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Fronto-parietal white matter microstructure associated with working memory performance in children with ADHD
Lillian M Dipnall1, Danah Hourani2, Simone Darling3
1School of Psychology, Deakin University, Geelong, Australia.
Insights
Children with Attention Deficit/Hyperactivity Disorder (ADHD) show poorer working memory and reduced left superior longitudinal fasciculus-II (SLF-II) white matter organization. SLF-II volume mediates the link between ADHD and working memory deficits.
Area of Science:
- Neuroscience
- Developmental Psychology
- Radiology
Background:
- Attention Deficit/Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder impacting executive functions, particularly working memory.
- The superior longitudinal fasciculus (SLF) is crucial for working memory development in neurotypical children.
- Reduced white matter organization in the SLF is hypothesized to underlie working memory deficits in ADHD.
Purpose of the Study:
- To investigate the association between SLF white matter organization and working memory in children with ADHD.
- To compare SLF volume and apparent fibre density (AFD) between children with ADHD and controls.
Main Methods:
- Diffusion magnetic resonance imaging (dMRI) and constrained spherical deconvolution-based tractography were used to analyze the SLF.
- Working memory was assessed using a computerized spatial n-back task in 64 children with ADHD and 58 controls (aged 9-11).
- Tract volume and AFD of the SLF branches were quantified bilaterally.
Main Results:
- Children with ADHD demonstrated poorer working memory performance, characterized by increased reaction time and variability (RT and RT-V).
- Lower volume and AFD of the left SLF-II were observed in children with ADHD compared to controls.
- Left SLF-II volume significantly mediated the relationship between ADHD and working memory performance.
Conclusions:
- The findings highlight the role of frontoparietal white matter integrity, specifically the left SLF-II, in working memory impairments associated with ADHD.
- This research contributes to understanding the neurobiological underpinnings of executive function deficits in ADHD.
Introduction:
Attention Deficit/Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder with many functional impairments thought to be underpinned by difficulties in executive function domains such as working memory. The superior longitudinal fasciculus (SLF) plays an integral role in the development of working memory in neurotypical children. Neuroimaging research suggests reduced white matter organization of the SLF may contribute to working memory difficulties commonly seen in ADHD. This study aimed to examine the relationship between white matter organization of the SLF and working memory in children with ADHD.
Methods:
We examined the association of tract volume and apparent fibre density (AFD) of the SLF with working memory in children with ADHD (n = 64) and controls (n = 58) aged 9-11years. Children completed a computerized spatial n-back task and underwent diffusion magnetic resonance imaging (dMRI). Constrained spherical deconvolution-based tractography was used to construct the three branches of the SLF bilaterally and examine volume and AFD of the SLF.
Results:
Regression analyses revealed children with ADHD exhibited poorer working memory, and lower volume and AFD of the left SLF-II compared to healthy controls. There was also an association between reaction time and variability (RT and RT-V) and the left SLF-II. Further analyses revealed volume of the left SLF-II mediated the relationship between ADHD and working memory performance (RT and RT-V).
Discussion:
These findings add to the current body of ADHD literature, revealing the potential role of frontoparietal white matter in working memory difficulties in ADHD.
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