Cognitive and neurophysiological markers of ADHD persistence and remission

Background - Attention-deficit hyperactivity disorder (ADHD) persists in around two-thirds of individuals in adolescence and early adulthood. Aims - To examine the cognitive and neurophysiological processes underlying the persistence or remission of ADHD. Method - Follow-up data were obtained from 1...

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Main Authors: Cheung, Celeste H. M. (Author) , Brandeis, Daniel (Author) , Banaschewski, Tobias (Author)
Format: Article (Journal)
Language:English
Published: June 2016
In: The British journal of psychiatry
Year: 2016, Volume: 208, Issue: 6, Pages: 548-555
ISSN:1472-1465
DOI:10.1192/bjp.bp.114.145185
Online Access:Verlag, Volltext: https://doi.org/10.1192/bjp.bp.114.145185
Verlag, Volltext: https://www.cambridge.org/core/journals/the-british-journal-of-psychiatry/article/cognitive-and-neurophysiological-markers-of-adhd-persistence-and-remission/EB60FFCC8BFA5BE34F33336AECA4DF86
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Author Notes:Celeste H.M. Cheung, Fruhling Rijsdijk, Gráinne McLoughlin, Daniel Brandeis, Tobias Banaschewski, Philip Asherson and Jonna Kuntsi
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Summary:Background - Attention-deficit hyperactivity disorder (ADHD) persists in around two-thirds of individuals in adolescence and early adulthood. Aims - To examine the cognitive and neurophysiological processes underlying the persistence or remission of ADHD. Method - Follow-up data were obtained from 110 young people with childhood ADHD and 169 controls on cognitive, electroencephalogram frequency, event-related potential (ERP) and actigraph movement measures after 6 years. Results - ADHD persisters differed from remitters on preparation-vigilance measures (contingent negative variation, delta activity, reaction time variability and omission errors), IQ and actigraph count, but not on executive control measures of inhibition or working memory (nogo-P3 amplitudes, commission errors and digit span backwards). Conclusions - Preparation-vigilance measures were markers of remission, improving concurrently with ADHD symptoms, whereas executive control measures were not sensitive to ADHD persistence/remission. For IQ, the present and previous results combined suggest a role in moderating ADHD outcome. These findings fit with previously identified aetiological separation of the cognitive impairments in ADHD. The strongest candidates for the development of non-pharmacological interventions involving cognitive training and neurofeedback are the preparation-vigilance processes that were markers of ADHD remission.
Item Description:Gesehen am 17.06.2019
Physical Description:Online Resource
ISSN:1472-1465
DOI:10.1192/bjp.bp.114.145185