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Response monitoring in children with phenylketonuria
Gabriel C Araujo1, Shawn E Christ, Robert D Steiner
1Department of Psychology, Washington University, St.Louis, MO 63130, USA.
Insights
Children with phenylketonuria (PKU) show impaired response monitoring. This study found that children with PKU exhibit less posterror slowing, indicating a deficit in their ability to monitor and adjust their performance after making mistakes.
Area of Science:
- Neuropsychology
- Developmental Psychology
- Metabolic Disorders
Background:
- Phenylketonuria (PKU) disrupts phenylalanine metabolism, leading to dopamine deficiency and white matter abnormalities.
- Neuropsychological studies link prefrontal dysfunction to executive ability deficits in individuals with PKU.
- Executive functions, crucial for cognitive control, are often impaired in PKU.
Purpose of the Study:
- To investigate response monitoring, a key executive ability, in children with PKU.
- To measure posterror slowing as an indicator of response monitoring efficiency.
- To compare response monitoring between early-treated children with PKU and typically developing controls.
Main Methods:
- A go/no-go task was administered to assess reaction times.
- Posterror reaction times were analyzed in 24 children with well-controlled, early-treated PKU.
- Reaction times of 25 typically developing children served as controls.
Main Results:
- Both control children and children with PKU demonstrated significant posterror slowing.
- The magnitude of posterror slowing was significantly reduced in children with PKU compared to controls.
- This suggests a deficiency in response monitoring in children with PKU.
Conclusions:
- Children with PKU exhibit deficient response monitoring.
- Impaired response monitoring may contribute to executive function deficits observed in PKU.
- Early and well-controlled treatment may not fully normalize response monitoring abilities.
Abstract:
Phenylketonuria (PKU) is characterized by a disruption in the metabolism of phenylalanine and is associated with dopamine deficiency (Diamond, Prevor, Callender, & Druin, 1997) and cerebral white matter abnormalities (e.g., Anderson et al., 2007). From a neuropsychological perspective, prefrontal dysfunction is thought to underlie the deficits in executive abilities observed in individuals with PKU (Christ, Steiner, Grange, Abrams, & White, 2006; Diamond et al., 1997; White, Nortz, Mandernach, Huntington, & Steiner, 2001, 2002). The purpose of our study was to examine a specific aspect of executive ability, response monitoring, as measured by posterror slowing. The authors examined posterror reaction time (RT) in 24 children with well-controlled, early treated PKU and 25 typically developing control children using a go/no-go task. Results showed that RTs of both controls and children with PKU slowed significantly following the commission of errors. The magnitude of posterror slowing, however, was significantly less for children with PKU. These findings indicate deficient response monitoring in children with PKU.
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