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追踪注意力在整个生命周期中的特定综合征轨迹。

Tracing syndrome-specific trajectories of attention across the lifespan.

作者信息

Cornish Kim, Scerif Gaia, Karmiloff-Smith Annette

机构信息

Neuroscience Laboratory for Research and Education in Children with Developmental Disorders, McGill University, Montréal, Canada.

出版信息

Cortex. 2007 Aug;43(6):672-85. doi: 10.1016/s0010-9452(08)70497-0.

Abstract

This paper maintains that studies of atypical attention targeting one particular age group are unlikely to be informative of syndrome-specific deficits and their developmental changes. We propose a new approach to the study of attentional deficits in genetic disorders, arguing for tracing cross-syndrome developmental trajectories from infancy through childhood to adulthood. Few studies have incorporated a developmental approach to determine whether the pattern of deficits and proficiencies remains constant across developmental time. Fewer still have included a cross-syndrome perspective to address these issues. Focusing on the cognitive domain of attention and its component parts, and using a cross-syndrome developmental perspective, the present set of studies compared the trajectories of different aspects of attention in three developmental disorders: Fragile X syndrome (FXS), Down syndrome (DS) and Williams syndrome (WS). Hitherto, these syndromes have all been reported as displaying serious "attentional deficits" above those expected in the general population. We predicted that, when one considers in greater detail subcomponent processes of attention, then ostensibly common difficulties do not necessarily emerge from common developmental pathways. We addressed this question with two studies. The first focused on inhibitory control, orienting and selective attention in infants and toddlers, and the second concentrated on selective attention, sustained attention and inhibitory control in mid-late childhood. The current results and their integration with earlier findings in adults point both to commonalities and to important syndrome-specific differences in attentional component processes, questioning whether profiles remain constant across developmental time.

摘要

本文认为,针对某一特定年龄组的非典型注意力研究不太可能提供有关综合征特异性缺陷及其发育变化的信息。我们提出了一种研究遗传性疾病注意力缺陷的新方法,主张追踪从婴儿期到儿童期再到成年期的跨综合征发育轨迹。很少有研究采用发育方法来确定缺陷和能力模式在整个发育过程中是否保持不变。更少的研究纳入跨综合征视角来解决这些问题。本系列研究聚焦于注意力的认知领域及其组成部分,并采用跨综合征发育视角,比较了三种发育障碍:脆性X综合征(FXS)、唐氏综合征(DS)和威廉姆斯综合征(WS)中注意力不同方面的轨迹。迄今为止,所有这些综合征都被报道表现出比一般人群预期更严重的“注意力缺陷”。我们预测,当更详细地考虑注意力的子成分过程时,表面上常见的困难不一定源于共同的发育途径。我们通过两项研究解决了这个问题。第一项研究聚焦于婴儿和幼儿的抑制控制、定向和选择性注意力,第二项研究则集中于儿童中后期的选择性注意力、持续注意力和抑制控制。目前的结果以及它们与早期成人研究结果的整合,既指出了注意力成分过程中的共性,也指出了重要的综合征特异性差异,对这些特征在整个发育过程中是否保持不变提出了质疑。

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