Key result
Male children with ADHD failed to adapt their reaction times to increasing Go stimulus sequences (interaction p=0.027) and lacked the lateral prefrontal theta oscillation modulations observed in typically developing children.
Why the study?
Proactive cognitive control depends on prefrontal cortex maturity and is important to ADHD symptomatology, motivating the test of whether children with ADHD have proactive cognitive control impairments reflected in prefrontal oscillatory activity.
Does proactive cognitive control impairment reflect in lateral prefrontal theta oscillations in male children with ADHD compared to typically developing children?
Case-Control (n=54)
No
Does proactive cognitive control impairment reflect in lateral prefrontal theta oscillations in male children with ADHD compared to typically developing children?
Children with ADHD exhibit impaired proactive cognitive control, which is reflected by a lack of contextual modulation in lateral prefrontal theta oscillations compared to typically developing children.
Supports link of ADHD to absent prefrontal theta modulation in boys; hypothesis-generating, needs prospective validation before clinical use.
Attention Deficit Hyperactivity Disorder (ADHD) is a common neuropsychiatric disorder in which children present prefrontal cortex (PFC) related functions deficit. Proactive cognitive control is a process that anticipates the requirement of cognitive control and crucially depends on the maturity of the PFC. Since this process is important to ADHD symptomatology, we here test the hypothesis that children with ADHD have proactive cognitive control impairments and that these impairments are reflected in the PFC oscillatory activity. We recorded EEG signals from 29 male children with ADHD and 25 typically developing (TD) male children while they performed a Go-Nogo task, where the likelihood of a Nogo stimulus increased while a sequence of consecutive Go stimuli elapsed. TD children showed proactive cognitive control by increasing their reaction time (RT) concerning the number of preceding Go stimuli, whereas children with ADHD did not. This adaptation was related to modulations in both P3a potential and lateral prefrontal theta oscillation for TD children. Children with ADHD as a group did not demonstrate either P3a or theta modulation. But, individual variation in theta activity was correlated with the ADHD symptomatology. The results depict a neurobiological mechanism of proactive cognitive control impairments in children with ADHD.
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Zamorano et al. (2020) conducted a case-control in Attention Deficit Hyperactivity Disorder (ADHD) (n=54). Attention Deficit Hyperactivity Disorder vs. Typically developing children was evaluated on Reaction time adaptation to preceding Go trial sequences (proactive cognitive control) (p=0.027). Male children with ADHD failed to adapt their reaction times to increasing Go stimulus sequences (interaction p=0.027) and lacked the lateral prefrontal theta oscillation modulations observed in typically developing children.
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