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杏仁核体积与焦虑水平之间的关联:自闭症儿童的磁共振成像(MRI)研究

Association between amygdala volume and anxiety level: magnetic resonance imaging (MRI) study in autistic children.

作者信息

Juranek Jenifer, Filipek Pauline A, Berenji Gholam R, Modahl Charlotte, Osann Kathryn, Spence M Anne

机构信息

Department of Pediatrics, University of California, Irvine, Irvine, CA 92697-1385, USA.

出版信息

J Child Neurol. 2006 Dec;21(12):1051-8. doi: 10.1177/7010.2006.00237.

Abstract

Our objective was to evaluate brain-behavior relationships between amygdala volume and anxious/depressed scores on the Child Behavior Checklist in a well-characterized population of autistic children. Volumes for the amygdala, hippocampus, and whole brain were obtained from three-dimensional magnetic resonance images (MRIs) captured from 42 children who met the criteria for autistic disorder. Anxious/depressed symptoms were assessed in these children by the Anxious/Depressed subscale of the Child Behavior Checklist. To investigate the association between anxious/depressed scores on the Child Behavior Checklist and amygdala volume, data were analyzed using linear regression methods with Pearson correlation coefficients. A multivariate model was used to adjust for potential covariates associated with amygdala volume, including age at MRI and total brain size. We found that anxious/depressed symptoms were significantly correlated with increased total amygdala volume (r = .386, P = .012) and right amygdala volume (r = .469, P = .002). The correlation between anxious/depressed symptoms and left amygdala volume did not reach statistical significance (r = .249, P = .112). Child Behavior Checklist anxious/depressed scores were found to be a significant predictor of amygdala total (P = .014) and right amygdala (P = .002) volumes. In conclusion, we have identified a significant brain-behavior relationship between amygdala volume and anxious/depressed scores on the Child Behavior Checklist in our autistic cohort. This specific relationship has not been reported in autism. However, the existing literature on human psychiatry and behavior supports our reported evidence for a neurobiologic relationship between symptoms of anxiety and depression with amygdala structure and function. Our results highlight the importance of characterizing comorbid psychiatric symptomatology in autism. The abundance of inconsistent findings in the published literature on autism might reflect differences between study populations regarding age at MRI, level of impairment within autistic subjects, and underlying anxiety level in the selected study groups.

摘要

我们的目标是在一群特征明确的自闭症儿童中,评估杏仁核体积与儿童行为量表上焦虑/抑郁得分之间的脑-行为关系。从42名符合自闭症谱系障碍标准的儿童所采集的三维磁共振成像(MRI)中获取杏仁核、海马体和全脑的体积。通过儿童行为量表的焦虑/抑郁分量表对这些儿童的焦虑/抑郁症状进行评估。为了研究儿童行为量表上的焦虑/抑郁得分与杏仁核体积之间的关联,使用带有Pearson相关系数的线性回归方法对数据进行分析。采用多变量模型对与杏仁核体积相关的潜在协变量进行校正,包括MRI检查时的年龄和全脑大小。我们发现,焦虑/抑郁症状与总杏仁核体积增加(r = 0.386,P = 0.012)及右侧杏仁核体积增加(r = 0.469,P = 0.002)显著相关。焦虑/抑郁症状与左侧杏仁核体积之间的相关性未达到统计学意义(r = 0.249,P = 0.112)。结果发现,儿童行为量表焦虑/抑郁得分是总杏仁核体积(P = 0.014)和右侧杏仁核体积(P = 0.002)的显著预测指标。总之,在我们的自闭症队列中,我们发现杏仁核体积与儿童行为量表上的焦虑/抑郁得分之间存在显著的脑-行为关系。这种特定关系在自闭症中尚未见报道。然而,现有的关于人类精神病学和行为的文献支持了我们所报道的焦虑和抑郁症状与杏仁核结构和功能之间存在神经生物学关系的证据。我们的结果凸显了在自闭症中对共病精神症状进行特征化描述的重要性。已发表的关于自闭症的文献中大量不一致的研究结果可能反映了研究人群在MRI检查时的年龄、自闭症患者的损害程度以及所选研究组的潜在焦虑水平等方面的差异。

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