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大脑发育与注意力缺陷多动障碍

Brain development and ADHD.

作者信息

Krain Amy L, Castellanos F Xavier

机构信息

Institute for Pediatric Neuroscience, NYU Child Study Center, 215 Lexington Avenue, New York, NY 10016, USA.

出版信息

Clin Psychol Rev. 2006 Aug;26(4):433-44. doi: 10.1016/j.cpr.2006.01.005. Epub 2006 Feb 9.

Abstract

Attention-Deficit/Hyperactivity Disorder (ADHD) is characterized by excessive inattention, hyperactivity, and impulsivity, either alone or in combination. Neuropsychological findings suggest that these behaviors result from underlying deficits in response inhibition, delay aversion, and executive functioning which, in turn, are presumed to be linked to dysfunction of frontal-striatal-cerebellar circuits. Over the past decade, magnetic resonance imaging (MRI) has been used to examine anatomic differences in these regions between ADHD and control children. In addition to quantifying differences in total cerebral volume, specific areas of interest have been prefrontal regions, basal ganglia, the corpus callosum, and cerebellum. Differences in gray and white matter have also been examined. The ultimate goal of this research is to determine the underlying neurophysiology of ADHD and how specific phenotypes may be related to alterations in brain structure.

摘要

注意力缺陷多动障碍(ADHD)的特征是过度注意力不集中、多动和冲动,这些症状可单独出现或同时存在。神经心理学研究结果表明,这些行为是由反应抑制、延迟厌恶和执行功能方面的潜在缺陷导致的,而这些缺陷又被认为与额叶-纹状体-小脑回路功能障碍有关。在过去十年中,磁共振成像(MRI)已被用于研究ADHD儿童与对照儿童在这些区域的解剖学差异。除了量化全脑体积差异外,感兴趣的特定区域还包括前额叶区域、基底神经节、胼胝体和小脑。还研究了灰质和白质的差异。这项研究的最终目标是确定ADHD的潜在神经生理学机制,以及特定表型如何与脑结构改变相关。

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