OBJECTIVE:Children with attention deficit hyperactivity disorder (ADHD) exhibit deficits in executive function. Since there are no clear biomarkers for the disorder, this study aimed to investigate the neurophysiological biomarkers for deficits in executive function in children with ADHD using functional near-infrared spectroscopy (fNIRS) and electroencephalography. METHODS:Twenty patients diagnosed with ADHD and 19 typically developing children (TDC; 8-11 years old) were included. Event related potentials (ERPs) were recorded using an electroencephalogram (EEG) and oxygenated hemoglobin concentrations (Oxy-Hb) were recorded using fNIRS during a colored Go/NoGo task, simultaneously. Latencies and amplitudes of NoGo-N2 and NoGo/Go-P3 tasks were measured using EEG. RESULTS:Children with ADHD showed significantly decreased Oxy-Hb in the right frontal cortex as well as longer NoGo-P3 latencies and a decreased NoGo/Go-P3 amplitude. There was a significant positive correlation between the Oxy-Hb and NoGo/Go-P3 amplitude. CONCLUSIONS:These results suggest that children with ADHD experience executive dysfunction. Hemodynamic and electrophysiological findings during the Go/NoGo task might be useful as a biomarker of executive function. SIGNIFICANCE:These findings have key implications for understanding the pathophysiology of deficits in executive function in ADHD.

译文

目的:患有注意缺陷多动障碍(ADHD)的儿童表现出执行功能缺陷。由于尚无针对该疾病的明确生物标志物,因此本研究旨在使用功能性近红外光谱(fNIRS)和脑电图研究ADHD儿童执行功能缺陷的神经生理学生物标志物。
方法:包括20位被诊断患有ADHD的患者和19名典型的发育中儿童(TDC; 8-11岁)。在彩色Go / NoGo任务期间,使用脑电图(EEG)记录事件相关电位(ERP),并使用fNIRS记录氧合血红蛋白浓度(Oxy-Hb)。使用EEG测量了NoGo-N2和NoGo / Go-P3任务的延迟和幅度。
结果:患有多动症的儿童表现出右额皮质的Oxy-Hb明显降低,NoGo-P3潜伏期更长,NoGo / Go-P3振幅降低。 Oxy-Hb和NoGo / Go-P3振幅之间存在显着的正相关。
结论:这些结果表明患有多动症的儿童经历了执行功能障碍。在执行Go / NoGo任务期间的血流动力学和电生理结果可能是执行功能的生物标志物。
意义:这些发现对理解ADHD执行功能缺陷的病理生理学具有关键意义。

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