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注意缺陷多动障碍儿童的脑电相干性及脑电图中β活动过多

Coherence in children with Attention-Deficit/Hyperactivity Disorder and excess beta activity in their EEG.

作者信息

Clarke Adam R, Barry Robert J, McCarthy Rory, Selikowitz Mark, Johnstone Stuart J, Hsu Ching-I, Magee Christopher A, Lawrence Carlie A, Croft Rodney J

机构信息

Brain & Behaviour Research Institute and School of Psychology, University of Wollongong, Wollongong, Australia.

出版信息

Clin Neurophysiol. 2007 Jul;118(7):1472-9. doi: 10.1016/j.clinph.2007.04.006. Epub 2007 May 14.

Abstract

OBJECTIVE

This study investigated differences in coherence measures between two groups of children with Attention-Deficit/Hyperactivity Disorder (ADHD) - with the typical EEG profile (increased theta and decreased beta activity), and with excess beta activity - and a normal control group.

METHODS

Thirty-four children with ADHD were included in each of the typical and excess beta groups, and were age and sex matched with 34 control subjects. EEG was recorded from 21 sites during an eyes-closed resting condition. Wave-shape coherence was calculated for eight intrahemispheric and eight interhemispheric electrode pairs, for the delta, theta, alpha and beta bands.

RESULTS

In comparison to the controls, the typical ADHD group primarily had increased intrahemispheric theta and beta coherence at short-medium inter-electrode distances, and increased interhemispheric coherence for theta in the frontal and central/parietal/occipital regions. Their laterality effect for interhemispheric short-medium inter-electrode distances was reduced in the theta band. Differences between the excess beta group and the control group were primarily found in laterality of the intrahemispheric theta coherence at short-medium electrode distances, and increased interhemispheric theta coherence in the frontal regions. Reduced delta coherence in the temporal regions was also found.

CONCLUSIONS

These results suggest that ADHD children with excess beta power have an underlying brain dysfunction in the frontal lobes which is found in common with children with the typical EEG profile. However a number of qualitative differences exist which could be associated with other aspects of the ADHD diagnosis or another comorbid condition.

SIGNIFICANCE

This is the first study to investigate EEG coherence in ADHD children who have increased beta power.

摘要

目的

本研究调查了两组注意力缺陷多动障碍(ADHD)儿童——具有典型脑电图特征(θ波增加和β波活动减少)的儿童、具有过量β波活动的儿童——与正常对照组之间在相干性测量方面的差异。

方法

典型组和过量β波组各纳入34名患有ADHD的儿童,他们在年龄和性别上与34名对照受试者相匹配。在闭眼静息状态下从21个部位记录脑电图。计算了八个半球内和八个半球间电极对在δ波、θ波、α波和β波频段的波形相干性。

结果

与对照组相比,典型ADHD组主要在电极间中短距离时半球内θ波和β波相干性增加,以及额叶和中央/顶叶/枕叶区域θ波的半球间相干性增加。他们在θ波频段电极间中短距离的半球间偏侧性效应降低。过量β波组与对照组之间的差异主要体现在电极间中短距离时半球内θ波相干性的偏侧性,以及额叶区域半球间θ波相干性增加。还发现颞叶区域δ波相干性降低。

结论

这些结果表明,具有过量β波功率的ADHD儿童在额叶存在潜在的脑功能障碍,这与具有典型脑电图特征的儿童相同。然而,存在一些质性差异,这可能与ADHD诊断的其他方面或另一种共病情况有关。

意义

这是第一项研究具有增加β波功率的ADHD儿童脑电图相干性的研究。

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