State-related electroencephalographic deviances in attention deficit hyperactivity disorder

Objective: This study aimed to provide more insight into the functional significance of electroencephalographic (EEG) deviances in attention-deficit/hyperactivity disorder (ADHD) by evaluating quantitative EEG during performance on a task with a low activation level and a task tapping top-down executive control. Method: Behavioral performance and EEG activity were compared between 24 adults with ADHD and 20 typically developing adults during a simple slow-paced 2-choice reaction time (2-CRT) task and a moderately paced flanker task. Results: During the slow 2-CRT task, adults with ADHD responded slower, more variably, and tended to make more errors of commission. Although being slower, adults with ADHD showed equally large congruency effects during flanker task performance, indicating intact interference inhibition. In the slow 2-CRT task, (midline) theta and beta power were higher in the ADHD group than in the control group, whereas no significant EEG group differences were observed in the flanker task. A moderate positive correlation between theta power and errors of commission was found in the 2-CRT task for adults with ADHD. Conclusions: Adults with ADHD performed worse on a task inducing a low activation level but showed intact interference inhibition. The EEG findings are in accord with this, showing an abnormal EEG pattern in ADHD only when a low activation level was induced, not when top-down executive control load was high. Time-on-task effects could not explain the group deviances. The findings indicate that EEG deviances in ADHD are task-dependent and may be related to a suboptimal energetic state, rather than impaired top-down executive control

No evidence for inhibitory deficits or altered reward processing in ADHD: data from a new integrated incentive delay go/no-go task

Objective: Cognitive and motivational factors differentially affect individuals with mental health problems such as ADHD. Here we introduce a new task to disentangle the relative contribution of inhibitory control and reward anticipation on task performance in children with ADHD and/or autism spectrum disorders (ASD). Method: Typically developing children, children with ADHD, ASD, or both disorders worked during separate sessions for monetary or social rewards in go/no-go tasks with varying inhibitory load levels. Participants also completed a monetary temporal discounting (TD) task. Results: As predicted, task performance was sensitive to both the effects of anticipated reward amount and inhibitory load. Reward amount had different effects depending on inhibitory load level. TD correlated with inhibitory control in the ADHD group. Conclusion: The integration of the monetary incentive delay and go/no-go paradigms was successful. Surprisingly, there was no evidence of inhibitory control deficits or altered reward anticipation in the clinical groups

Interoceptive awareness in attention deficit hyperactivity disorder

ADHD is considered a disorder of self-regulation. Recent research has shown that awareness of bodily states, referred to as interoceptive awareness, crucially contributes to self-regulatory processes. Impaired self-regulation in ADHD has been explained in terms of arousal regulation deficits in ADHD (the state regulation deficit (SRD) account). There is now ample support for the SRD account, however the exact reason for arousal regulation difficulties is not yet known. The SRD account explicitly refers to the ability to monitor one's momentary bodily state as a prerequisite for effective state regulation. However, surprisingly, no study to date has tested the ability to become aware of bodily signals, i.e. interoceptive awareness, in ADHD. In the current study, we therefore compared interoceptive awareness between 24 adults with ADHD and 23 controls by means of both an objective (heartbeat perception task) and subjective measure (questionnaire) of interoceptive awareness. Results revealed a strikingly similar performance for both groups on both measures, suggesting preserved interoceptive awareness in adult ADHD

Altered intrinsic organisation of brain networks implicated in attentional processes in adult attention-deficit/hyperactivity disorder: a resting state study of attention, default mode and salience network connectivity

Deficits in task-related attentional engagement in attention-deficit/hyperactivity disorder (ADHD) have been hypothesized to be due to altered interrelationships between attention, default mode and salience networks. We examined the intrinsic connectivity during rest within and between these networks. Six minutes resting state scans were obtained. Using a network-based approach, connectivity within and between the dorsal and ventral attention, the default mode and the salience networks was compared between the ADHD and control group. The ADHD group displayed hyperconnectivity between the two attention networks and within the default mode and ventral attention network. The salience network was hypoconnected to the dorsal attention network. There were trends towards hyperconnectivity within the dorsal attention network and between the salience and ventral attention network in ADHD. Connectivity within and between other networks was unrelated to ADHD. Our findings highlight the altered connectivity within and between attention networks, and between them and the salience network in ADHD. One hypothesis to be tested in future studies is that individuals with ADHD are affected by an imbalance between ventral and dorsal attention systems with the former playing a dominant role during task engagement making individuals with ADHD highly susceptible to distraction by salient task-irrelevant stimuli

The influence of working memory load on response inhibition in children with attention-deficit/hyperactivity disorder or reading disorder

The aim of the present study was to examine the relationship between response inhibition and working memory in 8-12-year-old children with attention-deficit/hyperactivity disorder (ADHD; n = 19), reading disorder (RD; n = 17), ADHD + RD (n = 21), and control children (n = 19). For the first time a within-task methodology was used to study the combined effect of both executive functions on a common measure of task performance in two often comorbid childhood disorders, ADHD and RD. We found evidence of an interaction between both domains, suggesting that they rely on a common pool of resources. In addition, we found that children with ADHD or RD were not more seriously affected by the combined load of both executive functions than children without ADHD or RD

The psychological impact of the COVID-19 pandemic on adults with autism : a survey study across three countries

Background Previous studies have reported a negative psychological and mental health impact of the COVID-19 pandemic. This impact is likely to be stronger for people with autism as they are at heightened risk of mental health problems and because the pandemic directly affects social functioning and everyday routines. We therefore examined COVID-19 pandemic-related changes in mental health, the impact of the pandemic on their social life and routines, satisfaction with pandemic-related information and tips, and participants' wishes for guidance. Methods We used a mixed-method approach, collecting quantitative and qualitative survey data from adults with and without autism across three European countries: Belgium, the Netherlands, and the UK (N = 1044). Results We found an increase in depression and anxiety symptoms in response to the pandemic for both the non-autism and the autism group, which was greater for adults with autism. Furthermore, adults with autism showed a greater increase in worries about their pets, work, getting medication and food, and their own safety/security. They felt more relieved from social stress, yet experienced the loss of social contact as difficult. Adults with autism also felt more stressed about the loss of routines. Pleasant changes noted by adults with autism were the increase in solidarity and reduced sensory and social overload. Adults with autism frequently reported problems with cancellation of guidance due to the pandemic and expressed their wish for (more) autism-specific information and advice. Limitations Our sample is likely to reflect some degree of selection bias, and longitudinal studies are needed to determine long-term effects. Conclusions Results highlight the psychological burden of the pandemic on adults with autism and shed light on how to support them during this COVID-19 pandemic, which is especially important now that the pandemic is likely to have a prolonged course. There is a need for accessible, affordable (continued) support from health services. Guidance may focus on the maintenance of a social network, and adjusting routines to the rapid ongoing changes. Finally, we may learn from the COVID-19 pandemic-related changes experienced as pleasant by adults with autism to build a more autism-friendly society post-pandemic