scholarly journals The effect of comorbid anxiety in youth with ADHD: an ERP analysis of attentional control and impulse control

2021 ◽  
Author(s):  
Deanna F. Klymkiw

Differences in attentional and impulse control may underlie the increased impairment associated with youth with ADHD and comorbid anxiety (ADHD+ANX) compared to youth with ADHD without anxiety; however, findings from studies using behavioural and self-report measures have been mixed. This study addressed this issue by exploring the impact of the addition of anxiety on attentional and impulse control at a neural level, using event-related potentials (ERPs). Youth aged 11 to 17 with ADHD without anxiety (n = 34) and ADHD+ANX (n = 33) completed a Go/No-Go and Selective Auditory Attention task. Results indicated that the addition of anxiety in youth with ADHD was associated with enhanced early attentional processing, as well as stronger activation of impulse control, as exhibited by greater EFP and N2 amplitudes, respectively. Future directions and clinical implications of these results are discussed.

2021 ◽  
Author(s):  
Deanna F. Klymkiw

Differences in attentional and impulse control may underlie the increased impairment associated with youth with ADHD and comorbid anxiety (ADHD+ANX) compared to youth with ADHD without anxiety; however, findings from studies using behavioural and self-report measures have been mixed. This study addressed this issue by exploring the impact of the addition of anxiety on attentional and impulse control at a neural level, using event-related potentials (ERPs). Youth aged 11 to 17 with ADHD without anxiety (n = 34) and ADHD+ANX (n = 33) completed a Go/No-Go and Selective Auditory Attention task. Results indicated that the addition of anxiety in youth with ADHD was associated with enhanced early attentional processing, as well as stronger activation of impulse control, as exhibited by greater EFP and N2 amplitudes, respectively. Future directions and clinical implications of these results are discussed.


2017 ◽  
Vol 24 (12) ◽  
pp. 1746-1756 ◽  
Author(s):  
Deanna F. Klymkiw ◽  
Karen Milligan ◽  
Christine Lackner ◽  
Marjory Phillips ◽  
Louis A. Schmidt ◽  
...  

Objective: Youth with ADHD and comorbid anxiety (ADHD+ANX) experience increased social and academic impairment compared with youth with ADHD without anxiety (ADHD). Group differences in attentional and impulse control may underlie this increased impairment. Examination of group differences using behavioral measures of attentional and impulse control has yielded inconsistent findings. This study explored group differences using event-related potentials (ERPs), which provide neural information concerning early information processing. Method: ERPs (early frontal positivity [EFP], N2) were collected while youth aged 11 to 17 with ADHD ( n = 31) and ADHD+ANX ( n = 35) completed a visual and an auditory computer task. Results: Compared with the ADHD group, the ADHD+ANX group exhibited larger N2 amplitudes to no-go stimuli and larger EFP amplitudes to target auditory stimuli, with variable attention allocation to nontarget stimuli. Conclusion: The addition of anxiety to ADHD appears to alter early attentional processing, which may be an important aspect of this comorbidity.


2012 ◽  
Vol 26 (2) ◽  
pp. 51-62 ◽  
Author(s):  
Maarten A. S. Boksem ◽  
Evelien Kostermans ◽  
Mattie Tops ◽  
David De Cremer

Recent research has demonstrated that individual differences in approach motivation modulate attentional scope. In turn, approach and inhibition have been related to different neural systems that are associated with asymmetries in relative frontal activity (RFA). Here, we investigated whether such individual differences in asymmetric hemispheric activity during rest, and self-report measures of approach motivation (as measured by the behavioral inhibition system, BIS/behavioral activation system, BAS scales) would be predictive of the efficiency of attentional processing of global and local visual information, as indexed by event-related potentials (ERPs) and performance measures. In the reported experiment, participants performed a visual attention task in which they were required to either attend to the global shape or the local components of presented stimuli. Electroencephalogram was recorded during task performance and during an initial “resting state” measurement. The results showed that only the BAS-Reward Responsiveness subscale was associated with left RFA during rest, while BIS, BAS-Drive, and BAS-Fun Seeking were associated with more right-lateralized RFA. Importantly, left RFA during the “resting state” measurement was associated with increased P3 (right-lateralized) amplitudes and decreased P3 latencies on trials requiring a global focus. In turn, these ERPs were associated with enhanced performance on trials requiring a global focus. These results provide the first evidence for a positive association between left RFA during rest and increased efficiency of right-lateralized brain mechanisms that are involved in processing global information.


2018 ◽  
Vol 30 (05) ◽  
pp. 1850034
Author(s):  
Yeganeh Shahsavar ◽  
Majid Ghoshuni

The main goal of this event-related potentials (ERPs) study was to assess the effects of stimulations in Stroop task in brain activities of patients with different degrees of depression. Eighteen patients (10 males, with the mean age [Formula: see text]) were asked to fill out Beck’s depression questionnaire. Electroencephalographic (EEG) signals of subjects were recorded in three channels (Pz, Cz, and Fz) during Stroop test. This test entailed 360 stimulations, which included 120 congruent, 120 incongruent, and 120 neutral stimulations. To analyze the data, 18 time features in each type of stimulus were extracted from the ERP components and the optimal features were selected. The correlation between the subjects’ scores in Beck’s depression questionnaires and the extracted time features in each recording channel was calculated in order to select the best features. Total area, and peak-to-peak time window in the Cz channel in both the congruent and incongruent stimulus showed significant correlation with Beck scores, with [Formula: see text], [Formula: see text] and [Formula: see text], [Formula: see text], respectively. Consequently, given the correlation between time features and the subjects’ Beck scores with different degrees of depression, it can be interpreted that in case of growth in degrees of depression, stimulations involving congruent images would produce more challenging interferences for the patients compared to incongruent stimulations which can be more effective in diagnosing the level of disorder.


2019 ◽  
Vol 11 (1) ◽  
pp. 80-115
Author(s):  
Eva Koderman

Abstract Anxiety is characterized by a sustained state of heightened vigilance due to uncertain danger, producing increased attention to a perceived threat in one's environment. To further examine this exploited the temporal resolution afforded by event-related potentials to investigate the impact of predictability of threat on early perceptual activity. We recruited 28 participants and utilized a within-subject design to examine hypervigilance in anticipation of shock, unpleasant picture and unpleasant sound during a task with unpredictable, predictable and no threat. We investigated if habituation to stimuli was present by asking the participants to rate unpleasantness and intensity of the stimuli before and after the experiment. We observed hypervigilance in the unpredictable threat of shock. Habituation was observed for the visual stimuli. The present study suggests that unpredictability enhances attentional engagement with neutral somatosensory stimuli when the threat is of the same modality, meaning we observed the presence of hypervigilance which is a characteristic of anxiety.


2019 ◽  
Author(s):  
Rémy Masson ◽  
Yohana Lévêque ◽  
Geneviève Demarquay ◽  
Hesham ElShafei ◽  
Lesly Fornoni ◽  
...  

AbstractObjectivesTo evaluate alterations of top-down and/or bottom-up attention in migraine and their cortical underpinnings.Methods19 migraineurs between attacks and 19 matched control participants performed a task evaluating jointly top-down and bottom-up attention, using visually-cued target sounds and unexpected task-irrelevant distracting sounds. Behavioral responses and MEG/EEG were recorded. Event-related potentials and fields (ERPs/ERFs) were processed and source reconstruction was applied to ERFs.ResultsAt the behavioral level, neither top-down nor bottom-up attentional processes appeared to be altered in migraine. However, migraineurs presented heightened evoked responses following distracting sounds (orienting component of the N1 and Re-Orienting Negativity, RON) and following target sounds (orienting component of the N1), concomitant to an increased recruitment of the right temporo-parietal junction. They also displayed an increased effect of the cue informational value on target processing resulting in the elicitation of a negative difference (Nd).ConclusionsMigraineurs appear to display increased bottom-up orienting response to all incoming sounds, and an enhanced recruitment of top-down attention.SignificanceThe interictal state in migraine is characterized by an exacerbation of the orienting response to attended and unattended sounds. These attentional alterations might participate to the peculiar vulnerability of the migraine brain to all incoming stimuli.HighlightsMigraineurs performed as well as healthy participants in an attention task.However, EEG markers of both bottom-up and top-down attention are increased.Migraine is also associated with a facilitated recruitment of the right temporo-parietal junction.


2019 ◽  
Author(s):  
Solange Denervaud ◽  
Jean-François Knebel ◽  
Emeline Mullier ◽  
Patric Hagmann ◽  
Micah M. Murray

Within an inherently dynamic environment, unexpected outcomes are part of daily life. Performance monitoring allows us to detect these events and adjust behavior accordingly. The necessity of such an optimal functioning has made error-monitoring a prominent topic of research over the last decades. Event-related potentials (ERPs) have differentiated between two brain components involved in error-monitoring: the error-related negativity (ERN) and error-related positivity (Pe) that are thought to reflect detection vs. emotional/motivational processing of errors, respectively. Both ERN and Pe depend on the protracted maturation of the frontal cortices and anterior cingulate through adolescence. To our knowledge, the impact of schooling pedagogy on error-monitoring and its brain mechanisms remains unknown and was the focus of the present study. Swiss schoolchildren completed a continuous recognition task while 64-channel EEG was recorded and later analyzed within an electrical neuroimaging framework. They were enrolled either in a Montessori curriculum (N=13), consisting of self-directed learning through trial-and-error activities with sensory materials, or a traditional curriculum (N=14), focused on externally driven activities mainly based on reward feedback. The two groups were controlled for age, gender, socio-economic status, parental educational style, and scores of fluid intelligence. The ERN was significantly enhanced in Montessori schoolchildren (driven by a larger response to errors), with source estimation differences localized to the cuneus and precuneus. In contrast, the Pe was enhanced in traditional schoolchildren (driven by a larger response to correct trials), with source estimation differences localized to the ventral anterior cingulate. Receiver operating characteristic (ROC) analysis demonstrated that the ERN and Pe could reliably classify if a child was following a Montessori or traditional curriculum. Brain activity subserving error-monitoring is modulated differently according to school pedagogy.


2007 ◽  
Vol 19 (10) ◽  
pp. 1595-1608 ◽  
Author(s):  
Leanne M. Williams ◽  
Andrew H. Kemp ◽  
Kim Felmingham ◽  
Belinda J. Liddell ◽  
Donna M. Palmer ◽  
...  

Although biases toward signals of fear may be an evolutionary adaptation necessary for survival, heightened biases may be maladaptive and associated with anxiety or depression. In this study, event-related potentials (ERPs) were used to examine the time course of neural responses to facial fear stimuli (versus neutral) presented overtly (for 500 msec with conscious attention) and covertly (for 10 msec with immediate masking to preclude conscious awareness) in 257 nonclinical subjects. We also examined the impact of trait anxiety and depression, assessed using psychometric ratings, on the time course of ERPs. In the total subject group, controlled biases to overtly processed fear were reflected in an enhancement of ERPs associated with structural encoding (120–220 msec) and sustained evaluation persisting from 250 msec and beyond, following a temporo-occipital to frontal topography. By contrast, covert fear processing elicited automatic biases, reflected in an enhancement of ERPs prior to structural encoding (80–180 msec) and again in the period associated with automatic orienting and emotion encoding (230–330 msec), which followed the reverse frontal to temporo-occipital topography. Higher levels of trait anxiety (in the clinical range) were distinguished by a heightened bias to covert fear (speeding of early ERPs), compared to higher depression which was associated with an opposing bias to overt fear (slowing of later ERPs). Anxiety also heightened early responses to covert fear, and depression to overt fear, with subsequent deficits in emotion encoding in each case. These findings are consistent with neural biases to signals of fear which operate automatically and during controlled processing, feasibly supported by parallel networks. Heightened automatic biases in anxiety may contribute to a cycle of hypervigilance and anxious thoughts, whereas depression may represent a “burnt out” emotional state in which evaluation of fear stimuli is prolonged only when conscious attention is allocated.


2007 ◽  
Vol 60 (11-12) ◽  
pp. 531-535 ◽  
Author(s):  
Otto Barak ◽  
Vesna Ivetic ◽  
Danka Filipovic ◽  
Nada Naumovic ◽  
Damir Lukac ◽  
...  

Introduction. A number of articles on physical activity analyze the effects of acute bouts of physical exercise on the whole body. These experiments mainly include questionnaires and measurements of reaction time. The use of event-related potentials in laboratories for functional diagnostics is only of recent date. The aim of this experiment was to give insights into the impact of physical activity of different intensity on the amplitude and latency of P300 cognitive potentials. Material and methods. After recording cognitive event-related potentials in 17 young (21.6?1.07 yrs) healthy adults (at Fz and Cz), the participants underwent a controlled bicycle ergometer exercise. Each exercise lasted 10 minutes, with successive increase in the intensity to 60%, 75% and 90% of the maximum pulse rate and maintaining this level of intensity for six minutes. Immediately after each bout of exercise, event-related potentials were recorded. Results. The amplitude of the P300 wave, following exercise intensity at 75% of the maximum pulse (Pmax) (Fz 15.00?4.57; Cz 18.63?8.83 mV) was statistically higher (p<0.05) than the amplitude of the P300 at rest (Fz 11.21?4.15 mV; Cz 13.40?8.04 mV), at 60% (Fz 11.86?5.11 mV; Cz 14.54?8.06 mV) and at 90% of maximum pulse (Fz 13.26?4.73 mV; Cz 14.91?8.91 mV). There were no statistically significant differences (p>0.05) between amplitudes at 60% of Pmax and values obtained at rest and at 90% of Pmax. Also, no statistically significant differences were recorded (p>0.05) among the latencies of P300 recorded at rest (Fz 323.57?13.24 ms; Cz 323.57?13.24 ms) and at 60% of Pmax (Fz 321.14?22.38 ms; Cz 321.86?22.88 ms), at 75% of Pmax (Fz 321.50?16.67 ms; Cz 322.50?14.60 ms) and at 90% of Pmax (Fz 326.29?7.85 ms; Cz 325.43?7.63 ms). Discusssion and Conclusion. Physical activity has a positive impact on cognitive functions. At intermediate intensities, the amplitude of P300 increases, but at submaximal intensities it decreases to values obtained at rest. However, the latency of P300 did not show a statistically significant change after different intensities of exercise.


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