Attention-deficit/hyperactivity (ADHD) and autism spectrum (ASD) disorders often co-occur. In both cases, response inhibition deficits and inhibition-related atypical brain activation have been reported, although less consistently in ASD. Research exploring the overlap/distinctiveness between ADHD and ASD has significantly increased in recent years, but direct comparison of the inhibition-related neuronal correlates between these disorders are scarce in the literature. This study aimed at disentangling the shared and specific inhibitory brain dysfunctions in ASD and ADHD. Using functional magnetic resonance imaging (fMRI), brain activity was compared between children with ADHD, ASD and typically developing (TD) children aged 8-12 years during an inhibition stop-signal task, using stringent inclusion criteria. At the behavioural level, only children with ADHD exhibited inhibition deficits when compared with the TD group. Distinct patterns of brain activity were observed during successful inhibition. In children with ADHD, motor inhibition was associated with right inferior parietal activation, whereas right frontal regions were activated in children with ASD. Between-group comparisons disclosed higher middle frontal activation in the ASD group compared with the ADHD and the TD groups. Our results evidence different patterns of activation during inhibition in these two disorders, recruiting different regions of the fronto-parietal network associated to inhibition. Besides brain activity differences, behavioural inhibition deficits found only in children with ADHD further suggest that reactive inhibition is one of the core deficits in ADHD, but not in ASD. Our findings provide further evidence contributing to disentangle the shared and specific inhibitory dysfunctions in ASD and ADHD.

译文

注意力缺陷/多动 (ADHD) 和自闭症谱系 (ASD) 疾病经常同时发生。在这两种情况下,都报道了反应抑制缺陷和与抑制相关的非典型脑激活,尽管在ASD中不太一致。近年来,探索ADHD和ASD之间重叠/独特性的研究已显着增加,但文献中很少直接比较这些疾病之间的抑制相关神经元相关性。这项研究旨在解开ASD和ADHD中共享的和特定的抑制性脑功能障碍。使用功能磁共振成像 (fMRI),使用严格的纳入标准,比较了ADHD,ASD儿童和8-12岁的典型发育 (TD) 儿童在抑制停止信号任务期间的大脑活动。在行为水平上,与TD组相比,只有ADHD儿童表现出抑制缺陷。在成功抑制过程中观察到不同的大脑活动模式。在患有ADHD的儿童中,运动抑制与右下顶叶激活有关,而在患有ASD的儿童中,右额叶区域被激活。组间比较显示,与ADHD和TD组相比,ASD组的中额激活更高。我们的结果证明,在这两种疾病中,抑制过程中激活的模式不同,募集了与抑制相关的额顶网络的不同区域。除了大脑活动差异外,仅在ADHD儿童中发现的行为抑制缺陷进一步表明,反应抑制是ADHD的核心缺陷之一,而在ASD中却不是。我们的发现提供了进一步的证据,有助于消除ASD和ADHD中共同的和特定的抑制性功能障碍。

+1
+2
100研值 100研值 ¥99课程
检索文献一次
下载文献一次

去下载>

成功解锁2个技能,为你点赞

《SCI写作十大必备语法》
解决你的SCI语法难题!

技能熟练度+1

视频课《玩转文献检索》
让你成为检索达人!

恭喜完成新手挑战

手机微信扫一扫,添加好友领取

免费领《Endnote文献管理工具+教程》

微信扫码, 免费领取

手机登录

获取验证码
登录