Kleinhans Natalia M, Johnson L Clark, Richards Todd, Mahurin Roderick, Greenson Jessica, Dawson Geraldine, Aylward Elizabeth
Department of Radiology, University of Washington, Box 357115, Seattle, WA 98195, USA.
Am J Psychiatry. 2009 Apr;166(4):467-75. doi: 10.1176/appi.ajp.2008.07101681. Epub 2009 Feb 17.
Amygdala dysfunction has been proposed as a critical component in social impairment in autism spectrum disorders. This study was designed to investigate whether abnormal habituation characterizes amygdala dysfunction in autism spectrum disorders and whether the rate of amygdala habituation is related to social impairment.
Using functional MRI, the authors measured change over time in activation of the amygdala and fusiform gyrus to neutral facial stimuli in adults with autism spectrum disorders and healthy comparison adults.
The comparison group evidenced significantly greater amygdala habituation bilaterally than the autism spectrum group. There were no group differences in overall fusiform habituation. For the autism spectrum group, lower levels of habituation of the amygdala to the face stimuli were associated with more severe social impairment.
These results suggest amygdala hyperarousal in autism spectrum disorders in response to socially relevant stimuli. Further, sustained amygdala arousal may contribute to the social deficits observed in autism spectrum disorders.
杏仁核功能障碍被认为是自闭症谱系障碍社交障碍的关键组成部分。本研究旨在调查自闭症谱系障碍中杏仁核功能障碍是否以异常的习惯化为特征,以及杏仁核习惯化的速率是否与社交障碍有关。
作者使用功能磁共振成像,测量了自闭症谱系障碍成人和健康对照成人对中性面部刺激时杏仁核和梭状回激活随时间的变化。
与自闭症谱系障碍组相比,对照组双侧杏仁核的习惯化明显更强。在整体梭状回习惯化方面,两组没有差异。对于自闭症谱系障碍组,杏仁核对面部刺激的习惯化水平较低与更严重的社交障碍相关。
这些结果表明,自闭症谱系障碍患者在面对社交相关刺激时杏仁核过度兴奋。此外,杏仁核的持续兴奋可能导致自闭症谱系障碍中观察到的社交缺陷。