Effects of Methylphenidate on Default-Mode Network/Task-Positive Network Synchronization in Children With ADHD
Laurent Querne1,2, Sidy Fall1,2, Anne-Gaëlle Le Moing1,2
11 GRAMFC INSERM U1105, Université de Picardie Jules-vernes, France.
Methylphenidate improved synchronization between brain networks in children with ADHD, reducing response time variability. This suggests that impaired network synchronization contributes to ADHD symptoms.
Area of Science:
- Neuroscience
- Developmental Neuroscience
- Cognitive Neuroscience
Background:
- ADHD is characterized by moment-to-moment variability, potentially linked to disrupted anti-phase synchronization between the default-mode network (DMN) and task-positive network (TPN).
- Understanding the neural mechanisms underlying ADHD variability is crucial for developing effective treatments.
Purpose of the Study:
- To investigate the impact of methylphenidate on TPN/DMN synchronization in children with ADHD.
- To explore the relationship between TPN/DMN synchronization and response time variability in ADHD.
Main Methods:
- Functional magnetic resonance imaging (fMRI) was used to examine brain activity in 11 drug-naive children with ADHD and 11 typically developing (TD) children during a flanker task.
- The ADHD group underwent scanning both without and with methylphenidate treatment.
- Independent component analysis was employed to analyze brain signal synchronization.
Main Results:
- TD children exhibited anti-phase DMN/TPN synchronization.
- Unmedicated ADHD children showed synchronous activity only in the posterior DMN, correlated with response time variability.
- Methylphenidate administration partially restored anti-phase TPN/DMN synchronization, decreased variability, and eliminated the correlation between variability and DMN activity.
Conclusions:
- A failure in TPN/DMN synchronization may underlie the moment-to-moment variability observed in ADHD.
- Methylphenidate appears to enhance TPN/DMN synchronization, which may, in turn, reduce ADHD-related variability.
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