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阿斯伯格综合征及社会情感加工障碍中扫视抑制功能缺陷

Deficient saccadic inhibition in Asperger's disorder and the social-emotional processing disorder.

作者信息

Manoach D S, Lindgren K A, Barton J J S

机构信息

Department of Psychiatry and the Athinoula A Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts 02129, USA.

出版信息

J Neurol Neurosurg Psychiatry. 2004 Dec;75(12):1719-26. doi: 10.1136/jnnp.2003.025981.

Abstract

BACKGROUND

Both Asperger's disorder and the social-emotional processing disorder (SEPD), a form of non-verbal learning disability, are associated with executive function deficits. SEPD has been shown to be associated with deficient saccadic inhibition.

OBJECTIVE

To study two executive functions in Asperger's disorder and SEPD, inhibition and task switching, using a single saccadic paradigm.

METHODS

22 control subjects and 27 subjects with developmental social processing disorders-SEPD, Asperger's disorder, or both syndromes-performed random sequences of prosaccades and antisaccades. This design resulted in four trial types, prosaccades and antisaccades, that were either repeated or switched. The design allowed the performance costs of inhibition and task switching to be isolated.

RESULTS

Subjects with both Asperger's disorder and SEPD showed deficient inhibition, as indicated by increased antisaccade errors and a disproportionate increase in latency for antisaccades relative to prosaccades. In contrast, task switching error and latency costs were normal and unrelated to the costs of inhibition.

CONCLUSIONS

This study replicates the finding of deficient saccadic inhibition in SEPD, extends it to Asperger's disorder, and implicates prefrontal cortex dysfunction in these syndromes. The finding of intact task switching shows that executive function deficits in Asperger's disorder and SEPD are selective and suggests that inhibition and task switching are mediated by distinct neural networks.

摘要

背景

阿斯伯格综合征和社会情感加工障碍(SEPD,一种非言语学习障碍形式)均与执行功能缺陷相关。研究表明,SEPD与眼跳抑制不足有关。

目的

使用单一的眼跳范式研究阿斯伯格综合征和SEPD中的两种执行功能,即抑制和任务切换。

方法

22名对照受试者和27名患有发育性社会加工障碍(SEPD、阿斯伯格综合征或两种综合征兼具)的受试者进行了向前眼跳和向后眼跳的随机序列实验。这种设计产生了四种实验类型,即向前眼跳和向后眼跳,它们要么重复要么切换。该设计使得能够分离出抑制和任务切换的执行成本。

结果

阿斯伯格综合征和SEPD兼具的受试者表现出抑制不足,表现为向后眼跳错误增加以及相对于向前眼跳,向后眼跳的潜伏期不成比例地增加。相比之下,任务切换错误和潜伏期成本正常,且与抑制成本无关。

结论

本研究重复了SEPD中眼跳抑制不足的发现,并将其扩展至阿斯伯格综合征,提示这些综合征存在前额叶皮质功能障碍。任务切换正常的发现表明,阿斯伯格综合征和SEPD中的执行功能缺陷具有选择性,提示抑制和任务切换由不同的神经网络介导。

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