自闭症和多动症:在执行功能任务中,前额叶皮层的激活模式不同?
Yin Li1, Shuai Ma1, Xin Zhang1
1Department of Maternal, Child & Adolescent Health, School of Public Health, Tianjin Medical University, Tianjin, China.
Journal of psychiatric research
|February 24, 2024
概括
功能近红外光谱学 (fNIRS) 显示了自闭症谱系障碍 (ASD) 和注意力缺陷多动症障碍 (ADHD) 的儿童在执行功能任务期间与通常发育的同龄人相比,明显的前额叶皮层 (PFC) 激活模式.
科学领域:
- 神经科学是一个神经科学.
- 发展心理学 发展心理学
- 医疗成像医学成像
背景情况:
- 患有自闭症谱系障碍 (ASD) 和注意力缺陷多动症障碍 (ADHD) 的儿童经常表现出执行功能 (EF) 缺陷.
- 功能近红外光谱 (fNIRS) 越来越多地用于评估儿科患者在认知任务期间前额叶皮层 (PFC) 激活.
- 了解ASD和ADHD中PFC激活模式对于表征神经发育差异至关重要.
研究的目的:
- 系统地审查和综合fNIRS研究的发现,这些研究在EF任务期间检查ASD和ADHD儿童的PFC激活.
- 为了比较ASD儿童,ADHD儿童和典型发育 (TD) 对照者之间的PFC激活模式.
主要方法:
- 按照PRISMA指南进行了系统的文献搜索,确定了630篇文章.
- 十一项研究符合资格标准,包括被诊断患有自闭症或多动症的6至16岁的参与者 (DSM-4/5),使用fNIRS进行EF任务与TD对照.
- 定量分析侧重于PFC激活的组间比较.
主要成果:
- 与典型发育 (TD) 儿童相比,患有ASD和ADHD的儿童表现出相反的前额叶皮层 (PFC) 激活模式.
- 这些不同的激活模式特别在n-back任务中观察到,这是工作记忆和执行功能的衡量标准.
- 这些发现突出了与青少年ASD和ADHD相关的PFC功能的特定任务变化.
结论:
- 在执行功能任务期间,fnirs可以在ASD,ADHD和TD儿童之间区分PFC激活配置文件.
- 该研究在ASD和ADHD中发现了对比的PFC激活模式,这表明它们的执行功能缺陷有着不同的神经生物学基础.
- 需要进一步的研究来探索这些特定任务的PFC激活差异及其对干预策略的影响.
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