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并非换汤不换药:注意缺陷多动障碍的多基因易感性与焦虑、抑郁和对立违抗性障碍之外的电生理情感动机加工有关。

Not just old wine in new bottles: Polygenic liability for ADHD is associated with electrophysiological affective-motivational processing beyond anxiety, depression, and ODD.

作者信息

Ágrez Kristóf, Visky Zsombor, Hámori György, Takács Mária, Pulay Attila J, Réthelyi János M, Bunford Nóra

机构信息

HUN-REN Research Centre for Natural Sciences, Clinical and Developmental Neuropsychology Research Group, Budapest, Hungary.

Semmelweis University, Faculty of Medicine, Budapest, Hungary.

出版信息

Transl Psychiatry. 2025 Jun 24;15(1):213. doi: 10.1038/s41398-025-03434-z.


DOI:10.1038/s41398-025-03434-z
PMID:40555725
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12187935/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/122e/12187935/86f5c5008769/41398_2025_3434_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/122e/12187935/de79339622e2/41398_2025_3434_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/122e/12187935/14e4b5390048/41398_2025_3434_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/122e/12187935/86f5c5008769/41398_2025_3434_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/122e/12187935/de79339622e2/41398_2025_3434_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/122e/12187935/14e4b5390048/41398_2025_3434_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/122e/12187935/86f5c5008769/41398_2025_3434_Fig3_HTML.jpg

相似文献

[1]
Not just old wine in new bottles: Polygenic liability for ADHD is associated with electrophysiological affective-motivational processing beyond anxiety, depression, and ODD.

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[6]
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[7]
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[8]
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[9]
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[10]
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本文引用的文献

[1]
Emotion dysregulation in adolescents is normalized by ADHD pharmacological treatment.

Borderline Personal Disord Emot Dysregul. 2025-2-3

[2]
Late Positive Potential Elicited by Monetary Reward Feedback Predicts Changes of Disordered Eating From Age 11 to Age 12 in Community-Dwelling Girls.

Int J Eat Disord. 2024-10

[3]
Momentary Dynamics Implicate Emotional Features in the ADHD Phenotype.

Res Child Adolesc Psychopathol. 2024-9

[4]
Distractor inhibition by alpha oscillations is controlled by an indirect mechanism governed by goal-relevant information.

Commun Psychol. 2024

[5]
Genome-wide meta-analysis, functional genomics and integrative analyses implicate new risk genes and therapeutic targets for anxiety disorders.

Nat Hum Behav. 2024-2

[6]
Alpha-band oscillations and emotion: A review of studies on picture perception.

Psychophysiology. 2023-12

[7]
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Int J Psychophysiol. 2023-11

[8]
Depression pathophysiology, risk prediction of recurrence and comorbid psychiatric disorders using genome-wide analyses.

Nat Med. 2023-7

[9]
Theta and alpha activity are differentially associated with physiological and rating scale measures of affective processing in adolescents with but not without ADHD.

Dev Psychopathol. 2023-6-26

[10]
Concurrent and Prospective Associations of Reward Response with Affective and Alcohol Problems: ADHD-Related Differential Vulnerability.

J Youth Adolesc. 2023-9

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