Song Dong Ho, Shin Dong Won, Jon Duk In, Ha Eun Hye
Department of Psychiatry, Yongdong Severance Hospital, Yonsei University College of Medicine, 146-92 Dogok-dong, Kangnam-gu, Seoul 135-720, Korea.
Yonsei Med J. 2005 Feb 28;46(1):34-41. doi: 10.3349/ymj.2005.46.1.34.
The purpose of this study was to investigate the effects of methylphenidate, a psychostimulant, on quantitative electroencephalography (QEEG) during the continuous performance test (CPT) in boys with attention-deficit hyperactivity disorder (ADHD). The QEEG was obtained from 20 boys with ADHD. The amplitudes of 4 bands (alpha, beta, delta, and theta) in the QEEG, as well as the theta /beta ratio, before and after the administration of methylphenidate were compared during both the resting and CPT states. Methylphenidate induced a significant increase of alpha activities in both the right and left frontal and occipital areas, an increase of beta activities in almost all areas except for the temporal region, a decrease of theta activities in both the occipital and right temporo-parietal areas, a mild decrease of delta activities in the occipito-parietal areas, and an increase of the theta/beta ratio in the right frontal and parieto-occipital, and left temporal areas during the CPT state. No significant QEEG changes were induced by the administration of methylphenidate in the resting state. These data suggest that methylphenidate has greater electrophysiological influences on the cerebral topographical activities during the performance of attentional tasks, as compared to the resting state, in boys with ADHD.
本研究的目的是调查精神兴奋剂哌甲酯对患有注意力缺陷多动障碍(ADHD)男孩在持续操作测试(CPT)期间定量脑电图(QEEG)的影响。从20名患有ADHD的男孩中获取QEEG。在静息和CPT状态下,比较了服用哌甲酯前后QEEG中4个频段(α、β、δ和θ)的振幅以及θ/β比值。哌甲酯使左右额叶和枕叶区域的α活动显著增加,除颞叶区域外几乎所有区域的β活动增加,枕叶和右侧颞顶区域的θ活动减少,枕顶区域的δ活动轻度减少,并且在CPT状态下右侧额叶、顶枕叶和左侧颞叶区域的θ/β比值增加。在静息状态下,服用哌甲酯未引起显著的QEEG变化。这些数据表明,与静息状态相比,哌甲酯对患有ADHD的男孩在执行注意力任务期间的脑地形图活动具有更大的电生理影响。