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注意缺陷多动障碍患儿父母的预期眼动反应。

Anticipatory oculomotor responses in parents of children with attention deficit hyperactivity disorder.

机构信息

Instituto de Neurociencias, Centro Universitario de Ciencias Biológicas y Agropecuarias.

Departamento de Estudios en Educación, Centro Universitario de Ciencias Sociales y Humanidades, Universidad de Guadalajara, Guadalajara, México.

出版信息

Psychiatr Genet. 2020 Jun;30(3):65-72. doi: 10.1097/YPG.0000000000000252.

Abstract

OBJECTIVE

Diminished inhibitory control has been proposed as a core characteristic and potential endophenotype of attention deficit hyperactivity disorder (ADHD). If this is the case, one would expect to find this trait among first-degree relatives of individuals with ADHD. The aim of this study, therefore, was to determine whether the oculomotor measures typically related to inhibitory control failures in individuals with ADHD are also observed among those relatives.

METHODS

Using prosaccadic and antisaccadic tasks in gap and overlap conditions, we assessed a group of unaffected parents of children with ADHD symptoms and compared them to a group of unaffected parents of children with typical development. Direction errors, anticipatory errors and saccadic reaction times were analyzed. We also determined the presence of ADHD behaviors (in adulthood and childhood) in all participants.

RESULTS

No between-group differences were observed for the antisaccadic measures, but the group of parents of children with ADHD made more anticipatory responses on the prosaccadic-gap task than the parents of controls. A moderate association between these anticipatory errors and dimensional inattention scores was also found.

CONCLUSIONS

Saccadic performance differed between the two groups of parents, as those with children with ADHD showed a failure to withhold the initiation of responses in the absence of external control references (gap condition) on tasks with low cognitive load (prosaccadic). These anticipatory responses were related to inattention traits. Our results support the familial compound of ADHD as a multifactorial disorder.

摘要

目的

抑制控制能力减弱被认为是注意力缺陷多动障碍(ADHD)的核心特征和潜在的内表型。如果是这样,人们期望在 ADHD 患者的一级亲属中发现这种特征。因此,本研究旨在确定在 ADHD 患者中与抑制控制失败相关的眼动测量是否也存在于这些亲属中。

方法

使用 gap 和 overlap 条件下的前向眼跳和反向眼跳任务,我们评估了一组患有 ADHD 症状儿童的未受影响的父母,并将他们与一组具有典型发育的儿童的未受影响的父母进行了比较。分析了方向错误、预期错误和眼跳反应时间。我们还确定了所有参与者的 ADHD 行为(成年期和儿童期)的存在。

结果

反向眼跳测量无组间差异,但 ADHD 儿童的父母在 prosaccadic-gap 任务中比对照组的父母做出了更多的预期反应。还发现这些预期错误与维度注意力得分之间存在中度关联。

结论

两组父母的眼跳表现存在差异,因为 ADHD 儿童的父母在缺乏外部控制参考(gap 条件)的情况下,在认知负荷较低的任务(prosaccadic)中无法抑制反应的发起,出现了失败。这些预期反应与注意力不集中特征有关。我们的结果支持 ADHD 作为一种多因素障碍的家族复合性。

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