del Campo Natalia, Müller Ulrich, Sahakian Barbara J
Department of Psychiatry, and Behavioral and Clinical Neuroscience Institute, University of Cambridge, Cambridge, UK,
Curr Top Behav Neurosci. 2012;11:65-91. doi: 10.1007/7854_2012_200.
In recent years, descriptive symptom-based approaches of attention deficit hyperactivity disorder (ADHD) have been increasingly replaced by more sophisticated endophenotype-based strategies, better suited to investigate its pathophysiological basis, which is inherently heterogeneous. Measurements derived from neuroimaging techniques such as positron emission tomography (PET) and magnetic resonance imaging (MRI) constitute endophenotypes of growing interest, capable of providing unprecedented windows on neurochemical and neuroanatomical components of psychiatric conditions. This chapter reviews the current state of knowledge regarding putative neural and behavioral endophenotypes of ADHD, across the lifespan. To this end, recent evidence drawn from molecular and structural neuroimaging studies are discussed in the light of widely accepted neuropsychological and pharmacological models of ADHD.
近年来,基于注意力缺陷多动障碍(ADHD)症状的描述性方法越来越多地被更复杂的基于内表型的策略所取代,后者更适合于研究其本质上具有异质性的病理生理基础。源自正电子发射断层扫描(PET)和磁共振成像(MRI)等神经成像技术的测量构成了越来越受关注的内表型,能够为精神疾病的神经化学和神经解剖成分提供前所未有的观察窗口。本章回顾了关于ADHD假定的神经和行为内表型在整个生命周期中的当前知识状态。为此,根据广泛接受的ADHD神经心理学和药理学模型,讨论了分子和结构神经成像研究的最新证据。