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自闭症谱系障碍患者的感觉特征与皮质厚度/体积之间的关系。

Relationship between sensory characteristics and cortical thickness/volume in autism spectrum disorders.

机构信息

Department of Neuropsychiatry, University of Fukui, Eiheiji, Fukui, Japan.

Cognitive Science Research Group, Korea Brain Research Institute, Daegu, South Korea.

出版信息

Transl Psychiatry. 2021 Dec 6;11(1):616. doi: 10.1038/s41398-021-01743-7.

Abstract

Individuals with autism spectrum disorders (ASDs) exhibit atypical sensory characteristics, impaired social skills, deficits in verbal and nonverbal communication, and restricted and repetitive behaviors. The relationship between sensory characteristics and brain morphological changes in ASD remains unclear. In this study, we investigated the association between brain morphological changes and sensory characteristics in individuals with ASD using brain image analysis and a sensory profile test. Forty-three adults with ASD and 84 adults with typical development underwent brain image analysis using FreeSurfer. The brain cortex was divided into 64 regions, and the cortical thickness and volume of the limbic system were calculated. The sensory characteristics of the participants were evaluated using the Adolescent/Adult Sensory Profile (AASP). Correlation analysis was performed for cortical thickness, limbic area volume, and AASP scores. In the ASD group, there was a significant positive correlation between visual sensory sensitivity scores and the right lingual cortical thickness (r = 0.500). There were also significant negative correlations between visual sensation avoiding scores and the right lateral orbitofrontal cortical thickness (r = -0.513), taste/smell sensation avoiding scores and the right hippocampal volume (r = -0.510), and taste/smell sensation avoiding scores and the left hippocampal volume (r = -0.540). The study identified associations among the lingual cortical thickness, lateral orbitofrontal cortical thickness, and hippocampal volume and sensory characteristics. These findings suggest that brain morphological changes may trigger sensory symptoms in adults with ASD.

摘要

个体患有自闭症谱系障碍(ASD)会表现出异常的感官特征、社交技能受损、言语和非言语沟通能力不足、以及受限和重复的行为。ASD 患者的感官特征与大脑形态变化之间的关系仍不清楚。在这项研究中,我们使用脑影像分析和感官特征评估测试,研究了 ASD 患者的大脑形态变化与感官特征之间的关系。43 名 ASD 成人和 84 名典型发育成人接受了 FreeSurfer 脑影像分析。将大脑皮层分为 64 个区域,并计算边缘系统的皮质厚度和体积。采用青少年/成人感官特征评估表(AASP)评估参与者的感官特征。对皮质厚度、边缘系统区域体积和 AASP 分数进行了相关性分析。在 ASD 组中,视觉感官敏感性评分与右侧舌状皮质厚度呈显著正相关(r=0.500)。此外,视觉感觉回避评分与右侧外侧眶额皮质厚度(r=-0.513)、味觉/嗅觉感觉回避评分与右侧海马体积(r=-0.510)和味觉/嗅觉感觉回避评分与左侧海马体积(r=-0.540)之间也存在显著负相关。该研究发现了舌状皮质厚度、外侧眶额皮质厚度和海马体体积与感官特征之间的关联。这些发现表明,大脑形态变化可能会引发 ASD 成人的感官症状。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2262/8648722/51bf1ae80645/41398_2021_1743_Fig1_HTML.jpg

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