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患有和未患有共病注意力缺陷多动障碍及焦虑症的自闭症谱系障碍患者的半球连贯性

Hemispheric Coherence in ASD with and without Comorbid ADHD and Anxiety.

作者信息

Saunders A, Kirk I J, Waldie K E

机构信息

School of Psychology, The University of Auckland, Auckland 1010, New Zealand.

出版信息

Biomed Res Int. 2016;2016:4267842. doi: 10.1155/2016/4267842. Epub 2016 Apr 4.

Abstract

There is a growing body of evidence suggesting that altered brain connectivity may be a defining feature of disorders such as autism spectrum disorder (ASD), anxiety, and ADHD. This study investigated whether resting state functional connectivity, measured by 128-channel EEG oscillation coherence, differs between developmental disorders. Analyses were conducted separately on groups with and without comorbid conditions. Analyses revealed increased coherence across central electrodes over the primary motor cortex and decreased coherence in the frontal lobe networks in those with ASD compared to neurotypical controls. There was increased coherence in occipital lobe networks in the ADHD group compared to other groups. Symptoms of generalised anxiety were positively correlated with both frontal-occipital intrahemispheric (alpha only) coherence and occipital interhemispheric coherence (alpha, approaching theta band). The patterns of coherence in the ASD pure group were different when comorbid conditions were included in the analyses, suggesting that aberrant coherence in the frontal and central areas of the brain is specifically associated with ASD. Our findings support the idea that comorbid conditions are additive, rather than being symptoms of the same disorder.

摘要

越来越多的证据表明,大脑连接性改变可能是自闭症谱系障碍(ASD)、焦虑症和注意力缺陷多动障碍(ADHD)等疾病的一个决定性特征。本研究调查了通过128通道脑电图振荡相干性测量的静息态功能连接性在发育障碍之间是否存在差异。对有和没有共病情况的组分别进行了分析。分析显示,与神经典型对照组相比,ASD患者初级运动皮层中央电极之间的相干性增加,额叶网络中的相干性降低。与其他组相比,ADHD组枕叶网络中的相干性增加。广泛性焦虑症状与额枕半球内(仅阿尔法频段)相干性和枕叶半球间相干性(阿尔法频段,接近θ频段)均呈正相关。当分析中纳入共病情况时,ASD单纯组的相干性模式有所不同,这表明大脑额叶和中央区域的异常相干性与ASD有特定关联。我们的研究结果支持这样一种观点,即共病情况是累加的,而不是同一疾病的症状。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8598/4834397/8beeb2dedd98/BMRI2016-4267842.001.jpg

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