scholarly journals Is motor activity during cognitive assessment an indicator for feigned attention-deficit/hyperactivity disorder (ADHD) in adults?

2018 ◽  
Vol 40 (10) ◽  
pp. 971-986 ◽  
Author(s):  
Anselm B. M. Fuermaier ◽  
Oliver Tucha ◽  
Janneke Koerts ◽  
Tabea S. Send ◽  
Matthias Weisbrod ◽  
...  
2017 ◽  
Vol 47 (11) ◽  
pp. 1947-1956 ◽  
Author(s):  
N. ter Huurne ◽  
D. Lozano-Soldevilla ◽  
M. Onnink ◽  
C. Kan ◽  
J. Buitelaar ◽  
...  

BackgroundAttention-deficit/hyperactivity disorder (ADHD) is characterized by problems in regulating attention and in suppressing disruptive motor activity, i.e. hyperactivity and impulsivity. We recently found evidence that aberrant distribution of posterior α band oscillations (8–12 Hz) is associated with attentional problems in ADHD. The sensorimotor cortex also produces strong 8–12 Hz band oscillations, namely the μ rhythm, and is thought to have a similar inhibitory function. Here, we now investigate whether problems in distributing α band oscillations in ADHD generalize to the μ rhythm in the sensorimotor domain.MethodIn a group of adult ADHD (n = 17) and healthy control subjects (n = 18; aged 21–40 years) oscillatory brain activity was recorded using magnetoencephalography during a visuo-spatial attention task. Subjects had to anticipate a target with unpredictable timing and respond by pressing a button.ResultsPreparing a motor response, the ADHD group failed to increase hemispheric μ lateralization with relatively higher μ power in sensorimotor regions not engaged in the task, as the controls did (F1,33 = 8.70, p = 0.006). Moreover, the ADHD group pre-response μ lateralization not only correlated positively with accuracy (rs = 0.64, p = 0.0052) and negatively with intra-individual reaction time variability (rs = −0.52, p = 0.033), but it also correlated negatively with the score on an ADHD rating scale (rs = −0.53, p = 0.028).ConclusionsWe suggest that ADHD is associated with an inability to sufficiently inhibit task-irrelevant sensorimotor areas by means of modulating μ oscillatory activity. This could explain disruptive motor activity in ADHD. These results provide further evidence that impaired modulation of α band oscillations is involved in the pathogenesis of ADHD.


2015 ◽  
Vol 12 (4) ◽  
pp. 474 ◽  
Author(s):  
Ole Bernt Fasmer ◽  
Kristin Mjeldheim ◽  
Wenche Førland ◽  
Anita L. Hansen ◽  
Steven Dilsaver ◽  
...  

PEDIATRICS ◽  
1992 ◽  
Vol 89 (2) ◽  
pp. 351-351
Author(s):  
ROBERT G. VOIGT ◽  
GRAEME H. JOHNSON ◽  
FRANK R. BROWN

To the Editor.— This letter cautions the general practitioner about prescribing methylphenidate to children with mental retardation, despite the reported utility in nine patients.1 Methylphenidate is understood to be an effective medication for treatment of children who have attention-deficit hyperactivity disorder (ADHD), characterized by a developmentally inappropriate attention span, level of impulsiveness, and motor activity. For the general practitioner, ADHD typically is identified in children with normal neurodevelopment. Because children with mental retardation may have attention spans, impulse control, and activity levels inappropriate for their chronologic age, albeit appropriate for their underlying level of cognitive function, we are concerned about the general practitioner's ability to identify ADHD in children with mental retardation.


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