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自闭症谱系障碍青少年对社交和非社交图片的自主反应。

Autonomic responses to social and nonsocial pictures in adolescents with autism spectrum disorder.

作者信息

Louwerse Anneke, Tulen Joke H M, van der Geest Jos N, van der Ende Jan, Verhulst Frank C, Greaves-Lord Kirstin

机构信息

Department of Child and Adolescent Psychiatry/Psychology, Erasmus MC-Sophia, Rotterdam, the Netherlands; Yulius, Organisation for Mental Health, Dordrecht, the Netherlands.

出版信息

Autism Res. 2014 Feb;7(1):17-27. doi: 10.1002/aur.1327. Epub 2013 Sep 10.

Abstract

It remains unclear why individuals with autism spectrum disorder (ASD) tend to respond in an atypical manner in social situations. Investigating autonomic and subjective responses to social vs. nonsocial stimuli may help to reveal underlying mechanisms of these atypical responses. This study examined autonomic responses (skin conductance level and heart rate) and subjective responses to social vs. nonsocial pictures in 37 adolescents with an ASD and 36 typically developing (TD) adolescents. Thirty-six pictures from the International Affective Picture System were presented, divided into six categories based on social content (social vs. nonsocial) and pleasantness (pleasant, neutral, and unpleasant). Both in adolescents with ASD as well as TD adolescents, pictures with a social content resulted in higher skin conductance responses (SCRs) for pleasant and unpleasant pictures than for neutral pictures. No differences in SCRs were found for the three nonsocial picture categories. Unpleasant pictures, both with and without a social content, showed more heart rate deceleration than neutral pictures. Self-reported arousal ratings were influenced by the social and affective content of a picture. No differences were found between individuals with ASD and TD individuals in their autonomic and subjective responses to the picture categories. These results suggest that adolescents with ASD do not show atypical autonomic or subjective responses to pictures with and without a social content. These findings make it less likely that impairments in social information processing in individuals with ASD can be explained by atypical autonomic responses to social stimuli.

摘要

目前尚不清楚为什么自闭症谱系障碍(ASD)患者在社交场合往往会有非典型的反应。研究对社交与非社交刺激的自主神经和主观反应,可能有助于揭示这些非典型反应的潜在机制。本研究考察了37名患有ASD的青少年和36名发育正常(TD)的青少年对社交与非社交图片的自主神经反应(皮肤电导率水平和心率)以及主观反应。呈现了来自国际情感图片系统的36张图片,根据社交内容(社交与非社交)和愉悦度(愉悦、中性和不愉快)分为六类。在患有ASD的青少年和TD青少年中,社交内容的图片对愉悦和不愉快图片引起的皮肤电导率反应(SCR)均高于中性图片。在三类非社交图片中未发现SCR有差异。无论有无社交内容,不愉快图片的心率减速都比中性图片更明显。自我报告的唤醒评分受图片的社交和情感内容影响。患有ASD的个体和TD个体对图片类别的自主神经和主观反应没有差异。这些结果表明,患有ASD的青少年对有无社交内容的图片均未表现出非典型的自主神经或主观反应。这些发现使得ASD患者社交信息处理受损由对社交刺激的非典型自主神经反应来解释的可能性降低。

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