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Tegelbeckers J, Brechmann A, Breitling-Ziegler C, Bonath B, Flechtner HH, Krauel K. Neural Mechanisms Underlying the Effects of Novel Sounds on Task Performance in Children With and Without ADHD. Front Hum Neurosci 2022; 16:878994. [PMID: 35799772 PMCID: PMC9253267 DOI: 10.3389/fnhum.2022.878994] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2022] [Accepted: 05/23/2022] [Indexed: 11/13/2022] Open
Abstract
Distractibility is one of the key features of attention deficit hyperactivity disorder (ADHD) and has been associated with alterations in the neural orienting and alerting networks. Task-irrelevant stimuli are thus expected to have detrimental effects on the performance of patients with ADHD. However, task-irrelevant presentation of novel sounds seems to have the opposite effect and improve subsequent attentional performance particularly in patients with ADHD. Here, we aimed to understand the neural modulations of the attention networks underlying these improvements. Fifty boys (25 with ADHD) participated in a functional magnetic resonance imaging (fMRI) study in which unique (novel) or repeatedly presented (familiar) sounds were placed before a visual flanker task in 2/3 of the trials. We found that presenting any sound improved task performance in all participants, but the underlying neural mechanisms differed for the type of sound. Familiar sounds led to a stronger increase in activity in the left posterior insula in patients with ADHD compared to typically developing peers. Novel sounds led to activations of the fronto-temporoparietal ventral attention network, likewise in ADHD and TD. These changes in signaling by novelty in the right inferior frontal gyrus were directly related to improved response speed showing that neural orienting network activity following novel sounds facilitated subsequent attentional performance. This mechanism of behavioral enhancement by short distractions could potentially be useful for cognitive trainings or homework situations.
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Affiliation(s)
- Jana Tegelbeckers
- Department of Children and Adolescent Psychiatry and Psychotherapy, Otto-von-Guericke-University Magdeburg, Magdeburg, Germany
- Department of Neuropsychology, Otto-von-Guericke-University Magdeburg, Magdeburg, Germany
- *Correspondence: Jana Tegelbeckers
| | - André Brechmann
- Combinatorial Neuroimaging Core Facility, Leibniz Institute for Neurobiology, Magdeburg, Germany
- Center for Behavioral Brain Sciences, Magdeburg, Germany
| | - Carolin Breitling-Ziegler
- Department of Children and Adolescent Psychiatry and Psychotherapy, Otto-von-Guericke-University Magdeburg, Magdeburg, Germany
| | - Bjoern Bonath
- Department of Children and Adolescent Psychiatry and Psychotherapy, Otto-von-Guericke-University Magdeburg, Magdeburg, Germany
| | - Hans-Henning Flechtner
- Department of Children and Adolescent Psychiatry and Psychotherapy, Otto-von-Guericke-University Magdeburg, Magdeburg, Germany
| | - Kerstin Krauel
- Department of Children and Adolescent Psychiatry and Psychotherapy, Otto-von-Guericke-University Magdeburg, Magdeburg, Germany
- Center for Behavioral Brain Sciences, Magdeburg, Germany
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2
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Yu M, Gao X, Niu X, Zhang M, Yang Z, Han S, Cheng J, Zhang Y. Meta-analysis of structural and functional alterations of brain in patients with attention-deficit/hyperactivity disorder. Front Psychiatry 2022; 13:1070142. [PMID: 36683981 PMCID: PMC9853532 DOI: 10.3389/fpsyt.2022.1070142] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/14/2022] [Accepted: 12/05/2022] [Indexed: 01/07/2023] Open
Abstract
BACKGROUND A large and growing body of neuroimaging research has concentrated on patients with attention-deficit/hyperactivity disorder (ADHD), but with inconsistent conclusions. This article was intended to investigate the common and certain neural alterations in the structure and function of the brain in patients with ADHD and further explore the differences in brain alterations between adults and children with ADHD. METHODS We conducted an extensive literature search of whole-brain voxel-based morphometry (VBM) and functional magnetic resonance imaging (fMRI) studies associated with ADHD. Two separate meta-analyses with the seed-based d mapping software package for functional neural activation and gray matter volume (GMV) were carried out, followed by a joint analysis and a subgroup analysis. RESULTS This analysis included 29 VBM studies and 36 fMRI studies. Structurally, VBM analysis showed that the largest GMV diminutions in patients with ADHD were in several frontal-parietal brain regions, the limbic system, and the corpus callosum. Functionally, fMRI analysis discovered significant hypoactivation in several frontal-temporal brain regions, the right postcentral gyrus, the left insula, and the corpus callosum. CONCLUSION This study showed that abnormal alterations in the structure and function of the left superior frontal gyrus and the corpus callosum may be the key brain regions involved in the pathogenesis of ADHD in patients and may be employed as an imaging metric for patients with ADHD pending future research. In addition, this meta-analysis discovered neuroanatomical or functional abnormalities in other brain regions in patients with ADHD as well as findings that can be utilized to guide future research.
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Affiliation(s)
- Miaomiao Yu
- Department of Magnetic Resonance Imaging, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.,Key Laboratory for Functional Magnetic Resonance Imaging and Molecular Imaging of Henan Province, Zhengzhou, China.,Engineering Technology Research Center for Detection and Application of Brain Function of Henan Province, Zhengzhou, China.,Engineering Research Center of Medical Imaging Intelligent Diagnosis and Treatment of Henan Province, Zhengzhou, China.,Key Laboratory of Magnetic Resonance and Brain Function of Henan Province, Zhengzhou, China.,Key Laboratory of Brain Function and Cognitive Magnetic Resonance Imaging of Zhengzhou, Zhengzhou, China.,Key Laboratory of Imaging Intelligence Research Medicine of Henan Province, Zhengzhou, China
| | - Xinyu Gao
- Department of Magnetic Resonance Imaging, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.,Key Laboratory for Functional Magnetic Resonance Imaging and Molecular Imaging of Henan Province, Zhengzhou, China.,Engineering Technology Research Center for Detection and Application of Brain Function of Henan Province, Zhengzhou, China.,Engineering Research Center of Medical Imaging Intelligent Diagnosis and Treatment of Henan Province, Zhengzhou, China.,Key Laboratory of Magnetic Resonance and Brain Function of Henan Province, Zhengzhou, China.,Key Laboratory of Brain Function and Cognitive Magnetic Resonance Imaging of Zhengzhou, Zhengzhou, China.,Key Laboratory of Imaging Intelligence Research Medicine of Henan Province, Zhengzhou, China
| | - Xiaoyu Niu
- Department of Magnetic Resonance Imaging, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.,Key Laboratory for Functional Magnetic Resonance Imaging and Molecular Imaging of Henan Province, Zhengzhou, China.,Engineering Technology Research Center for Detection and Application of Brain Function of Henan Province, Zhengzhou, China.,Engineering Research Center of Medical Imaging Intelligent Diagnosis and Treatment of Henan Province, Zhengzhou, China.,Key Laboratory of Magnetic Resonance and Brain Function of Henan Province, Zhengzhou, China.,Key Laboratory of Brain Function and Cognitive Magnetic Resonance Imaging of Zhengzhou, Zhengzhou, China.,Key Laboratory of Imaging Intelligence Research Medicine of Henan Province, Zhengzhou, China
| | - Mengzhe Zhang
- Department of Magnetic Resonance Imaging, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.,Key Laboratory for Functional Magnetic Resonance Imaging and Molecular Imaging of Henan Province, Zhengzhou, China.,Engineering Technology Research Center for Detection and Application of Brain Function of Henan Province, Zhengzhou, China.,Engineering Research Center of Medical Imaging Intelligent Diagnosis and Treatment of Henan Province, Zhengzhou, China.,Key Laboratory of Magnetic Resonance and Brain Function of Henan Province, Zhengzhou, China.,Key Laboratory of Brain Function and Cognitive Magnetic Resonance Imaging of Zhengzhou, Zhengzhou, China.,Key Laboratory of Imaging Intelligence Research Medicine of Henan Province, Zhengzhou, China
| | - Zhengui Yang
- Department of Magnetic Resonance Imaging, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.,Key Laboratory for Functional Magnetic Resonance Imaging and Molecular Imaging of Henan Province, Zhengzhou, China.,Engineering Technology Research Center for Detection and Application of Brain Function of Henan Province, Zhengzhou, China.,Engineering Research Center of Medical Imaging Intelligent Diagnosis and Treatment of Henan Province, Zhengzhou, China.,Key Laboratory of Magnetic Resonance and Brain Function of Henan Province, Zhengzhou, China.,Key Laboratory of Brain Function and Cognitive Magnetic Resonance Imaging of Zhengzhou, Zhengzhou, China.,Key Laboratory of Imaging Intelligence Research Medicine of Henan Province, Zhengzhou, China
| | - Shaoqiang Han
- Department of Magnetic Resonance Imaging, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.,Key Laboratory for Functional Magnetic Resonance Imaging and Molecular Imaging of Henan Province, Zhengzhou, China.,Engineering Technology Research Center for Detection and Application of Brain Function of Henan Province, Zhengzhou, China.,Engineering Research Center of Medical Imaging Intelligent Diagnosis and Treatment of Henan Province, Zhengzhou, China.,Key Laboratory of Magnetic Resonance and Brain Function of Henan Province, Zhengzhou, China.,Key Laboratory of Brain Function and Cognitive Magnetic Resonance Imaging of Zhengzhou, Zhengzhou, China.,Key Laboratory of Imaging Intelligence Research Medicine of Henan Province, Zhengzhou, China
| | - Jingliang Cheng
- Department of Magnetic Resonance Imaging, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.,Key Laboratory for Functional Magnetic Resonance Imaging and Molecular Imaging of Henan Province, Zhengzhou, China.,Engineering Technology Research Center for Detection and Application of Brain Function of Henan Province, Zhengzhou, China.,Engineering Research Center of Medical Imaging Intelligent Diagnosis and Treatment of Henan Province, Zhengzhou, China.,Key Laboratory of Magnetic Resonance and Brain Function of Henan Province, Zhengzhou, China.,Key Laboratory of Brain Function and Cognitive Magnetic Resonance Imaging of Zhengzhou, Zhengzhou, China.,Key Laboratory of Imaging Intelligence Research Medicine of Henan Province, Zhengzhou, China
| | - Yong Zhang
- Department of Magnetic Resonance Imaging, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.,Key Laboratory for Functional Magnetic Resonance Imaging and Molecular Imaging of Henan Province, Zhengzhou, China.,Engineering Technology Research Center for Detection and Application of Brain Function of Henan Province, Zhengzhou, China.,Engineering Research Center of Medical Imaging Intelligent Diagnosis and Treatment of Henan Province, Zhengzhou, China.,Key Laboratory of Magnetic Resonance and Brain Function of Henan Province, Zhengzhou, China.,Key Laboratory of Brain Function and Cognitive Magnetic Resonance Imaging of Zhengzhou, Zhengzhou, China.,Key Laboratory of Imaging Intelligence Research Medicine of Henan Province, Zhengzhou, China
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3
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Warthen KG, Welsh RC, Sanford B, Koppelmans V, Burmeister M, Mickey BJ. Neuropeptide Y Variation Is Associated With Altered Static and Dynamic Functional Connectivity of the Salience Network. Front Syst Neurosci 2021; 15:629488. [PMID: 34867217 PMCID: PMC8636673 DOI: 10.3389/fnsys.2021.629488] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2020] [Accepted: 10/25/2021] [Indexed: 11/24/2022] Open
Abstract
Neuropeptide Y (NPY) is a neurotransmitter that has been implicated in the development of anxiety and mood disorders. Low levels of NPY have been associated with risk for these disorders, and high levels with resilience. Anxiety and depression are associated with altered intrinsic functional connectivity of brain networks, but the effect of NPY on functional connectivity is not known. Here, we test the hypothesis that individual differences in NPY expression affect resting functional connectivity of the default mode and salience networks. We evaluated static connectivity using graph theoretical techniques and dynamic connectivity with Leading Eigenvector Dynamics Analysis (LEiDA). To increase our power of detecting NPY effects, we genotyped 221 individuals and identified 29 healthy subjects at the extremes of genetically predicted NPY expression (12 high, 17 low). Static connectivity analysis revealed that lower levels of NPY were associated with shorter path lengths, higher global efficiency, higher clustering, higher small-worldness, and average higher node strength within the salience network, whereas subjects with high NPY expression displayed higher modularity and node eccentricity within the salience network. Dynamic connectivity analysis showed that the salience network of low-NPY subjects spent more time in a highly coordinated state relative to high-NPY subjects, and the salience network of high-NPY subjects switched between states more frequently. No group differences were found for static or dynamic connectivity of the default mode network. These findings suggest that genetically driven individual differences in NPY expression influence risk of mood and anxiety disorders by altering the intrinsic functional connectivity of the salience network.
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Affiliation(s)
- Katherine G. Warthen
- Department of Biomedical Engineering, The University of Utah, Salt Lake City, UT, United States
| | - Robert C. Welsh
- Department of Psychiatry, The University of Utah, Salt Lake City, UT, United States
| | - Benjamin Sanford
- Department of Psychiatry, University of Michigan, Michigan, MI, United States
| | - Vincent Koppelmans
- Department of Psychiatry, The University of Utah, Salt Lake City, UT, United States
| | - Margit Burmeister
- Michigan Neuroscience Institute and Departments of Computational Medicine & Bioinformatics, Human Genetics and Psychiatry, The University of Michigan, Michigan, MI, United States
| | - Brian J. Mickey
- Department of Psychiatry, The University of Utah, Salt Lake City, UT, United States
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4
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Golubchik P, Schoen G, Weizman A. Mood and Proneness to Boredom Are Associated with Poorer Continuous Performance Test Results, Which May Improve with Methylphenidate Treatment, in Attention-Deficit/Hyperactivity Disorder. J Child Adolesc Psychopharmacol 2021; 31:310-314. [PMID: 33956509 DOI: 10.1089/cap.2021.0001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
Objectives: This study aimed to evaluate the relationship between baseline test of variables of attention (TOVA) performance, attention-deficit/hyperactivity disorder (ADHD) symptom severity, mood symptoms, proneness to boredom in children with ADHD, and to assess the responses of the various scales to methylphenidate treatment. Methods: Thirty-three children and adolescents with ADHD, aged 7-18 years, were assessed at baseline with TOVA and treated for 3 months thereafter with methylphenidate. The ADHD Rating Scale (ADHD-RS), Short Boredom Proneness Scale (SBPS), Children's Depression Inventory (CDI) scale, and CDI-academic and social subscale (CDI-AS) were administered to all participants at baseline and after 3 months of methylphenidate (MPH) treatment. Results: The baseline TOVA reaction time (RT) and RT variability parameters correlated with baseline SBPS and CDI-AS scores as well as with baseline total CDI scores. Significant improvements were found in ADHD-RS, SBPS, and CDI-AS scores after MPH treatment. The alteration in ADHD-RS correlated with parallel changes in SBPS and CDI-AS scores. Conclusions: Mood and proneness to boredom correlate with poor attention-span in children with ADHD. Improvement in ADHD levels after MPH treatment correlates with a parallel decrease in mood symptoms related to academic achievement and social functioning.
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Affiliation(s)
- Pavel Golubchik
- Child and Adolescent Outpatient Clinic, Geha Mental Health Center, Petah Tikva, Israel.,Department of Psychiatry, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Gila Schoen
- Child and Adolescent Outpatient Clinic, Geha Mental Health Center, Petah Tikva, Israel
| | - Abraham Weizman
- Department of Psychiatry, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.,Research Unit, Geha Mental Health Center, Petah Tikva, Israel.,Laboratory of Molecular Medicine, Felsenstein Medical Research Center, Sackler Faculty of Medicine, Tel Aviv University, Petah Tikva, Israel
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5
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Yoo JH, Kim JI, Kim BN, Jeong B. Exploring characteristic features of attention-deficit/hyperactivity disorder: findings from multi-modal MRI and candidate genetic data. Brain Imaging Behav 2021; 14:2132-2147. [PMID: 31321662 DOI: 10.1007/s11682-019-00164-x] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
The current study examined whether machine learning features best distinguishing attention-deficit/hyperactivity disorder (ADHD) from typically developing children (TDC) can explain clinical phenotypes using multi-modal neuroimaging and genetic data. Cortical morphology, diffusivity scalars, resting-state functional connectivity and polygenic risk score (PS) from norepinephrine, dopamine and glutamate genes were extracted from 47 ADHD and 47 matched TDC. Using random forests, classification accuracy was measured for each uni- and multi-modal model. The optimal model was used to explain symptom severity or task performance and its robustness was validated in the independent dataset including 18 ADHD and 18 TDC. The model consisting of cortical thickness and volume features achieved the best accuracy of 85.1%. Morphological changes across insula, sensory/motor, and inferior frontal cortex were also found as key predictors. Those explained 18.0% of ADHD rating scale, while dynamic regional homogeneity within default network explained 6.4% of the omission errors in continuous performance test. Ensemble of PS to optimal model showed minor effect on accuracy. Validation analysis achieved accuracy of 69.4%. Current findings suggest that structural deformities relevant to salience detection, sensory processing, and response inhibition may be robust classifiers and symptom predictors of ADHD. Altered local functional connectivity across default network predicted attentional lapse. However, further investigation is needed to clarify roles of genetic predisposition.
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Affiliation(s)
- Jae Hyun Yoo
- Department of Psychiatry, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, Seoul, 06591, Republic of Korea
| | - Johanna Inhyang Kim
- Department of Psychiatry, Hanyang University Medical Center, 222-1 Wangsimni-ro, Seongdong-gu, Seoul, 04763, Republic of Korea
| | - Bung-Nyun Kim
- Division of Child and Adolescent Psychiatry, Department of Neuropsychiatry, Seoul National University Hospital College of Medicine, 101 Daehak-no, Chongno-gu, Seoul, 03080, Republic of Korea.
| | - Bumseok Jeong
- Laboratory of Computational Affective Neuroscience and Development, Graduate School of Medical Science and Engineering, Korea Advanced Institute for Science and Technology (KAIST), 291 Daehak-ro, Yuseong-gu, Daejeon, 34141, Republic of Korea. .,KI for Health Science and Technology, KAIST Institute, KAIST, 291 Daehak-ro, Yuseong-gu, Daejeon, 34141, Republic of Korea.
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6
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Olsen D, Wellner N, Kaas M, de Jong IEM, Sotty F, Didriksen M, Glerup S, Nykjaer A. Altered dopaminergic firing pattern and novelty response underlie ADHD-like behavior of SorCS2-deficient mice. Transl Psychiatry 2021; 11:74. [PMID: 33495438 PMCID: PMC7835366 DOI: 10.1038/s41398-021-01199-9] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/13/2018] [Revised: 12/12/2020] [Accepted: 01/05/2021] [Indexed: 01/03/2023] Open
Abstract
Attention deficit hyperactivity disorder (ADHD) is the most frequently diagnosed neurodevelopmental disorder worldwide. Affected individuals present with hyperactivity, inattention, and cognitive deficits and display a characteristic paradoxical response to drugs affecting the dopaminergic system. However, the underlying pathophysiology of ADHD and how this relates to dopaminergic transmission remains to be fully understood. Sorcs2-/- mice uniquely recapitulate symptoms reminiscent of ADHD in humans. Here, we show that lack of SorCS2 in mice results in lower sucrose intake, indicating general reward deficits. Using in-vivo recordings, we further find that dopaminergic transmission in the ventral tegmental area (VTA) is shifted towards a more regular firing pattern with marked reductions in the relative occurrence of irregular firing in Sorcs2-/- mice. This was paralleled by abnormal acute behavioral responses to dopamine receptor agonists, suggesting fundamental differences in dopaminergic circuits and indicating a perturbation in the balance between the activities of the postsynaptic dopamine receptor DRD1 and the presynaptic inhibitory autoreceptor DRD2. Interestingly, the hyperactivity and drug response of Sorcs2-/- mice were markedly affected by novelty. Taken together, our findings show how loss of a candidate ADHD-risk gene has marked effects on dopaminergic circuit function and the behavioral response to the environment.
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Affiliation(s)
- Ditte Olsen
- grid.7048.b0000 0001 1956 2722Department of Biomedicine, Aarhus University, Hoegh-Guldbergsgade 10, DK-8000 Aarhus C, Denmark ,grid.424580.f0000 0004 0476 7612Neurodegeneration and Biologics, H. Lundbeck A/S, Ottiliavej 9, DK-2500 Valby, Denmark ,grid.7048.b0000 0001 1956 2722Present Address: Department of Biomedicine, Aarhus University, Hoegh-Guldbergsgade 10, DK-8000 Aarhus C, Denmark
| | - Niels Wellner
- grid.7048.b0000 0001 1956 2722Department of Biomedicine, Aarhus University, Hoegh-Guldbergsgade 10, DK-8000 Aarhus C, Denmark ,grid.7048.b0000 0001 1956 2722Danish Research Institute of Translational Neuroscience DANDRITE Nordic-EMBL Partnership, Department of Biomedicine, Aarhus University, Hoegh-Guldbergsgade 10, DK-8000 Aarhus C, Denmark
| | - Mathias Kaas
- grid.7048.b0000 0001 1956 2722Department of Biomedicine, Aarhus University, Hoegh-Guldbergsgade 10, DK-8000 Aarhus C, Denmark
| | - Inge E. M. de Jong
- grid.424580.f0000 0004 0476 7612Neurodegeneration and Biologics, H. Lundbeck A/S, Ottiliavej 9, DK-2500 Valby, Denmark
| | - Florence Sotty
- grid.424580.f0000 0004 0476 7612Neurodegeneration and Biologics, H. Lundbeck A/S, Ottiliavej 9, DK-2500 Valby, Denmark
| | - Michael Didriksen
- grid.424580.f0000 0004 0476 7612Neurodegeneration and Biologics, H. Lundbeck A/S, Ottiliavej 9, DK-2500 Valby, Denmark
| | - Simon Glerup
- Department of Biomedicine, Aarhus University, Hoegh-Guldbergsgade 10, DK-8000, Aarhus C, Denmark.
| | - Anders Nykjaer
- Department of Biomedicine, Aarhus University, Hoegh-Guldbergsgade 10, DK-8000, Aarhus C, Denmark. .,Danish Research Institute of Translational Neuroscience DANDRITE Nordic-EMBL Partnership, Department of Biomedicine, Aarhus University, Hoegh-Guldbergsgade 10, DK-8000, Aarhus C, Denmark. .,The Danish National Research Foundation Center PROMEMO, Aarhus University, Hoegh-Guldbergsgade 10, DK-8000, Aarhus C, Denmark. .,Department of Neurosurgery, Skejby University Hospital, Palle Juul-Jensens Blvd. 99, DK-8200, Aarhus N, Denmark.
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7
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Hilger K, Sassenhagen J, Kühnhausen J, Reuter M, Schwarz U, Gawrilow C, Fiebach CJ. Neurophysiological markers of ADHD symptoms in typically-developing children. Sci Rep 2020; 10:22460. [PMID: 33384437 PMCID: PMC7775445 DOI: 10.1038/s41598-020-80562-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2020] [Accepted: 12/23/2020] [Indexed: 12/24/2022] Open
Abstract
Children with attention-deficit/hyperactivity disorder (ADHD) are characterized by symptoms of inattention, impulsivity, and hyperactivity. Neurophysiological correlates of ADHD include changes in the P3 component of event-related brain potentials (ERPs). Motivated by recent advances towards a more dimensional understanding of ADHD, we investigate whether ADHD-related ERP markers relate to continuous variations in attention and executive functioning also in typically-developing children. ERPs were measured while 31 school children (9-11 years) completed an adapted version of the Continuous Performance Task that additionally to inhibitory processes also isolates effects of physical stimulus salience. Children with higher levels of parent-reported ADHD symptoms did not differ in task performance, but exhibited smaller P3 amplitudes related to stimulus salience. Furthermore, ADHD symptoms were associated with the variability of neural responses over time: Children with higher levels of ADHD symptoms demonstrated lower variability in inhibition- and salience-related P3 amplitudes. No effects were observed for ERP latencies and the salience-related N2. By demonstrating that ADHD-associated neurophysiological mechanisms of inhibition and salience processing covary with attention and executive functioning in a children community sample, our study provides neurophysiological support for dimensional models of ADHD. Also, temporal variability in event-related potentials is highlighted as additional indicator of ADHD requiring further investigation.
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Affiliation(s)
- Kirsten Hilger
- Department of Psychology, Goethe University Frankfurt, Frankfurt am Main, Germany. .,Department of Psychology I, University Würzburg, Marcusstr. 9-11, 97070, Würzburg, Germany. .,IDeA Center for Individual Development and Adaptive Education, Frankfurt am Main, Germany.
| | - Jona Sassenhagen
- Department of Psychology, Goethe University Frankfurt, Frankfurt am Main, Germany
| | - Jan Kühnhausen
- IDeA Center for Individual Development and Adaptive Education, Frankfurt am Main, Germany.,LEAD Graduate School and Research Network, Eberhard Karls University Tübingen, Tübingen, Germany.,Department of Psychiatry, Psychosomatics and Psychotherapy in Childhood and Adolescence, University Hospital Tübingen, Tübingen, Germany
| | - Merle Reuter
- IDeA Center for Individual Development and Adaptive Education, Frankfurt am Main, Germany.,Department of Psychology, University Tübingen, Tübingen, Germany
| | - Ulrike Schwarz
- IDeA Center for Individual Development and Adaptive Education, Frankfurt am Main, Germany.,Department of Psychology, University Tübingen, Tübingen, Germany
| | - Caterina Gawrilow
- IDeA Center for Individual Development and Adaptive Education, Frankfurt am Main, Germany.,Department of Psychology, University Tübingen, Tübingen, Germany
| | - Christian J Fiebach
- Department of Psychology, Goethe University Frankfurt, Frankfurt am Main, Germany.,IDeA Center for Individual Development and Adaptive Education, Frankfurt am Main, Germany.,Brain Imaging Center, Goethe University Frankfurt, Frankfurt am Main, Germany
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8
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Morandini HA, Silk TJ, Griffiths K, Rao P, Hood SD, Zepf FD. Meta-analysis of the neural correlates of vigilant attention in children and adolescents. Cortex 2020; 132:374-385. [DOI: 10.1016/j.cortex.2020.08.008] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2019] [Revised: 07/10/2020] [Accepted: 08/18/2020] [Indexed: 01/02/2023]
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9
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Bonmassar C, Widmann A, Wetzel N. The impact of novelty and emotion on attention-related neuronal and pupil responses in children. Dev Cogn Neurosci 2020; 42:100766. [PMID: 32452459 PMCID: PMC7068055 DOI: 10.1016/j.dcn.2020.100766] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2019] [Revised: 12/13/2019] [Accepted: 02/01/2020] [Indexed: 11/21/2022] Open
Abstract
Focusing on relevant and ignoring irrelevant information is essential for many learning processes. The present study investigated attention-related brain activity and pupil dilation responses, evoked by task-irrelevant emotional novel sounds. In the framework of current theories about the relation between attention and the locus coeruleus-norepinephrine (LC-NE) system, we simultaneously registered event-related potentials (ERPs) in the EEG and changes in pupil diameter (PDR). Unexpected emotional negative and neutral environmental novel sounds were presented within a sequence of repeated standard sounds to 7-10-year-old children and to adults, while participants focused on a visual task. Novel sounds evoked distinctive ERP components, reflecting attention processes and a biphasic PDR in both age groups. Amplitudes of the novel-minus-standard ERPs were increased in children compared to adults, indicating immature neuronal basis of auditory attention in middle childhood. Emotional versus neutral novel sounds evoked increased responses in the ERPs and in the PDR in both age groups. This demonstrates the increased impact of emotional sounds on attention mechanisms and indicates an advanced level of emotional information processing in children. The similar pattern of novel-related PDR and ERPs is conforming to recent theories, emphasizing the role of the LC-NE system in attention processes adding a developmental perspective.
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Affiliation(s)
| | - Andreas Widmann
- Leibniz Institute for Neurobiology, Magdeburg, Germany; Institute of Psychology, Leipzig University, Leipzig, Germany
| | - Nicole Wetzel
- Leibniz Institute for Neurobiology, Magdeburg, Germany; University of Applied Sciences Magdeburg-Stendal, Germany; Center for Behavioral Brain Sciences, Magdeburg, Germany
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10
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Hernández-Álvarez DM, Pacheco L, Velasco-Segura R, Pérez de la Mora M, Tejeda-Romero C, González-García N. Default Mode Network Efficiency Is Correlated With Deficits in Inhibition in Adolescents With Inhalant Use Disorder. Front Psychiatry 2020; 11:209. [PMID: 32273856 PMCID: PMC7113382 DOI: 10.3389/fpsyt.2020.00209] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/11/2019] [Accepted: 03/03/2020] [Indexed: 11/28/2022] Open
Abstract
It is well established that alterations in cognitive function and damage to brain structures are often found in adolescents who have substance use disorder (SUD). However, deficits in executive cognitive functioning in adolescents related to the vulnerability and consumption of such substances are not well known. In this study, we use graph theoretic analysis to compare the network efficiency in the resting state for three networks-default mode network (DMN), salience network (SN) and fronto-parietal network (FPN)-between inhalant-consuming adolescents and a control group (12 to 17 years old). We analyzed whether the efficiency of these functional networks was related to working memory, mental flexibility, inhibition of response, and sequential planning. We found that, when compared to the control group, inhalant-consuming adolescents presented with important deficits in communication among brain regions that comprise the DMN, SN, and FPN networks. DMN is the most affected network by inhalant abuse during adolescence. The mediation analyses suggested that the relationship between inhalant abuse and inhibitory control and sequential planning was partly mediated by DMN efficiency.
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Affiliation(s)
- Dailett M Hernández-Álvarez
- Department of Cognitive Neuroscience, Instituto de Fisiología Celular, Universidad Nacional Autónoma de México, Mexico City, Mexico
| | - Lucero Pacheco
- Department of Cognitive Neuroscience, Instituto de Fisiología Celular, Universidad Nacional Autónoma de México, Mexico City, Mexico
| | - Roberto Velasco-Segura
- Instituto de Ciencias Aplicadas y Tecnología, Universidad Nacional Autónoma de México, Mexico City, Mexico
| | - Miguel Pérez de la Mora
- Department of Cognitive Neuroscience, Instituto de Fisiología Celular, Universidad Nacional Autónoma de México, Mexico City, Mexico
| | | | - Nadia González-García
- Laboratory of Neurosciences, Hospital Infantil de México Federico Gómez, Mexico City, Mexico
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11
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Arrington CN, Malins JG, Winter R, Mencl WE, Pugh KR, Morris R. Examining individual differences in reading and attentional control networks utilizing an oddball fMRI task. Dev Cogn Neurosci 2019; 38:100674. [PMID: 31252201 PMCID: PMC6969343 DOI: 10.1016/j.dcn.2019.100674] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2018] [Revised: 01/28/2019] [Accepted: 06/17/2019] [Indexed: 12/15/2022] Open
Abstract
The aim of the current study was to develop an fMRI task capable of characterizing individual differences in reading and attentional domains. Forty-nine students with a range of reading and attentional control abilities completed an event-related fMRI oddball task consisting of printed word and false font stimuli. Reading network activation was assessed by contrasting printed words with false font stimuli. Left inferior frontal gyrus and superior/middle temporal gyrus showed a main effect of stimulus type. The magnitude of the difference in activation between words and false font was correlated with word reading for both regions and reading fluency for superior/middle temporal gyrus. Regions including bilateral middle cingulate, insula and right inferior frontal gyrus showed a main effect of trial type. The difference in activation between oddball and standard trials in the right superior/middle temporal gyrus and left cerebellum was correlated with attentional control measures. Results indicate the task tapped both reading and attentional control resources. Understanding the contribution of the neural networks supporting each of these domains may provide insight into the shared neural deficits underlying the co-morbidity between developmental dyslexia and attention deficit hyperactivity disorder.
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Affiliation(s)
- C Nikki Arrington
- Department of Psychology, Georgia State University, Atlanta, GA 30303, United States.
| | - Jeffrey G Malins
- Department of Psychology, Georgia State University, Atlanta, GA 30303, United States; Department of Pediatrics, Yale University School of Medicine, New Haven, CT 06520, United States; Haskins Laboratories, New Haven, CT 06511, United States
| | - Rebecca Winter
- Department of Psychology, Georgia State University, Atlanta, GA 30303, United States
| | - W Einar Mencl
- Haskins Laboratories, New Haven, CT 06511, United States; Department of Linguistics, Yale University, New Haven, CT 06520, United States
| | - Kenneth R Pugh
- Haskins Laboratories, New Haven, CT 06511, United States; Department of Linguistics, Yale University, New Haven, CT 06520, United States; Department of Psychological Sciences, University of Connecticut, Storrs, CT 06269, United States
| | - Robin Morris
- Department of Psychology, Georgia State University, Atlanta, GA 30303, United States
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12
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Yerys BE, Tunç B, Satterthwaite TD, Antezana L, Mosner MG, Bertollo JR, Guy L, Schultz RT, Herrington JD. Functional Connectivity of Frontoparietal and Salience/Ventral Attention Networks Have Independent Associations With Co-occurring Attention-Deficit/Hyperactivity Disorder Symptoms in Children With Autism. BIOLOGICAL PSYCHIATRY. COGNITIVE NEUROSCIENCE AND NEUROIMAGING 2019; 4:343-351. [PMID: 30777604 PMCID: PMC6456394 DOI: 10.1016/j.bpsc.2018.12.012] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/17/2018] [Revised: 12/17/2018] [Accepted: 12/17/2018] [Indexed: 01/01/2023]
Abstract
BACKGROUND Children with autism spectrum disorder (ASD) and co-occurring attention-deficit/hyperactivity disorder (ADHD) symptoms have worse functional outcomes and treatment response than those without ADHD symptoms. There is limited knowledge of the neurobiology of ADHD symptoms in ASD. Here, we test the hypothesis that aberrant functional connectivity of two large-scale executive brain networks implicated in ADHD-the frontoparietal and salience/ventral attention networks-also play a role in ADHD symptoms in ASD. METHODS We compared resting-state functional connectivity of the two executive brain networks in children with ASD (n = 77) and typically developing control children (n = 82). These two executive brain networks comprise five subnetworks (three frontoparietal, two salience/ventral attention). After identifying aberrant functional connections among subnetworks, we examined dimensional associations with parent-reported ADHD symptoms. RESULTS Weaker functional connectivity in ASD was present within and between the frontoparietal and salience/ventral attention subnetworks. Decreased functional connectivity within a single salience/ventral attention subnetwork, as well as between two frontoparietal subnetworks, significantly correlated with ADHD symptoms. Furthermore, follow-up linear regressions demonstrated that the salience/ventral attention and frontoparietal subnetworks explain unique variance in ADHD symptoms. These executive brain network-ADHD symptom relationships remained significant after controlling for ASD symptoms. Finally, specificity was also demonstrated through the use of a control brain network (visual) and a control co-occurring symptom domain (anxiety). CONCLUSIONS The present findings provide novel evidence that both frontoparietal and salience/ventral attention networks' weaker connectivities are linked to ADHD symptoms in ASD. Moreover, co-occurring ADHD in the context of ASD is a source of meaningful neural heterogeneity in ASD.
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Affiliation(s)
- Benjamin E Yerys
- Center for Autism Research and Department of Child and Adolescent Psychiatry and Behavioral Sciences, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania; Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
| | - Birkan Tunç
- Center for Autism Research and Department of Child and Adolescent Psychiatry and Behavioral Sciences, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania; Department of Biomedical and Health Information, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania; Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania
| | - Theodore D Satterthwaite
- Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania
| | - Ligia Antezana
- Department of Psychology, Virginia Polytechnic Institute and State University, Blacksburg, Virginia
| | - Maya G Mosner
- Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill, North Carolina
| | - Jennifer R Bertollo
- Center for Autism Research and Department of Child and Adolescent Psychiatry and Behavioral Sciences, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania; Department of Psychology, Virginia Polytechnic Institute and State University, Blacksburg, Virginia
| | - Lisa Guy
- Department of Psychiatry, School of Medicine, University of North Carolina at Chapel Hill, North Carolina
| | - Robert T Schultz
- Center for Autism Research and Department of Child and Adolescent Psychiatry and Behavioral Sciences, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania; Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania; Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania
| | - John D Herrington
- Center for Autism Research and Department of Child and Adolescent Psychiatry and Behavioral Sciences, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania; Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania
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13
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Updated European Consensus Statement on diagnosis and treatment of adult ADHD. Eur Psychiatry 2018; 56:14-34. [DOI: 10.1016/j.eurpsy.2018.11.001] [Citation(s) in RCA: 201] [Impact Index Per Article: 33.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/09/2018] [Revised: 11/02/2018] [Accepted: 11/03/2018] [Indexed: 12/17/2022] Open
Abstract
AbstractBackground Attention-deficit/hyperactivity disorder (ADHD) is among the most common psychiatric disorders of childhood that often persists into adulthood and old age. Yet ADHD is currently underdiagnosed and undertreated in many European countries, leading to chronicity of symptoms and impairment, due to lack of, or ineffective treatment, and higher costs of illness.Methods The European Network Adult ADHD and the Section for Neurodevelopmental Disorders Across the Lifespan (NDAL) of the European Psychiatric Association (EPA), aim to increase awareness and knowledge of adult ADHD in and outside Europe. This Updated European Consensus Statement aims to support clinicians with research evidence and clinical experience from 63 experts of European and other countries in which ADHD in adults is recognized and treated.Results Besides reviewing the latest research on prevalence, persistence, genetics and neurobiology of ADHD, three major questions are addressed: (1) What is the clinical picture of ADHD in adults? (2) How should ADHD be properly diagnosed in adults? (3) How should adult ADHDbe effectively treated?Conclusions ADHD often presents as a lifelong impairing condition. The stigma surrounding ADHD, mainly due to lack of knowledge, increases the suffering of patients. Education on the lifespan perspective, diagnostic assessment, and treatment of ADHD must increase for students of general and mental health, and for psychiatry professionals. Instruments for screening and diagnosis of ADHD in adults are available, as are effective evidence-based treatments for ADHD and its negative outcomes. More research is needed on gender differences, and in older adults with ADHD.
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Hupfeld KE, Abagis TR, Shah P. Living “in the zone”: hyperfocus in adult ADHD. ACTA ACUST UNITED AC 2018; 11:191-208. [DOI: 10.1007/s12402-018-0272-y] [Citation(s) in RCA: 31] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2018] [Accepted: 09/20/2018] [Indexed: 01/11/2023]
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15
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Kyeong S, Kim JJ, Kim E. Novel subgroups of attention-deficit/hyperactivity disorder identified by topological data analysis and their functional network modular organizations. PLoS One 2017; 12:e0182603. [PMID: 28829775 PMCID: PMC5567504 DOI: 10.1371/journal.pone.0182603] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2017] [Accepted: 07/23/2017] [Indexed: 11/18/2022] Open
Abstract
Attention-deficit/hyperactivity disorder (ADHD) is a clinically heterogeneous condition and identification of clinically meaningful subgroups would open up a new window for personalized medicine. Thus, we aimed to identify new clinical phenotypes in children and adolescents with ADHD and to investigate whether neuroimaging findings validate the identified phenotypes. Neuroimaging and clinical data from 67 children with ADHD and 62 typically developing controls (TDCs) from the ADHD-200 database were selected. Clinical measures of ADHD symptoms and intelligence quotient (IQ) were used as input features into a topological data analysis (TDA) to identify ADHD subgroups within our sample. As external validators, graph theoretical measures obtained from the functional connectome were compared to address the biological meaningfulness of the identified subtypes. The TDA identified two unique subgroups of ADHD, labelled as mild symptom ADHD (mADHD) and severe symptom ADHD (sADHD). The output topology shape was repeatedly observed in the independent validation dataset. The graph theoretical analysis showed a decrease in the degree centrality and PageRank in the bilateral posterior cingulate cortex in the sADHD group compared with the TDC group. The mADHD group showed similar patterns of intra- and inter-module connectivity to the sADHD group. Relative to the TDC group, the inter-module connectivity between the default mode network and executive control network were significantly increased in the sADHD group but not in the mADHD group. Taken together, our results show that the data-driven TDA is potentially useful in identifying objective and biologically relevant disease phenotypes in children and adolescents with ADHD.
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Affiliation(s)
- Sunghyon Kyeong
- Severance Biomedical Science Institute, Yonsei University College of Medicine, Seoul, Republic of Korea
| | - Jae-Jin Kim
- Severance Biomedical Science Institute, Yonsei University College of Medicine, Seoul, Republic of Korea
- Department of Psychiatry and Institute of Behavioral Science in Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea
| | - Eunjoo Kim
- Department of Psychiatry and Institute of Behavioral Science in Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea
- * E-mail:
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16
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On the Globality of Motor Suppression: Unexpected Events and Their Influence on Behavior and Cognition. Neuron 2017; 93:259-280. [PMID: 28103476 DOI: 10.1016/j.neuron.2016.12.013] [Citation(s) in RCA: 250] [Impact Index Per Article: 35.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2016] [Revised: 11/21/2016] [Accepted: 12/05/2016] [Indexed: 02/08/2023]
Abstract
Unexpected events are part of everyday experience. They come in several varieties-action errors, unexpected action outcomes, and unexpected perceptual events-and they lead to motor slowing and cognitive distraction. While different varieties of unexpected events have been studied largely independently, and many different mechanisms are thought to explain their effects on action and cognition, we suggest a unifying theory. We propose that unexpected events recruit a fronto-basal-ganglia network for stopping. This network includes specific prefrontal cortical nodes and is posited to project to the subthalamic nucleus, with a putative global suppressive effect on basal-ganglia output. We argue that unexpected events interrupt action and impact cognition, partly at least, by recruiting this global suppressive network. This provides a common mechanistic basis for different types of unexpected events; links the literatures on motor inhibition, performance monitoring, attention, and working memory; and is relevant for understanding clinical symptoms of distractibility and mental inflexibility.
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17
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A circuit-based mechanism underlying familiarity signaling and the preference for novelty. Nat Neurosci 2017; 20:1260-1268. [PMID: 28714952 PMCID: PMC5752132 DOI: 10.1038/nn.4607] [Citation(s) in RCA: 40] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2017] [Accepted: 06/16/2017] [Indexed: 02/07/2023]
Abstract
Novelty preference (NP) is an evolutionarily conserved, essential survival mechanism often dysregulated in neuropsychiatric disorders. NP is mediated by a motivational dopamine signal that increases in response to novel stimuli thereby driving exploration. However, the mechanism by which once novel stimuli transitions to familiar stimuli is unknown. Here we describe a neuroanatomical substrate for familiarity signaling, the interpeduncular nucleus (IPN) of the midbrain, which is activated as novel stimuli become familiar with multiple exposures. Optogenetic silencing of IPN neurons increases salience of and interaction with familiar stimuli without affecting novelty responses; whereas, photo-activation of the same neurons reduces exploration of novel stimuli mimicking familiarity. Bi-directional control of NP by the IPN depends on familiarity- and novelty-signals arising from excitatory habenula and dopaminergic ventral tegmental area inputs, which activate and reduce IPN activity, respectively. These results demonstrate that familiarity signals through unique IPN circuitry that opposes novelty seeking to control NP.
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18
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McDiarmid TA, Bernardos AC, Rankin CH. Habituation is altered in neuropsychiatric disorders-A comprehensive review with recommendations for experimental design and analysis. Neurosci Biobehav Rev 2017; 80:286-305. [PMID: 28579490 DOI: 10.1016/j.neubiorev.2017.05.028] [Citation(s) in RCA: 69] [Impact Index Per Article: 9.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2016] [Accepted: 05/29/2017] [Indexed: 02/03/2023]
Abstract
Abnormalities in the simplest form of learning, habituation, have been reported in a variety of neuropsychiatric disorders as etiologically diverse as Autism Spectrum Disorder, Fragile X syndrome, Schizophrenia, Parkinson's Disease, Huntington's Disease, Attention Deficit Hyperactivity Disorder, Tourette's Syndrome, and Migraine. Here we provide the first comprehensive review of what is known about alterations in this form of non-associative learning in each disorder. Across several disorders, abnormal habituation is predictive of symptom severity, highlighting the clinical significance of habituation and its importance to normal cognitive function. Abnormal habituation is discussed within the greater framework of learning theory and how it may relate to disease phenotype either as a cause, symptom, or therapy. Important considerations for the design and interpretation of habituation experiments are outlined with the hope that these will aid both clinicians and basic researchers investigating how this simple form of learning is altered in disease.
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Affiliation(s)
- Troy A McDiarmid
- Graduate Program in Neuroscience, University of British Columbia, 2215 Wesbrook Mall, Vancouver, British Columbia, V6T 1Z3, Canada; Djavad Mowafaghian Centre for Brain Health, University of British Columbia, Rm F221, 2211 Wesbrook Mall, Vancouver, British Columbia, V6T 2B5, Canada
| | - Aram C Bernardos
- Graduate Program in Neuroscience, University of British Columbia, 2215 Wesbrook Mall, Vancouver, British Columbia, V6T 1Z3, Canada; Djavad Mowafaghian Centre for Brain Health, University of British Columbia, Rm F221, 2211 Wesbrook Mall, Vancouver, British Columbia, V6T 2B5, Canada
| | - Catharine H Rankin
- Department of Psychology, University of British Columbia, 2136 West Mall, Vancouver, British Columbia, V6T 1Z4, Canada; Djavad Mowafaghian Centre for Brain Health, University of British Columbia, Rm F221, 2211 Wesbrook Mall, Vancouver, British Columbia, V6T 2B5, Canada.
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19
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Qureshi MNI, Oh J, Min B, Jo HJ, Lee B. Multi-modal, Multi-measure, and Multi-class Discrimination of ADHD with Hierarchical Feature Extraction and Extreme Learning Machine Using Structural and Functional Brain MRI. Front Hum Neurosci 2017; 11:157. [PMID: 28420972 PMCID: PMC5378777 DOI: 10.3389/fnhum.2017.00157] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2016] [Accepted: 03/16/2017] [Indexed: 12/18/2022] Open
Abstract
Structural and functional MRI unveil many hidden properties of the human brain. We performed this multi-class classification study on selected subjects from the publically available attention deficit hyperactivity disorder ADHD-200 dataset of patients and healthy children. The dataset has three groups, namely, ADHD inattentive, ADHD combined, and typically developing. We calculated the global averaged functional connectivity maps across the whole cortex to extract anatomical atlas parcellation based features from the resting-state fMRI (rs-fMRI) data and cortical parcellation based features from the structural MRI (sMRI) data. In addition, the preprocessed image volumes from both of these modalities followed an ANOVA analysis separately using all the voxels. This study utilized the average measure from the most significant regions acquired from ANOVA as features for classification in addition to the multi-modal and multi-measure features of structural and functional MRI data. We extracted most discriminative features by hierarchical sparse feature elimination and selection algorithm. These features include cortical thickness, image intensity, volume, cortical thickness standard deviation, surface area, and ANOVA based features respectively. An extreme learning machine performed both the binary and multi-class classifications in comparison with support vector machines. This article reports prediction accuracy of both unimodal and multi-modal features from test data. We achieved 76.190% (p < 0.0001) classification accuracy in multi-class settings as well as 92.857% (p < 0.0001) classification accuracy in binary settings. In addition, we found ANOVA-based significant regions of the brain that also play a vital role in the classification of ADHD. Thus, from a clinical perspective, this multi-modal group analysis approach with multi-measure features may improve the accuracy of the ADHD differential diagnosis.
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Affiliation(s)
- Muhammad Naveed Iqbal Qureshi
- Department of Biomedical Science and Engineering, Institute of Integrated Technology, Gwangju Institute of Science and TechnologyGwangju, South Korea
| | - Jooyoung Oh
- Department of Biomedical Science and Engineering, Institute of Integrated Technology, Gwangju Institute of Science and TechnologyGwangju, South Korea
| | - Beomjun Min
- Department of Neuropsychiatry, Seoul National University HospitalSeoul, South Korea
| | - Hang Joon Jo
- Department of Neurologic Surgery, Mayo ClinicRochester, MN, USA
| | - Boreom Lee
- Department of Biomedical Science and Engineering, Institute of Integrated Technology, Gwangju Institute of Science and TechnologyGwangju, South Korea
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20
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Lee D, Lee J, Lee JE, Jung YC. Altered functional connectivity in default mode network in Internet gaming disorder: Influence of childhood ADHD. Prog Neuropsychopharmacol Biol Psychiatry 2017; 75:135-141. [PMID: 28174127 DOI: 10.1016/j.pnpbp.2017.02.005] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/16/2016] [Revised: 09/21/2016] [Accepted: 02/03/2017] [Indexed: 01/30/2023]
Abstract
OBJECTIVE Internet gaming disorder (IGD) is a type of behavioral addiction characterized by abnormal executive control, leading to loss of control over excessive gaming. Attention deficit and hyperactivity disorder (ADHD) is one of the most common comorbid disorders in IGD, involving delayed development of the executive control system, which could predispose individuals to gaming addiction. We investigated the influence of childhood ADHD on neural network features of IGD. METHODS Resting-state functional magnetic resonance imaging analysis was performed on 44 young, male IGD subjects with and without childhood ADHD and 19 age-matched, healthy male controls. Posterior cingulate cortex (PCC)-seeded connectivity was evaluated to assess abnormalities in default mode network (DMN) connectivity, which is associated with deficits in executive control. RESULTS IGD subjects without childhood ADHD showed expanded functional connectivity (FC) between DMN-related regions (PCC, medial prefrontal cortex, thalamus) compared with controls. These subjects also exhibited expanded FC between the PCC and brain regions implicated in salience processing (anterior insula, orbitofrontal cortex) compared with IGD subjects with childhood ADHD. IGD subjects with childhood ADHD showed expanded FC between the PCC and cerebellum (crus II), a region involved in executive control. The strength of connectivity between the PCC and cerebellum (crus II) was positively correlated with self-reporting scales reflecting impulsiveness. CONCLUSION Individuals with IGD showed altered PCC-based FC, the characteristics of which might be dependent upon history of childhood ADHD. Our findings suggest that altered neural networks for executive control in ADHD would be a predisposition for developing IGD.
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Affiliation(s)
- Deokjong Lee
- Department of Psychiatry, Yonsei University College of Medicine, Seoul 120-752, South Korea; Institute of Behavioral Science in Medicine, Yonsei University College of Medicine, Seoul 120-752, South Korea
| | - Junghan Lee
- Department of Psychiatry, Yonsei University College of Medicine, Seoul 120-752, South Korea; Institute of Behavioral Science in Medicine, Yonsei University College of Medicine, Seoul 120-752, South Korea
| | - Jung Eun Lee
- Department of Psychiatry, Yonsei University College of Medicine, Seoul 120-752, South Korea; Institute of Behavioral Science in Medicine, Yonsei University College of Medicine, Seoul 120-752, South Korea
| | - Young-Chul Jung
- Department of Psychiatry, Yonsei University College of Medicine, Seoul 120-752, South Korea; Institute of Behavioral Science in Medicine, Yonsei University College of Medicine, Seoul 120-752, South Korea.
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21
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Memory-guided force output is associated with self-reported ADHD symptoms in young adults. Exp Brain Res 2016; 234:3203-3212. [PMID: 27394915 DOI: 10.1007/s00221-016-4718-1] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2016] [Accepted: 06/27/2016] [Indexed: 12/11/2022]
Abstract
Attention-deficit/hyperactivity disorder (ADHD) is the most commonly diagnosed mental health disorder in childhood and persists into adulthood in up to 65 % of cases. ADHD is associated with adverse outcomes such as the ability to gain and maintain employment and is associated with an increased risk for substance abuse obesity workplace injuries and traffic accidents A majority of diagnosed children have motor deficits; however, few studies have examined motor deficits in young adults. This study provides a novel examination of visuomotor control of grip force in young adults with and without ADHD. Participants were instructed to maintain force production over a 20-second trial with and without real-time visual feedback about their performance. The results demonstrated that when visual feedback was available, adults with ADHD produced slightly higher grip force than controls. However, when visual feedback was removed, adults with ADHD had a faster rate of decay of force, which was associated with ADHD symptom severity and trait impulsivity. These findings suggest that there may be important differences in the way that adults with ADHD integrate visual feedback during continuous motor tasks. These may account for some of the motor impairments reported in children with ADHD. These deficits could result from (1) dysfunctional sensory motor integration and/or (2) deficits in short-term visuomotor memory.
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22
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Lorenzen A, Scholz-Hehn D, Wiesner CD, Wolff S, Bergmann TO, van Eimeren T, Lentfer L, Baving L, Prehn-Kristensen A. Chemosensory processing in children with attention-deficit/hyperactivity disorder. J Psychiatr Res 2016; 76:121-7. [PMID: 26926800 DOI: 10.1016/j.jpsychires.2016.02.007] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/20/2015] [Revised: 02/12/2016] [Accepted: 02/12/2016] [Indexed: 11/18/2022]
Abstract
BACKGROUND In attention-deficit/hyperactivity disorder (ADHD) not only deficits in dopamine-related cognitive functioning have been found but also a lower dopamine-sensitive olfactory threshold. The aim of the present study was to proof that only olfactory but not trigeminal sensitivity is increased in ADHD. Structural magnetic resonance imaging (MRI) was used to show increased olfactory bulb (OB) volume- a structure which is strongly shaped by olfactory performance through the mechanism of neuroplasticity (e.g. synaptogenesis). To elucidate whether cortical mechanisms are involved in altered olfaction in ADHD, functional MRI (fMRI) was introduced. METHODS A total of 18 boys with ADHD and 17 healthy controls (aged 7-12) were included in the study. Olfactory as well as trigeminal detection thresholds were examined. OB sizes were measured by means of structural MRI and an analysis of effective functional (fMRI) coupling of primary olfactory cortex was conducted. The frontal piriform cortex (fPIR) was chosen as seed region because of its importance in processing both trigeminal and olfactory stimuli as well as having profound influence on inner OB-signaling. RESULTS Increased olfactory sensitivity as well as an increase in OB volume was found in ADHD. There were no group differences in sensitivity towards a trigeminal stimulus. Compared to healthy controls, the fPIR in ADHD was more positively coupled with structures belonging to the salience network during olfactory and, to a lesser extent, during trigeminal stimulation. CONCLUSIONS Olfactory functioning is superior in subjects with ADHD. The observed increase in OB volume may relate to higher olfactory sensitivity in terms of neuroplasticity. During the processing of chemosensory stimuli, the primary olfactory cortex in ADHD is differently coupled to higher cortical structures which might indicate an altered top-down influence on OB structure and function.
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Affiliation(s)
- Anna Lorenzen
- Department of Child and Adolescent Psychiatry and Psychotherapy, University Hospital Schleswig-Holstein, Niemannsweg 147, 24105, Kiel, Germany.
| | - Deborah Scholz-Hehn
- Department of Child and Adolescent Psychiatry and Psychotherapy, University Hospital Schleswig-Holstein, Niemannsweg 147, 24105, Kiel, Germany.
| | - Christian D Wiesner
- Department of Child and Adolescent Psychiatry and Psychotherapy, University Hospital Schleswig-Holstein, Niemannsweg 147, 24105, Kiel, Germany.
| | - Stephan Wolff
- Department of Neuroradiology, University Hospital Schleswig-Holstein, Arnold- Heller-Str. 3, 24105, Kiel, Germany.
| | - Til O Bergmann
- Department of Neurology & Stroke, and Hertie Institute for Clinical Brain Research, University of Tübingen, Ottfried-Müller-Str. 25, 72076, Tübingen, Germany; Institute for Medical Psychology and Behavioral Neurobiology, University of Tübingen, Ottfried-Müller-Str. 25, 72076, Tübingen, Germany; Institute of Psychology, Christian-Albrechts University of Kiel, Olshausenstr. 62, 24118, Kiel, Germany.
| | - Thilo van Eimeren
- Department of Nuclear Medicine, University Hospital, Kerpenerstr. 62, 50937, Cologne, Germany; Department of Neurology, University Hospital, Kerpenerstr. 62, 50937, Cologne, Germany.
| | - Luisa Lentfer
- Department of Child and Adolescent Psychiatry and Psychotherapy, University Hospital Schleswig-Holstein, Niemannsweg 147, 24105, Kiel, Germany.
| | - Lioba Baving
- Department of Child and Adolescent Psychiatry and Psychotherapy, University Hospital Schleswig-Holstein, Niemannsweg 147, 24105, Kiel, Germany.
| | - Alexander Prehn-Kristensen
- Department of Child and Adolescent Psychiatry and Psychotherapy, University Hospital Schleswig-Holstein, Niemannsweg 147, 24105, Kiel, Germany.
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Training sensory signal-to-noise resolution in children with ADHD in a global mental health setting. Transl Psychiatry 2016; 6:e781. [PMID: 27070409 PMCID: PMC4872403 DOI: 10.1038/tp.2016.45] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/18/2015] [Revised: 01/22/2016] [Accepted: 01/25/2016] [Indexed: 11/25/2022] Open
Abstract
Children with attention deficit/hyperactivity disorder (ADHD) have impaired focus on goal-relevant signals and fail to suppress goal-irrelevant distractions. To address both these issues, we developed a novel neuroplasticity-based training program that adaptively trains the resolution of challenging sensory signals and the suppression of progressively more challenging distractions. We evaluated this sensory signal-to-noise resolution training in a small sample, global mental health study in Indian children with ADHD. The children trained for 30 h over 6 months in a double-blind, randomized controlled trial. Training completers showed steady and significant improvements in ADHD-associated behaviors from baseline to post training relative to controls, and benefits sustained in a 6-month follow-up. Post-training cognitive assessments showed significant positive results for response inhibition and Stroop interference tests in training completers vs controls, while measures of sustained attention and short-term memory showed nonsignificant improvement trends. Further, training-driven improvements in distractor suppression correlated with the improved ADHD symptoms. This initial study suggests utility of signal-to-noise resolution training for children with ADHD; it emphasizes the need for further research on this intervention and substantially informs the design of a larger trial.
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Tegelbeckers J, Schares L, Lederer A, Bonath B, Flechtner HH, Krauel K. Task-Irrelevant Novel Sounds Improve Attentional Performance in Children With and Without ADHD. Front Psychol 2016; 6:1970. [PMID: 26779082 PMCID: PMC4700136 DOI: 10.3389/fpsyg.2015.01970] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2015] [Accepted: 12/09/2015] [Indexed: 11/13/2022] Open
Abstract
Task-irrelevant salient stimuli involuntarily capture attention and can lead to distraction from an ongoing task, especially in children with ADHD. However, there has been tentative evidence that the presentation of novel sounds can have beneficial effects on cognitive performance. In the present study, we aimed to investigate the influence of novel sounds compared to no sound and a repeatedly presented standard sound on attentional performance in children and adolescents with and without ADHD. We therefore had 32 patients with ADHD and 32 typically developing children and adolescents (8 to 13 years) execute a flanker task in which each trial was preceded either by a repeatedly presented standard sound (33%), an unrepeated novel sound (33%) or no auditory stimulation (33%). Task-irrelevant novel sounds facilitated attentional performance similarly in children with and without ADHD, as indicated by reduced omission error rates, reaction times, and reaction time variability without compromising performance accuracy. By contrast, standard sounds, while also reducing omission error rates and reaction times, led to increased commission error rates. Therefore, the beneficial effect of novel sounds exceeds cueing of the target display by potentially increased alerting and/or enhanced behavioral control.
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Affiliation(s)
- Jana Tegelbeckers
- Department of Child and Adolescent Psychiatry and Psychotherapy, Otto von Guericke University Magdeburg Magdeburg, Germany
| | - Laura Schares
- Department of Child and Adolescent Psychiatry and Psychotherapy, Otto von Guericke University Magdeburg Magdeburg, Germany
| | - Annette Lederer
- Department of Child and Adolescent Psychiatry and Psychotherapy, Otto von Guericke University Magdeburg Magdeburg, Germany
| | - Bjoern Bonath
- Department of Child and Adolescent Psychiatry and Psychotherapy, Otto von Guericke University Magdeburg Magdeburg, Germany
| | - Hans-Henning Flechtner
- Department of Child and Adolescent Psychiatry and Psychotherapy, Otto von Guericke University Magdeburg Magdeburg, Germany
| | - Kerstin Krauel
- Department of Child and Adolescent Psychiatry and Psychotherapy, Otto von Guericke University MagdeburgMagdeburg, Germany; Center for Behavioral Brain SciencesMagdeburg, Germany
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