Document Detail


Functional magnetic resonance imaging evidence for abnormalities in response selection in attention deficit hyperactivity disorder: differences in activation associated with response inhibition but not habitual motor response.
MedLine Citation:
PMID:  18004945     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Impaired response inhibition is thought to be a core deficit in attention deficit hyperactivity disorder (ADHD). Prior imaging studies investigating response inhibition in children with ADHD have used tasks involving different cognitive resources, thereby complicating the interpretation of their findings. In this study, a classical go/no-go task with a well-ingrained stimulus-response association (green = go; red = no-go) was used in order to minimize extraneous cognitive demands. Twenty-five children with ADHD and 25 typically developing (TD) children between the ages of 8 and 13 years and group-matched for IQ and performance on the go/no-go task were studied using event-related functional magnetic resonance imaging (fMRI). Analyses were used to examine differences in activation between the ADHD and TD groups for "go" (habitual motor response) and "no-go" (requiring inhibition of the motor response) events. Region-of-interest analyses revealed no between-group difference in activation in association with "go" events. For "no-go" events, the children with ADHD demonstrated significantly less activation than did TD controls within a network important for inhibiting a motor response to a visual stimulus, with frontal differences localized to the pre-supplementary motor area. Although blood oxygenation level-dependent fMRI data show no differences between children with ADHD and TD children in association with a habituated motor "go" response, during "no-go" events, which require selecting not to respond, children with ADHD show diminished recruitment of networks important for response inhibition. The findings suggest that abnormalities in circuits important for motor response selection contribute to deficits in response inhibition in children with ADHD and lend support to the growing awareness of ADHD-associated anomalies in medial frontal regions important for the control of voluntary actions.
Authors:
Stacy J Suskauer; Daniel J Simmonds; Sunaina Fotedar; Joanna G Blankner; James J Pekar; Martha B Denckla; Stewart H Mostofsky
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of cognitive neuroscience     Volume:  20     ISSN:  0898-929X     ISO Abbreviation:  J Cogn Neurosci     Publication Date:  2008 Mar 
Date Detail:
Created Date:  2008-02-13     Completed Date:  2008-07-02     Revised Date:  2013-04-09    
Medline Journal Info:
Nlm Unique ID:  8910747     Medline TA:  J Cogn Neurosci     Country:  United States    
Other Details:
Languages:  eng     Pagination:  478-93     Citation Subset:  IM    
Affiliation:
Kennedy Krieger Institute, 707 North Broadway, Baltimore, MD 21205, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Attention Deficit Disorder with Hyperactivity / physiopathology*
Brain Mapping
Case-Control Studies
Cerebral Cortex / blood supply*,  physiopathology*
Child
Decision Making / physiology*
Female
Humans
Image Processing, Computer-Assisted / methods
Inhibition (Psychology)*
Magnetic Resonance Imaging*
Male
Neuropsychological Tests
Oxygen / blood
Reaction Time / physiology
Grant Support
ID/Acronym/Agency:
K02 NS044850-03/NS/NINDS NIH HHS; M01 RR000052-38S10624/RR/NCRR NIH HHS; R01 MH078160/MH/NIMH NIH HHS; R01 MH085328/MH/NIMH NIH HHS; R01 NS047781-02/NS/NINDS NIH HHS
Chemical
Reg. No./Substance:
7782-44-7/Oxygen
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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