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ⷞⷡ⊛ᚻ߇߆ࠅߦኻߔࠆᏀฝඨಣℂ
ⷺ ᗲ㣮㧝ᧄ↰ 㞜⟤㧞ᐔ㊁ ๋1ኹ↰ ା৻13
㧔㧝㜞⍮⊒㆐㓚ኂ⎇ⓥࡊࡠࠫࠚࠢ࠻㧞╳ᵄᄢቇᄢቇ㒮ੱ㑆✚ว⑼ቇ⎇ⓥ⑼
㧟㜞⍮ᄢቇੱᢥ␠ળ⑼ቇ♽ᢎ⢒ቇㇱ㐷․ᡰេᢎ⢒ᔃℂቇ⎇ⓥቶ㧕
Lateral Processing of Visual Cues in Children with Autistic Spectrum Disorder
Aika SUMI㧝㧘Ayumi HONDA㧞㧘Shingo HIRANO1㧘and Shin-ichi TERADA13
㧝Kochi Research Project for Developmental Disorders, Kochi, Japan
㧞Graduate School of Comprehensive Human Science, University of Tsukuba, Ibaraki, Japan 㧟Laboratory of Psychology for Special Support Education, Education Unit, Humanities and Social Sciences Cluster, Kochi University, Kochi, Japan
#DUVTCEV㧦
29 cases of autistic spectrum disorder㧔ASD㧕and 27 cases of intellectual disorder (ID) were presented two kind of pictures. We investigated the process of habituation in the response to one of pictures and the process of discrimination to another of them. For examine event related change (ERC) of EEG basic rhythm, we calculated envelope of 6-10Hz band using demodulation method, and analysed the first peak of envelope. The measure of ERC reflected peak of ERP. ASD and ID groups were significantly different on the measures of temporal asymmetry. Moreover, the deviation of latency at left temporal site was large for ASD group. Early latency subgroup of ASD had good outcomes of cognitive tasks. In another point of view, a part of ASD group showed few habituation. These results suggested that ASD group should be divided to subgroups by left temporal activity.
Σ㧚ߪߓߦ
⥄㐽∝ࠬࡍࠢ࠻ࡓ㓚ኂ㧔Autistic Spectrum Disorder: ASD㧕ߩ⍮㕙ߩ㓚ኂ․ᕈߣߒߡ㧘⸒⺆ᕈߩ⍮ಣℂ ࠃࠅ߽ⷞⷡಣℂߦఝᕈ߇ࠆߎߣ߇⍮ࠄࠇߡࠆ㧚߃߫㧘Kamio ࠄ1)㧔2000㧕ߪ㧘ࡊࠗࡒࡦࠣታ㛎ߦࠃߞߡ㧘 ASD ఽߢߪ⸒⺆ᕈಣℂࠃࠅ߽ᒻᘒᕈಣℂߩᣇ߇ᅢᚑ❣ߢࠆߎߣࠍ␜ߒߡࠆ㧚ߎߩߎߣ߆ࠄ㧘⸒⺆ᕈಣℂߩᒙߐ ߿ઁߩ㓚ኂ․ᕈߦࠃߞߡ߽ߚࠄߐࠇࠆ↢ᵴߩਇߥ㕙ࠍ㧘ⷞⷡ⊛ⷐ⚛ࠍలታߐߖߚ᭴ㅧൻߦࠃߞߡᦨዊ㒢ߦᛥ߃ ࠆߎߣ߇㊀ⷐߢࠆߣ⸒ࠊࠇߡࠆ㧚ߎߩ․ᓽߪ 20 ᐕએߦࠊߚߞߡ TEACCH ࡊࡠࠣࡓ㧔Schopler ࠄ2),1995㧕 ߥߤߩਛߢⷰኤߐࠇߡ߅ࠅ㧘⛗ࠞ࠼឵ᑼࠦࡒࡘ࠾ࠤ࡚ࠪࡦᴺ㧔PECS, Bondy & Frost3), 2001㧕ߥߤߢ߽ᔕ ↪ߐࠇ㧘ᢎ⢒⊛ᚻᲑߩ৻ߟߣߒߡ↪ߐࠇߡ߈ߚ㧚ᑝἑࠄ4)㧔2000㧕ߪ㧘‛ℂ⊛᭴ㅧൻߣⷞⷡൻߥߤ㧘ⷞⷡ⊛ ᚻ߇߆ࠅࠍലߦ↪ߔࠆߎߣߢ⥄⊒ⴕേࠍଦߔቇ⠌ⅣႺࠍߟߊࠆߎߣ߇น⢻ߢࠆߎߣࠍ␜ߒߡࠆ㧚߹ߚ㧘ߎ ߩ․ᕈߦᔕߓߚᜰዉᴺߣߒߡ࠰ࠪࡖ࡞ࠬ࠻™㧔ࠣࠗ5)㧘2006㧕ߩലᕈ߇␜ߐࠇߡࠆ㧚࠰ࠪࡖ࡞ࠬ ࠻™ߪஜᏱఽ߇Ᏹ⼂ᥧ㤩ߩੌ⸃ߣߒߡᣣᏱ↢ᵴߩਛߢ₪ᓧߒߡࠆ␠ળ⊛ߥᖱႎࠍࠗࠬ࠻߿ࠪࡦࡏ࡞ߥ ߤࠍ↪ߒߡߢ߈ࠆߛߌ⏕ߢౕ⊛ߦឬ౮ߒ㧘ⷞⷡ⊛ߦ␜ߔߚ㧘ⷞⷡߦఝᕈࠍᜬߟᄙߊߩ ASD ఽߩ․ᕈ߇⠨ ᘦߐࠇߚ␠ળᕈᜰዉߢࠆߣ߃ࠆ㧚 ߒ߆ߒ৻ᣇߢ㧘ASD ߩ৻ߦ߃ࠆⷞⷡ⊛ߥ⍮⊛ಣℂ․ᕈ߇ᔅߕߒ߽↢ᵴߩਛߢߦߊߣߪ⸒߃ߥ ߎߣ߽␜ߐࠇߡࠆ㧔Happe and Frith6), 2006㧕㧚߃߫㧘ASD ఽߩᄙߊ߇ోࠃࠅ߽ዪᚲ⊛ߥⷞⷡಣℂߦࡃࠗࠕ ࠬࠍᜬߞߡࠆߣ⸒ࠊࠇߡ߅ࠅ㧘ࠫࠣ࠰ࡄ࠭࡞߿Ⓧᧁᮨ᭽⺖㗴㧘ၒㄟ߹ࠇߚ࿑ᒻࠍߟߌߔၒᴚ࿑ᒻ⺖㗴ߢ㧘 㜞ᚑ❣ࠍߍࠆߎߣ߇⍮ࠄࠇߡࠆ㧔e. g., Shah & Frith7), 1993; Koyama, et al. 8), 2008㧕㧚ߎߩะߪ㧘Frith9) 㧔1989㧕ߩ߁ਛᨔᕈ⛔วߩᒙߐ㧔Weak Central Coherence: WCC㧕ࠍᤋߒߡࠆߣߒߡណࠅߍࠄࠇࠆߎ ߣ߇ᄙ㧚WCC ߪ㧘ోࠍࠆ߆ࠊࠅߦ㧘ㇱಽ⊛ߥ⚦ㇱߦᵈᗧࠍᛄ߁⍮ಣℂߩ৻ᒻᘒߣߒߡቯ⟵ߐࠇࠆ㧚ASD ఽߩᄙߊߪߎߩᒻᑼࠍណ↪ߔࠆߎߣߢ㧘㓝ࠇߚ⛗ࠍࠃࠅ◲නߦߔߎߣ߇ߢ߈㧘ⷞⷡ⊛ߥ㍲ⷡߩᓇ㗀ࠍฃߌߦߊ ৻ᣇߢ㧘ᖱ᥊߿‛⺆ߩోࠍᝒ߃ߡ㧘ߘߩਛ߆ࠄⷐὐࠍߔࠆߎߣ߇࿎㔍ߦߥߞߡࠆߣ⠨߃ࠄࠇࠆ㧔Frith10), 2003㧕㧚߹ߚೝỗߦኻߔࠆᘠࠇ߇↢ߓߦߊߚߦ㧘⛮ᰴ⊛ߥೝỗಣℂߦ߅ߡߪ㧘ᐲ߽ᣂᄸೝỗߦኻߔࠆࠃ߁ ߥᔕࠍ➅ࠅߔߎߣ߽⍮ࠄࠇߡࠆ㧚ߎߩࠃ߁ߥ․ᕈࠍ⢛᥊ߦ㧘ⷞⷡ⊛᭴ㅧൻߩߺߢߪലᨐ߇ߦߊߩⴕ േ߿⁁ᴫ߇ሽߔࠆߎߣ߇ᜰ៰ߐࠇߡࠆ㧔ౝ↰11)㧘2009㧧㜞ᯅ12)㧘2008㧕㧚 ߎߩࠃ߁ߥ㕙ࠍ⠨߃ࠆߣ㧘ታ㓙ߩ↢ᵴ߿ᜰዉߦ㓚ኂ․ᕈࠍ〯߹߃ߚขࠅ⚵ߺࠍขࠅࠇࠆ㓙ߦߪ㧘න⚐ߦⷞⷡ⊛ ఝᕈࠍߥ㕙ߣߒߡណࠅߍࠆߛߌߢߪߥߊ㧘ASD ఽ৻ੱ߭ߣࠅߩ⊒㆐Ბ㓏߿㓚ኂߐࠇߡࠆᯏ⢻․ᕈࠍㆡಾ ߦ⹏ଔߔࠆߎߣ߇ਇนᰳߢࠆ㧚ߘߩࠃ߁ߥ⹏ଔࠍน⢻ߦߔࠆߚߦߪ㧘ASD ోߦㅢߔࠆ㓚ኂ․ᕈࠍㆡಾߦᝒ ߃ࠆߣߣ߽ߦ㧘⇣ߥࠆ⍮ಣℂ․ᕈࠍ߽ߟ ASD ࠨࡉࠣ࡞ࡊߩሽ߽ቯߔࠆᔅⷐ߇ࠅߘ߁ߢࠆ㧚 ⍮ᯏ⢻ߩၮ⋚ߣߥࠆ⚻ࡔࠞ࠾࠭ࡓࠍ⺞ߴࠆὑߩ↢ℂᔃℂቇ⊛ᜰᮡߣߒߡߪ㧘ᤨ㑆ಽ⸃ߦఝࠇࠆ⽎㑐ㅪ⣖㔚 㧔Event-Related Brain Potentials : ERP㧕 ߇↪ࠄࠇࠆߎߣ߇ᄙ㧚ߒ߆ߒ ERP ߩ▚ߦߪ㧘ห৻ߩೝỗࠍ ᢙච࿁㨪⊖࿁⒟ᐲߩ➅ࠅߒឭ␜ߒߚ㓙ߩ㗡⊹⣖ᵄ⸥㍳߇ᔅⷐߣߥࠅ㧘㐳ᤨ㑆ߦࠊߚࠅⵍ㛎⠪߇↹㕙ࠍ⛯ߌߚ ࠅ㧘㖸ߦᵈᗧࠍะߌ⛯ߌࠆ߇ⷐ᳞ߐࠇࠆ㧚․ߦ⍮⊛㓚ኂࠍᜬߟሶߤ߽ߚߜߦ㧘ᄙᢙ࿁ߢ㐳ᤨ㑆ߦ߱⺖㗴ࠍ⺖ߔ ߎߣߪታਇน⢻ߢࠆ㧚ߎࠇߦኻߒ㧘ዋߥ⹜ⴕߢ߽⍮ㆇേḰߦ㑐ㅪߒߚ⣖ᵴേߩᄌേࠍᝒ߃ࠆߎߣߩ ߢ߈ࠆᜰᮡߣߒߡ㧘⣖ᵄၮ␆ᓞേߩ⽎㑐ㅪᕈᄌേ㧔event related change㧦ERC㧕߇⍮ࠄࠇߡࠆ㧚ኹ↰ࠄ13) 㧔2001㧕߿㋈ᧁࠄ14)㧔2009㧕ߪ㧘㊀∝ᔃり㓚ኂఽߣኻ⽎ఽߪ⇣ߥࠆ߽ߩߩ㧘߮߆ߌ߿࿑ᒻೝỗ๒␜ᤨߩ ERC ࠍ ↪ߚ⍮ᯏ⢻⹏ଔࠍታᣉߒߡ߅ࠅ㧘ቴⷰ⊛⹏ଔᜰᮡߣߒߡߩ ERC ߩലᕈࠍ␜ߒߟߟ㧘ᜰዉᚻ߇߆ࠅߩᩮߣߒ ߡ↪ߢࠆߎߣࠍឭߒߡࠆ㧚 ᧄ⎇ⓥߢߪ㧘ERC ࠍᜰᮡߣߒߡណ↪ߔࠆߎߣߦࠃߞߡ㧘ߢ߈ࠆߛߌዋߥ⹜ⴕ࿁ᢙߢ⍮⊛㓚ኂࠍ߁ ASD ఽߩ ⷞⷡ⊛ೝỗߦኻߔࠆᔕ╵․ᕈࠍᬌ⸛ߔࠆߎߣࠍ⹜ߺࠆߣߣ߽ߦ㧘Ꮐฝඨߩఝᕈ߇⇣ߥࠆࠨࡉࠣ࡞ࡊߦ߅ߌࠆ ⴕേ․ᕈߩ㆑ߣ㧘ASD ఽߦ߅ߌࠆᘠࠇߩ↢ߓ㔍ߐߦߟߡᬌ⸛ߒߚ㧚
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Τ㧚ᣇᴺ1㧚ኻ⽎ఽ
⥄㐽∝ࠬࡍࠢ࠻ࡓ㓚ኂ㧔ASD㧕⟲ 29 㧔CA㧦4 ᱦ 9 ࡨ-16 ᱦ 9 ࡨ㧘DA㧦1 ᱦ 6 ࡨ-10 ᱦ 8 ࡨ㧕㧘⍮ ⊛㓚ኂ㧔Intellectual Disorder㧦ID㧕⟲ 27 㧔CA㧦6 ᱦ 6 ࡨ-17 ᱦ 11 ࡨ㧘DA㧦1 ᱦ 7 ࡨ-11 ᱦ 8 ࡨ㧕 ߇ታ㛎ߦෳടߒߚ㧚ኻ⽎ఽߩࡊࡠࡈࠖ࡞ࠍ Table 1.ߦ␜ߔ㧚 2㧚ೝỗ᧚ᢱ ᘠൻ⣕ᘠൻ⺖㗴ߢߪ㧘ޟ›ޠߣޟ㝼ޠߩ⛗ࠍⷞⷡ๒␜ೝỗߣߒߚ㧔Fig. 1.㧕㧚㨬›㨭ߩ⛗ࠍᘠൻೝỗ㧘㨬㝼㨭ߩ⛗ࠍ ⣕ᘠൻೝỗߣߒߡ๒␜ߒߚ㧚 3㧚ᚻ⛯߈ ೋߦ㐽⌒㕒ᤨ⣖ᵄࠍ 2 ಽ㑆⸥㍳ߒ㧘ߘߩᓟ㧘ᘠൻ⣕ᘠൻ⹜ⴕㆀⴕᤨߩ⣖ᵄࠍ⸥㍳ߒߚ㧚ᘠൻೝỗࠍ 3 ࿁๒ ␜ߒߚߩߜ㧘⣕ᘠൻೝỗࠍ 1 ࿁๒␜ߒ㧘ߘߩᓟ㧘ౣ߮ᘠൻೝỗࠍ 1 ࿁๒␜ߔࠆߎߣࠍೝỗ࠶࠻ߩනߣߒ㧘› 㝼࠶࠻એᄖߩ 2 ࠶࠻ߣ╬⏕₸ߦ㧘ฦ࠶࠻⚂ 16 ࿁ࠍࡦ࠳ࡓ๒␜ߒߚ㧚ኻ⽎ఽߦߪ↹㕙ਛᄩߩಝⷞὐࠍࠆ ߩߺࠍ⺖㗴ߣߔࠆ㧘ฃേ⊛ߥᬌᩏߣߒߚ㧚ೝỗធ⛯ᤨ㑆ߪ 275ms㨪300ms㧘⺖㗴ೝỗ㑆㑆㓒ߪࠝࡈ࠶࠻ߢ 700ms㨪715ms㧘⺖㗴㑆㑆㓒ߪ⚂ 3 ⑽ߣߒ㧘ታ㛎⠪߇ኻ⽎⠪ߩ⁁ᘒࠍⷰኤߒ㧘ᰴߩ⺖㗴ࠍ๒␜น⢻ߣ್ᢿߒߚߣ߈ ߦ㧘ࡏ࠲ࡦߒߢ๒␜ߒߚ㧚๒␜↹㕙ߪኻ⽎⠪೨ᣇ 65cm㨪75cm ߦ⸳⟎ߒߚ㧚 4㧚⸥㍳ᣇᴺ ⣖ᵄߪ㧘࿖㓙 10-20 ᴺߦḰߓ㧘Fp1,Fp2,F3,F4,C3,C4,P3,P4,O1,O2,F7,F8,T5,T6 ߩ 14 ㇱ߆ࠄฝ⡊ࠍၮ Ḱ㔚ᭂߣߒߡዉߒߚ㧚߹ߚ㧘⌒ㆇേߣᔃ㔚࿑ߩࡕ࠾࠲ߩߚߦ㧘ฝ⌒┃ਅࠃࠅု⋥⌒㔚࿑ࠍ㧘Ꮐฝ㎮㛽ਛ ὐࠃࠅᔃ㔚࿑ࠍߘࠇߙࠇዉߒߚ㧚⣖ᵄ⸥㍳ߪ 200Hz ߢ A/D ᄌ឵ߒߚᓟࡄ࠰࠽࡞ࠦࡦࡇࡘ࠲ߩࡂ࠼࠺ࠖ ࠬࠢߦ⸥㍳ߒߚ㧚 5㧚ಽᨆᣇᴺ ೝỗ๒␜೨ 0.28s ߆ࠄೝỗᓟ 1s ࠍಽᨆ㑆ߩනߣߒ㧘150ǍV એߩ㔚ࠍࠕ࠴ࡈࠔࠢ࠻㒰ߩၮḰߣߒߡ ߘߩ㑆ߪಽᨆኻ⽎߆ࠄ㒰ᄖߒߚ㧚㕒ᤨ⣖ᵄߦߟߡߪ㧘1 ↹ࠍ 5.12s ߣߒ㧘4 ↹ߦߟߡਛᔃᵄᢙ±2Hz ߢ envelope ࠍ▚ߒߚ㧚ਛᔃᵄᢙߪ 4Hz,8Hz,12Hz ߣߒߚ㧚ߘࠇߙࠇߩᏪၞߦߟߡࡄࡢߩᐔဋߣᮡḰᏅࠍ ▚ߒߚ㧚⺖㗴ㆀⴕᤨߦߟߡߪ㧘ೝỗ೨ 0.28s ߆ࠄೝỗᓟ 1s ߩ㑆ߦߟߡਛᔃᵄᢙ±2Hz ߢ demodulation ᴺߦࠃࠅ envelope ࠍ▚ߒߚ㧚⺖㗴ㆀⴕᤨߩ envelope ᵄᒻߦኻߒߡ㧘㕒ᤨߩࡄࡢߩᐔဋߣᮡḰᏅߦၮߠߡ ᱜⷙൻߒߚ㧚ᓧࠄࠇߚ envelope ᵄᒻߪೝỗߩ┙ߜ߇ࠅᤨ㑆ߢߘࠈ߃㧘ട▚ᐔဋߒߚ㧚ฦട▚࿁ᢙߪ㧘ฦೝỗ 5 ࿁㨪21 ࿁ട▚ᐔဋߒߚ㧚ߘߩᓟ㧘ೝỗ೨ 0.28s 㑆ߣೝỗᓟߩฦᤨὐ±0.14s ߣߩ paired-T ୯ࠍ▚ߒߚ㧚p㧩0.01 ߦ⋧ᒰߔࠆ t-୯ࠍ߃ߡࡇࠢࠍᒻᚑߔࠆᤨὐࠍ ERC ߩࡇࠢẜᤨߣߒ㧘ಽᨆߩኻ⽎ߣߒߚ㧚
߹ߚ㧘ಽᨆ㑆ߩ⚛࠺࠲ࠍട▚ᐔဋߔࠆߎߣߦࠃߞߡ⽎㑐ㅪ㔚(Event Related Potentials: ERP)ࠍ▚ߒ㧘 ERP ᚑಽߣ ERC ߩࡇࠢẜᤨߣࠍᲧセߒߚ㧚
(KIᘠൻ⣕ᘠൻ⺖㗴ߢ↪ߚೝỗ࿑ᒻ㧚
⟲ No. ᕈ 㓚ኂ⸻ᢿฬ CA DA ⍮ ⸒⺆ ASD ⟲ 1 ↵ ⥄㐽∝ 16:09 2:05 2:08 1:11 2 ᅚ 16:05 2:05 3:00 1:05 3 ↵ 16:02 7:05 8:05 6:10 4 ↵ 13:00 6:07 8:01 5:04 5 ↵ 12:01 2:08 3:08 1:05 6 ᅚ 10:06 5:03 5:04 5:02 7 ↵ 6:02 2:06 2:05 2:06 8 ↵ 8:07 1:10 1:11 1:01 9 ↵ 11:02 2:05 3:03 1:02 10 ↵ 6:07 1:06 1:05 0:10 11 ↵ 11:01 1:07 1:06 0:10 12 ↵ 14:02 8:00 9:06 7:04 13 ↵ 14:03 3:05 4:10 2:02 14 ᅚ 12:09 7:03 7:09 7:01 15 ↵ 14:11 8:02 8:10 7:10 16 ↵ 13:01 4:10 5:10 4:01 17 ↵ 14:11 7:03 8:10 6:07 18 ↵ 13:07 2:04 3:00 1:07 19 ↵ 13:07 8:09 9:00 8:07 20 ↵ 13:10 2:01 3:00 1:02 21 ↵ 15:00 5:09 6:06 5:01 22 ↵ 10:02 6:06 7:04 6:01 23 ↵ 9:08 2:01 2:02 2:01 24 ᅚ 10:06 2:02 2:07 0:11 25 ↵ 7:06 4:10 6:11 3:01 26 ↵ 㜞ᯏ⢻⥄㐽∝ 11:04 7:06 8:02 7:02 27 ↵ 䉝䉴䊕䊦䉧䊷∝⟲ 7:07 6:09 6:08 6:10 28 ↵ 4:09 5:02 5:00 5:04 29 ↵ 7:10 10:08 10:08 10:08 ID ⟲ 30 ↵ ID 17:08 7:10 7:05 8:01 31 ↵ ID 17:07 10:04 10:05 10:02 32 ↵ ID(シᐲ)PDD 䈱⇼䈇 16:07 11:08 12:07 10:08 33 ᅚ ID 17:11 8:03 8:05 8:01 34 ↵ ID 17:09 9:02 7:07 10:08 35 ↵ ID 16:02 5:06 5:07 5:05 36 ↵ ID 15:07 6:06 5:11 6:08 37 ↵ ID 15:07 9:09 9:08 10:04 38 ↵ ID 12:09 7:06 7:03 7:08 39 ↵ ID 8:05 1:07 1:07 1:00 40 ↵ ID 12:04 7:02 7:01 7:03 41 ↵ ID 13:05 7:01 7:11 6:08 42 ↵ ID 12:09 6:08 6:11 6:05 43 ᅚ ID 14:04 2:07 2:10 2:04 44 ᅚ ID 14:02 4:03 4:02 4:05 45 ↵ ID 12:10 8:03 9:06 7:10 46 ᅚ ID䋨シᐲ㔍⡬䋩 11:00 4:04 3:09 4:08 47 ↵ ID 15:11 8:11 9:11 8:03 48 ↵ ID 6:06 3:02 3:05 2:09 49 ᅚ ID 7:02 3:07 3:07 3:05 50 ᅚ ID 12:03 2:02 2:03 1:07 51 ↵ ID 12:05 1:11 2:08 1:02 52 ↵ ID䋨ᒙ㔍⡬䇮⸒⺆ㆃᑧ) 7:07 3:10 5:00 2:08 53 ↵ ID 6:08 2:03 2:03 2:00 54 ᅚ ID䋨⊒㆐ㆃṛ䋩 7:01 2:04 2:02 2:05 55 ᅚ ID 16:03 10:04 11:11 9:05 56 ↵ ID(シᐲ) 16:09 8:07 10:01 7:10 Table 1. ኻ⽎ఽࡊࡠࡈࠖ࡞
ೝỗ䉶䉾䊃ਛ䈱๒␜⟎
1 2 3 4 5 ᐔဋ
ᐔဋ 13.68 13.70 13.88 13.77 13.89 13.78
ᮡḰᏅ 2.58 2.45 2.35 2.62 2.29 2.46
㧞㧚⛗ೝỗߦኻߔࠆᄢ⣖ߩᔕ╵ᕈ
Fig. 3.ߦ㧘ASD ⟲ߦ߅ߌࠆ╙ 1 ೝỗ߆ࠄ╙ 5 ೝỗ߹ߢߩฦೝỗߦኻߔࠆ ERC ᵄᒻࠍ㗡⊹ㇱᲤߦ␜ߒߚ㧚ࡇ ࠢẜᤨߪᏀฝ㗡㗂ㇱ㧔P3 㧘P4㧕㧘Ꮐฝᓟ㗡ㇱ㧔O1㧘O2㧕㧘Ꮐฝ㗡ㇱ㧔T5㧘T6㧕ߦ߅ߡ▚ߒߚ㧚߃߫ Fig. 3.ߩ T5 ㇱߦ߅ߡߪ㧘⿒ߢ࿐ߞߚᤨ㑆Ꮺߦ߅ߌࠆߘࠇߙࠇߩᵄᒻߩ㗂ߩᤨὐ߇ࡇࠢẜᤨ(140ms)ߣߒߡ▚ ߐࠇߚ㧚ᧄ⎇ⓥߢߪ㧘߹ߕ㧘╙ 1 ೝỗߦኻߔࠆ ERC ᵄᒻߩߺࠍಽᨆኻ⽎ߣߒߚ㧚
㧔1㧕ASDID ⟲ߩ ERC ࡇࠢẜᤨ
Fig.4.ߦ ASD ⟲ID ⟲ߘࠇߙࠇߩ ERC ࡇࠢẜᤨࠍᏀฝඨ㑆ߩ㑐ଥߣߒߡ␜ߒߚ㧚 ASD ⟲ߣ ID ⟲ߦ߅ߌ ࠆ P3㧘P4㧘O1㧘O2㧘T5㧘T6 ߩ ERC ࡇࠢẜᤨߦߟߡ㧘ASDID ⟲㑆ߩ╬ಽᢔᕈߩᬌቯࠍⴕߞߚ⚿ᨐ㧔Table4.㧕㧘 O2㧘T5㧘T6 ߢᗧᏅ㧔p<.05㧕߇ࠄࠇ㧘O2㧘T5㧘T6 ߢߪ╬ಽᢔᕈ߇ቯߢ߈ߕ㧘ASD ⟲ߣ ID ⟲ߢࡇࠢ ẜᤨߩಽᢔ߇⇣ߥࠆ㧔Fig.4.ߩᬦ࿐ߺ㧕ߎߣ߇␜ߐࠇߚ㧚╬ಽᢔᕈ߇ቯߢ߈ߚ P3㧘P4㧘O1 ߩẜᤨߦߟߡߪ
Fig.3. ASD ⟲ߩ ERC ᵄᒻ㧔ኻ⽎ఽ 15㧕㧚
Fp1
Fp2
F3
F4
C3
C4
P3
P4
O1
O2
F7
F8
T5
T6
ECG
EOG
GAV
GSD
Fp1
Fp2
F3
F4
C3
C4
P3
P4
O1
O2
F7
F8
T5
T6
ECG
EOG
GAV
GSD
-280 0 1000ms ╙1ೝỗ ╙2ೝỗ ╙3ೝỗ ╙4ೝỗ ╙5ೝỗ Table 3. ASD ⟲ߩ ERC ▚ߦ߅ߌࠆട▚࿁ᢙ7
৻ర㈩⟎ߩಽᢔಽᨆࠍ㧘╬ಽᢔᕈ߇ᚑࠅ┙ߚߥ O2㧘T5㧘T6 ߩẜᤨߦߟߡߪ Mann-Whitney ᬌቯࠍⴕߞߚ߇㧘 ASD ⟲ߣ ID ⟲ߩᐔဋẜᤨߦᗧᏅߪࠄࠇߥ߆ߞߚ㧚㩷
㪣㪼㫍㪼㫅㪼㩷⛔⸘㊂
⥄↱ᐲ㪈
⥄↱ᐲ㪉
ᗧ⏕₸
ẜᤨ䇭㪧㪊
㪇㪅㪐㪊㪐
㪈
㪊㪍
㪇㪅㪊㪊㪐
ẜᤨ䇭㪧㪋
㪉㪅㪏㪋㪊
㪈
㪋㪇
㪇㪅㪈㪇㪇
ẜᤨ䇭㪦㪈
㪈㪅㪇㪇㪉
㪈
㪊㪐
㪇㪅㪊㪉㪊
ẜᤨ䇭㪦㪉
㪍㪅㪐㪉㪏
㪈
㪊㪎
㪇㪅㪇㪈㪉 㪁
ẜᤨ䇭㪫㪌
㪌㪅㪏㪊㪋
㪈
㪋㪋
㪇㪅㪇㪉㪇 㪁
ẜᤨ䇭㪫㪍
㪍㪅㪌㪊㪊
㪈
㪋㪈
㪇㪅㪇㪈㪋 㪁
㪁㫇䋼㪅㪇㪌
ms ms ASD MR٤ࠕࠬࡍ࡞ࠟ∝⟲ID
ASD
Fig.4. ERC ࡇࠢẜᤨߦ߅ߌࠆᏀฝඨ㑆ߩ㑐ଥ㧚 Table 4. ਔ⟲ߩẜᤨߦ߅ߌࠆಽᢔߩᲧセ㧔╬ಽᢔᕈߩᬌቯ㧕 166 ߦ߅ߡ╬ಽᢔᕈ߇ቯߢ߈ߥ߆ߞߚߎߣ߆ࠄ㧘ߎࠇࠄߩㇱߢߪ #5& ⟲ߣ +& ⟲ߢ '4% ࡇࠢẜᤨߩࡃߟ߈ߦᏅ߇ࠆߎߣ߇␜ߐࠇߚ㧚 T5, T6 ߩ㑐ଥࠍ␜ߔਛᲑߩᬦ࿐ߺߪ㧘ASD ⟲ߣ ID ⟲ߢẜᤨߩࡃߟ߈ߩะߦ㆑߇ࠆߎ ߣ㧔╬ಽᢔᕈ߇ቯߢ߈ߥ߆ߞߚ㧕ࠍ␜ߒߡࠆ㧚ASD ⟲ߪ ID ⟲ߦᲧߴߡᏀඨ㧔T5㧕ߦ߅ ߡಽᢔ߇ᄢ߈ߊ㧘ㅒߦฝඨ㧔T6㧕ߦ߅ߌࠆಽᢔߪዊߐ߆ߞߚ㧚㧔2㧕ASD ⟲ߩࠨࡉࠣ࡞ࡊߩⴕേ․ᓽ
ASD ⟲ౝߩẜᤨߩಽᏓࠃࠅ㧘ASD ⟲ౝࠍΣ㨪Φߩࠨࡉࠣ࡞ࡊߦಽߌߚ㧔Fig.5.㧕㧚ASD ⟲ߩΣ㨪Φ⟲ߩⴕേ․ ᓽߦߟߡ Mann-Whitney ᬌቯ㧔Table 5-1㧕㧘ᬌᩏ㗄⋡ߩᐕ㦂߇ੑ୯ߩ႐วߪǿ2⁛┙ᕈߩᬌቯ㧔Table 5-2㧕ࠍ ⴕߞߚ㧚ߘߩ⚿ᨐ㧘ާ࠻࠶ࠢߩᮨ୮ިߪ㧘Σ⟲ߣΥ⟲㧔ǿ2㧔1㧕=2.864,.05㧨p㧨.10㧕㧘Τ⟲ߣΥ⟲㧔ǿ2㧔1㧕=2.933,.05 㧨p㧨.10㧕㧘Υ⟲ߣΦ⟲㧔ǿ2㧔1㧕=2.933, .05㧨p㧨.10㧕ߦ߅ߡᗧะ߇ࠄࠇߚ㧚Υ⟲߇ઁߩ⟲ߦᲧߴߡ ㅢㆊߒߡࠆࠤࠬ߇ᄙ߆ߞߚ㧚ާ㐷ߩᮨ୮ިߪ㧘Σ⟲ߣΥ⟲㧔ਔᬌቯ㧦U=12.0, .05㧨p㧨.10㧕ߦ߅ߡᗧ ะ㧘Υ⟲ߣΦ⟲㧔ਔᬌቯ㧦U=6.0, p㧨.05㧕ߦ߅ߡᗧߥᏅ߇ࠄࠇߚ㧚Υ⟲߇ΣΦ⟲ߦᲧߴᚑ❣߇⦟߆ߞ ߚ㧚ާ࿑ᒻ⸥ᙘިߪ㧘Σ⟲ߣΥ⟲㧔ਔᬌቯ㧦U=13.5, .05㧨p㧨.10㧕ߦ߅ߡᗧะ߇ࠄࠇߚ㧚Υ⟲߇Σ⟲ ߦᲧߴᚑ❣߇⦟߆ߞߚ㧚ާ⺆ߩᏅ⇣ިߪ㧘Υ⟲ߣΦ⟲㧔ǿ2㧔1㧕=2.933, .05㧨p㧨.10㧕㧘Σ⟲ߣΦ⟲㧔ǿ2㧔1㧕=3.782, .05 㧨p㧨.10㧕ߦ߅ߡᗧะ߇ࠄࠇߚ㧚ΣΥ⟲ߪΦ⟲ߦᲧߴᧂㅢㆊߢࠆࠤࠬ߇ᄙ߆ߞߚ㧚Ꮐ㗡ㇱߢ ERC ࡇࠢẜᤨߩᣧΥ⟲ߪ㧘ާ࠻࠶ࠢߩᮨ୮ި㧘ާ㐷ߩᮨ୮ި㧘ާ࿑ᒻ⸥ᙘިߢᚑ❣߇㜞߆ߞߚ㧚
㪧㪛㪛
㪇 㪌㪇 㪈㪇㪇 㪈㪌㪇 㪉㪇㪇 㪉㪌㪇 㪊㪇㪇 㪊㪌㪇 㪇 㪌㪇 㪈㪇㪇 㪈㪌㪇 㪉㪇㪇 㪉㪌㪇 㪊㪇㪇 㪊㪌㪇 㪫㪍 㪫 㪌 㸇 㸈 㸉 㸊 䃂⥄㐽∝ 䂾䉝䉴䊕䊦䉧䊷∝⟲ 㸇㪥㪔㪏 㸈㪥㪔㪌 㸉㪥㪔㪍 㸊㪥㪔㪌 㫄㫊 䉫䊦䊷䊒㪈 䉫䊦䊷䊒㪉 䉫䊦䊷䊒㪈 䉫䊦䊷䊒㪉 䉫䊦䊷䊒㪈 䉫䊦䊷䊒㪉 䉫䊦䊷䊒㪈 䉫䊦䊷䊒㪉 㐷䈱ᮨ୮ 㸇 㸉 㪊㪍㪅㪎㪌 㪋㪉㪅㪇㪇 㪌㪅㪐㪋㪍 㪇㪅㪇㪇㪇 㪍㪅㪇㪇 㪐㪅㪌㪇 㪋㪏㪅㪇㪇 㪌㪎㪅㪇㪇 㪇㪅㪇㪌㪈 㩷㵴 㸉 㸊 㪋㪉㪅㪇㪇 㪊㪍㪅㪇㪇 㪇㪅㪇㪇㪇 㪍㪅㪇㪇㪇 㪎㪅㪌㪇 㪋㪅㪉㪇 㪋㪌㪅㪇㪇 㪉㪈㪅㪇㪇 㪇㪅㪇㪊㪍 㪁 ࿑ᒻ⸥ᙘ 㸇 㸉 㪍㪋㪅㪌㪇 㪐㪏㪅㪇㪇 㪈㪉㪅㪎㪉㪏 㪋㪉㪅㪌㪊㪐 㪍㪅㪈㪐 㪐㪅㪉㪌 㪋㪐㪅㪌㪇 㪌㪌㪅㪌㪇 㪇㪅㪇㪏㪐 㩷㵴 㵴㪅㪇㪌䋼㫇䋼㪅㪈㪇䇮㪁㫇䋼㪅㪇㪌 ᗧ⏕₸ ᐔဋ୯ ᮡḰᏅ ⺖㗴 䉫䊦䊷䊒㪈 䉫䊦䊷䊒㪉 ᐔဋ䊤䊮䉪 㗅 㸇 㸉 ᗧ⏕₸ 䊃䊤䉾䉪䈱ᮨ୮ ᧂㅢㆊ 㪊 㪇 㪇㪅㪇㪐㪈 㩷㵴 ㅢㆊ 㪌 㪍 㸈 㸉 ᗧ⏕₸ 䊃䊤䉾䉪䈱ᮨ୮ ᧂㅢㆊ 㪉 㪇 㪇㪅㪇㪏㪎 㩷㵴 ㅢㆊ 㪊 㪍 㸉 㸊 ᗧ⏕₸ 䊃䊤䉾䉪䈱ᮨ୮ ᧂㅢㆊ 㪇 㪉 㪇㪅㪇㪏㪎 㩷㵴 ㅢㆊ 㪍 㪊 ⺆䈱Ꮕ⇣ ᧂㅢㆊ 㪍 㪊 㪇㪅㪇㪏㪎 㩷㵴 ㅢㆊ 㪇 㪉 㸇 㸊 ᗧ⏕₸ ⺆䈱Ꮕ⇣ ᧂㅢㆊ 㪏 㪊 㪇㪅㪇㪌㪉 㩷㵴 ㅢㆊ 㪇 㪉 㵴㪅㪇㪌䋼㫇䋼㪅㪈㪇Fig.5. ASD ⟲ߩ ERC ࡇࠢẜᤨᏪߦࠃࠆࠨࡉࠣ࡞ࡊಽߌ㧚 Table 5-1. ASD ࠨࡉࠣ࡞ࡊ㑆ߦ߅ߌࠆ⺖㗴ᚑ❣ߩᏅ⇣ 1 Mann-Whitney ᬌቯߦࠃࠆ Table 5-2. ASD ࠨࡉࠣ࡞ࡊ㑆ߦ߅ߌࠆ⺖㗴ᚑ❣ߩᏅ⇣ 2 ᧄߩᬌᩏ㗄⋡ߪᐕ㦂⸳ቯ߇ੑ୯ߩ㗄⋡ߢߞߚߚ㧘 Mann-Whitney ᬌቯߪㆡ↪ߢ߈ߕ㧘ǿ2⁛┙ᕈߩᬌቯߦࠃߞߚ㧚
ASD
ᘠൻ ⣕ᘠൻ ᘠൻ ⣕ᘠൻ 㪟㪄㪈 䂾 䂾 䂾 䂾 㪟㪄㪉 䂾 䂾 䂾 㬍 㪟㪄㪊 䂾 䂾 㬍 䂾 㪟㪄㪋 䂾 䂾 㬍 㬍 㪟㪄㪌 䂾 㬍 䂾 䂾 㪟㪄㪍 䂾 㬍 䂾 㬍 㪟㪄㪎 䂾 㬍 㬍 䂾 㪟㪄㪏 䂾 㬍 㬍 㬍 㪟㪄㪐 㬍 䂾 䂾 䂾 㪟㪄㪈㪇 㬍 䂾 䂾 㬍 㪟㪄㪈㪈 㬍 䂾 㬍 䂾 㪟㪄㪈㪉 㬍 䂾 㬍 㬍 㪟㪄㪈㪊 㬍 㬍 䂾 䂾 㪟㪄㪈㪋 㬍 㬍 䂾 㬍 㪟㪄㪈㪌 㬍 㬍 㬍 䂾 㪟㪄㪈㪍 㬍 㬍 㬍 㬍 㪫㪌 㪫㪍 䊌䉺䊷䊮 Table 7.ߪ ID ⟲ߣ ASD ⟲ߩ T5T6 ߦ߅ߌࠆᘠൻ⣕ᘠൻߦߟߡ㧘ࡄ࠲ࡦಽߌࠍⴕ㧘ฦ⟲ߦ߅ߡ⍮ ㆡᔕ㗔ၞߩᐕ㦂㧘⸒⺆␠ળ㗔ၞߩᐕ㦂߇㜞㗅ߦਗߴߡ␜ߒߚ߽ߩߢࠆ㧚ID ⟲ߪ T5 ߩ⣕ᘠൻ߇↢ߓߕ T6 ߩ ⣕ᘠൻ߇↢ߓࠆާ٤ި⟲ߩ⊒㆐ᐕ㦂߇㜞߆ߞߚ㧔Table 7-1.㧕㧚 ASD ⟲ߪਔߣ߽⣕ᘠൻ߇↢ߓࠆާ٤٤ި⟲ߩ ⊒㆐ᐕ㦂߇㜞߆ߞߚ㧔Table 7-2.㧕㧚 㪤㪩 ⍮ㆡᔕ䈮䉋䉎䊌䉺䊷䊮ಽ䈔 㪤㪩 ⸒⺆␠ળ䈮䉋䉎䊌䉺䊷䊮ಽ䈔 ᘠൻ ⣕ᘠൻ ᘠൻ ⣕ᘠൻ ᘠൻ ⣕ᘠൻ ᘠൻ ⣕ᘠൻ 㪟㪄㪌 䂾 㬍 䂾 䂾 㪈 㪈㪉㪈 㪟㪄㪎 䂾 㬍 㬍 䂾 㪈 㪈㪉㪋 㪟㪄㪍 䂾 㬍 䂾 㬍 㪈 㪈㪈㪐 㪟㪄㪍 䂾 㬍 䂾 㬍 㪈 㪐㪐 㪟㪄㪎 䂾 㬍 㬍 䂾 㪈 㪈㪈㪍 㪟㪄㪌 䂾 㬍 䂾 䂾 㪈 㪐㪋 㪟㪄㪈㪋 㬍 㬍 䂾 㬍 㪈 㪈㪈㪋 㪟㪄㪈㪋 㬍 㬍 䂾 㬍 㪈 㪐㪋 㪟㪄㪈 䂾 䂾 䂾 䂾 㪉 㪐㪏 㪟㪄㪈㪌 㬍 㬍 㬍 䂾 㪌 㪐㪈㪅㪋 㪟㪄㪈㪌 㬍 㬍 㬍 䂾 㪌 㪐㪉㪅㪍 㪟㪄㪈 䂾 䂾 䂾 䂾 㪉 㪏㪏㪅㪌 㪟㪄㪊 䂾 䂾 㬍 䂾 㪉 㪎㪐㪅㪌 㪟㪄㪊 䂾 䂾 㬍 䂾 㪉 㪎㪌 㪟㪄㪈㪈 㬍 䂾 㬍 䂾 㪊 㪍㪎 㪟㪄㪈㪈 㬍 䂾 㬍 䂾 㪊 㪎㪋㪅㪍㪍㪍㪍㪎 㪟㪄㪈㪍 㬍 㬍 㬍 㬍 㪏 㪌㪏㪅㪎㪌 㪟㪄㪈㪍 㬍 㬍 㬍 㬍 㪏 㪌㪇 㪟㪄㪐 㬍 䂾 䂾 䂾 㪉 㪊㪏㪅㪌 㪟㪄㪐 㬍 䂾 䂾 䂾 㪉 㪊㪌 㪟㪄㪈㪉 㬍 䂾 㬍 㬍 㪈 㪉㪍 㪟㪄㪈㪉 㬍 䂾 㬍 㬍 㪈 㪉㪐 㪟㪄㪉 䂾 䂾 䂾 㬍 㪇 㪟㪄㪉 䂾 䂾 䂾 㬍 㪇 㪟㪄㪋 䂾 䂾 㬍 㬍 㪇 㪟㪄㪋 䂾 䂾 㬍 㬍 㪇 㪟㪄㪏 䂾 㬍 㬍 㬍 㪇 㪟㪄㪏 䂾 㬍 㬍 㬍 㪇 㪟㪄㪈㪇 㬍 䂾 䂾 㬍 㪇 㪟㪄㪈㪇 㬍 䂾 䂾 㬍 㪇 㪟㪄㪈㪊 㬍 㬍 䂾 䂾 㪇 㪟㪄㪈㪊 㬍 㬍 䂾 䂾 㪇 ⸒⺆␠ળ 㪥 㪫㪌 㪫㪍 䊌䉺䊷䊮 㪫㪌 㪫㪍 㪥 ⍮ㆡᔕ 䊌䉺䊷䊮 㪧㪛㪛 ⍮ㆡᔕ䈮䉋䉎䊌䉺䊷䊮ಽ䈔 㪧㪛㪛 ⸒⺆␠ળ䈮䉋䉎䊌䉺䊷䊮ಽ䈔 ᘠൻ ⣕ᘠൻ ᘠൻ ⣕ᘠൻ ᘠൻ ⣕ᘠൻ ᘠൻ ⣕ᘠൻ 㪟㪄㪈㪇 㬍 䂾 䂾 㬍 㪈 㪈㪈㪋 㪟㪄㪈㪇 㬍 䂾 䂾 㬍 㪈 㪏㪏 㪟㪄㪈㪈 㬍 䂾 㬍 䂾 㪋 㪐㪇㪅㪌 㪟㪄㪈㪈 㬍 䂾 㬍 䂾 㪋 㪎㪌㪅㪉㪌 㪟㪄㪊 䂾 䂾 㬍 䂾 㪋 㪏㪊 㪟㪄㪊 䂾 䂾 㬍 䂾 㪋 㪍㪏㪅㪌 㪟㪄㪏 䂾 㬍 㬍 㬍 㪈 㪏㪊 㪟㪄㪈㪊 㬍 㬍 䂾 䂾 㪉 㪍㪊 㪟㪄㪈 䂾 䂾 䂾 䂾 㪋 㪍㪋㪅㪉㪌 㪟㪄㪈㪋 㬍 㬍 䂾 㬍 㪉 㪌㪌 㪟㪄㪈㪊 㬍 㬍 䂾 䂾 㪉 㪍㪉 㪟㪄㪈 䂾 䂾 䂾 䂾 㪋 㪋㪍㪅㪉㪌 㪟㪄㪈㪋 㬍 㬍 䂾 㬍 㪉 㪌㪐㪅㪌 㪟㪄㪈㪌 㬍 㬍 㬍 䂾 㪊 㪊㪎㪅㪍㪍㪍㪍㪎 㪟㪄㪈㪌 㬍 㬍 㬍 䂾 㪊 㪌㪋㪅㪊㪊㪊㪊㪊 㪟㪄㪏 䂾 㬍 㬍 㬍 㪈 㪊㪎 㪟㪄㪈㪍 㬍 㬍 㬍 㬍 㪌 㪌㪇㪅㪍 㪟㪄㪈㪍 㬍 㬍 㬍 㬍 㪌 㪊㪊㪅㪍 㪟㪄㪌 䂾 㬍 䂾 䂾 㪈 㪊㪉 㪟㪄㪋 䂾 䂾 㬍 㬍 㪈 㪊㪇 㪟㪄㪈㪉 㬍 䂾 㬍 㬍 㪈 㪊㪈 㪟㪄㪌 䂾 㬍 䂾 䂾 㪈 㪉㪊 㪟㪄㪋 䂾 䂾 㬍 㬍 㪈 㪉㪐 㪟㪄㪈㪉 㬍 䂾 㬍 㬍 㪈 㪈㪈 㪟㪄㪉 䂾 䂾 䂾 㬍 㪇 㪟㪄㪉 䂾 䂾 䂾 㬍 㪇 㪟㪄㪍 䂾 㬍 䂾 㬍 㪇 㪟㪄㪍 䂾 㬍 䂾 㬍 㪇 㪟㪄㪎 䂾 㬍 㬍 䂾 㪇 㪟㪄㪎 䂾 㬍 㬍 䂾 㪇 㪟㪄㪐 㬍 䂾 䂾 䂾 㪇 㪟㪄㪐 㬍 䂾 䂾 䂾 㪇 ⸒⺆␠ળ 㪥 㪫㪌 㪫㪍 䊌䉺䊷䊮 㪫㪌 㪫㪍 㪥 ⍮ㆡᔕ 䊌䉺䊷䊮 Table 6. Ꮐฝ㗡ㇱߦ߅ߌࠆᘠൻ⣕ᘠൻ ٤㧦↢㧘 㧦↢ߖߕ Table 7-1. ID ⟲ߩ⊒㆐ᐕ㦂ߦࠃࠆᘠൻ⣕ᘠൻࡄ࠲ࡦ Table 7-2. ASD ⟲ߩ⊒㆐ᐕ㦂ߦࠃࠆᘠൻ⣕ᘠൻࡄ࠲ࡦ
11
㪤㪩
㪇 㪉㪇 㪋㪇 㪍㪇 㪏㪇 㪈㪇㪇 㪈㪉㪇 㪈㪋㪇 ⸒ ⺆ ␠ ળ 䂺䋺㪛㪄㪙 䂓䋺㪛㪄㪣 䂥䋺㪛㪄㪩 㬍䋺㪛㪄㪥 䊰㪧㪛㪛
㪇 㪉㪇 㪋㪇 㪍㪇 㪏㪇 㪈㪇㪇 㪈㪉㪇 㪈㪋㪇 ⸒ ⺆ ␠ ળ 䊰ASD
ID
ߎߎߢ T5T6 ਔߢ⣕ᘠൻ߇↢ߓࠆާ٤٤ި⟲ࠍ D-B ⟲㧘T5 ߢ⣕ᘠൻ߇↢ߓ T6 ߢ⣕ᘠൻ߇↢ߓߥާ٤ި ⟲ࠍ D-L ⟲㧘T5 ߢ⣕ᘠൻ߇↢ߓߕ T6 ߢ⣕ᘠൻ߇↢ߓࠆާ٤ި⟲ࠍ D-R ⟲㧘T5T6 ਔߩ⣕ᘠൻ߇↢ߓߥާި ⟲ࠍ D-N ⟲ߣߒߚ㧚⸒⺆␠ળ㗔ၞߩᐕ㦂ߦߟߡ㧘ID ⟲ߪ D-R ⟲߇ో⊛ߦ㜞ߊ㧘ASD ⟲ߪ D-B ⟲߇ో⊛ ߦ㜞߆ߞߚ㧚ฦ⟲ߩ⸒⺆␠ળ㗔ၞߩᐕ㦂ߩਛᄩ୯ߪ㧘ID ⟲ߩ D-B ⟲ߪ 77 ࡨ㧘D-L ⟲ߪ 29 ࡨ㧘D-R ⟲ߪ 94 ࡨ㧘D-N ⟲ߪ 47 ࡨߢࠆ㧚ASD ⟲ߩ D-B ⟲ߪ 71.5 ࡨ㧘D-L ⟲ߪ 30 ࡨ㧘D-R ⟲ߪ 42.5 ࡨ㧘D-N ⟲ߪ 31 ࡨߢߞߚ㧔Fig. 7.㧕㧚 䉫䊦䊷䊒㪈 䉫䊦䊷䊒㪉 䉫䊦䊷䊒㪈 䉫䊦䊷䊒㪉 䉫䊦䊷䊒㪈 䉫䊦䊷䊒㪉 䉫䊦䊷䊒㪈 䉫䊦䊷䊒㪉 㐷䈱ᮨ୮ 㪊㪍㪅㪍㪎 㪋㪉㪅㪇㪇 㪍㪅㪊㪉 㪇㪅㪇㪇 㪍㪅㪐㪋 㪈㪇㪅㪌㪇 㪍㪉㪅㪌㪇 㪎㪊㪅㪌㪇 㪇㪅㪇㪋㪐 㪁 ੌ⸃ 㪋㪌㪅㪇㪇 㪍㪇㪅㪇㪇 㪈㪋㪅㪋㪎 㪇㪅㪇㪇 㪍㪅㪈㪎 㪈㪈㪅㪌㪇 㪌㪌㪅㪌㪇 㪏㪇㪅㪌㪇 㪇㪅㪇㪈㪇 㪁 ᢥ┨ᢛℂ 㪍㪍㪅㪍㪎 㪏㪌㪅㪎㪈 㪈㪊㪅㪌㪍 㪈㪉㪅㪏㪊 㪍㪅㪉㪏 㪈㪈㪅㪊㪍 㪌㪍㪅㪌㪇 㪎㪐㪅㪌㪇 㪇㪅㪇㪉㪈 㪁 ᓳ໒ 㪊㪏㪅㪇㪇 㪎㪊㪅㪎㪈 㪉㪈㪅㪋㪉 㪉㪍㪅㪐㪐 㪍㪅㪇㪇 㪈㪈㪅㪎㪈 㪌㪋㪅㪇㪇 㪏㪉㪅㪇㪇 㪇㪅㪇㪈㪋 㪁 㪛㪄㪙 㪛㪄㪥 㪚㪘 㪈㪎㪉㪅㪌㪍 㪈㪉㪐㪅㪐㪇 㪊㪉㪅㪈㪏 㪋㪎㪅㪊㪉 㪈㪉㪅㪉㪏 㪎㪅㪐㪌 㪈㪈㪇㪅㪌㪇 㪎㪐㪅㪌㪇 㪇㪅㪇㪐㪋 㵴 㪚㪘 㪈㪏㪐㪅㪎㪈 㪈㪉㪐㪅㪐㪇 㪉㪇㪅㪊㪋 㪋㪎㪅㪊㪉 㪈㪉㪅㪌㪎 㪍㪅㪌㪇 㪏㪏㪅㪇㪇 㪍㪌㪅㪇㪇 㪇㪅㪇㪈㪌 㪁 㪛㪘 㪐㪎㪅㪎㪈 㪍㪋㪅㪋㪇 㪉㪋㪅㪐㪋 㪊㪎㪅㪇㪌 㪈㪈㪅㪋㪊 㪎㪅㪊㪇 㪏㪇㪅㪇㪇 㪎㪊㪅㪇㪇 㪇㪅㪇㪐㪎 㵴 ⍮䊶ㆡᔕ 㪈㪇㪇㪅㪇㪇 㪎㪇㪅㪊㪇 㪊㪇㪅㪋㪏 㪋㪉㪅㪎㪏 㪈㪈㪅㪋㪊 㪎㪅㪊㪇 㪏㪇㪅㪇㪇 㪎㪊㪅㪇㪇 㪇㪅㪇㪐㪎 㵴 ⸒⺆䊶␠ળ 㪐㪍㪅㪋㪊 㪌㪐㪅㪊㪇 㪉㪉㪅㪎㪎 㪊㪍㪅㪌㪍 㪈㪈㪅㪍㪋 㪎㪅㪈㪌 㪏㪈㪅㪌㪇 㪎㪈㪅㪌㪇 㪇㪅㪇㪎㪈 㵴 ᒻ䈱ᑯ 㪊㪍㪅㪇㪇 㪊㪇㪅㪇㪇 㪇㪅㪇㪇 㪍㪅㪐㪊 㪈㪈㪅㪌㪇 㪎㪅㪉㪌 㪏㪇㪅㪌㪇 㪎㪉㪅㪌㪇 㪇㪅㪇㪊㪊 㪁 ᮨ᭽᭴ᚑ 㪎㪐㪅㪎㪈 㪌㪌㪅㪏㪇 㪈㪎㪅㪐㪇 㪉㪐㪅㪌㪋 㪈㪈㪅㪌㪇 㪎㪅㪉㪌 㪏㪇㪅㪌㪇 㪎㪉㪅㪌㪇 㪇㪅㪇㪏㪇 㵴 Ⓧᧁณ䈐 㪐㪉㪅㪌㪎 㪍㪇㪅㪍㪇 㪋㪋㪅㪇㪎 㪋㪌㪅㪌㪍 㪈㪈㪅㪌㪇 㪎㪅㪉㪌 㪏㪇㪅㪌㪇 㪎㪉㪅㪌㪇 㪇㪅㪇㪏㪈 㵴 ੌ⸃ 㪍㪇㪅㪇㪇 㪋㪊㪅㪉㪇 㪇㪅㪇㪇 㪈㪌㪅㪏㪉 㪈㪉㪅㪇㪇 㪍㪅㪐㪇 㪏㪋㪅㪇㪇 㪍㪐㪅㪇㪇 㪇㪅㪇㪈㪍 㪁 ᢥ┨ᢛℂ 㪏㪌㪅㪎㪈 㪎㪉㪅㪇㪇 㪈㪉㪅㪏㪊 㪈㪍㪅㪇㪇 㪈㪈㪅㪉㪐 㪎㪅㪋㪇 㪎㪐㪅㪇㪇 㪎㪋㪅㪇㪇 㪇㪅㪇㪐㪍 㵴 ᓳ໒ 㪎㪊㪅㪎㪈 㪋㪈㪅㪋㪇 㪉㪍㪅㪐㪐 㪉㪉㪅㪏㪏 㪈㪉㪅㪉㪈 㪍㪅㪎㪌 㪏㪌㪅㪌㪇 㪍㪎㪅㪌㪇 㪇㪅㪇㪉㪊 㪁 㵴㪅㪇㪌䋼㫇䋼㪅㪈㪇䇮㪁㫇䋼㪅㪇㪌 ᗧ⏕₸ 㗄⋡ 䉫䊦䊷䊒㪈 䉫䊦䊷䊒㪉 ᐔဋ୯ ᮡḰᏅ 㪛㪄㪩 㪛㪄㪥 ᐔဋ䊤䊮䉪 㗅 㪛㪄㪙 㪛㪄㪩 㧔1㧕ID ⟲ߩⴕേ․ᓽ ID ⟲ߩ D-B㧘D-R㧘D-N ⟲ߩⴕേ․ᓽߦߟߡ㧘Mann-Whitney ᬌቯࠍⴕߞߚ⚿ᨐࠍ Table8-1.ߦ␜ߔ㧚ᬌᩏ 㗄⋡ߩᐕ㦂߇ੑ୯ߩ႐วߪǿ2⁛┙ᕈߩᬌቯࠍⴕߞߚ㧚D-L ⟲ߪኻ⽎ఽ߇ዋߥߚᬌቯࠍⴕࠊߥ߆ߞߚ㧚ߘߩ⚿ᨐ㧘 D-B ⟲ߣ D-R ⟲ߦ߅ߡߪ㧘ާ㐷ߩᮨ୮ި㧔ਔᬌቯ㧦U=17.5,p㧨.05㧕㧘ާੌ⸃ި㧔ਔᬌቯ㧦U=10.5,p㧨.05㧕㧘ާᢥ ┨ᢛℂި㧔ਔᬌቯ㧦U=11.5,p㧨.05㧕㧘ާᓳ໒ި㧔ਔᬌቯ㧦U=9.0,p㧨.05㧕ߦᗧߥᏅ߇ࠄࠇߚ㧚D-R ⟲ߪ D-B ⟲ߦᲧߴ㧘ᚑ❣ߩ⋧ᒰᐕ㦂߇㜞߆ߞߚ㧚D-B ⟲ߣ D-N ⟲ߦ߅ߡߪ㧘ާCAި㧔ਔᬌቯ㧦U=24.5,.05㧨p㧨.10㧕 ߦᗧะ߇ࠄࠇߚ㧚D-B ⟲ߪ D-N ⟲ߦᲧߴ㧘↢ᵴᐕ㦂߇㜞߆ߞߚ㧚D-R ⟲ߣ D-N ⟲ߦ߅ߡߪ㧘ާCAި㧔ਔ ᬌቯ㧦U=10.0,p㧨.05㧕㧘ާᒻߩᑯި㧔ਔᬌቯ㧦U=17.5,p㧨.05㧕㧘ާੌ⸃ި㧔ਔᬌቯ㧦U=14.0,p㧨.05㧕㧘ާᓳFig.7. ⸒⺆␠ળ㗔ၞߦࠃࠆࠨࡉࠣ࡞ࡊಽߌ㧚
T5T6 ਔߢ⣕ᘠൻ߇↢ߓࠆާ٤٤ި⟲ࠍ D-B ⟲㧘T5 ߢ⣕ᘠൻ߇↢ߓ T6 ߢ⣕ᘠൻ߇↢ߓߥާ٤ި⟲ࠍ D-L ⟲㧘T5 ߢ⣕ᘠൻ߇↢ߓߕT6 ߢ⣕ᘠൻ߇↢ߓࠆާ٤ި⟲ࠍ D-R ⟲㧘T5T6 ਔߩ⣕ᘠൻ߇↢ߓߥާި⟲ࠍ D-N ⟲ߣߒߚ㧚
Sutton ࠄ16)㧔2005㧕ߪ㧘㜞ᯏ⢻⥄㐽∝ఽߩ㕒ᤨ⣖ᵄၮ␆ᓞേ߆ࠄ㧘ASD ߦߪᏀฝඨߩఝᕈ߇⇣ߥࠆࠨࡉࠣ ࡞ࡊ߇ሽߔࠆߎߣࠍ␜ߒ㧘ߘߩࠃ߁ߥ․ᓽࠍታ⸽⊛ߦᝒ߃ࠆߦࠃߞߡޘߦᔕߓߚㆡಾߥࠍᎿᄦߔࠆߎ ߣߩ㊀ⷐᕈࠍᒝ⺞ߒߡࠆ㧚ᧄ⎇ⓥߪ㧘ⴕേ․ᕈߣߩ㑐ㅪߪࠃࠅᘕ㊀ߥ⸃㉼߇ᔅⷐߢࠆߣ⠨߃ࠄࠇࠆ߽ߩߩ㧘 Sutton ࠄߩ␜ߒߚᏀฝඨߩఝᕈ߇⇣ߥࠆࠨࡉࠣ࡞ࡊߩሽࠍᡰᜬߔࠆ⚿ᨐߢࠆߣ⸒߃ࠃ߁㧚 3㧚ೝỗߩᓳ๒␜ߦኻߔࠆᘠൻ⣕ᘠൻ ID ⟲ߢߪᏀ㗡ㇱߢ⣕ᘠൻ߇↢ߓߥ⟲㧔D-R ⟲㧕ߦ߅ߡ㧘⸒⺆␠ળ㗔ၞߩ⊒㆐ᐕ㦂㧔DA㧕߇㜞߆ߞߚ㧚 ৻ᣇߢ㧘ASD ⟲ߢߪ㧘ਔߣ߽⣕ᘠൻ߇↢ߓࠆ⟲㧔D-B ⟲㧕ߢ⸒⺆␠ળ㗔ၞߩᐕ㦂߇㜞߆ߞߚ㧚ߎߩߎߣ߆ࠄ㧘 ID ߩ D-R ⟲ߢߪዪᚲ⊛ⷡ㉕ᐲ߇ૐ߹߹ߢ߽㧘ೝỗಣℂ߇ଦㅴߐࠇࠆ⒟ᐲߦല₸ൻ߇ㅴࠎߢࠆน⢻ᕈ߇ࠆ߇㧘 ASD ߩ D-B ⟲ߢߪೝỗࠍᓳ๒␜ߒߡ߽ᘠࠇ߇↢ߓߕ㧘ᐲ߽หߓಣℂࠍ➅ࠅߔ㕖ല₸ߐࠍᜬߟߎߣ߇␜ໂߐࠇ ߚ㧚 ASD ߩ D-B ⟲ߩ⸒⺆␠ળ㗔ၞ DA ߩਛᄩ୯ߪ 71.5 ࡨߣߒߡૐߊߥ߇㧘ല₸ൻ߇ㅴࠎߢߥߎߣ߆ࠄ㧘 ⸒⺆ಣℂߦࠃࠆ⽶⩄߇ᄢ߈ߚዪᚲ⊛ⷡ㉕ᐲ߇ਅ߇ࠄߥߣ⠨߃ࠄࠇࠆߚ㧘ࠬ࠻ࠬࠍシᷫߔࠆߚߦ߽ⷞⷡ ⊛ᚻ߇߆ࠅࠍ↪ߚᡰេ߇ᔅⷐߢࠆߣ⠨߃ࠄࠇࠆ㧚߹ߚ㧘ਔߣ߽ߦⷡ㉕ᐲ߇㜞ߚ㧘ᒻᘒᕈಣℂߦ㑐ࠊࠆᖱ ႎߣ⸒⺆ᕈಣℂߦ㑐ࠊࠆᖱႎࠍᏀฝඨ㑆ߢ߿ࠅขࠅߔࠆߚߩḰ⁁ᘒߪචಽߦ↪ᗧߐࠇߡࠆߣផ᷹ߐࠇࠆ߇㧘 WCC ߿೨㗡⪲ߩ⛔วߩᒙߐ㧔Ozonoff17),1995㧕ߪ ASD ోߦㅢߔࠆ㓚ኂ․ᕈߢࠆߚ㧘ⷞⷡ⸒⺆ߩਔᣇ ߩᚻ߇߆ࠅ๒␜ߪ߆߃ߞߡᷙੂࠍߊน⢻ᕈ߇ࠆ㧚ߎߩࠃ߁ߥࠨࡉࠣ࡞ࡊߩ ASD ఽߦߪ㧘ⷞⷡ⊛ᚻ߇߆ࠅ߇න ߢ๒␜ߐࠇߚᣇ߇㧘⽶⩄߽ዋߥߊㅢߒࠍᜬߞߡ↢ᵴߔࠆߎߣ߇ߢ߈ࠆน⢻ᕈ߇㜞㧚 ASD ߩᏀ㗡ㇱߢ⣕ᘠൻ߇↢ߓߥ⟲㧔D-R ⟲㧕ߢߪ㧘⸒⺆␠ળ㗔ၞ DA ߇ૐ߆ߞߚ㧚⸒⺆ಣℂߦ㑐ㅪߔࠆ㗔 ၞߩዪᚲ⊛ⷡ㉕ᐲ߇ૐ߹߹ߢࠅ㧘⸒⺆ಣℂ߇චಽߥߐࠇࠆḰ⁁ᘒ߇߹ߛߢ߈ߡߥࠨࡉࠣ࡞ࡊߢࠆߣ ផ᷹ߐࠇࠆ㧚ߘߩߚ㧘⸒⺆ᕈಣℂߦὶὐ⊛ߦᵈᗧࠍะߌߐߖࠆߥߤߩᎿᄦࠍߔࠆߎߣߦࠃߞߡ㧘ዪᚲ⊛ⷡ㉕ᐲࠍ 㜞ࠆขࠅ⚵ߺ߇㊀ⷐߢࠈ߁㧚 ߎߩࠃ߁ߦ㧘ᏀඨߩᵴേߩᏅ⇣ߦࠃߞߡ㧘ASD ߇ࠨࡉࠣ࡞ࡊߦಽ߆ࠇࠆߎߣ߇ផቯߐࠇ㧘ASD ఽߢߪೝỗߦ ኻߔࠆᘠൻ߇↢ߓߦߊߎߣ߆ࠄ㧘․ߦ⸒⺆␠ળ㗔ၞߩ⊒㆐ߦ߅ߡ㧘ᖱႎಣℂߩല₸ൻ߇ㅴߺߦߊߎߣ߇␜ ໂߐࠇߚ㧚߹ߚᘠൻ⣕ᘠൻߩࡄ࠲ࡦߦࠃߞߡ㧘ⷞⷡ⊛ᚻ߇߆ࠅ߿⸒⺆⊛ᚻ߇߆ࠅߩ๒␜ߩᣇߦᄌൻࠍട߃ࠆ ߇ലߥᢎ⢒⊛ᡰេߣߥࠆߎߣ߇␜ໂߐࠇߚ㧚 Χ㧚ᓟߩ⺖㗴 ᧄ⎇ⓥߢߪ 6㧙10Hz Ꮺၞࠍ ERC ߩಽᨆኻ⽎ߣߒߚ߇㧘10㧙14Hz Ꮺၞߪ㧘ᵈᗧㆊ⒟߿⸥ᙘಣℂㆊ⒟߇ᤋߐࠇ ࠆߎߣ߇␜ໂߐࠇߡࠆߎߣ߆ࠄ㧘ᓟ㧘ಽᨆᏪၞߩࠍᐢߍࠆ߽ᬌ⸛ߒߡߊ㧚߹ߚ㧘ฝඨߩಣℂ․ᓽࠍࠃ ࠅ⏕ߦߔࠆߚߦ㧘ਥⷰ⊛ベㇳߥߤࠍ↪ߚೝỗߩ⣖ౝಣℂㆊ⒟ࠍಽᨆߔࠆߥߤߒߡᬌ⸛ࠍ㊀ߨߡߊ㧚 ᒁ↪ᢥ₂
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ൻࠍਛᔃߦߒߡɆ㧚⥄㐽ᕈ㓚ኂߩࠆఽ┬↢ᓤߩᢎ⢒ߦ㑐ߔࠆ⎇ⓥ㧘㧘71㧙82㧘࿖┙․ᱶᢎ⢒✚ว⎇ⓥᚲ㧘㧔2000㧕㧚 5㧕 ࠠࡖࡠ࡞ࠣࠗ⪺⣻Ꮞᥓሶ⸶⸃⺑. ߅Უߐࠎߣవ↢߇ᦠߊ࠰ࠪࡖ࡞ࠬ࠻™ ᣂߒ್ቯၮḰߣ
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10) Frith, C., What do imaging studies tell us about the neural basis of autism. Autism: Neural Basis and Treatment Possibilities: Novartis Foundation Symposium, 251, Wiley, London, 149-176(2003). 11) ౝ↰ᄹⓄሶ㧘ጊፒ㓷ሶ㧘ኹ↰ ା৻㧘ᐢ᳢ᕈ⊒㆐㓚ኂఽߩ㓚ኂ․ᕈߦᔕߓߚዊ㓸࿅␠ળᕈᛛ⢻ᜰዉߣኅᐸቇᩞ ↢ᵴ߳ߩㆡ↪㧘㜞⍮ᄢቇᢎ⢒ታ〣⎇ⓥ (), 135-145, 㧔2009㧕㧚 12) 㜞ᯅታ. 㜞ᯏ⢻ᐢ᳢ᕈ⊒㆐㓚ኂఽߦኻߔࠆࠬࠠ࡞ߩቯ⌕ߦὶὐࠍᒰߡߚዊ㓸࿅㧿㧿㨀㧘㜞⍮ᄢቇතᬺ⺰ᢥ (2008)㧚 13) ኹ↰ା৻㧘ᨋᕺᵤሶ㧘ਛᎹ⾆⟤ሶ㧘ၷ↰⟵㧦㊀㓚ኂߩሶߩᜰዉ≮⢒ߩߚߩ⍮⹏ଔ㧚ᄢቇᢎ⢒ ၞ⑼ቇㇱ✚ว⥄ὼᢎ⢒ࡦ࠲ᐕႎ Vol.4㧘225-235㧘㧔2001㧕㧚 14) ㋈ᧁᏈ㧘ᨋᕺᵤሶ㧘ኹ↰ା৻㧘ၷ↰⟵㧘㊀∝ᔃり㓚ኂఽߦ߅ߌࠆㆇേߩᗧ࿑ᕈ⹏ଔ㧙⣖ᵄၮ␆ᓞേߩ⽎ 㑐ㅪᕈᄌേߦࠃࠆᬌ⸛㧙㧘㐳ፒᄢቇᢎ⢒ቇㇱ♿ⷐ. ᢎ⢒⑼ቇ, Vol.73, pp.55-62; 㧔2009㧕㧚 15㧕Ỉ⋥ੱ㧘⥄㐽∝ఽߩ␠ળᕈࠍ⢒ߡࠆߚߩ⹜ߺɆㅢ⚖ᜰዉቇ⚖ߦ߅ߌࠆᜰዉɆ㧚⥄㐽ᕈ㓚ኂߩࠆఽ┬↢ᓤߩ ᢎ⢒ߦ㑐ߔࠆ⎇ⓥ㧘3㧘59㧙70㧚᧲੩ㇺᳯᚭᎹ┙ੑਯᳯ╙ਃዊቇᩞ㧔2000㧕
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