
Defense date and country 2017-09-29, Croatia
Scientific / art field, discipline and subdiscipline SOCIAL SCIENCES Psychology Clinical and Health Psychology
Abstract Shizofrenija je psihijatrijski mentalni poremećaj koji ozbiljno narušava život oboljelog pojedinca i cjelokupne društvene zajednice. U Hrvatskoj se pretpostavlja da je broj osoba oboljelih od shizofrenije oko 20 000, a rezultati epidemioloških istraživanja ukazuju na univerzalnost shizofrenije, što znači da se javlja u svim kulturama i socioekonomskim zajednicama bez obzira na stupanj razvijenosti područja u kojem pojedinac živi, raste, djeluje i radi.
Deficit izvršnih funkcija koji je karakterističan kod pacijenata sa shizofrenijom, najvjerojatnije je posljedica narušenog funkcioniranja dopaminergičkog sustava u prefrontalnom korteksu. Važna sastavnica unutar prefrontalnog korteks jest katehol-O-metiltransferaza (COMT), gen koji je zadužen za organiziranje i koordiniranje podataka koji pristižu iz drugih dijelova mozga. Varijacije u COMT genu, poglavito mikro-delecije na kromosomskom mjestu 22q11p, povezuju se s visokom stopom shizofrenije. Većina se studija usredotočila na učinke određenih polimorfizama gena COMT, stoga je i u ovom istraživanju učinjeno isto. Izvršne kognitivne funkcije koje se oslanjaju na integritet prefrontalnog korteksa (PFC), a uključuju:; radnu memoriju, kognitivnu fleksibilnost, brzinu procesiranja, pažnju, verbalno učenje i pamćenje, vizualno učenje i pamćenje, razumijevanje i rješavanje problema te društvena spoznaja, narušene su kod osoba oboljelih od shizofrenije. Slabija izvedba na Wisconsin testu sortiranja karata (WCST) jedan je od pokazatelja disfunkcije frontalnog režnja u shizofreniji, stoga je WCST određen kao mjera uspješnosti izvođenja kognitivnih operacija pod upravljanjem izvršnih funkcija kod oboljelih od shizofrenije.
Zbog prisutnosti kontradiktornih rezultata u postojećoj literaturi, cilj ovog diplomskog rada bio je istražiti, po prvi put koristeći se metodom logističke regresije, postoji li povezanost polimorfizma Val/Val, Val/Met, Met/Met gena COMT i izvršnih funkcija mjerenih Wisconsin testom sortiranja karata, kod 93 bolesnika sa shizofrenijom te postoji li razlika u distribuciji polimorfizama s s obzirom na spol. Rezultati pokazuju da nema statistički značajne razlike u rezultatima na Wisconsin testu sortiranja karata s obzirom na polimorfizam gena COMT kojeg nosi shizofrena osoba i da nema razlika u distribuciji polimorfizama gena COMT s obzirom na spol sudionika. Razumijevanje uloge genetičkih varijanti enzima COMT, kao važne karike dopaminergičkog sustava, moglo bi uvelike doprinijeti shvaćanju dopaminergičkog sustava za razvoj deficita izvršnih funkcija u shizofreniji.
Abstract (english) Schizophrenia is a psychiatric mental disorder that seriously affects patient's life and the life of entire social communities. In Croatia it is assumed that the number of schizophrenic patients is around 20,000 and the results of epidemiological research point to the universality of schizophrenia, which means that it occurs in all cultures and socioeconomic communities regardless of development of the area where an individual lives, grows, operates and works. Impaired executive functions , which is characteristic in patients with schizophrenia are most likely a consequence of the impaired function of the dopaminergic system in the prefrontal cortex. Catehol-O-methyltransferase (COMT) is an important component within the prefrontal cortex, which is responsible for organizing and coordinating data coming from other parts of the brain. Variations in the COMT gene also may be associated with mental illness in people without 22q11.2 deletion syndrome. Researchers have looked extensively at the potential connection between changes in the COMT gene and the risk of developing schizophrenia. Most studies have focused on the effects of a particular commonvariation (polymorphism) in catechol-O-methyltransferase, so this research replicated it.
Executive cognitive functions that rely on the integrity of the PFC, including working memory, cognitive flexibility, speed of procesing, attentions anf vigilance, verbal learning and memory, visual learning and memory, reasoning and problem solving and social cognition are imparied in schizophrenia. Impaired Wisconsin Card Sorting Test (WCST) performance has been one critical piece of evidence suggesting frontal lobe dysfunction in schizophrenia, so this research take the results on as a measure of the performance of cognitive operations under the management of executive functions in schizophrenic patients. Due to the lack of reliable data and the large number of conflicting results in literature, the aim of this thesis was to explore the association between the polymorphism Val/Val, Val/Met, Met/Met of the COMT gene and the cognitive capabilities (measured as a result at WCST) of 93 patients with schizophrenia, and if there is a difference in distribution of genomic COMT polymorphisms between male and female patients. For the first time, the association of three polymorphisms of the COMT gene (Val/Val, Val/Met and Met/Met) with deficit of executive function in patients with schizophrenia was explored with the logistical regression method.
The results show that there are no statistically significant differences in the results of the Wisconsin card sorting test assay with respect to the COMT gene polymorphism of a schizophrenic person and there if no difference in distribution of genomic COMT polymorphisms between male and female patients. Understanding the role of genetic variants of the enzyme COMT, as an important link in the dopaminergic system, could greatly contribute to better understanding the dopaminergic system for the development of executive function deficits in schizophrenia. COMT gene polymorphism of a schizophrenic person.
Keywords
Shizofrenija
dopamin
katehol-O-metil transferaza
Wisconsin test sortiranja karata
izvršne funkcije
Keywords (english)
Schizophrenia
dopamine
catechol-O-methyltransferase
executive function
Wisconsin card sorting test
Language croatian
URN:NBN urn:nbn:hr:224:309196
Study programme Title: Department of Psychology Study programme type: university Study level: graduate Academic / professional title: magistar/magistra psihologije (magistar/magistra psihologije)
Type of resource Text
File origin Born digital
Access conditions Access restricted to students and staff of home institution
Terms of use
Created on 2017-11-29 13:49:54