儿童行为调节的正常变异与皮质厚度的区域差异有关。
Normal variation in behavioral adjustment relates to regional differences in cortical thickness in children.
作者信息
Walhovd Kristine B, Tamnes Christian K, Østby Ylba, Due-Tønnessen Paulina, Fjell Anders M
机构信息
Department of Psychology, Center for the Study of Human Cognition (CSHC), University of Oslo, PO Box 1094, Blindern, Oslo, Norway.
出版信息
Eur Child Adolesc Psychiatry. 2012 Mar;21(3):133-40. doi: 10.1007/s00787-012-0241-5. Epub 2012 Feb 1.
Neuroanatomical correlates of developmental psychopathology such as attention deficit hyperactivity and conduct disorder have been identified. The majority of studies point to lesser gray matter in psychopathology,often involving prefrontal cortices. The goal of this study was to test whether similar neural correlates exist for behavioral variance in healthy children and adolescents. A large sample (n = 106) aged 8–19 years underwent MR scanning and their parents completed the Strength and Difficulties Questionnaire. The relationships between cortical thickness and conduct problems and hyperactivity/inattention scale scores were investigated throughout the cerebrum. No associations were found between normal variance in hyperactivity/inattention and cortical thickness.Normal variance in conduct problems was associated with thinner left hemisphere prefrontal and supramarginal cortices. Relationships between conduct problems and cortical thickness interacted with age, with the greatest differences in cortical thickness seen in the younger children. These interactions were observed in the anterior cingulate,orbitofrontal, middle and superior frontal, as well as lateral and medial temporal cortices. In conclusion, the results indicate neurobiological continuity between symptoms of conduct problems within the normal range, and conduct disorder. Relationships of thinner cortices and conduct problems were primarily seen in younger children, and appeared to decrease with age, indicative of different maturational trajectories in the groups. The long-term consequences are unknown, and the results point to a need for longitudinal studies of developmental trajectories of neuroanatomical foundations of behavioral adjustment.
诸如注意力缺陷多动障碍和品行障碍等发育性精神病理学的神经解剖学关联已被确定。大多数研究指出,精神病理学中灰质较少,通常涉及前额叶皮质。本研究的目的是测试健康儿童和青少年的行为差异是否存在类似的神经关联。一个由106名年龄在8至19岁之间的大样本进行了磁共振扫描,他们的父母完成了《长处与困难问卷》。研究了整个大脑中皮质厚度与品行问题及多动/注意力不集中量表得分之间的关系。未发现多动/注意力不集中的正常差异与皮质厚度之间存在关联。品行问题的正常差异与左半球前额叶和缘上回皮质较薄有关。品行问题与皮质厚度之间的关系与年龄相互作用,在年幼儿童中皮质厚度差异最大。这些相互作用在前扣带回、眶额、额中回和额上回以及颞叶外侧和内侧皮质中均有观察到。总之,结果表明正常范围内品行问题症状与品行障碍之间存在神经生物学连续性。皮质较薄与品行问题之间的关系主要出现在年幼儿童中,并且似乎随着年龄增长而减弱,这表明两组的成熟轨迹不同。长期后果尚不清楚,结果表明需要对行为调整的神经解剖学基础的发育轨迹进行纵向研究。