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发展性阅读障碍伴注意缺陷多动障碍儿童脑白质各向异性弥散张量参数特征

Properties of white matter tract diffusivity in children with developmental dyslexia and comorbid attention deficit/hyperactivity disorder.

机构信息

Department of Psychology, Georgia State University, 140 Decatur St SE, Atlanta, GA, 30303, USA.

GSU/Georgia Tech Center for Advanced Brain Imaging, 831 Marietta St NW, Atlanta, GA, 30318, USA.

出版信息

J Neurodev Disord. 2023 Aug 8;15(1):25. doi: 10.1186/s11689-023-09495-9.

Abstract

BACKGROUND

Developmental dyslexia (DD) and attention deficit/hyperactivity disorder (ADHD) are highly comorbid neurodevelopmental disorders. Individuals with DD or ADHD have both been shown to have deficits in white matter tracts associated with reading and attentional control networks. However, white matter diffusivity in individuals comorbid with both DD and ADHD (DD + ADHD) has not been specifically explored.

METHODS

Participants were 3 and 4 graders (age range = 7 to 11 years; SD = 0.69) from three diagnostic groups ((DD (n = 40), DD + ADHD (n = 22), and typical developing (TD) (n = 20)). Behavioral measures of reading and attention alongside measures of white matter diffusivity were collected for all participants.

RESULTS

DD + ADHD and TD groups differed in mean fractional anisotropy (FA) for the left and right Superior Longitudinal Fasciculus (SLF)-Parietal Terminations and SLF-Temporal Terminations. Mean FA for the DD group across these SLF tracts fell between the lower DD + ADHD and higher TD averages. No differences in mean diffusivity nor significant brain-behavior relations were found.

CONCLUSIONS

Findings suggest that WM diffusivity in the SLF increases along a continuum across DD + ADHD, DD, and TD.

摘要

背景

发育性阅读障碍(DD)和注意缺陷多动障碍(ADHD)是高度共患的神经发育障碍。有研究表明,DD 或 ADHD 个体的白质束与阅读和注意力控制网络相关,均存在缺陷。然而,同时患有 DD 和 ADHD(DD+ADHD)的个体的白质弥散性尚未得到具体研究。

方法

参与者为来自三个诊断组的 3 年级和 4 年级学生(年龄范围为 7 至 11 岁;SD=0.69):(DD(n=40)、DD+ADHD(n=22)和典型发育(TD)(n=20))。所有参与者均接受阅读和注意力行为测量以及白质弥散度测量。

结果

DD+ADHD 和 TD 组的左侧和右侧上纵束(SLF)-顶叶终点和 SLF-颞叶终点的平均各向异性分数(FA)存在差异。DD 组在这些 SLF 束中的 FA 平均值介于较低的 DD+ADHD 和较高的 TD 平均值之间。未发现平均弥散度差异或显著的大脑-行为关系。

结论

研究结果表明,SLF 中的 WM 弥散度在 DD+ADHD、DD 和 TD 之间沿连续体增加。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e1c6/10408076/c1d133f570e5/11689_2023_9495_Fig1_HTML.jpg

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