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自闭症谱系障碍中的听觉注意力:容积磁共振成像结果探索

Auditory attention in autism spectrum disorder: An exploration of volumetric magnetic resonance imaging findings.

作者信息

Lalani Sanam J, Duffield Tyler C, Trontel Haley G, Bigler Erin D, Abildskov Tracy J, Froehlich Alyson, Prigge Molly B D, Travers Brittany G, Anderson Jeffrey S, Zielinski Brandon A, Alexander Andrew, Lange Nicholas, Lainhart Janet E

机构信息

a Department of Psychology , Brigham Young University , Provo , UT , USA.

b Neuroscience Center , Brigham Young University , Provo , UT , USA.

出版信息

J Clin Exp Neuropsychol. 2018 Jun;40(5):502-517. doi: 10.1080/13803395.2017.1373746. Epub 2017 Oct 26.

Abstract

Studies have shown that individuals with autism spectrum disorder (ASD) tend to perform significantly below typically developing individuals on standardized measures of attention, even when controlling for IQ. The current study sought to examine within ASD whether anatomical correlates of attention performance differed between those with average to above-average IQ (AIQ group) and those with low-average to borderline ability (LIQ group) as well as in comparison to typically developing controls (TDC). Using automated volumetric analyses, we examined regional volume of classic attention areas including the superior frontal gyrus, anterior cingulate cortex, and precuneus in ASD AIQ (n = 38) and LIQ (n = 18) individuals along with 30 TDC. Auditory attention performance was assessed using subtests of the Test of Memory and Learning (TOMAL) compared among the groups and then correlated with regional brain volumes. Analyses revealed group differences in attention. The three groups did not differ significantly on any auditory attention-related brain volumes; however, trends toward significant size-attention function interactions were observed. Negative correlations were found between the volume of the precuneus and auditory attention performance for the AIQ ASD group, indicating larger volume related to poorer performance. Implications for general attention functioning and dysfunctional neural connectivity in ASD are discussed.

摘要

研究表明,自闭症谱系障碍(ASD)患者在标准化注意力测试中的表现往往显著低于正常发育个体,即便在控制智商因素之后也是如此。本研究旨在探讨在ASD群体中,智商处于平均水平及以上(AIQ组)和智商处于低平均水平至临界水平(LIQ组)的个体之间,以及与正常发育对照组(TDC)相比,注意力表现的解剖学关联是否存在差异。我们使用自动容积分析方法,研究了ASD的AIQ组(n = 38)和LIQ组(n = 18)个体以及30名TDC个体中经典注意力区域的区域容积,这些区域包括额上回、前扣带回皮质和楔前叶。使用记忆与学习测试(TOMAL)的子测试评估听觉注意力表现,并在各组之间进行比较,然后将其与区域脑容积进行关联分析。分析结果显示了各组在注意力方面的差异。三组在任何与听觉注意力相关的脑容积上均无显著差异;然而,观察到了脑容积与注意力功能之间存在显著相互作用的趋势。在ASD的AIQ组中,楔前叶容积与听觉注意力表现之间存在负相关,这表明脑容积越大,表现越差。本文还讨论了ASD中一般注意力功能和神经连接功能障碍的相关影响。

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