患有自闭症谱系障碍或强迫症儿童的认知控制的发展:一项纵向fMRI研究
Bram Gooskens1, Dienke J Bos1, Jilly Naaijen2,3
1Department of Psychiatry, Brain Center, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands.
Neuroimage. Reports
|June 26, 2025
概括
患有自闭症谱系障碍 (ASD) 和强迫症 (OCD) 的儿童的认知控制发展与典型的发育儿童相似,尽管在OCD中存在一些微妙的脑活动差异.
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
- 儿童精神病学 儿童精神病学
背景情况:
- 重复性行为是自闭症谱系障碍 (ASD) 和强迫症 (OCD) 的标志.
- 在这些条件下,认知控制发展和重复性行为之间的关系尚未完全理解.
- 了解神经电路对于开发有效干预措施至关重要.
研究的目的:
- 研究ASD和强迫症儿童认知控制的发展轨迹.
- 检查认知控制与重复行为之间的关联.
- 使用功能磁共振成像 (fMRI) 探索神经相关性.
主要方法:
- 一项多中心的纵向研究 (TACTICS) 追踪了患有ASD,强迫症和典型发育 (TD) 控制的儿童.
- 使用fMRI和修改后的停止信号任务来评估童年后期 (8-14岁) 的认知控制.
- 参与者包括95名基线儿童和53名随访儿童.
主要成果:
- 停止信号反应时间 (SSRT) 在所有组中随着年龄的增长而改善.
- 在ASD或强迫症组中,重复性行为与停止信号任务性能没有相关性.
- 两组之间没有发现整个大脑活动的显著差异,尽管强迫症随着时间的推移显示右前中心活动增加.
结论:
- 通过停止信号任务测量认知控制的发展,在ASD/OCD和TD儿童之间在很大程度上是可比的.
- 在强迫症组中观察到脑活动的微妙发育变化.
- 研究结果表明,认知控制的发展不是儿童时期这些障碍的主要差异化因素.
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