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自闭症谱系障碍中语言和社交功能的神经基础的分离。

Dissociations in the neural substrates of language and social functioning in autism spectrum disorder.

机构信息

Laboratory of Brain and Cognition, National Institute of Mental Health, Bethesda, Maryland.

Department of Speech, Language, and Hearing Sciences, The George Washington University, Washington, District of Columbia.

出版信息

Autism Res. 2018 Aug;11(8):1175-1186. doi: 10.1002/aur.1969.

Abstract

Impairments in social communication (coupled with intact nonsocial language skills) are common in autism spectrum disorder (ASD). However, the neural correlates of these social communication deficits in adolescents and young adults with ASD are not fully understood. The communication checklist self-report (CC-SR) was administered to adolescents and young adults with ASD (n = 52) and typically developing (TD) controls (n = 64) to assess structural-language, pragmatic-language, and social-engagement. One high-resolution T1-weighted structural image was obtained from each participant. FreeSurfer was used to quantify cortical thickness. A main effect of diagnosis, with the ASD group performing worse than the TD group on all three CC-SR scales, and a diagnosis by scale interaction, driven by low social-engagement self-ratings in the ASD group, were found. There were also group differences in the relationship between scores on two of the three CC-SR scales and cortical thickness in multiple regions (pragmatic-language: left rostral frontal; social-engagement: left medial prefrontal). These interactions were driven by poorer self-ratings of language/social skills associated with decreased cortical thickness in the ASD group, while in the TD group worse self-ratings were associated with thicker cortex. Self-ratings of language/social-communication were lower in the ASD than the TD group. Moreover, language/social-communication self-ratings showed a different relationship with cortical thickness for the ASD and TD groups in the left inferior frontal region for pragmatic language ratings and the left medial prefrontal cortex for social engagement ratings. These findings suggest thinner cortex is associated with more impaired pragmatic language and social communication abilities in ASD. Autism Res 2018, 11: 1175-1186. © 2018 International Society for Autism Research, Wiley Periodicals, Inc. LAY SUMMARY: The present study examines the associations between brain structure and language/social communication ability in adolescents and young adults with autism spectrum disorder (ASD) as compared to neurotypical adolescents and young adults. We utilized thickness of the cerebral cortex as a measure of brain structure, and we found different correlations between language or social communication ability and cortical thickness in distinct regions for the ASD and TD groups. These findings suggest that for regions implicated in language/social communication ability, decreased cortical thickness is associated with more impaired pragmatic language and social communication abilities in ASD.

摘要

社交沟通障碍(伴有完整的非社交语言技能)在自闭症谱系障碍(ASD)中很常见。然而,青少年和年轻成人 ASD 患者的这些社交沟通缺陷的神经相关性尚未完全了解。交流检查表自我报告(CC-SR)被用于评估 ASD 患者(n=52)和典型发育(TD)对照组(n=64)的结构语言、语用语言和社交参与度。每位参与者都获得了一个高分辨率 T1 加权结构图像。使用 FreeSurfer 来量化皮质厚度。结果发现存在诊断主效应,即 ASD 组在所有三个 CC-SR 量表上的表现均差于 TD 组,并且存在诊断与量表的相互作用,其驱动力是 ASD 组的社交参与自我评估较低。在三个 CC-SR 量表中的两个量表的评分与多个区域的皮质厚度之间也存在组间差异(语用语言:左侧额前;社交参与:左侧内侧前额叶)。这些相互作用是由 ASD 组中与皮质厚度降低相关的语言/社交技能自我评估较差驱动的,而在 TD 组中,较差的自我评估与较厚的皮质相关。ASD 组的语言/社交沟通自我评估低于 TD 组。此外,在左侧额下回的语用语言评分和左侧内侧前额叶的社交参与评分中,ASD 和 TD 组的语言/社交沟通自我评估与皮质厚度之间的关系不同。这些发现表明,ASD 患者的皮质较薄与更严重的语用语言和社交沟通能力障碍有关。自闭症研究 2018, 11: 1175-1186。© 2018 自闭症国际研究协会,Wiley 期刊,公司。

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