A Hybrid Spatio-Temporal Graph Transformer for EEG-Based ADHD Detection via Network Index Modeling

Objective and reproducible diagnosis of attention-deficit/hyperactivity disorder (ADHD) remains challenging because of the limited availability of reliable electroencephalography (EEG) biomarkers and the high variability of neural signals. This study proposes a computational framework for ADHD detection based on dynamic functional connectivity and network-index modeling. Multichannel EEG recordings were transformed into temporal connectivity graphs using sliding-window correlations of band-limited amplitude envelopes. Several network-index models were evaluated, including linear, graph-based, recurrent, and hybrid spatio-temporal approaches. The proposed Hybrid Spatio-Temporal Graph Transformer demonstrated moderate, yet reproducible, subject-level classification performance. On the independent test set, the model achieved an accuracy of 63.16%, a balanced accuracy of 62.22%, a sensitivity of 80.00%, a specificity of 44.44%, an F1-score of 69.57%, and an AUC-ROC of 0.7444. Additional analysis of the derived network index demonstrated moderate intergroup separability, with a mean index shift of 1.16, Cohen’s d = 0.73, Pearson’s r = 0.36, and distribution overlap = 0.72. These findings suggest that the proposed framework captures informative spatio-temporal EEG connectivity patterns associated with ADHD; however, the model’s diagnostic applicability should be considered preliminary and requires validation in larger independent cohorts.