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Academia Mexicana de Neurología, A.C.

2017, Number 1

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Rev Mex Neuroci 2017; 18 (1)

Cognitive evoked potentials and tests of attention in the process of diagnosis and clinical follow-up in children with attention deficit / hyperactivity disorder

Medici D, Morales SVM

Language: Spanish
References: 31
Page: 100-115
PDF size: 206.12 Kb.


ABSTRACT

Introduction: In children and adolescent with diagnosis of attention deficit disorder/hyperactivity disorder (ADHD) it is essential to identify and validate neurophysiological quantitative indicators that provide a better understanding about the neurobiology and cognitive deficits.
Objetive: To examine the event-related potentials (ERP) and attention test (AT) measure deficits in selective attention associated with difficulties in the development of language functions, reading and writing, representing potential factors of cognitive risk in ADHD.
Methods: Retrospective cohort study of 297 medical records of children diagnosed with ADHD according to DSM-IV criteria in a public hospital. PEC and TA were analyzed.
Results: ADHD children presented inefficient results in 80% of visual ERP, 93% of auditory PEC, 66% of visual attention test and 79% of auditory attention test. Results in both ERPs, between normal ERP and abnormal ERP, between abnormal ERP by sex and between types of alterations were statistically significant. Significant differences wer also observed between normal AT and abnormal AT, between AT according to gender and between alteration (error of omission and commission and response time) on auditory AT, except in the last two types of alterations in visual AT. The specific language impairment (SLI) with AT detects risk probabilities in the diagnosing of ADHD.
Conclusions: Diagnosis of ADHD is a clinical challenge with limited time during a typical consultation in the public health system. For this reason, when the family and/or school teachers have diagnostic suspicions, results in ERP and AT would allow to start therapeutic and/or educational measures that will reduce their symptoms burden and incomprehension.


REFERENCES

  1. Tajima-Pozo K, Ruiz-Manrique G, Yus M, Arrazola J, Montañes-Rada F. Correlation between amygdala volume and impulsivity in adults with attention-deficit hyperactivity disorder. Acta Neuropsychiatr 2015; 27: 362-367.

  2. Chen CY, Yen JY, Yen CF, Chen CS, Liu GC, Liang CY, Ko CH. Aberrant brain activation of error processing among adults with attention deficit and hyperactivity disorder. Kaohsiung J Med Sci 2015; 31: 179-187.

  3. Jiang K, Dong X, Gao M, Li H, Zhang Q, Yi Y, Shen H, Chen L, Ding L, Zheng A. Intensity of functional connection between bilateral hemispheres of children with attention-deficit hyperactivity disorder by functional magnetic resonance imaging. Zhonghua Yi Xue Za Zhi. 2014; 94: 3649-3651.

  4. Karayanidis F, Robaey P, Bourassa M, De Koning D, Geoffroy G, Pelletier G. ERP differences in visual attention processing between attention-deficit hyperactivity disorder and control boys in the absence of performance differences. Psychophysiology. 2000; 37: 319-333.

  5. Johnstone SJ, Barry RJ. Auditory event-related potentials to a two-tone discrimination paradigm in attention deficit hyperactivity disorder. Psychiatry Res. 1996; 64: 179-192.

  6. Jirsa RE, Clontz KB. Long latency auditory event-related potentials from children with auditory processing disorders. Ear Hear 1990; 11: 222-232.

  7. Jirsa, RE. The clinical utility of the P3 ERP in children with auditory processing disorders. J Sp Hear Res 1992; 35: 903-912.

  8. Arns M, Drinkenburg W, Leon Kenemans J. The Effects of QEEG-Informed Neurofeedback in ADHD: An Open-Label Pilot Study. Appl Psychophysiol Biofeedback. 2012; 37: 171-180.

  9. Idiazábal-Alecha MA, Rodríguez-Vázquez S, Guerrero-Gallo D, Vicent-Sardinero X. Utilidad de los potenciales evocados cognitivos en la valoración de la efectividad del tratamiento con metilfenidato en niños con trastorno de déficit de atención con hiperactividad. Rev Neurol. 2005; 40 Suppl 1: S37- 42.

  10. Yoon HH, Iacono WG, Malone SM, Bernat EM, McGue M. The effects of childhood disruptive disorder comorbidity on P3 event-related brain potentials in preadolescents with ADHD. Biol Psychol. 2008; 79: 329-336.

  11. Du J, Li J, Wang Y, Jiang Q, Livesley WJ, Jang KL, Wang K, Wang W. Event-related potentials in adolescents with combined ADHD and CD disorder: a single stimulus paradigm. Brain Cogn. 2006; 60: 70-75.

  12. Paul-Jordanov I, Bechtold M, Gawrilow C. Methylphenidate and if-then plans are comparable in modulating the P300 and increasing response inhibition in children with ADHD. Atten Defic Hyperact Disord. 2010; 2: 115-126.

  13. Ozdag MF, Yorbik O, Ulas UH, Hamamcioglu K, Vural O. Effect of methylphenidate on auditory event related potential in boys with attention deficit hyperactivity disorder. Int J Pediatr Otorhinolaryngol. 2004; 68: 1267-1272.

  14. Seifert J, Scheuerpflug P, Zillessen KE, Fallgatter A, Warnke A. Electrophysiological investigation of the effectiveness of methylphenidate in children with and without ADHD. J Neural Transm. 2003; 110: 821-829.

  15. Enger T, Gruzelier JH. Leaned self-regulation of EEG frequency components affects attention and event-related bran potentials in humans. Neuroreport 2001;12: 4155-4159.

  16. Monasta VJ. Quantitative electroencephalography and attention-deficit/hyperactivity disorder: implications for clinical practice. Curr Psychiatry Rep. 2008; 10: 432-438.

  17. Stanislaw H, Todorov N. Calculation of signal detection theory measures. Behavior research methods, instruments, & computers: a journal of the Psychonomic Society 1999; 31: 137-149.

  18. Wada N, Yamashita Y, Matsuishi T, Ohtani Y, Kato H.The test of variables of attention (TOVA) is useful in the diagnosis of Japanese male children with attention deficit hyperactivity disorder. Brain Dev. 2000; 22: 378-382.

  19. Wu YY, Huang YS, Chen YY, Chen CK, Chang TC, Chao CC. Psychometric study of the test of variables of attention: preliminary findings on Taiwanese children with attention-deficit/ hyperactivity disorder. Psychiatry Clin Neurosci. 2007; 61: 211-218.

  20. Doehnert M, Brandeis D, Schneider G, Drechsler R, Steinhausen HC. A neurophysiological marker of impaired preparation in an 11-year follow-up study of attention-deficit/hyperactivity disorder (ADHD). J Child Psychol Psychiatry. 2013; 54: 260-270.

  21. American Speech-Language Hearing Association. Central auditory processing: Current status of research and implications for clinical practice. American Journal of Audiology 1996; 5: 41-54.

  22. Cantwell DP, Baker L. Association between attention deficit-hyperactivity disorder and learning disorders. J Learn Disabil. 1991; 24: 88-95.

  23. Frank Y, Seiden JA, Napolitano B. Event related potentials to an ‘oddball’ paradigm in children with learning disabilities with or without attention deficit hyperactivity disorder. Clin Electroencephalogr 1994; 25: 13641.Polich J. P300: clinical utility and control of variability. Journal of Clinical Neurophysiology 1998; 15: 14-33.

  24. Winsberg BG, Javitt DC, Silipo GS. Electrophysiological indices of information processing in methylphenidate responders. Biol Psychiatry 1997; 42: 434-445.

  25. Huang-Pollock CL, Karalunas SL, Tam H, Moore AN. Evaluating vigilance deficits in ADHD: a metaanalysis of CPT performance. J Abnorm Psychol. 2012; 121: 360-371.

  26. Hasson R, Fine JG.Gender Differences Among Children With ADHD on Continuous Performance Tests: A Meta-Analytic Review. J Atten Disord. 2012; 16: 190-198.

  27. Fox MD, Snyder AZ, Vincent JL, Corbetta M, Van Essen DC, Raichle ME. The human brain is intrinsically organized into dynamic, anticorrelated functional networks. Proceedings of the National Academy of Sciences of the United States of America 2005; 102: 9673-9678.

  28. Fox MD, Snyder AZ, Vincent JL, Raichle ME. Intrinsic fluctuations within cortical systems account for intertrial variability in human behavior. Neuron 2007; 56: 171-184.

  29. Castellanos FX, Kelly C, Milham MP. The restless brain: Attention-deficit hyperactivity disorder, resting-state functional connectivity, and intrasubject variability. Canadian Journal of Psychiatry- Revue Canadienne De Psychiatrie 2009; 54: 665-672.

  30. Sonuga-Barke EJS, Castellanos FX. Spontaneous attentional fluctuations in impaired states and pathological conditions: A neurobiological hypothesis. Neuroscience and Biobehavioral. Reviews 2007; 31: 977-986.

  31. Valera EM, Faraone SV, Murray KE, Seidman LJ. Meta-analysis of structural imaging findings in attention-deficit/hyperactivity disorder. Biological Psychiatry 2007; 61: 1361-1369.




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