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胼胝体发育不全中的注意力、冲动性和警觉性。

Attention, impulsivity, and vigilance in agenesis of the corpus callosum.

作者信息

Brown Warren S, Panos Amanda, Paul Lynn K

机构信息

Travis Research Institute.

出版信息

Neuropsychology. 2020 Jul 23. doi: 10.1037/neu0000685.

Abstract

OBJECTIVE

Questions regarding the role of the corpus callosum in attention are raised by the reports of attention problems in some persons with agenesis of the corpus callosum (AgCC), as well as by abnormalities in callosal size in persons with attention-deficit/hyperactive disorder. The current study assessed inattention, impulsivity, and vigilance in individuals with AgCC.

METHOD

These domains of attention were assessed using the Conners' Continuous Performance Test II in 18 older adolescents and adults (ages 16-52) with complete AgCC and normal intelligence (full scale intelligence quotient > 80). Scores were converted to scores using age-specific norms and assessed for departure from the normative sample.

RESULTS

Scores were significantly elevated in older adolescents with AgCC for errors of commission ( = .050, = 0.55) and detectability = .03, = 0.58). Older adolescents were worse than adults for commissions ( = .06, η² = .201) and detectability ( = .03, η² = .273). Also, male individuals had significantly higher (worse) scores than did female in vigilance ( = .01, η² = .337).

CONCLUSION

These results suggest moderate levels of difficulties in sustained attention in AgCC, particularly in maintaining response inhibition and in vigilance, that are modulated by age and sex. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

摘要

目的

胼胝体发育不全(AgCC)患者存在注意力问题的报告,以及注意缺陷/多动障碍患者胼胝体大小异常的情况,引发了关于胼胝体在注意力方面作用的疑问。本研究评估了AgCC患者的注意力不集中、冲动性和警觉性。

方法

使用康纳斯连续操作测验II对18名年龄较大的青少年和成年人(年龄16 - 52岁)进行注意力这些方面的评估,这些患者患有完全性AgCC且智力正常(全量表智商>80)。根据特定年龄的常模将分数转换为标准分数,并评估其与常模样本的差异。

结果

AgCC的大龄青少年在执行错误(p = 0.050,效应量 = 0.55)和可检测性(p = 0.03,效应量 = 0.58)方面的得分显著升高。大龄青少年在执行错误(p = 0.06,η² = 0.201)和可检测性(p = 0.03,η² = 0.273)方面比成年人更差。此外,男性在警觉性方面的得分显著高于女性(p = 0.01,η² = 0.337)。

结论

这些结果表明,AgCC患者在持续注意力方面存在中等程度的困难,尤其是在维持反应抑制和警觉性方面,且受到年龄和性别的调节。(PsycInfo数据库记录(c)2020美国心理学会,保留所有权利)

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本文引用的文献

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Everyday Executive Function and Self-Awareness in Agenesis of the Corpus Callosum.胼胝体发育不全患者的日常执行功能和自我意识。
J Int Neuropsychol Soc. 2021 Nov;27(10):1037-1047. doi: 10.1017/S1355617721000096. Epub 2021 Mar 22.
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The Neuropsychological Syndrome of Agenesis of the Corpus Callosum.胼胝体发育不全的神经心理学综合征。
J Int Neuropsychol Soc. 2019 Mar;25(3):324-330. doi: 10.1017/S135561771800111X. Epub 2019 Jan 29.
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Neurocognitive Pathways in Attention-Deficit/Hyperactivity Disorder and White Matter Microstructure.注意缺陷多动障碍与脑白质微观结构的神经认知通路。
Biol Psychiatry Cogn Neurosci Neuroimaging. 2019 Mar;4(3):233-242. doi: 10.1016/j.bpsc.2018.09.007. Epub 2018 Sep 29.
8
Learning and memory in individuals with agenesis of the corpus callosum.胼胝体发育不全个体的学习与记忆
Neuropsychologia. 2016 Jun;86:183-92. doi: 10.1016/j.neuropsychologia.2016.04.013. Epub 2016 May 26.
10
Verbal learning and memory in agenesis of the corpus callosum.胼胝体发育不全中的言语学习与记忆。
Neuropsychologia. 2014 Jul;60:121-30. doi: 10.1016/j.neuropsychologia.2014.06.003. Epub 2014 Jun 13.

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