自闭症谱系障碍患者在处理社交相关信息时自主神经系统和中枢神经系统的共同激活:系统回顾

IF 5.4 2区 心理学 Q1 NEUROSCIENCES Neuropsychology Review Pub Date : 2024-03-01 Epub Date: 2023-02-27 DOI:10.1007/s11065-023-09579-2
Suvi Karjalainen, Tuija Aro, Tiina Parviainen
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引用次数: 0

摘要

身脑互动为了解自闭症谱系障碍(ASD)等神经发育疾病提供了一种新方法。在这篇系统性综述中,我们分析了自闭症谱系障碍患者和发育正常的患者在自律神经系统(ANS)和中枢神经系统(CNS)对社会刺激的反应方面同时存在差异的实证证据。此外,我们还回顾了 ASD 患者在处理社会相关信息时身体与大脑相互作用出现偏差的证据。我们在 PubMed、Medline、PsychInfo、PsychArticles 和 Cinahl 数据库中进行了系统的文献检索(截至 2022 年 1 月 12 日)。如果研究将患有 ASD 的个体与发育正常的个体进行了比较,研究设计包括社会信息的处理,并且同时测量了自律神经系统和中枢神经系统的活动,则这些研究将被纳入其中。在根据标题和摘要确定的 1892 项研究中,只有 6 项符合纳入综述的资格标准。这些研究的质量采用质量评估核对表进行评估。结果表明,自闭症患者在自律神经系统和中枢神经系统信号传导方面表现出不典型性,但这与具体情况有关。还有迹象表明,自闭症患者在处理社会信息时,自律神经系统与中枢神经系统之间的相互作用发生了改变。然而,这些研究结果必须考虑到一些局限性,如样本量小和(神经)生理测量的高变异性。事实上,研究方法的选择差异很大,因此需要统一的指南来提高结果的可解释性。我们总结了目前在实验支持下对与社会相关的身脑互动在 ASD 中的作用的理解。此外,我们还提出了未来研究的发展方向,以便在涉及自闭症患者的自律神经系统-中枢神经系统互动研究中增进知识积累。
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Coactivation of Autonomic and Central Nervous Systems During Processing of Socially Relevant Information in Autism Spectrum Disorder: A Systematic Review.

Body-brain interaction provides a novel approach to understand neurodevelopmental conditions such as autism spectrum disorder (ASD). In this systematic review, we analyse the empirical evidence regarding coexisting differences in autonomic (ANS) and central nervous system (CNS) responses to social stimuli between individuals with ASD and typically developing individuals. Moreover, we review evidence of deviations in body-brain interaction during processing of socially relevant information in ASD. We conducted systematic literature searches in PubMed, Medline, PsychInfo, PsychArticles, and Cinahl databases (until 12.1.2022). Studies were included if individuals with ASD were compared with typically developing individuals, study design included processing of social information, and ANS and CNS activity were measured simultaneously. Out of 1892 studies identified based on the titles and abstracts, only six fulfilled the eligibility criteria to be included in synthesis. The quality of these studies was assessed using a quality assessment checklist. The results indicated that individuals with ASD demonstrate atypicalities in ANS and CNS signalling which, however, are context dependent. There were also indications for altered contribution of ANS-CNS interaction in processing of social information in ASD. However, the findings must be considered in the context of several limitations, such as small sample sizes and high variability in (neuro)physiological measures. Indeed, the methodological choices varied considerably, calling for a need for unified guidelines to improve the interpretability of results. We summarize the current experimentally supported understanding of the role of socially relevant body-brain interaction in ASD. Furthermore, we propose developments for future studies to improve incremental knowledge building across studies of ANS-CNS interaction involving individuals with ASD.

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来源期刊
Neuropsychology Review
Neuropsychology Review 医学-神经科学
CiteScore
11.00
自引率
1.70%
发文量
36
期刊介绍: Neuropsychology Review is a quarterly, refereed publication devoted to integrative review papers on substantive content areas in neuropsychology, with particular focus on populations with endogenous or acquired conditions affecting brain and function and on translational research providing a mechanistic understanding of clinical problems. Publication of new data is not the purview of the journal. Articles are written by international specialists in the field, discussing such complex issues as distinctive functional features of central nervous system disease and injury; challenges in early diagnosis; the impact of genes and environment on function; risk factors for functional impairment; treatment efficacy of neuropsychological rehabilitation; the role of neuroimaging, neuroelectrophysiology, and other neurometric modalities in explicating function; clinical trial design; neuropsychological function and its substrates characteristic of normal development and aging; and neuropsychological dysfunction and its substrates in neurological, psychiatric, and medical conditions. The journal''s broad perspective is supported by an outstanding, multidisciplinary editorial review board guided by the aim to provide students and professionals, clinicians and researchers with scholarly articles that critically and objectively summarize and synthesize the strengths and weaknesses in the literature and propose novel hypotheses, methods of analysis, and links to other fields.
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