Ágrez Kristóf, Visky Zsombor, Hámori György, Takács Mária, Pulay Attila J, Réthelyi János M, Bunford Nóra
HUN-REN Research Centre for Natural Sciences, Clinical and Developmental Neuropsychology Research Group, Budapest, Hungary.
Semmelweis University, Faculty of Medicine, Budapest, Hungary.
Transl Psychiatry. 2025 Jun 24;15(1):213. doi: 10.1038/s41398-025-03434-z.
In attention-deficit/hyperactivity disorder (ADHD), emotional features account for heterogeneity and exacerbate severity of behavioral and functional impairments, beyond cognitive and comorbidity features. Yet, debate remains about the extent to which, in ADHD, such emotional features are a "core feature", i.e. whether ADHD should be conceptualized as encompassing difficulties with regulating not only activity, attention, and impulses but also processing and regulating emotions. We aimed to address this issue by examining the extent to which in adolescents, ADHD polygenic scores (PGSs) are associated with electrophysiological indices of affective-motivational processing, measured during a monetary punishment/reward feedback paradigm. ADHD PGSs were negatively associated, in n = 166 adolescents (M = 15.76 years, SD = 1.07; 42.77% girls), with amplitude values of an occipitoparietal event-related potential (i.e. late positive potential) and were positively associated, in n = 84 adolescents (M = 15.76 years, SD = 1.05; 41.67% girls), with fronto-centro-parietal alpha event-related desynchronization. Across analyses, covariates were anxiety, depression, and ADHD with comorbid disruptive behavior disorder PGSs; ADHD, internalizing, and oppositional defiant disorder severity; childhood maltreatment; current ADHD medication; and baseline values of the outcome. Findings were replicated in sensitivity analyses with blocks of conceptually related covariates entered separately. In adolescents, electrophysiological indices of affective-motivational processing are associated principally with genetic liability for ADHD but not comorbidity genetic liability or comorbidity manifest symptoms.
在注意力缺陷多动障碍(ADHD)中,情绪特征导致了异质性,并加剧了行为和功能损害的严重程度,其影响超出了认知和共病特征。然而,关于在ADHD中这些情绪特征在多大程度上是一种“核心特征”,仍存在争议,即ADHD是否应被概念化为不仅包括调节活动、注意力和冲动方面的困难,还包括处理和调节情绪方面的困难。我们旨在通过研究在青少年中,ADHD多基因评分(PGS)与在金钱惩罚/奖励反馈范式中测量的情感动机加工的电生理指标之间的关联程度来解决这个问题。在n = 166名青少年(M = 15.76岁,SD = 1.07;42.77%为女孩)中,ADHD PGS与枕顶叶事件相关电位的幅值(即晚期正电位)呈负相关,在n = 84名青少年(M = 15.76岁,SD = 1.05;41.67%为女孩)中,与额中央顶叶阿尔法事件相关去同步化呈正相关。在所有分析中,协变量包括焦虑、抑郁以及伴有共病破坏性行为障碍PGS的ADHD;ADHD、内化和对立违抗障碍的严重程度;童年期虐待;当前的ADHD药物治疗;以及结果的基线值。在敏感性分析中,通过分别输入概念相关协变量块来重复这些发现。在青少年中,情感动机加工的电生理指标主要与ADHD的遗传易感性相关,而与共病遗传易感性或共病明显症状无关。
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