Effect of medication on the rostrolateral prefrontal oxygenation and thalamic volume asymmetry in youths with ADHD.

IF 2.6 3区 医学 Q2 BEHAVIORAL SCIENCES
Frontiers in Integrative Neuroscience Pub Date : 2025-05-21 eCollection Date: 2025-01-01 DOI:10.3389/fnint.2025.1591465
Hyuna Kim, Dahyun Kang, Yong Hun Jang, Ja-Hye Ahn, Sojin Won, Hyun Ju Lee, Johanna Inhyang Kim
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引用次数: 0

Abstract

Introduction: Symptoms of attention-deficit/hyperactivity disorder (ADHD) are closely associated with impaired executive function. Medication is the first-line treatment for ADHD, yet its effects on brain function and structure remain unclear. To investigate medication-related brain alterations in children with ADHD, we used functional near-infrared spectroscopy, which captures cortical hemodynamic activity, and structural magnetic resonance imaging, which measures subcortical volume.

Methods: We investigated the differences in brain hemodynamic activity between 23 children with ADHD taking medication and 22 children who were not taking medication.

Results: Compared with the medicated ADHD group, the unmedicated ADHD group showed significantly reduced activation in the left rostrolateral prefrontal cortex (channel 9, p = 0.01; channel 13, p = 0.02) and dorsolateral prefrontal cortex (channel 14, p = 0.01). The unmedicated group also exhibited a negative correlation between oxygenated hemoglobin and symptom severity, whereas the medicated group showed a positive correlation. Furthermore, abnormal asymmetry of the thalamic volume was reduced in the medicated group compared to the unmedicated group.

Discussion: These findings suggest that increased prefrontal activation and reduced thalamic asymmetry may reflect medication-related improvements in inhibitory control in children with ADHD.

药物对青少年ADHD患者前额叶前外侧氧合和丘脑体积不对称的影响。
注意缺陷/多动障碍(ADHD)的症状与执行功能受损密切相关。药物治疗是多动症的一线治疗方法,但它对大脑功能和结构的影响尚不清楚。为了研究ADHD儿童与药物相关的大脑改变,我们使用了功能性近红外光谱,它可以捕获皮层血流动力学活动,以及结构磁共振成像,它可以测量皮层下体积。方法:观察23例ADHD患儿服药后与22例未服药后脑血流动力学活动的差异。结果:与药物治疗组比较,未药物治疗组左左前额叶外侧皮层(通道9)激活显著降低,p = 0.01;13通道,p = 0.02)和背外侧前额皮质(14通道,p = 0.01)。未用药组氧合血红蛋白与症状严重程度呈负相关,而用药组呈正相关。此外,与未给药组相比,给药组丘脑体积的异常不对称性有所减少。讨论:这些发现表明前额叶激活的增加和丘脑不对称的减少可能反映了ADHD儿童抑制控制的药物相关改善。
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来源期刊
Frontiers in Integrative Neuroscience
Frontiers in Integrative Neuroscience Neuroscience-Cellular and Molecular Neuroscience
CiteScore
4.60
自引率
2.90%
发文量
148
审稿时长
14 weeks
期刊介绍: Frontiers in Integrative Neuroscience publishes rigorously peer-reviewed research that synthesizes multiple facets of brain structure and function, to better understand how multiple diverse functions are integrated to produce complex behaviors. Led by an outstanding Editorial Board of international experts, this multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide. Our goal is to publish research related to furthering the understanding of the integrative mechanisms underlying brain functioning across one or more interacting levels of neural organization. In most real life experiences, sensory inputs from several modalities converge and interact in a manner that influences perception and actions generating purposeful and social behaviors. The journal is therefore focused on the primary questions of how multiple sensory, cognitive and emotional processes merge to produce coordinated complex behavior. It is questions such as this that cannot be answered at a single level – an ion channel, a neuron or a synapse – that we wish to focus on. In Frontiers in Integrative Neuroscience we welcome in vitro or in vivo investigations across the molecular, cellular, and systems and behavioral level. Research in any species and at any stage of development and aging that are focused at understanding integration mechanisms underlying emergent properties of the brain and behavior are welcome.
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