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信息处理差异和相似之处在诵读困难症和注意力缺陷多动障碍的成年人在连续性能测试:皮质电位的研究。

Information processing differences and similarities in adults with dyslexia and adults with Attention Deficit Hyperactivity Disorder during a Continuous Performance Test: a study of cortical potentials.

机构信息

Department of Clinical Experimental and Health Psychology, Ghent University, Henri Dunantlaan 2, Belgium.

出版信息

Neuropsychologia. 2010 Aug;48(10):3045-56. doi: 10.1016/j.neuropsychologia.2010.06.014. Epub 2010 Jun 17.

Abstract

Twenty male adults with ADHD, 16 dyslexic adults, 15 comorbid adults, and 16 normal controls were compared on performance and underlying brain responses, during a cued Continuous Performance Test (O-X CPT), with the aim of discovering features of information processing differentiating between the groups. The study evaluated both cue- and target-related processes by analysing performance measures (errors, reaction time, and variability of reaction time), and event-related potentials (ERPs). Cue-related ERP components included the Cue-N2, Cue-P3, contingent negative variation (CNV) consisting of the CNV1, related to cue orienting, and the CNV2, related to response preparation. For targets, a distinction was made between response-related (Go), and inhibitory (Nogo) processing. Target-related components included the Go-P3, Nogo-N2, and Nogo-P3. Performance deficits were found only for the ADHD group, who demonstrated a faster decline in response speed with time-on-task and greater overall within-subject variability. No group differences were found for cue-related ERP components. Yet, controlling for group differences in internalising problems, inhibitory control was reduced in all clinical groups compared to controls, as demonstrated by an absence of frontal amplification of P3 in the Nogo condition, relative to the Go condition. For the ADHD group, in contrast to the comorbid and the dyslexic group, this effect remained after controlling for externalising symptoms, indicating that only for the ADHD group deficiencies in inhibitory control were not explained by externalising behaviour.

摘要

20 名男性 ADHD 成人、16 名阅读障碍成人、15 名共病成人和 16 名正常对照者在进行线索化连续执行任务(O-X CPT)时,比较了他们的表现和大脑的基础反应,目的是发现区分这些群体的信息处理特征。该研究通过分析表现衡量指标(错误、反应时间和反应时间的可变性)和事件相关电位(ERPs),评估了线索和目标相关的过程。线索相关的 ERP 成分包括线索 N2、线索 P3、与线索定向相关的条件负变(CNV1)和与反应准备相关的条件负变(CNV2)。对于目标,区分了与反应相关的(Go)和抑制性(Nogo)加工。目标相关的成分包括 Go-P3、Nogo-N2 和 Nogo-P3。仅 ADHD 组表现出表现缺陷,他们随着任务时间的推移,反应速度下降更快,且个体内可变性更大。在线索相关的 ERP 成分方面,未发现任何组间差异。然而,控制内部问题的组间差异后,所有临床组的抑制控制均低于对照组,表现为与 Go 条件相比,Nogo 条件下 P3 的额区放大缺失。对于 ADHD 组,与共病组和阅读障碍组相反,在控制外部症状后,这种效应仍然存在,这表明只有 ADHD 组的抑制控制缺陷不能用外部行为来解释。

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