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注意缺陷多动障碍中的脑功能连接异常

Brain functional connectivity abnormalities in attention-deficit hyperactivity disorder.

作者信息

Silberstein Richard B, Pipingas Andrew, Farrow Maree, Levy Florence, Stough Con K, Camfield David A

机构信息

Centre for Human Psychopharmacology Swinburne University Hawthorn Vic.Australia; Neuro-Insight Pty Ltd Melbourne Vic. Australia.

Centre for Human Psychopharmacology Swinburne University Hawthorn Vic. Australia.

出版信息

Brain Behav. 2016 Sep 28;6(12):e00583. doi: 10.1002/brb3.583. eCollection 2016 Dec.

Abstract

INTRODUCTION

Recent evidence suggests that attention-deficit hyperactivity disorder (ADHD) is associated with brain functional connectivity (FC) abnormalities.

METHODS

In this study, we use steady-state visually evoked potential event-related partial coherence as a measure of brain FC to examine functional connectivity differences between a typically developing (TD) group of 25 boys and an age/IQ-matched group of 42 drug naive boys newly diagnosed with ADHD (ADHD group). Functional connectivity was estimated while both groups performed a low-demand reference task and the A-X version of the continuous performance task (CPT A-X).

RESULTS

While the TD and ADHD groups exhibited similar prefrontal FC increases prior to the appearance of the target in the reference task, these groups demonstrated significant FC differences in the interval preceding the appearance of the target in the CPT A-X task. Specifically, the ADHD group exhibited robust prefrontal and parieto-frontal FC increases that were not apparent in the TD group.

CONCLUSION

The FC differences observed in the ADHD group are discussed in the context of inadequate suppression of cortical networks that may interfere with task performance.

摘要

引言

近期证据表明,注意力缺陷多动障碍(ADHD)与大脑功能连接(FC)异常有关。

方法

在本研究中,我们使用稳态视觉诱发电位事件相关部分相干性作为大脑FC的一种测量方法,以检查25名发育正常(TD)男孩组成的对照组与42名新诊断为ADHD的未用药、年龄/智商匹配的男孩组成的ADHD组之间的功能连接差异。在两组执行低需求参考任务和连续性能任务的A-X版本(CPT A-X)时,估计功能连接。

结果

虽然TD组和ADHD组在参考任务中目标出现之前前额叶FC的增加相似,但在CPT A-X任务中目标出现之前的间隔期,两组表现出显著的FC差异。具体而言,ADHD组在前额叶和顶叶-额叶FC方面有明显增强,而TD组未出现这种情况。

结论

在可能干扰任务表现的皮质网络抑制不足的背景下,讨论了在ADHD组中观察到的FC差异。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b74c/5167009/ce714e778028/BRB3-6-e00583-g001.jpg

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