scholarly journals Disorder-specific and shared neurophysiological impairments of attention and inhibition in women with attention-deficit/hyperactivity disorder and women with bipolar disorder

2015 ◽  
Vol 46 (3) ◽  
pp. 493-504 ◽  
Author(s):  
G. Michelini ◽  
G. L. Kitsune ◽  
G. M. Hosang ◽  
P. Asherson ◽  
G. McLoughlin ◽  
...  

BackgroundIn adults, attention-deficit/hyperactivity disorder (ADHD) and bipolar disorder (BD) have certain overlapping symptoms, which can lead to uncertainty regarding the boundaries of the two disorders. Despite evidence of cognitive impairments in both disorders separately, such as in attentional and inhibitory processes, data on direct comparisons across ADHD and BD on cognitive–neurophysiological measures are as yet limited.MethodWe directly compared cognitive performance and event-related potential measures from a cued continuous performance test in 20 women with ADHD, 20 women with BD (currently euthymic) and 20 control women.ResultsThe NoGo-N2 was attenuated in women with BD, reflecting reduced conflict monitoring, compared with women with ADHD and controls (both p < 0.05). Both ADHD and BD groups showed a reduced NoGo-P3, reflecting inhibitory control, compared with controls (both p < 0.05). In addition, the contingent negative variation was significantly reduced in the ADHD group (p = 0.05), with a trend in the BD group (p = 0.07), compared with controls.ConclusionsThese findings indicate potential disorder-specific (conflict monitoring) and overlapping (inhibitory control, and potentially response preparation) neurophysiological impairments in women with ADHD and women with BD. The identified neurophysiological parameters further our understanding of neurophysiological impairments in women with ADHD and BD, and are candidate biomarkers that may aid in the identification of the diagnostic boundaries of the two disorders.

2013 ◽  
Vol 19 (5) ◽  
pp. 601-612 ◽  
Author(s):  
Alessandra M. Passarotti ◽  
Jacklynn M. Fitzgerald ◽  
John A. Sweeney ◽  
Mani N. Pavuluri

AbstractThis study examined whether processing of emotional words impairs cognitive performance in acutely ill patients with pediatric bipolar disorder (PBD), with or without comorbid attention-deficit hyperactivity disorder (ADHD), relative to healthy controls (HC). Forty youths with PBD without ADHD, 20 youths with PBD and ADHD, and 29 HC (mean age = 12.97 ± 3.13) performed a Synonym Matching task, where they decided which of two probe words was the synonym of a target word. The three words presented on each trial all had the same emotional valence, which could be negative, positive, or neutral. Relative to HC both PBD groups exhibited worse accuracy for emotional words relative to neutral ones. This effect was greater with negative words and observed regardless of whether PBD patients had comorbid ADHD. In the PBD group without ADHD, manic symptoms correlated negatively with accuracy for negative words, and positively with reaction time (RT) for all word types. Our findings suggest a greater disruptive effect of emotional valence in both PBD groups relative to HC, reflecting the adverse effect of altered emotion processing on cognitive function in PBD. Future studies including an ADHD group will help clarify how ADHD symptoms may affect emotional interference independently of PBD. (JINS, 2013, 19, 1–12)


2019 ◽  
Vol 34 (6) ◽  
pp. 1072-1072
Author(s):  
N Coultis ◽  
A Brown ◽  
E Heideman

Abstract Objective Attention-Deficit/Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder that affects about 5% of school-aged children.4 Fluid reasoning (FR) tasks assess one’s ability to detect underlying conceptual relationships and use reasoning to identify and apply rules to problem solve.4 Previous research has demonstrated that children with ADHD perform more poorly in FR, though the mechanism behind this is unclear.3,4 The literature suggests that FR is reliant on executive functioning skills such as inhibitory control, working memory, and planning.1,4 Therefore, this study examines how performance on FR from the Wechsler Intelligence Scale for Children (WISC-V) is related to measures of executive functioning (EF) and attention in children with ADHD. Method Participants were children aged 8 to 16-years with ADHD (N = 75) referred for neuropsychological testing. Participant demographics: males (N = 50, 65.8%), females (N = 26, 34.2%); African American (5.3%), Asian (1.3%), Caucasian (52.6%), Other (39.5%). Measures included the WISC-V Fluid Reasoning Index (FRI), Delis-Kaplan Executive Function System (DKEFS) Color Word Identification (CWI) and Tower subtests, omissions/commissions on the Conners Continuous Performance Test (CPT), and Behavior Rating Inventory of Executive Functioning (BRIEF) subscales. Results Bivariate correlations showed that the FRI was only significantly positively correlated with CWI Inhibition/Switching Time (r = .246, p = .047). Commission errors on the CPT approached significance (r = .217, p = .145). Conclusion The WISC-V FRI may be vulnerable to weaknesses in EF or behavioral control in children with ADHD and should be interpreted in that context. Findings suggest the FRI may be particularly impacted by weaknesses in inhibitory control.


2012 ◽  
Vol 70 (2) ◽  
pp. 91-96 ◽  
Author(s):  
Monica Carolina Miranda ◽  
Thais Barbosa ◽  
Mauro Muszkat ◽  
Camila Cruz Rodrigues ◽  
Elaine Girão Sinnes ◽  
...  

This study investigated the performance of children with attention deficit hyperactivity disorder (ADHD) and dyslexia using Conners' Continuous Performance Test (CCPT). The clinical groups were composed of 52 children with ADHD and 32 children with dyslexia. Performance in the CCPT was evaluated using ANCOVA to compare the clinical groups with the normative Brazilian sample. The ADHD group performed worse than the normative sample in almost all of the measurements, except for reaction time and response style. The dyslexia group scored higher on commissions, variability, perseverations and inconsistency in the reaction time over the six time blocks (Hit SE Block Change) than the children in the normative Brazilian sample. The ADHD and dyslexia groups differed in omission measurements, Hit RT SE, variability, perseverations, Hit RT Interstimulus Intervals (ISI) Change and Hit SE ISI Change. We thus found that the dyslexia group had specific deficit patterns, with greater response to non-target stimuli, greater perseveration and response variability, and difficulties in hit reaction time as the test progressed.


2021 ◽  
pp. 1-8
Author(s):  
L. Propper ◽  
A. Sandstrom ◽  
S. Rempel ◽  
E. Howes Vallis ◽  
S. Abidi ◽  
...  

Abstract Background Offspring of parents with major mood disorders (MDDs) are at increased risk for early psychopathology. We aim to compare the rates of neurodevelopmental disorders in offspring of parents with bipolar disorder, major depressive disorder, and controls. Method We established a lifetime diagnosis of neurodevelopmental disorders [attention-deficit/hyperactivity disorder (ADHD), autism spectrum disorder, communication disorders, intellectual disabilities, specific learning disorders, and motor disorders] using the Kiddie Schedule for Affective Disorders and Schizophrenia, Present and Lifetime Version in 400 participants (mean age 11.3 + s.d. 3.9 years), including 93 offspring of parents with bipolar disorder, 182 offspring of parents with major depressive disorder, and 125 control offspring of parents with no mood disorder. Results Neurodevelopmental disorders were elevated in offspring of parents with bipolar disorder [odds ratio (OR) 2.34, 95% confidence interval (CI) 1.23–4.47, p = 0.010] and major depressive disorder (OR 1.87, 95% CI 1.03–3.39, p = 0.035) compared to controls. This difference was driven by the rates of ADHD, which were highest among offspring of parents with bipolar disorder (30.1%), intermediate in offspring of parents with major depressive disorder (24.2%), and lowest in controls (14.4%). There were no significant differences in frequencies of other neurodevelopmental disorders between the three groups. Chronic course of mood disorder in parents was associated with higher rates of any neurodevelopmental disorder and higher rates of ADHD in offspring. Conclusions Our findings suggest monitoring for ADHD and other neurodevelopmental disorders in offspring of parents with MDDs may be indicated to improve early diagnosis and treatment.


Sign in / Sign up

Export Citation Format

Share Document