Functional reorganization of brain activity in children with attention-deficit/hyperactivity disorder: Evidence from

Yu Zhu1, Xiangsheng Luo1, Xiaojie Guo1

  • 1Peking University Sixth Hospital, Institute of Mental Health, Beijing, China; NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, China.

PubMed

Insights

Children with attention-deficit/hyperactivity disorder (ADHD) show reduced inferior parietal lobule (IPL) activation. Cognitive demand modulates IPL

Area of Science:

  • Neuroscience
  • Developmental Psychology
  • Cognitive Science

Background:

  • Previous research indicates reduced inferior parietal lobule (IPL) activation in children with attention-deficit/hyperactivity disorder (ADHD) during visuospatial tasks.
  • The functional connectivity (FC) of the IPL and its modulation by cognitive demand in ADHD remain underexplored.

Purpose of the Study:

  • To investigate IPL activation and functional connectivity (FC) during visuospatial attention in children with ADHD compared to healthy controls.
  • To examine how varying levels of cognitive demand influence IPL's FC in children with ADHD.

Main Methods:

  • Functional magnetic resonance imaging (fMRI) was employed in 44 children with ADHD and 36 healthy controls.
  • Participants completed visuospatial attention tasks under low and high cognitive demand conditions.
  • IPL activation and FC were analyzed and correlated with clinical measures.

Main Results:

  • Children with ADHD exhibited significantly lower IPL activation compared to controls, irrespective of cognitive demand.
  • Importantly, functional connectivity between the IPL and the inferior frontal gyrus was modulated by cognitive demand specifically in children with ADHD.

Conclusions:

  • Cognitive demand modulates visuospatial attention-related functional connectivity of the IPL in children with ADHD, but not its regional activation.
  • These findings suggest brain activity reorganization as a potential compensatory mechanism in ADHD.