Department of Child and Adolescent Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Department of Child and Adolescent Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany Department of Child and Adolescent Psychiatry and Zurich Center for Integrative Human Physiology, University of Zurich, Zurich, Switzerland.
Restor Neurol Neurosci. 2014;32(1):197-212. doi: 10.3233/RNN-139010.
Autism spectrum disorders (ASD) are heterogeneous, neurodevelopmental disorders with early onset, characterized by a triad of impairments in reciprocal interaction and communication as well as repetitive and restricted interests and activities. Though underlying causes still remain largely unknown, there is now evidence for abnormal growth trajectories in the early brain development in ASD during vulnerable periods and subsequent impairment of neuronal organization and differentiation of neuronal networks. A growing number of studies over the last 10 years support the efficacy of behaviorally based interventions in ASD for the improvement of social communication and behavioral functioning. In contrast, research on neurobiologically based therapies for ASD is still at its beginnings. In this article, we will provide a selective overview of novel interventions and trainings based on neurobiological principles. Directions and options for future research on treatment aiming at restoration of normal plasticity in disrupted brain circuits in ASD are discussed.
自闭症谱系障碍(ASD)是一种异质性的神经发育障碍,具有早期发病的特点,其特征是在互惠互动和沟通方面存在三重障碍,以及重复性和受限的兴趣和活动。尽管其根本原因在很大程度上仍然未知,但现在有证据表明,在易受影响的时期,自闭症患者的大脑早期发育存在异常的生长轨迹,随后会出现神经元组织和神经元网络分化的损伤。过去 10 年来,越来越多的研究支持行为干预在自闭症中的疗效,可改善社交沟通和行为功能。相比之下,基于神经生物学的自闭症治疗方法的研究仍处于起步阶段。在本文中,我们将提供基于神经生物学原理的新型干预措施和培训的选择性概述。讨论了针对自闭症中受损大脑回路的正常可塑性恢复的治疗的未来研究方向和选择。