Pediatric ADHD symptom burden relates to distinct neural activity across executive function domains

Autor: Tehila Nugiel, Mary Abbe Roe, Laura E. Engelhardt, Mackenzie E. Mitchell, Annie Zheng, Jessica A. Church
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: NeuroImage: Clinical, Vol 28, Iss , Pp 102394- (2020)
Druh dokumentu: article
ISSN: 2213-1582
DOI: 10.1016/j.nicl.2020.102394
Popis: Attention-deficit/hyperactivity disorder (ADHD) is a prevalent childhood disorder marked by inattention and/or hyperactivity symptoms. ADHD may also relate to impaired executive function (EF), but is often studied in a single EF task per sample. The current study addresses the question of unique vs. overlapping relations in brain activity across multiple EF tasks and ADHD symptom burden. Three in-scanner tasks drawn from distinct EF domains (cognitive flexibility, working memory, and inhibition) were collected from children with and without an ADHD diagnosis (N = 63). Whole-brain activity and 11 regions of interest were correlated with parent reports of inattention and hyperactivity symptoms. Across the three EF domains, brain activity related to ADHD symptom burden, but the direction and location of these associations differed across tasks. Overall, activity in sensory and default mode network regions related to ADHD, and these relations did not consistently overlap across EF domains. We observed both distinct and overlapping patterns for inattention and hyperactivity symptoms. By studying multiple EF tasks in the same sample, we identified a heterogenous neural profile related to attention symptom burden in children. Our results inform ADHD characterization and treatment and explain some of the variable brain results related to EF and ADHD reported in the literature.
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