1Department of Psychiatry,National Cheng Kung University Hospital,College of Medicine,National Cheng Kung University,Tainan,Taiwan.
3Department of Nuclear Medicine,National Cheng Kung University Hospital,College of Medicine,National Cheng Kung University,Tainan,Taiwan.
CNS Spectr. 2018 Aug;23(4):264-270. doi: 10.1017/S1092852917000049. Epub 2017 Aug 29.
Previous studies have indicated that there is dopamine transporter (DAT) dysregulation and P300 abnormality in adults with attention-deficit hyperactivity disorder (ADHD); however, the correlations among the three have not been fully explored.
A total of 11 adults (9 males and 2 females) with ADHD and 11 age-, sex-, and education-level-matched controls were recruited. We explored differences in DAT availability using single-photon emission computed tomography and P300 wave of event-related potentials between the two groups. The correlation between DAT availability and P300 performance was also examined.
DAT availability in the basal ganglia, caudate nucleus, and putamen was significantly lower in the ADHD group. Adults with ADHD had lower auditory P300 amplitudes at the Pz and Cz sites, as well as longer Fz latency than controls. DAT availability was negatively correlated to P300 latency at Pz and Fz.
Adults with ADHD had both abnormal DAT availability and P300 amplitude, suggesting that ADHD is linked to dysfunction of the central dopaminergic system and poor cognitive processes related to response selection and execution.
先前的研究表明,注意力缺陷多动障碍(ADHD)患者的多巴胺转运体(DAT)存在失调,P300 异常;然而,这三者之间的相关性尚未得到充分探索。
共招募了 11 名 ADHD 成年患者(9 名男性和 2 名女性)和 11 名年龄、性别和教育程度相匹配的对照组。我们通过单光子发射计算机断层扫描和事件相关电位的 P300 波来探索两组之间 DAT 可用性的差异。还检查了 DAT 可用性与 P300 性能之间的相关性。
ADHD 组的基底神经节、尾状核和壳核中的 DAT 可用性明显降低。与对照组相比,ADHD 组成年人在 Pz 和 Cz 部位的听觉 P300 幅度较低,Fz 潜伏期较长。DAT 可用性与 Pz 和 Fz 的 P300 潜伏期呈负相关。
ADHD 成年患者存在 DAT 可用性和 P300 振幅异常,表明 ADHD 与中枢多巴胺能系统功能障碍以及与反应选择和执行相关的认知过程差有关。