Neural correlates of inattention in adults with ADHD.

Attention-deficit/hyperactivity disorder Clinical neuroscience Inattention Magnetic resonance imaging Neural correlates

Journal

European archives of psychiatry and clinical neuroscience
ISSN: 1433-8491
Titre abrégé: Eur Arch Psychiatry Clin Neurosci
Pays: Germany
ID NLM: 9103030

Informations de publication

Date de publication:
29 Jul 2024
Historique:
received: 05 02 2024
accepted: 15 07 2024
medline: 29 7 2024
pubmed: 29 7 2024
entrez: 29 7 2024
Statut: aheadofprint

Résumé

In the last two decades, numerous magnetic resonance imaging (MRI) studies have examined differences in cortical structure between individuals with Attention-Deficit/Hyperactivity Disorder (ADHD) and healthy controls. These studies primarily emphasized alterations in gray matter volume (GMV) and cortical thickness (CT). Still, the scientific literature is notably scarce in regard to investigating associations of cortical structure with ADHD psychopathology, specifically inattention within adults with ADHD. The present study aimed to elucidate neurobiological underpinnings of inattention beyond GMV and CT by including cortical gyrification, sulcal depth, and fractal dimension. Building upon the Comparison of Methylphenidate and Psychotherapy in Adult ADHD Study (COMPAS), cortical structure parameters were investigated using 141 T1-weighted anatomical scans of adult patients with ADHD. All brain structural analyses were performed using the threshold-free cluster enhancement (TFCE) approach and the Computational Anatomy Toolbox (CAT12) integrated into the Statistical Parametric Mapping Software (Matlab Version R2021a). Results revealed significant correlations of inattention in multiple brain regions. Cortical gyrification was negatively correlated, whereas cortical thickness and fractal dimension were positively associated with inattention. The clusters showed widespread distribution across the cerebral cortex, with both hemispheres affected. The cortical regions most prominently affected included the precuneus, para-, pre-, and postcentral gyri, superior parietal lobe, and posterior cingulate cortex. This study highlights the importance of cortical alterations in attentional processes in adults with ADHD. Further research in this area is warranted to elucidate intricacies of inattention in adults with ADHD to potentially enhance diagnostic accuracy and inform personalized treatment strategies.

Identifiants

pubmed: 39073447
doi: 10.1007/s00406-024-01872-2
pii: 10.1007/s00406-024-01872-2
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : Bundesministerium für Bildung und Forschung
ID : 01GV0605; 01GV0606

Informations de copyright

© 2024. Springer-Verlag GmbH Germany, part of Springer Nature.

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Auteurs

Jonathan Laatsch (J)

Department of Psychiatry und Psychotherapy, University Hospital Bonn, Bonn, Germany. jonathan.laatsch@ukbonn.de.

Frederike Stein (F)

Department of Psychiatry und Psychotherapy, University of Marburg, Marburg, Germany.

Simon Maier (S)

Department of Psychiatry and Psychotherapy, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg im Breisgau, Germany.

Swantje Matthies (S)

Department of Psychiatry and Psychotherapy, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg im Breisgau, Germany.

Esther Sobanski (E)

Department of Child and Adolescent Psychiatry Lucerne, Lucerne, Switzerland.
Department of Psychiatry and Psychotherapy, Medical Faculty of Mannheim, Central Institute of Mental Health, University of Heidelberg, Mannheim, Germany.

Barbara Alm (B)

Department of Psychiatry and Psychotherapy, Medical Faculty of Mannheim, Central Institute of Mental Health, University of Heidelberg, Mannheim, Germany.

Ludger Tebartz van Elst (L)

Department of Psychiatry and Psychotherapy, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg im Breisgau, Germany.

Axel Krug (A)

Department of Psychiatry und Psychotherapy, University Hospital Bonn, Bonn, Germany.

Alexandra Philipsen (A)

Department of Psychiatry und Psychotherapy, University Hospital Bonn, Bonn, Germany.

Classifications MeSH