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自闭症谱系障碍儿童的注意力分散缺陷。

Zoom-out attentional impairment in children with autism spectrum disorder.

机构信息

Developmental and Cognitive Neuroscience Lab, Dipartimento di Psicologia Generale, Università di Padova, Italy.

出版信息

Cortex. 2013 Apr;49(4):1025-33. doi: 10.1016/j.cortex.2012.03.005. Epub 2012 Mar 19.

Abstract

Autism spectrum disorder (ASD) has long been associated with an inability to experience wholes without full attention to the constituent parts. A zoom-out attentional dysfunction might be partially responsible for this perceptual integration deficit in ASD. In the present study, the efficiency of attentional focusing mechanisms was investigated in children affected by ASD. We measured response latencies to a visual target onset displayed at three eccentricities from the fixation. Attentional resources were focused (zoom-in) or distributed (zoom-out) in the visual field presenting a small (containing only the nearest target eccentricity) or large (containing also the farthest target eccentricity) cue, 100 or 800 msec, before the target onset. Typically developing children, at the short cue-target interval, showed a gradient effect (i.e., latencies are slower at the farthest eccentricity) in the small focusing cue, but not in the large focusing cue condition. These results indicate an efficient zoom-in and zoom-out attentional mechanism. In contrast, children with ASD showed a gradient effect also in the large focusing cue condition, suggesting a specific zoom-out attentional impairment. In addition, the ASD group showed an atypical gradient effect at the long cue-target interval only in the small cue condition, suggesting a prolonged zoom-in and sluggish zoom-out attentional mechanism. This abnormal attentional focusing - probably linked to a dysfunctional top-down feedback from fronto-parietal network to the early visual areas - could contribute to the atypical visual perception associated to individuals with ASD which, in turn, could have consequences in their social-communicative development.

摘要

自闭症谱系障碍(ASD)长期以来一直与无法在不充分关注组成部分的情况下体验整体有关。注意力分散功能障碍可能部分导致 ASD 中的这种感知整合缺陷。在本研究中,研究了自闭症儿童的注意力集中机制效率。我们测量了视觉目标出现时的反应潜伏期,该目标出现在注视点三个偏心距处。在目标出现之前 100 或 800 毫秒,注意力资源集中(聚焦)或分散(缩放)在呈现小(仅包含最近目标偏心距)或大(还包含最远目标偏心距)提示的视野中。典型的发展中的儿童,在短提示-目标间隔中,在小聚焦提示中显示出梯度效应(即最远偏心距的潜伏期较慢),但在大聚焦提示条件下则没有。这些结果表明存在有效的缩放进和缩放出注意力机制。相比之下,ASD 儿童在大聚焦提示条件下也显示出梯度效应,表明存在特定的缩放出注意力损伤。此外,ASD 组仅在小提示条件下在长提示-目标间隔中显示出异常的梯度效应,表明缩放进时间延长且缩放出时间缓慢。这种异常的注意力集中-可能与额顶网络自上而下的反馈对早期视觉区域的功能障碍有关-可能导致与 ASD 相关的异常视觉感知,这反过来又会对他们的社交-沟通发展产生影响。

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