developmental disorder

发育障碍
  • 文章类型: Journal Article
    感知生物运动(BM)对于人类生存和社会交往至关重要。许多研究报道了自闭症谱系障碍的BM感知受损,其特点是社会互动不足。患有注意力缺陷多动障碍(ADHD)的儿童通常在社交互动中表现出类似的困难。然而,很少有研究调查患有ADHD的儿童的BM感知。这里,我们比较了处理局部运动学和全局构型线索的能力差异,BM感知的两个基本能力,在典型的发展和多动症儿童之间。我们进一步调查了使用社会反应量表测量的BM感知和社交互动技能之间的关系,并检查了潜在因素的贡献(例如性别,年龄,注意,和智力)到BM感知。结果显示,患有ADHD的儿童表现出非典型的BM感知。局部和全局BM处理显示出明显的特征。本地BM处理能力与社交互动技能有关,而全球BM加工能力随着年龄的增长而显著提高。严重的,ADHD儿童的一般BM感知(即局部和全局BM处理)可能受到持续注意能力的影响。这种关系主要是由推理智力介导的。这些发现阐明了ADHD中非典型的BM感知以及与BM感知相关的潜在因素。此外,这项研究提供了新的证据,表明BM感知是社会认知的标志,并促进了我们对局部和全局处理在BM感知和社会认知障碍中的潜在作用的理解.
    Perceiving biological motion (BM) is crucial for human survival and social interaction. Many studies have reported impaired BM perception in autism spectrum disorder, which is characterised by deficits in social interaction. Children with attention deficit hyperactivity disorder (ADHD) often exhibit similar difficulties in social interaction. However, few studies have investigated BM perception in children with ADHD. Here, we compared differences in the ability to process local kinematic and global configurational cues, two fundamental abilities of BM perception, between typically developing and ADHD children. We further investigated the relationship between BM perception and social interaction skills measured using the Social Responsiveness Scale and examined the contributions of latent factors (e.g. sex, age, attention, and intelligence) to BM perception. The results revealed that children with ADHD exhibited atypical BM perception. Local and global BM processing showed distinct features. Local BM processing ability was related to social interaction skills, whereas global BM processing ability significantly improved with age. Critically, general BM perception (i.e. both local and global BM processing) may be affected by sustained attentional ability in children with ADHD. This relationship was primarily mediated by reasoning intelligence. These findings elucidate atypical BM perception in ADHD and the latent factors related to BM perception. Moreover, this study provides new evidence that BM perception is a hallmark of social cognition and advances our understanding of the potential roles of local and global processing in BM perception and social cognitive disorders.
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  • 文章类型: Journal Article
    本研究旨在阐明注意力缺陷/多动障碍(ADHD)未服用药物的成年患者的多巴胺转运体(DAT)可用性异常以及ADHD症状与DAT可用性异常之间的关系。
    使用碘-123-β-甲氧甲氧基-3β-(4-碘苯基氨)(I-123βCIT)作为示踪剂进行了单光子发射断层扫描(SPECT),以测量20例未经治疗的ADHD患者的体内DAT可用性[平均年龄±标准差(SD)]:25±3.44岁;男性:11岁:平均性别-20使用统计参数映射12分析HCs与ADHD成年患者之间的DAT可用性以及ADHD组中症状严重程度与DAT可用性之间的关联。
    与HCs相比,未接受药物治疗的成人ADHD患者在双侧伏隔核中的DAT可用性显着降低。相关分析显示,成年ADHD患者注意力不集中症状的严重程度与尾状核双侧头部的DAT可用性呈负相关,表明严重的注意力不集中症状与尾状核中DAT可用性降低之间存在关联。
    在未服用药物的成年ADHD患者中,伏隔核的DAT可用性降低,奖励制度的重要组成部分。这一发现表明了奖励系统中DAT在ADHD发病机理中的重要性。注意力不集中与尾状核的DAT可用性有关,提示皮质-纹状体-丘脑-皮质回路受累。
    UNASSIGNED: This study aimed to clarify the abnormalities in dopamine transporter (DAT) availability in drug-naive adult patients with attention-deficit/hyperactivity disorder (ADHD) and the relationship between ADHD symptoms and abnormalities in DAT availability.
    UNASSIGNED: Single-photon emission tomography (SPECT) was performed using iodine-123-β-carbomethoxy-3β-(4-iodophenyltropane) (I-123 β CIT) as a tracer to measure in vivo DAT availability in 20 drug-naive patients with ADHD [mean age ± standard deviation (SD)]: 25 ± 3.44 years; male:female = 11:9] and 20 age- and sex-matched healthy controls (HCs) (mean age ± SD: 23.9 ± 2.27 years). Comparisons of DAT availability between HCs and adult patients with ADHD and the association between symptom severity and DAT availability within the ADHD group were analyzed using Statistical Parametric Mapping 12.
    UNASSIGNED: Drug-naive adults with ADHD showed significantly reduced DAT availability in the bilateral nucleus accumbens compared with HCs. Correlation analyses revealed a negative correlation between the severity of inattentive symptoms in adult patients with ADHD and DAT availability in the bilateral heads of the caudate nucleus, indicating the association between severe inattentive symptoms and lower DAT availability in the caudate nucleus.
    UNASSIGNED: In drug-naive adult patients with ADHD, DAT availability was reduced in the nucleus accumbens, an important part of the reward system. This finding indicates the importance of the DAT in the reward system in the pathogenesis of ADHD. Inattentiveness was associated with DAT availability in the caudate nucleus, suggesting involvement of the cortico-striato-thalamo-cortical circuit.
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  • 文章类型: Journal Article
    智力障碍或自闭症谱系障碍(ASD)患病率的估计可能因方法而异,地理位置,和确定的来源。澳大利亚的国家残疾保险计划(NDIS)从2016年开始逐步推出,为符合条件的严重和永久性残疾人士提供个性化资金。
    最近将其纳入西澳大利亚州基于人群的智力残疾探索答案(IDEA)数据库中,可以比较智力残疾和ASD引入前后的患病率。
    2020年的智力残疾患病率为22.5/1,000活产,而2010年的估计为17/1,000,2020年的估计值为20.7/1,000,而2010年为5.1/1,000。虽然土著个体的ASD患病率约为非土著个体的三分之二,与非土著儿童相比,10岁以下土著儿童的ASD患病率增加.
    同时放宽了西澳大利亚州的ASD诊断实践标准,这与NDIS的访问管理以及国家指南的发布有关,该指南授权单个诊断医师确定聘请其他诊断医师组成多学科团队的适当性ASD诊断,似乎是与有或无智力残疾的ASD诊断增加相关的重要因素。
    UNASSIGNED: Estimates of the prevalence of intellectual disability or autism spectrum disorder (ASD) may vary depending on the methodology, geographical location, and sources of ascertainment. The National Disability Insurance Scheme (NDIS) in Australia was introduced progressively from 2016 to provide individualized funding for eligible people with a significant and permanent disability.
    UNASSIGNED: Its recent inclusion as a source of ascertainment in the population-based Intellectual Disability Exploring Answers (IDEA) database in Western Australia has allowed comparisons of the prevalence of intellectual disability and ASD before and after its introduction.
    UNASSIGNED: Prevalence of intellectual disability in 2020 was 22.5 per 1,000 (/1,000) live births compared with previous estimates in 2010 of 17/1,000, and for ASD, the estimate was 20.7/1,000 in 2020 compared with 5.1 /1,000 in 2010. Whilst the prevalence of ASD in Aboriginal individuals was about two-thirds that of non-Aboriginals, there was an increased prevalence of ASD in Aboriginal children under 10 years compared with non-Aboriginal children.
    UNASSIGNED: The concurrent relaxation of ASD diagnostic practice standards in Western Australia associated with the administration of access to the NDIS and the release of the National Guidelines empowering single diagnosticians to determine the appropriateness of engaging additional diagnosticians to form a multidisciplinary team on ASD diagnosis, appear to be important factors associated with the increase in ASD diagnoses both with and without intellectual disability.
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  • 文章类型: Journal Article
    筛查儿童发育障碍带来了独特的伦理和方法挑战,特别是与高水平的羞耻和耻辱相关的疾病。胎儿酒精谱系障碍(FASD)是由产前酒精暴露引起的神经发育状况。由于告知父母其孩子可能患有FASD而引起的潜在困扰被认为是进行此类研究的重要障碍。然而,有限的研究调查了FASD筛查对父母和儿童的影响.
    这项探索性研究旨在研究参与大曼彻斯特FASD积极病例确定患病率研究筛查的一小部分父母的经验,英国(ADD-GM研究)。
    采访了六位家长,他们8-10岁的孩子,进行筛查(包括3例FASD)。对收集的数据进行了专题分析,以确定关键主题和模式。
    分析表明,父母认为参与这项研究是值得的,他们的孩子要么喜欢,要么对数据收集过程漠不关心。患有FASD的儿童的父母报告说,尽管结果令人惊讶,他们并没有觉得这次经历过于痛苦。
    研究结果表明,父母普遍积极地看待参与,并认为负面影响有限。这些见解有助于更好地理解与筛查儿童FASD相关的挑战和益处。
    UNASSIGNED: Screening children for developmental disorders presents unique ethical and methodological challenges, particularly with disorders associated with high levels of shame and stigma. Fetal alcohol spectrum disorder (FASD) is a neurodevelopmental condition resulting from prenatal alcohol exposure. The potential distress caused by informing parents that their child may have FASD has been cited as a significant barrier to conducting such studies. However, limited research has investigated the impact of screening for FASD on parents and children.
    UNASSIGNED: This exploratory study aimed to examine the experiences of a small sample of parents participating in an active case ascertainment prevalence study screening for FASD in Greater Manchester, UK (ADD-GM study).
    UNASSIGNED: Interviews were conducted with six parents, whose children aged 8-10 years, underwent screening (including three cases of FASD). Thematic analysis was performed on the collected data to identify key themes and patterns.
    UNASSIGNED: The analysis revealed that parents perceived participation in the study as worthwhile, and their children either enjoyed or were indifferent to the process of data collection. Parents of children identified with FASD reported that although the results were surprising, they did not find the experience overly distressing.
    UNASSIGNED: The findings suggest that parents generally view participation positively and perceive limited negative impact. These insights contribute to a better understanding of the challenges and benefits associated with screening children for FASD.
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  • 文章类型: Journal Article
    这项研究比较了两份家长报告,心理综合评估清单(MSEC)和自闭症治疗评估清单(ATEC),儿童自闭症评定量表(CARS)。ATEC由四个分量表组成,如下:(1)表现性语言,(2)社交能力,(3)感官意识,(4)健康。MSEC在衡量复杂语言理解方面是ATEC的补充。143名自闭症儿童的父母,2至22岁(平均6.7±5.1岁),完成了MSEC和ATEC问卷,临床医生评估了他们的CARS评分.CARS评分与所有家长报告密切相关,复杂语言理解MSEC(r=0.60,p<0.0001),表达语言(r=0.66,p<0.0001),社交能力(r=0.58,p<0.0001),感官意识(r=0.71,p<0.0001),和健康(r=0.53,p<0.0001),以及ATEC总分(r=0.75,p<0.0001)。最强的相关性是CARS评分和所有五个家长报告的评分的综合之间(总ATEC+MSEC,r=0.77,p<0.0001)。这些结果表明MSEC和ATEC父报告的高保真度,尤其是其综合评分,总ATEC+MSEC。
    This study compares two parent reports, the Mental Synthesis Evaluation Checklist (MSEC) and the Autism Treatment Evaluation Checklist (ATEC), with the Childhood Autism Rating Scale (CARS). The ATEC consists of four subscales, as follows: (1) expressive language, (2) sociability, (3) sensory awareness, and (4) health. The MSEC is complementary to the ATEC in measuring complex language comprehension. The parents of 143 autistic children, from 2 to 22 years of age (mean 6.7 ± 5.1 years), completed the MSEC and the ATEC questionnaires and a clinician assessed their CARS score. The CARS score correlated strongly with all parent reports, the complex language comprehension MSEC (r = 0.60, p < 0.0001), expressive language (r = 0.66, p < 0.0001), sociability (r = 0.58, p < 0.0001), sensory awareness (r = 0.71, p < 0.0001), and health (r = 0.53, p < 0.0001), as well as the total ATEC score (r = 0.75, p < 0.0001). The strongest correlation was between the CARS score and the composite of all five parent-reported scores (total ATEC + MSEC, r = 0.77, p < 0.0001). These results suggest a high fidelity of the MSEC and ATEC parent reports and especially of their composite score, total ATEC + MSEC.
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  • 文章类型: Journal Article
    (1)背景:患有发育障碍的儿童的父母所经历的压力,这些儿童存在暂时或永久的需求,使他们经历了一系列可能与应对策略有关的日常情况。弹性属性被认为是对父母与抚养子女有关的行为具有决定性影响的因素之一,并影响更大的幸福感和生活满意度。本研究的目的是研究弹性属性在父母压力和生活满意度之间的中介作用;(2)方法:在本研究中,来自Jaén省(安达卢西亚)[西班牙]的不同幼儿护理中心(CAIT)的0至6岁男孩和女孩的父母患有发育障碍。其中,母亲96人(78.0%),父亲27人(22.0%),平均年龄37.85岁(±5.043)。父母压力指数简短形式(PSI-SF),弹性量表(RS-14),并使用生活满意度量表(SWLS)。应用结构方程模型(PLS-SEM)对所提出的理论模型进行了估计,从解释预测的角度;(3)结果:结果显示了确定系数父母困扰[(Q2=0.144);(R2=0.329)];个人能力[(Q2=0.106);(R2=0.246)];接受自我和生活[(Q2=0.094);(R2=0.172)]和生活满意度[(Q2=0.182);(R2=0.563)],在反射模型的估计中,表明中度适合;(4)结论:目前的调查不是结论性的;然而,讨论了这些发现的含义,并考虑了对未来研究的建议。
    (1) Background: The stress experienced by parents with children with developmental disorders who present temporary or permanent needs, makes them experience a series of daily situations that may be linked to coping strategies. Resilient attributes are considered one of the factors that have a decisive influence on the behavior of parents related to raising their children and that affect greater well-being and life satisfaction. The objective of this research is to study the mediating effect of resilient attributes between parental stress and life satisfaction; (2) Methods: In this study, mothers and fathers of boys and girls from 0 to 6 years old with developmental disorders from different Early Childhood Care Centers (CAIT) in the Province of Jaén (Andalusia) [Spain]. Of them, 96 are mothers (78.0%) and 27 are fathers (22.0%), with a mean age of 37.85 years (±5.043). The Parenting Stress Index-Short Form (PSI-SF), Resilience Scale (RS-14), and Satisfaction with Life Scale (SWLS) were used. The structural equations model (PLS-SEM) was applied to estimate the proposed theoretical model, from an explanatory-predictive perspective; (3) Results: The results showed the coefficients of determination Parental distress [(Q2 = 0.144); (R2 = 0.329)]; Personal competence [(Q2 = 0.106); (R2 = 0.246)]; Acceptance of self and life [(Q2 = 0.094); (R2 = 0.172)] and Life satisfaction [(Q2 = 0.182); (R2 = 0.563)], in the estimation of the reflective model, indicating a moderate fit; (4) Conclusions: The present investigation is not conclusive; however, the implications of these findings are discussed and suggestions for future research are considered.
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  • 文章类型: Journal Article
    KCNB1的致病变异与神经发育障碍谱相关,包括全球发育迟缓,认知障碍,异常脑电图(EEG)模式,以及起病年龄和严重程度不同的癫痫。此外,有突出的行为障碍,包括多动症,侵略,和自闭症谱系障碍的特征。最常见的复发变异是KCNB1-p。R306C,位于S4电压感应跨膜结构域内的错义变体。具有R306C变体的个体表现出轻度至严重的发育迟缓,行为障碍,以及各种不同的癫痫发作。R306C的先前体外表征描述了电压传感器的灵敏度和协同性改变以及神经元重复放电的能力受损。现有的Kcnb1小鼠模型包括显性否定错义变体,以及敲除和移码等位基因。虽然所有模型都概括了KCNB1脑病的关键特征,具有显性阴性等位基因的小鼠受影响更严重。与现有的功能丧失和显性阴性变体相反,KCNB1-p.R306C不影响通道表达,而是影响电压传感。因此,在小鼠中对R306C进行建模为探索电压感应突变对Kcnb1的影响提供了新的机会。使用CRISPR/Cas9基因组编辑,我们建立了Kcnb1R306C小鼠模型,并对其分子和表型效应进行了表征。与体外研究一致,来自Kcnb1R306C小鼠的神经元显示出改变的兴奋性。杂合和纯合R306C小鼠表现出过度活跃,对化学惊厥引起的癫痫发作的易感性改变,和频繁,脑电图上长时间缓慢的尖峰波放电,让人想起LennoxGastaut综合征的缓慢尖峰和波活动特征。这种新的Kcnb1通道功能障碍模型提供了额外的,研究KCNB1脑病的有价值的工具。此外,该等位基因系列Kcnb1小鼠模型将为评估靶向治疗提供一个独特的平台.
    Pathogenic variants in KCNB1 are associated with a neurodevelopmental disorder spectrum that includes global developmental delays, cognitive impairment, abnormal electroencephalogram (EEG) patterns, and epilepsy with variable age of onset and severity. Additionally, there are prominent behavioral disturbances, including hyperactivity, aggression, and features of autism spectrum disorder. The most frequently identified recurrent variant is KCNB1-p.R306C, a missense variant located within the S4 voltage-sensing transmembrane domain. Individuals with the R306C variant exhibit mild to severe developmental delays, behavioral disorders, and a diverse spectrum of seizures. Previous in vitro characterization of R306C described altered sensitivity and cooperativity of the voltage sensor and impaired capacity for repetitive firing of neurons. Existing Kcnb1 mouse models include dominant negative missense variants, as well as knockout and frameshifts alleles. While all models recapitulate key features of KCNB1 encephalopathy, mice with dominant negative alleles were more severely affected. In contrast to existing loss-of-function and dominant-negative variants, KCNB1-p.R306C does not affect channel expression, but rather affects voltage-sensing. Thus, modeling R306C in mice provides a novel opportunity to explore impacts of a voltage-sensing mutation in Kcnb1. Using CRISPR/Cas9 genome editing, we generated the Kcnb1R306C mouse model and characterized the molecular and phenotypic effects. Consistent with the in vitro studies, neurons from Kcnb1R306C mice showed altered excitability. Heterozygous and homozygous R306C mice exhibited hyperactivity, altered susceptibility to chemoconvulsant-induced seizures, and frequent, long runs of slow spike wave discharges on EEG, reminiscent of the slow spike and wave activity characteristic of Lennox Gastaut syndrome. This novel model of channel dysfunction in Kcnb1 provides an additional, valuable tool to study KCNB1 encephalopathies. Furthermore, this allelic series of Kcnb1 mouse models will provide a unique platform to evaluate targeted therapies.
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  • 文章类型: Journal Article
    阅读障碍是一种遗传和遗传性疾病,尚未发现治疗方法,特别是在分子和药物干预水平。这篇综述概述了有关发育性阅读障碍的环境和遗传因素的最新发现。用于诊断疾病的最新技术和大分子因素的发现可能有助于在解决阅读障碍者的适当管理和治疗方面取得更高的发展。此外,这篇综述试图将目前阅读障碍研究中使用的所有模型放在一起,供未来研究参考,包括动物模型和体外模型,以及以前的研究如何在多年和地区提供一致的数据。因此,我们建议使用基于现有基因多态性的类器官模型进一步研究,通路,和神经元功能输入。
    Dyslexia is a genetic and heritable disorder that has yet to discover the treatment of it, especially at the molecular and drug intervention levels. This review provides an overview of the current findings on the environmental and genetic factors involved in developmental dyslexia. The latest techniques used in diagnosing the disease and macromolecular factors findings may contribute to a higher degree of development in detangling the proper management and treatment for dyslexic individuals. Furthermore, this review tried to put together all the models used in the current dyslexia research for references in future studies that include animal models as well as in vitro models and how the previous research has provided consistent data across many years and regions. Thus, we suggest furthering the studies using an organoid model based on the existing gene polymorphism, pathways, and neuronal function input.
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  • 文章类型: Journal Article
    TRAK1基因定位于染色体3p22.1并编码结合1的运输蛋白驱动蛋白。这项研究的目的是调查TRAK1相关癫痫的基因型表型。
    对98例病因不明的癫痫患者进行了基于Trio的全外显子组测序。蛋白质建模和VarCards数据库用于预测变体的损伤效应。分析了所有具有TRAK1变异的癫痫患者的详细神经系统表型,以评估基因型-表型相关性。
    一种新的TRAK1化合物杂合变体,包含变体c.835C>T,p.Arg279Cys和变体c.2560A>C,在一名儿科患者中鉴定出p.Lys854Gln。蛋白质建模和VarCards数据库分析显示,这些变体具有破坏性。该患者诊断为早期婴儿癫痫性痉挛伴发育障碍;通过丙戊酸盐和促肾上腺皮质激素治疗,他无癫痫发作。12例癫痫患者中6种变异的进一步结果表明双等位基因TRAK1变异(包括纯合或复合杂合变异)与癫痫伴发育障碍相关。在这些患者中,8例(67%)患者出现癫痫性痉挛,7例(58%)患者难以服用抗癫痫药物.此外,8例患者出现难治性癫痫持续状态,其中7人(88%)早年死亡。据我们所知,这是首例报道的由TRAK1复合杂合子变异体引起的癫痫病例.
    双等位基因TRAK1变体可引起癫痫和发育障碍。在这些患者中,癫痫发作进展为癫痫持续状态,提示不良结局的高风险和早期治疗的要求。
    UNASSIGNED: The TRAK1 gene is mapped to chromosome 3p22.1 and encodes trafficking protein kinesin binding 1. The aim of this study was to investigate the genotype-phenotype of TRAK1-associated epilepsy.
    UNASSIGNED: Trio-based whole-exome sequencing was performed on a cohort of 98 patients with epilepsy of unknown etiologies. Protein modeling and the VarCards database were used to predict the damaging effects of the variants. Detailed neurological phenotypes of all patients with epilepsy having TRAK1 variants were analyzed to assess the genotype-phenotype correlations.
    UNASSIGNED: A novel TRAK1 compound heterozygous variant comprising variant c.835C > T, p.Arg279Cys and variant c.2560A > C, p.Lys854Gln was identified in one pediatric patient. Protein modeling and VarCards database analyses revealed that the variants were damaging. The patient received a diagnosis of early infantile epileptic spasms with a developmental disorder; he became seizure-free through valproate and adrenocorticotropic hormone treatment. Further results for six variants in 12 patients with epilepsy indicated that biallelic TRAK1 variants (including homozygous or compound heterozygous variants) were associated with epilepsy with developmental disorders. Among these patients, eight (67%) had epileptic spasms and seven (58%) were intractable to anti-seizure medicines. Moreover, eight patients experienced refractory status epilepticus, of which seven (88%) died in early life. To our knowledge, this is the first reported case of epilepsy caused by TRAK1 compound heterozygous variants.
    UNASSIGNED: Biallelic TRAK1 variants can cause epilepsy and developmental disorders. In these patients, seizures progress to status epilepticus, suggesting a high risk for poor outcomes and the requirement of early treatment.
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  • 文章类型: Journal Article
    目的:在目前的研究中,我们探索了胍法辛缓释剂(GXR)对注意缺陷多动障碍(ADHD)学龄儿童的抑制控制的急性作用的神经底物,使用功能近红外光谱(fNIRS)。方法:在GXR清除期后,12名ADHD儿童(6-10岁)在GXR或安慰剂给药前和给药后3小时进行了去/去任务,在一个随机的,双盲,安慰剂对照,交叉设计研究。在初步分析中,fNIRS用于监测参与者的右前额皮质血流动力学,我们以前的研究表明,持续的功能障碍和渗透释放口服系统-哌醋甲酯(OROS-MPH)和盐酸托莫西汀(ATX)引起了恢复。我们检查了药物间的对比,比较GXR与安慰剂的效果。在探索性分析中,我们研究了右侧前额叶皮层(PFC)以外区域的神经反应.结果:在初步分析中,我们没有观察到药物类型和月龄的显著主要影响或相互作用(双向混合ANCOVA,Fs<0.20,所有ps>.05)。然而,在事后分析中,我们观察到药物间右回(AG)中oxy-Hb信号的显着变化(一个样本t检验,p<0.05,未校正,科恩的d=0.71)。结论:这些结果与OROS-MPH和ATX的神经药理作用不同,which,以一种上调的方式,抑制任务期间ADHD儿童的右PFC功能降低。这个分析,虽然受限于其次要性质,提示认知表现的改善与右AG的激活有关,这可能作为监测GXR在ADHD儿童中的作用的生物学标记。
    Objective: In the current study, we explored the neural substrate for acute effects of guanfacine extended release (GXR) on inhibitory control in school-aged children with attention deficit hyperactivity disorder (ADHD), using functional near-infrared spectroscopy (fNIRS). Methods: Following a GXR washout period, 12 AD HD children (6-10 years old) performed a go/no-go task before and 3 h after GXR or placebo administration, in a randomized, double-blind, placebo-controlled, crossover design study. In the primary analysis, fNIRS was used to monitor the right prefrontal cortical hemodynamics of the participants, where our former studies showed consistent dysfunction and osmotic release oral system-methylphenidate (OROS-MPH) and atomoxetine hydrochloride (ATX) elicited recovery. We examined the inter-medication contrast, comparing the effect of GXR against the placebo. In the exploratory analysis, we explored neural responses in regions other than the right prefrontal cortex (PFC). Results: In the primary analysis, we observed no significant main effects or interactions of medication type and age in month (two-way mixed ANCOVA, Fs < 0.20, all ps > .05). However, in the post-hoc analysis, we observed significant change in the oxy-Hb signal in the right angular gyrus (AG) for inter-medication (one sample t-test, p < 0.05, uncorrected, Cohen\'s d = 0.71). Conclusions: These results are different from the neuropharmacological effects of OROS-MPH and ATX, which, in an upregulated manner, reduced right PFC function in ADHD children during inhibitory tasks. This analysis, while limited by its secondary nature, suggested that the improved cognitive performance was associated with activation in the right AG, which might serve as a biological marker to monitor the effect of GXR in the ADHD children.
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