Neural substrates underpinning intra-individual variability in children with ADHD: A voxel-based morphometry study

Autor: Huey-Ling Chiang, Hsiang-Yuan Lin, Wen-Yih Isaac Tseng, Shoou-Lian Hwang-Gu, Chi-Yung Shang, Susan Shur-Fen Gau
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Journal of the Formosan Medical Association, Vol 121, Iss 2, Pp 546-556 (2022)
Druh dokumentu: article
ISSN: 0929-6646
DOI: 10.1016/j.jfma.2021.06.003
Popis: Background/purpose: Increased intra-individual variability (IIV) in reaction time (RT) is a key feature of attention-deficit/hyperactivity disorder (ADHD). However, little is known about neurobiology underpinnings of IIV in ADHD. Methods: We assessed 55 youths with ADHD, and 55 individually-matched typically developing control (TDC) with the MRI and Conners' Continuous Performance Test. The ex-Gaussian distribution of RT was estimated to capture IIV with the parameters σ (sigma) and τ (tau). The regional brain volumes, analyzed by voxel-based morphometry, were correlated with IIV parameters. Results: We found both distinct and shared correlations among ADHD and TDC. For grey matter, there were significant σ-by-group interactions in the cingulate cortex and thalamus and also a τ-by-group interaction in the right inferior frontal gyrus. There was also shared negative associations between σ and regional volumes of the right posterior cerebellum and a positive association between τ and the right anterior insula. For white matter, there was a significant σ-by-group interaction in the genu of the corpus callosum and significant τ-by-group interactions in the right anterior corona radiata, the left splenium of the corpus callosum, and bilateral posterior cerebellum. There were also shared patterns that increased τ was associated with increased regional volumes of the right anterior corona radiata and decreased regional volumes of the right posterior limb of the internal capsule. Conclusion: This study highlights that brain regions responsible for the motor, salience processing and multimodal information integration are associated with increased IIV in youths with ADHD.
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