Department of Pharmacology and Experimental Neuroscience, University of Nebraska Medical Center-UNMC, Omaha, NE, USA.
J Psychopharmacol. 2012 Jun;26(6):771-7. doi: 10.1177/0269881111430731. Epub 2012 Jan 4.
Attention-deficit/hyperactivity disorder (ADHD) is a neurobehavioral disorder affecting approximately 4-7% of children and persisting in 2-5% of adults. The core symptoms include pervasive inattention and inappropriate levels of hyperactivity-impulsivity. High-frequency gamma activity has been implicated in the temporal binding of stimulus properties across cortical areas, and is known to be crucial for complex information processing and attentional processes in particular. Thus, we evaluated the amplitude of gamma-frequency neural responses in adults with and those without ADHD, and tested whether stimulant medications, the most common treatment for ADHD, modulate gamma activity in affected adults. Participants underwent two sessions (~75 min apart) of auditory stimulation using stimuli known to elicit 40 Hz gamma-band responses as magnetoencephalography data were acquired. Between sessions, the ADHD group (who were in maintenance therapy) were administered their daily stimulant medication and both groups were told to relax. The primary results indicated that gamma activity was weaker in the ADHD group during session one (pre-drug), but not session two (post-drug), and that gamma activity significantly increased following stimulant administration in adults with ADHD. These results suggest that ADHD is associated with reduced cortical gamma activity and that stimulants may ameliorate this abnormality.
注意缺陷多动障碍(ADHD)是一种影响约 4-7%儿童、持续存在于 2-5%成人的神经行为障碍。核心症状包括普遍的注意力不集中和过度活动-冲动的不适当水平。高频伽马活动被牵涉到跨皮质区域的刺激属性的时间绑定,并且已知对复杂信息处理和注意力过程特别重要。因此,我们评估了有和没有 ADHD 的成年人的伽马频率神经反应的幅度,并测试了兴奋剂药物,ADHD 的最常见治疗方法,是否调节受影响成年人的伽马活动。参与者接受了两次使用已知可诱发 40 Hz 伽马带反应的听觉刺激的会议(相隔约 75 分钟),同时采集脑磁图数据。在会议之间,ADHD 组(正在维持治疗)给予他们的日常兴奋剂药物,并且两组都被告知放松。主要结果表明,ADHD 组在第一阶段(药物前)的伽马活动较弱,但在第二阶段(药物后)则不是,并且 ADHD 成年人在兴奋剂给药后伽马活动显著增加。这些结果表明,ADHD 与皮质伽马活动减少有关,并且兴奋剂可能改善这种异常。