《中国康复理论与实践》 ›› 2024, Vol. 30 ›› Issue (2): 168-175.doi: 10.3969/j.issn.1006-9771.2024.02.005
收稿日期:
2023-12-18
修回日期:
2024-01-15
出版日期:
2024-02-25
发布日期:
2024-03-01
通讯作者:
彭莉
E-mail:plmzs@swu.edu.cn
作者简介:
吴进龙(1995-),男,汉族,山东青岛市人,博士研究生,主要研究方向:适应性体育、特殊教育。
基金资助:
WU Jinlong1, REN Zhanbing2, YI Zizhen3, PENG Li1()
Received:
2023-12-18
Revised:
2024-01-15
Published:
2024-02-25
Online:
2024-03-01
Contact:
PENG Li
E-mail:plmzs@swu.edu.cn
Supported by:
摘要:
目的 综述孤独症谱系障碍(ASD)个体与健康个体在互动期间脑间同步的特点。
方法 2023年11月,从PubMed、Web of Science、Scopus和中国知网数据库,检索关于ASD个体互动期间脑间同步的相关研究。筛选文献,并提取相关数据;采用横截面研究质量评价工具进行质量评价。
结果 共纳入5项研究,发表日期集中在2020年至2023年,共包括130例ASD个体。ASD个体互动任务期间脑间同步较健康个体低,主要涉及前额叶和颞顶联合区;脑电图θ、α和β波段也与健康个体存在同步性差异。ASD个体脑间同步性存在性别差异;ASD个体脑间同步异常与社交障碍密切相关。
结论 脑间同步障碍可能是ASD个体社交障碍的潜在神经机制,主要涉及镜像神经系统和心智理论相关脑区。
中图分类号:
吴进龙, 任占兵, 易子珍, 彭莉. 孤独症谱系障碍个体互动期间脑间同步特点的Scoping综述[J]. 《中国康复理论与实践》, 2024, 30(2): 168-175.
WU Jinlong, REN Zhanbing, YI Zizhen, PENG Li. Characteristics of interbrain synchrony during interactions among individuals with autism spectrum disorder: a scoping review[J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(2): 168-175.
表2
纳入文献基本特征"
纳入文献 | 国家 | 试验组 | 诊断标准 | 对照组 | 互动 对象 | 位置 | 条件 | 任务 | 工具 (脑区) | 脑间相干分析 | 行为结果 | 脑成像结果 |
---|---|---|---|---|---|---|---|---|---|---|---|---|
Wang等[ (2020) | 中国 | 高功能ASD 5~12岁 n = 16 | DSM-V | 无 | 父母 | 并排 | 合作;单人 | 合作竞争任务 | fNIRS(前额叶) | 小波相干分析 | 相比于单人条件,合作条件下前额叶脑间同步性更高 | 病情越严重(孤独症谱系商和想象分量表),脑间同步性越低 |
Quiñones-Camacho等[ | 美国 | 高功能ASD 18~43岁 n = 26 | ADOS-2 | 健康成年人 n = 25 | 同一不熟悉的女性研究助理 | 面对面 | 未提及 | 口头交流 | fNIRS(前额叶和颞顶联合区) | 稳健相关分析 | ASD个体在互动过程中存在更大的社交障碍 | ASD参与者左右颞顶联合区脑间同步性更低 社交障碍和颞顶联合区脑间同步性降低,与刻板行为和限制性兴趣没有明显关联 |
Kruppa等[ | 德国 | 高功能ASD 8~18岁 n = 18 | ADOS-G | 健康儿童 n = 18 | 陌生人与父母性别相匹配(非同一个人) | 并排 | 父母和陌生人 | 合作竞争任务 | fNIRS(额叶) | 小波相干分析 | 在竞争和合作期间,ASD儿童同步性较差 | 对照组竞争任务时同步性更强,合作任务时局部一致性更强 与对照组相比,ASD儿童的前额叶同步性无显著性差异 |
Key等[ (2022) | 美国 | 高功能ASD 10~16岁 n = 34 | DSM-V | 无 | 配对的健康青少年 | 面对面 | 安静;社交 | 口头交流 | 脑电图 | 循环相关 | 社交行为无性别差异 | 与安静时相比,社交互动中,θ、α和β波同步性更高;较低的行为特征与较低的颞顶联合区同步性相关 社交互动中,仅ASD女童颞顶联合区同步提高 |
Tang等[ (2023) | 中国 | 高功能ASD (7.96±2.16)岁 n = 36 | DSM-V | 健康儿童 n = 35 | 父母 | 并排 | 延迟反应策略、即时反应策略、无具体策略 | 合作竞争任务 | fNIRS(额顶叶) | 小波相干分析 | 两组合作行为无显著性差异 | 两组任务期间脑间同步无显著性差异 延迟策略会产生更强的额顶皮质同步 |
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