Sources of auditory selective attention and the effects of methylphenidate in children with

Chantal Kemner1, Lisa M Jonkman, J Leon Kenemans

  • 1Department of Child and Adolescent Psychiatry, University Medical Center Utrecht, The Netherlands.

Biological Psychiatry
|March 25, 2004
PubMed

Insights

Children with attention-deficit/hyperactivity disorder (ADHD) show abnormal auditory selective attention, but not due to frontal cortex issues. Methylphenidate (MPh) did not normalize brain activity in ADHD patients.

Area of Science:

  • Neuroscience
  • Developmental Psychology
  • Clinical Psychology

Background:

  • Attention-deficit/hyperactivity disorder (ADHD) is associated with difficulties in selective attention.
  • Event-related potentials, specifically processing negativity (PN), are used to study auditory selective attention.

Purpose of the Study:

  • To investigate the relationship between abnormal auditory selective attention in children with ADHD and frontal lobe functioning.
  • To examine the effects of methylphenidate (MPh) on attentional functioning in children with ADHD.

Main Methods:

  • Utilized event-related potentials (ERPs) to estimate sources of electrical brain activity.
  • Compared brain activity in healthy children, medication-naïve children with ADHD, and children with ADHD during a placebo-controlled methylphenidate (MPh) trial.

Main Results:

  • Processing negativity (PN) in children with ADHD, indicative of selective attention, is generated in the auditory cortex.
  • Children with ADHD exhibited reduced activity in the auditory cortex during selective attention tasks.
  • Methylphenidate (MPh) administration shifted the location of brain activity sources towards more frontal regions.

Conclusions:

  • The study found no evidence supporting a significant role of the frontal cortex in the selective attention deficits observed in children with ADHD.
  • Methylphenidate (MPh) did not appear to normalize the underlying brain activity related to selective attention in children with ADHD.
Abstract