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注意缺陷多动障碍中的选择性注意和抑制缺陷:亚型或共病是否会调节负启动效应?

Selective attention and inhibitory deficits in ADHD: does subtype or comorbidity modulate negative priming effects?

作者信息

Pritchard Verena E, Neumann Ewald, Rucklidge Julia J

机构信息

Department of Psychology, University of Canterbury, Private Bag 4800, Christchurch, New Zealand.

出版信息

Brain Cogn. 2008 Aug;67(3):324-39. doi: 10.1016/j.bandc.2008.02.002. Epub 2008 Mar 20.

DOI:10.1016/j.bandc.2008.02.002
PMID:18358583
Abstract

Selective attention has durable consequences for behavior and neural activation. Negative priming (NP) effects are assumed to reflect a critical inhibitory component of selective attention. The performance of adolescents with Attention Deficit/Hyperactivity Disorder (ADHD) was assessed across two conceptually based NP tasks within a selective attention procedure. Comorbidity (non-comorbid ADHD vs. comorbid ADHD) and subtype (ADHD combined vs. ADHD inattentive) were considered key issues. Results found NP effects to differ as a function of comorbidity but not subtype. Findings are discussed in light of functional neuroimaging evidence for neuronal enhancement for unattended stimuli relative to attended stimuli that strongly complements an inhibitory-based explanation for NP. Implications for the 'AD' in ADHD and contemporary process models of the disorder are considered.

摘要

选择性注意对行为和神经激活具有持久影响。负启动(NP)效应被认为反映了选择性注意的一个关键抑制成分。在一个选择性注意程序中,通过两项基于概念的NP任务对患有注意力缺陷/多动障碍(ADHD)的青少年的表现进行了评估。共病情况(非共病ADHD与共病ADHD)和亚型(ADHD混合型与注意力不集中型ADHD)被视为关键问题。结果发现,NP效应因共病情况而异,而非因亚型而异。根据功能性神经影像学证据,即相对于被注意的刺激,未被注意的刺激的神经元增强,对研究结果进行了讨论,这一证据有力地补充了基于抑制的NP解释。文中还考虑了ADHD中“AD”的含义以及该疾病的当代过程模型。

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