自闭症和社交焦虑障碍中社交与非社交奖励处理的共同及独特神经特征。

Common and distinct neural features of social and non-social reward processing in autism and social anxiety disorder.

作者信息

Richey John A, Rittenberg Alison, Hughes Lauren, Damiano Cara R, Sabatino Antoinette, Miller Stephanie, Hanna Eleanor, Bodfish James W, Dichter Gabriel S

机构信息

Carolina Institute for Developmental Disabilities, University of North Carolina at Chapel Hill School of Medicine, CB 7255, 101 Renee Lynne Court, Carrboro, NC 27599-7255, USA.

出版信息

Soc Cogn Affect Neurosci. 2014 Mar;9(3):367-77. doi: 10.1093/scan/nss146. Epub 2012 Dec 7.

Abstract

Autism spectrum disorders (ASDs) and social anxiety disorder (SAD) are both characterized by social dysfunction, but no study to date has compared neural responses to social rewards in ASDs and SAD. Neural responses during social and non-social reward anticipation and outcomes were examined in individuals with ASD (n = 16), SAD (n = 15) and a control group (n = 19) via functional magnetic resonance imaging. Analyses modeling all three groups revealed increased nucleus accumbens (NAc) activation in SAD relative to ASD during monetary reward anticipation, whereas both the SAD and ASD group demonstrated decreased bilateral NAc activation relative to the control group during social reward anticipation. During reward outcomes, the SAD group did not differ significantly from the other two groups in ventromedial prefrontal cortex activation to either reward type. Analyses comparing only the ASD and SAD groups revealed greater bilateral amygdala activation to social rewards in SAD relative to ASD during both anticipation and outcome phases, and the magnitude of left amygdala hyperactivation in the SAD group during social reward anticipation was significantly correlated with the severity of trait anxiety symptoms. Results suggest reward network dysfunction to both monetary and social rewards in SAD and ASD during reward anticipation and outcomes, but that NAc hypoactivation during monetary reward anticipation differentiates ASD from SAD.

摘要

自闭症谱系障碍(ASD)和社交焦虑障碍(SAD)均以社交功能障碍为特征,但迄今为止尚无研究比较ASD和SAD对社交奖励的神经反应。通过功能磁共振成像检查了ASD患者(n = 16)、SAD患者(n = 15)和对照组(n = 19)在社交和非社交奖励预期及结果期间的神经反应。对所有三组进行建模分析发现,在金钱奖励预期期间,SAD患者相对于ASD患者伏隔核(NAc)激活增加,而在社交奖励预期期间,SAD组和ASD组相对于对照组双侧NAc激活均降低。在奖励结果阶段,SAD组在腹内侧前额叶皮层对两种奖励类型的激活与其他两组无显著差异。仅比较ASD组和SAD组的分析显示,在预期和结果阶段,SAD患者相对于ASD患者双侧杏仁核对社交奖励的激活更强,且SAD组在社交奖励预期期间左侧杏仁核过度激活的程度与特质焦虑症状的严重程度显著相关。结果表明,在奖励预期和结果期间,SAD和ASD患者对金钱和社交奖励的奖励网络均存在功能障碍,但金钱奖励预期期间NAc激活不足可将ASD与SAD区分开来。

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