Durston Sarah
Rudolf Magnus Institute of Neuroscience, Department of Child and Adolescent Psychiatry, Neuroimaging Lab, HP A 01.468, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX Utrecht, The Netherlands.
Dev Psychopathol. 2008 Fall;20(4):1133-43. doi: 10.1017/S0954579408000539.
This paper discusses how converging methods may form a powerful tool in unraveling the neurobiology of attention-deficit/hyperactivity disorder (ADHD). Integrating findings from multiple disciplines can inform us on how different neurobiological and cognitive mechanisms tie together in both typical and atypical development. Examples are discussed of this approach: combining family and genetic approaches with anatomical neuroimaging illustrates how mapping familial effects can bring us closer to understanding the neurobiology of ADHD. Functional neuroimaging has convincingly linked cognitive problems in this disorder with frontostriatal functioning, but also shows that other systems may be involved in some of the symptoms of ADHD. Combining these findings has suggested new avenues for investigation, such as the role of frontocerebellar networks. Furthermore, findings may have practical applications: this paper discusses an example of how converging evidence of striatal dysregulation in ADHD suggests possible directions for treatment that are now being explored in functional imaging studies.
本文探讨了融合方法如何成为揭示注意力缺陷多动障碍(ADHD)神经生物学的有力工具。整合多学科的研究结果可以让我们了解在正常和异常发育过程中,不同的神经生物学和认知机制是如何相互关联的。文中讨论了这种方法的实例:将家庭和遗传学方法与解剖神经影像学相结合,说明了描绘家族效应如何能让我们更接近理解ADHD的神经生物学。功能性神经影像学已令人信服地将该障碍中的认知问题与额纹状体功能联系起来,但也表明其他系统可能与ADHD的某些症状有关。综合这些发现提出了新的研究途径,比如额小脑网络的作用。此外,这些发现可能具有实际应用价值:本文讨论了一个例子,即ADHD纹状体功能失调的融合证据如何为治疗指明了可能的方向,目前功能性成像研究正在探索这些方向。