Abnormal functional asymmetry and its behavioural correlates in adults with ADHD: A TMS-EEG study

<h4>Objectives</h4> Abnormal functional brain asymmetry and deficient response inhibition are two core symptoms of attention deficit hyperactivity disorder (ADHD). We investigated whether these symptoms are inter-related and whether they are underlined by altered frontal excitability and...

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Main Authors: Amir Avnit, Samuel Zibman, Uri Alyagon, Abraham Zangen
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2023-01-01
Series:PLoS ONE
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10212190/?tool=EBI
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author Amir Avnit
Samuel Zibman
Uri Alyagon
Abraham Zangen
author_facet Amir Avnit
Samuel Zibman
Uri Alyagon
Abraham Zangen
author_sort Amir Avnit
collection DOAJ
description <h4>Objectives</h4> Abnormal functional brain asymmetry and deficient response inhibition are two core symptoms of attention deficit hyperactivity disorder (ADHD). We investigated whether these symptoms are inter-related and whether they are underlined by altered frontal excitability and by compromised interhemispheric connectivity. <h4>Methods</h4> We studied these issues in 52 ADHD and 43 non-clinical adults by comparing: (1) stop-signal reaction time (SSRT); (2) frontal asymmetry of the N200 event-related potential component, which is evoked during response inhibition and is lateralised to the right hemisphere; (3) TMS-evoked potential (TEP) in the right frontal hemisphere, which is indicative of local cortical excitability; and (4) frontal right-to-left interhemispheric TMS signal propagation (ISP), which is reversely indicative of interhemispheric connectivity. <h4>Results</h4> Compared to controls, the ADHD group demonstrated elongated SSRT, reduced N200 right-frontal-asymmetry, weaker TEP, and stronger ISP. Moreover, in the ADHD group, N200 right-frontal-asymmetry correlated with SSRT, with TEP, and with symptoms severity. Conversely, no relationship was observed between ISP and N200 right-frontal-asymmetry, and both TEP and ISP were found to be unrelated to SSRT. <h4>Conclusions</h4> Our results indicate that abnormal frontal asymmetry is related to a key cognitive symptom in ADHD and suggest that it is underlined by reduced right-frontal excitability.
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spelling doaj.art-38c4e96552af4f9ca332997b80b4061b2023-05-28T05:31:05ZengPublic Library of Science (PLoS)PLoS ONE1932-62032023-01-01185Abnormal functional asymmetry and its behavioural correlates in adults with ADHD: A TMS-EEG studyAmir AvnitSamuel ZibmanUri AlyagonAbraham Zangen<h4>Objectives</h4> Abnormal functional brain asymmetry and deficient response inhibition are two core symptoms of attention deficit hyperactivity disorder (ADHD). We investigated whether these symptoms are inter-related and whether they are underlined by altered frontal excitability and by compromised interhemispheric connectivity. <h4>Methods</h4> We studied these issues in 52 ADHD and 43 non-clinical adults by comparing: (1) stop-signal reaction time (SSRT); (2) frontal asymmetry of the N200 event-related potential component, which is evoked during response inhibition and is lateralised to the right hemisphere; (3) TMS-evoked potential (TEP) in the right frontal hemisphere, which is indicative of local cortical excitability; and (4) frontal right-to-left interhemispheric TMS signal propagation (ISP), which is reversely indicative of interhemispheric connectivity. <h4>Results</h4> Compared to controls, the ADHD group demonstrated elongated SSRT, reduced N200 right-frontal-asymmetry, weaker TEP, and stronger ISP. Moreover, in the ADHD group, N200 right-frontal-asymmetry correlated with SSRT, with TEP, and with symptoms severity. Conversely, no relationship was observed between ISP and N200 right-frontal-asymmetry, and both TEP and ISP were found to be unrelated to SSRT. <h4>Conclusions</h4> Our results indicate that abnormal frontal asymmetry is related to a key cognitive symptom in ADHD and suggest that it is underlined by reduced right-frontal excitability.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10212190/?tool=EBI
spellingShingle Amir Avnit
Samuel Zibman
Uri Alyagon
Abraham Zangen
Abnormal functional asymmetry and its behavioural correlates in adults with ADHD: A TMS-EEG study
PLoS ONE
title Abnormal functional asymmetry and its behavioural correlates in adults with ADHD: A TMS-EEG study
title_full Abnormal functional asymmetry and its behavioural correlates in adults with ADHD: A TMS-EEG study
title_fullStr Abnormal functional asymmetry and its behavioural correlates in adults with ADHD: A TMS-EEG study
title_full_unstemmed Abnormal functional asymmetry and its behavioural correlates in adults with ADHD: A TMS-EEG study
title_short Abnormal functional asymmetry and its behavioural correlates in adults with ADHD: A TMS-EEG study
title_sort abnormal functional asymmetry and its behavioural correlates in adults with adhd a tms eeg study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10212190/?tool=EBI
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