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失匹配负波揭示的自闭症谱系障碍儿童的听觉加工与感觉行为

Auditory processing and sensory behaviours in children with autism spectrum disorders as revealed by mismatch negativity.

作者信息

Ludlow Amanda, Mohr Bettina, Whitmore Antony, Garagnani Max, Pulvermüller Friedmann, Gutierrez Roberto

机构信息

Department of Psychology, University of Hertfordshire, Hatfield, UK; School of Psychology, University of Birmingham, Edgbaston, UK.

Department of Psychiatry, Charité Universitätsmedizin, Berlin, Germany.

出版信息

Brain Cogn. 2014 Apr;86:55-63. doi: 10.1016/j.bandc.2014.01.016. Epub 2014 Feb 22.

Abstract

Sensory dysfunctions may underlie key characteristics in children with Autism Spectrum Disorders (ASD). The current study aimed to investigate auditory change detection in children with ASD in order to determine event-related potentials to meaningless and meaningful speech stimuli. 11 high functioning boys with a diagnosis of autism spectrum disorders (mean age=13.0; SD=1.08) and 11 typically developing boys (mean age=13.7; SD=1.5) participated in a mismatch negativity (MMN) paradigm. Results revealed that compared to TD controls, the children with ASD showed significantly reduced MMN responses to both words and pseudowords in the frontal regions of the brain and also a significant reduction in their activation for words in the Central Parietal regions. In order to test the relationship between sensory processing and auditory processing, children completed the Adult and Adolescent Sensory Profile. As predicted, the children with ASD showed more extreme sensory behaviours and were significantly higher than their typically developing controls across three of the sensory quadrants (sensory sensitivity, low registration and sensory avoidance). Importantly, only auditory sensory sensitivity was able to account for the differences displayed for words in the frontal and central parietal regions when controlling for the effect of group, revealing an inverse relationship of the higher sensory sensitivity scores the less activation in response for words. We discuss how the expression of sensory behaviours in ASD may result in deficient neurophysiological mechanisms underlying automatic language processing.

摘要

感觉功能障碍可能是自闭症谱系障碍(ASD)儿童的关键特征的潜在原因。当前的研究旨在调查ASD儿童的听觉变化检测,以确定对无意义和有意义言语刺激的事件相关电位。11名被诊断为自闭症谱系障碍的高功能男孩(平均年龄 = 13.0;标准差 = 1.08)和11名发育正常的男孩(平均年龄 = 13.7;标准差 = 1.5)参与了失匹配负波(MMN)范式实验。结果显示,与发育正常的对照组相比,ASD儿童在大脑额叶区域对单词和伪词的MMN反应显著降低,并且在中央顶叶区域对单词的激活也显著减少。为了测试感觉加工和听觉加工之间的关系,儿童完成了成人及青少年感觉量表。正如预期的那样,ASD儿童表现出更极端的感觉行为,并且在三个感觉象限(感觉敏感性、低反应性和感觉回避)中显著高于发育正常的对照组。重要的是,在控制组效应时,只有听觉感觉敏感性能够解释额叶和中央顶叶区域对单词所显示的差异,揭示了较高的感觉敏感性得分与对单词反应的激活越少之间的反比关系。我们讨论了ASD中感觉行为的表现如何可能导致自动语言加工背后的神经生理机制缺陷。

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