Impairments in error processing and their association with ADHD symptoms in individuals born preterm

Preterm birth is associated with heightened risk for attention-deficit/hyperactivity disorder (ADHD)-like symptoms and neurocognitive impairments, including impairments in performance monitoring. Here, we investigate the cognitive and neurophysiological processes from a performance-monitoring task i...

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Main Authors: Rommel, Anna-Sophie (Author) , Banaschewski, Tobias (Author) , Brandeis, Daniel (Author)
Format: Article (Journal)
Language:English
Published: April 11, 2019
In: PLOS ONE
Year: 2019, Volume: 14, Issue: 4
ISSN:1932-6203
DOI:10.1371/journal.pone.0214864
Online Access:Verlag, Volltext: https://doi.org/10.1371/journal.pone.0214864
Verlag, Volltext: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0214864
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Author Notes:Anna-Sophie Rommel, Sarah-Naomi James, Gráinne McLoughlin, Giorgia Michelini, Tobias Banaschewski, Daniel Brandeis, Philip Asherson, Jonna Kuntsi

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520 |a Preterm birth is associated with heightened risk for attention-deficit/hyperactivity disorder (ADHD)-like symptoms and neurocognitive impairments, including impairments in performance monitoring. Here, we investigate the cognitive and neurophysiological processes from a performance-monitoring task in preterm-born adolescents and examine whether these processes in preterm-born adolescents reflect identical neurophysiological impairments to those observed in term-born adolescents with ADHD. We compared 186 preterm-born individuals to 69 term-born individuals with ADHD and 135 term-born controls on cognitive-performance measures and event-related potentials (ERPs) of conflict monitoring (N2) and error processing (ERN, Pe) from a flanker task. Preterm-born adolescents demonstrated reduced N2, ERN and Pe amplitudes, compared to controls, and similar ERN and Pe impairments to term-born adolescents with ADHD. While ADHD symptoms correlated with ERN amplitude at FCz among the preterm-born, ERN amplitude at Fz, N2 and Pe amplitude were not associated with ADHD symptoms. Preterm-born individuals show impairments on neurophysiological indices of conflict monitoring (N2) and error processing (ERN and Pe). Early neurophysiological error processing may be a marker underlying the processes linked to the increased risk for ADHD among preterm-born individuals. Error detection processes are malleable and potential targets for non-pharmacological interventions. Preterm-born individuals are likely to benefit from early interventions. 
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