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注意缺陷多动障碍患者的视觉统计学习和感知先验整合完好无损。

Visual statistical learning and integration of perceptual priors are intact in attention deficit hyperactivity disorder.

机构信息

Department of Psychiatry, Royal Edinburgh Hospital, University of Edinburgh, Edinburgh, United Kingdom.

King's College London, Institute of Psychiatry, Psychology and Neuroscience, London, United Kingdom.

出版信息

PLoS One. 2020 Dec 17;15(12):e0243100. doi: 10.1371/journal.pone.0243100. eCollection 2020.

Abstract

BACKGROUND

Deficits in visual statistical learning and predictive processing could in principle explain the key characteristics of inattention and distractibility in attention deficit hyperactivity disorder (ADHD). Specifically, from a Bayesian perspective, ADHD may be associated with flatter likelihoods (increased sensory processing noise), and/or difficulties in generating or using predictions. To our knowledge, such hypotheses have never been directly tested.

METHODS

We here test these hypotheses by evaluating whether adults diagnosed with ADHD (n = 17) differed from a control group (n = 30) in implicitly learning and using low-level perceptual priors to guide sensory processing. We used a visual statistical learning task in which participants had to estimate the direction of a cloud of coherently moving dots. Unbeknown to the participants, two of the directions were more frequently presented than the others, creating an implicit bias (prior) towards those directions. This task had previously revealed differences in other neurodevelopmental disorders, such as autistic spectrum disorder and schizophrenia.

RESULTS

We found that both groups acquired the prior expectation for the most frequent directions and that these expectations substantially influenced task performance. Overall, there were no group differences in how much the priors influenced performance. However, subtle group differences were found in the influence of the prior over time.

CONCLUSION

Our findings suggest that the symptoms of inattention and hyperactivity in ADHD do not stem from broad difficulties in developing and/or using low-level perceptual priors.

摘要

背景

视觉统计学习和预测加工的缺陷原则上可以解释注意力缺陷多动障碍(ADHD)中注意力不集中和分心的关键特征。具体来说,从贝叶斯的角度来看,ADHD 可能与更平坦的可能性(增加感官处理噪声)以及生成或使用预测的困难有关。据我们所知,这些假设从未被直接检验过。

方法

我们通过评估患有 ADHD 的成年人(n = 17)与对照组(n = 30)是否在潜意识中学习和使用低水平感知先验来指导感官处理,从而检验这些假设。我们使用了一种视觉统计学习任务,参与者必须估计一群一致移动的点的方向。参与者并不知道,两个方向比其他方向出现的频率更高,从而对这些方向产生了隐含的偏见(先验)。这个任务之前已经在其他神经发育障碍中发现了差异,如自闭症谱系障碍和精神分裂症。

结果

我们发现,两组参与者都获得了对最常见方向的先验期望,并且这些期望对任务表现有很大影响。总体而言,两组参与者在先验对表现的影响程度上没有差异。然而,我们发现了一些细微的组间差异,即先验的影响随时间而变化。

结论

我们的发现表明,ADHD 中的注意力不集中和多动症状并非源于在发展和/或使用低水平感知先验方面的广泛困难。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d027/7746270/e065a9b79f67/pone.0243100.g001.jpg

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