Specific brain imaging alterations underlying autistic traits in children with attention-deficit/hyperactivity disorder.

IF 4.7 2区 心理学 Q1 BEHAVIORAL SCIENCES
Juan Liu, Qian-Rong Liu, Zhao-Min Wu, Qiao-Ru Chen, Jing Chen, Yuan Wang, Xiao-Lan Cao, Mei-Xia Dai, Chao Dong, Qiao Liu, Jun Zhu, Lin-Lin Zhang, Ying Li, Yu-Feng Wang, Lu Liu, Bin-Rang Yang
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引用次数: 0

Abstract

Background: Autistic traits (ATs) are frequently reported in children with Attention-Deficit/Hyperactivity Disorder (ADHD). This study aimed to examine ATs in children with ADHD from both behavioral and neuroimaging perspectives.

Methods: We used the Autism Spectrum Screening Questionnaire (ASSQ) to assess and define subjects with and without ATs. For behavioral analyses, 67 children with ADHD and ATs (ADHD + ATs), 105 children with ADHD but without ATs (ADHD - ATs), and 44 typically developing healthy controls without ATs (HC - ATs) were recruited. We collected resting-state functional magnetic resonance imaging (rs-fMRI) data and analyzed the mean amplitude of low-frequency fluctuation (mALFF) values (an approach used to depict different spontaneous brain activities) in a sub-sample. The imaging features that were shared between ATs and ADHD symptoms or that were unique to one or the other set of symptoms were illustrated as a way to explore the "brain-behavior" relationship.

Results: Compared to ADHD-ATs, the ADHD + ATs group showed more global impairment in all aspects of autistic symptoms and higher hyperactivity/impulsivity (HI). Partial-correlation analysis indicated that HI was significantly positively correlated with all aspects of ATs in ADHD. Imaging analyses indicated that mALFF values in the left middle occipital gyrus (MOG), left parietal lobe (PL)/precuneus, and left middle temporal gyrus (MTG) might be specifically related to ADHD, while those in the right MTG might be more closely associated with ATs. Furthermore, altered mALFF in the right PL/precuneus correlated with both ADHD and ATs, albeit in diverse directions.

Conclusions: The co-occurrence of ATs in children with ADHD manifested as different behavioral characteristics and specific brain functional alterations. Assessing ATs in children with ADHD could help us understand the heterogeneity of ADHD, further explore its pathogenesis, and promote clinical interventions.

注意缺陷/多动障碍儿童自闭症特征的特定脑成像改变。
背景:自闭症特征(ATs)在患有注意力缺陷/多动障碍(ADHD)的儿童中经常被报道。本研究旨在从行为和神经影像学的角度研究ADHD儿童的ATs。方法:我们使用自闭症谱系筛查问卷(ASSQ)来评估和定义有和没有ATs的受试者。为了进行行为分析,我们招募了67名ADHD和ATs儿童(ADHD + ATs), 105名ADHD但没有ATs儿童(ADHD - ATs),以及44名没有ATs的正常健康对照(HC - ATs)。我们收集了静息状态功能磁共振成像(rs-fMRI)数据,并分析了子样本中低频波动(mALFF)值的平均幅度(一种用于描述不同自发脑活动的方法)。ATs和ADHD症状之间共有的影像特征,或其中一组或另一组症状所独有的影像特征,作为探索“大脑-行为”关系的一种方式加以说明。结果:与ADHD-ATs相比,ADHD + ATs组在自闭症症状的各个方面表现出更全面的损害,并且多动/冲动(HI)更高。部分相关分析表明,HI与ADHD患者ATs各方面均显著正相关。影像学分析显示,左侧枕中回(MOG)、左侧顶叶/楔前叶和左侧颞中回(MTG)的mALFF值可能与ADHD特异性相关,而右侧MTG的mALFF值可能与ATs更为密切相关。此外,右侧前叶/楔前叶mALFF的改变与ADHD和ATs均相关,尽管方向不同。结论:ADHD患儿ATs共发表现为不同的行为特征和特定的脑功能改变。评估ADHD患儿的ATs有助于我们了解ADHD的异质性,进一步探讨其发病机制,促进临床干预。
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来源期刊
Behavioral and Brain Functions
Behavioral and Brain Functions 医学-行为科学
CiteScore
5.90
自引率
0.00%
发文量
11
审稿时长
6-12 weeks
期刊介绍: A well-established journal in the field of behavioral and cognitive neuroscience, Behavioral and Brain Functions welcomes manuscripts which provide insight into the neurobiological mechanisms underlying behavior and brain function, or dysfunction. The journal gives priority to manuscripts that combine both neurobiology and behavior in a non-clinical manner.
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