Mangina Constantine A, Beuzeron-Mangina J Helen
Montreal Research and Treatment Center, 3587 University Street, Montreal, Quebec, Canada H3A 2B1.
Int J Psychophysiol. 2004 Apr;52(2):129-46. doi: 10.1016/j.ijpsycho.2003.10.006.
This research investigated the effects of a psychophysiological treatment methodology on brain plasticity as reflected in event-related brain potential topographic mapping and morphology along with School-marks and Mangina-Test performance in three different groups of pre-adolescents at baseline and 8 months later: (a) Learning Disabled/ADHD pre-adolescents who were treated; (b) Non-treated Learning Disabled/ADHD pre-adolescents; (c) Normal controls. Results indicate that: (1) the Event-Related Brain Potentials topographic mapping was significantly modified in post-treatment condition for the treated Learning/Disabled/ADHD group as opposed to pre-treatment baseline (P < 0.001). This was mainly due to the enhanced pre-frontal and frontal N450 amplitudes along with higher P450 components over posterior regions in post-treatment condition (P < 0.001); (2) for group comparisons at baseline, no significant topographic mapping differences were found between the treated Learning Disabled/ADHD group and the non-treated Learning Disabled/ADHD control group (P > 0.05) and significant differences were present between the treated Leaning Disabled/ADHD and the normal control group (P < 0.001); (3) 8 months later, in post-treatment condition, group comparisons revealed significant topographic mapping differences between the treated Learning Disabled/ADHD group and the non-treated Learning Disabled/ADHD control group (P < 0.001) and none between the treated Learning Disabled/ADHD group and the normal control group (P > 0.05); (4) the topographic mapping of both components was similar at baseline and 8 months later in both control groups (P > 0.05); (5) at baseline, school-marks and Mangina-Test performance of treated Learning Disabled/ADHD were not significantly different than those of the non-treated Learning Disabled/ADHD (P > 0.05) and significantly lower than those of the normal control group (P < 0.001); (6) the treated Learning Disabled/ADHD group in post-treatment condition had significantly higher school-marks and Mangina-Test performance than those of non-treated Learning Disabled/ADHD controls (P < 0.001) and were similar to those of normal controls 8 months later (P > 0.05); (7) school-marks and Mangina-Test performance at baseline for non-treated Learning Disabled/ADHD controls were not modified 8 months later (P > 0.05) and normal controls maintained their high performance within the same time interval (P > 0.05). These findings provide evidence of the impact of the psychophysiological treatment methodology on brain plasticity and regulation as reflected in significantly improved neurophysiology of pre-frontal, frontal and posterior brain regions concomitantly with higher school-marks and neuropsychometric performance in the Mangina-Test.
本研究调查了一种心理生理治疗方法对大脑可塑性的影响,这种影响通过事件相关脑电位地形图和形态学反映出来,同时还研究了该方法对三组不同的青春期前儿童在基线期和8个月后的学业成绩及曼吉纳测试表现的影响:(a)接受治疗的学习障碍/注意力缺陷多动障碍(ADHD)青春期前儿童;(b)未接受治疗的学习障碍/ADHD青春期前儿童;(c)正常对照组。结果表明:(1)与治疗前基线相比,接受治疗的学习障碍/ADHD组在治疗后条件下事件相关脑电位地形图有显著改变(P < 0.001)。这主要是由于治疗后条件下前额叶和额叶N450波幅增强,以及后脑部P450成分升高(P < 0.001);(2)在基线期进行组间比较时,接受治疗的学习障碍/ADHD组与未接受治疗的学习障碍/ADHD对照组之间未发现显著的地形图差异(P > 0.05),而接受治疗的学习障碍/ADHD组与正常对照组之间存在显著差异(P < 0.001);(3)8个月后,在治疗后条件下,组间比较显示接受治疗的学习障碍/ADHD组与未接受治疗的学习障碍/ADHD对照组之间存在显著的地形图差异(P < 0.001),而接受治疗的学习障碍/ADHD组与正常对照组之间无显著差异(P > 0.05);(4)两个对照组在基线期和8个月后的地形图相似(P > 0.05);(5)在基线期,接受治疗的学习障碍/ADHD儿童的学业成绩和曼吉纳测试表现与未接受治疗的学习障碍/ADHD儿童相比无显著差异(P > 0.05),且显著低于正常对照组(P < 0.001);(6)治疗后条件下,接受治疗的学习障碍/ADHD组的学业成绩和曼吉纳测试表现显著高于未接受治疗的学习障碍/ADHD对照组(P < 0.001),8个月后与正常对照组相似(P > 0.05);(7)未接受治疗的学习障碍/ADHD对照组在基线期的学业成绩和曼吉纳测试表现在8个月后未发生改变(P > 0.05),正常对照组在同一时间间隔内保持了较高的表现(P > 0.05)。这些发现为心理生理治疗方法对大脑可塑性和调节的影响提供了证据,这种影响表现为前额叶、额叶和后脑区域神经生理学的显著改善,同时伴随着学业成绩的提高和曼吉纳测试中神经心理测量表现的提升。