Aberrant amplitude of low-frequency fluctuation and functional connectivity in children with different subtypes of ADHD: a resting-state fNIRS study.

IF 3.4 2区 医学 Q2 PSYCHIATRY BMC Psychiatry Pub Date : 2024-12-18 DOI:10.1186/s12888-024-06350-6
Qinwei Liu, Wenjing Liao, Li Yang, Longfei Cao, Ningning Liu, Yongxue Gu, Shaohua Wang, Xiaobin Xu, Huafen Wang
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Abstract

Background: Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder with different subtypes of pathogenesis. Insufficient research on the subtypes of ADHD has limited the effectiveness of therapeutic methods.

Methods: This study used resting-state functional near-infrared spectroscopy (fNIRS) to record hemodynamic signals in 34 children with ADHD-combined subtype (ADHD-C), 52 children with ADHD-inattentive subtype (ADHD-I), and 24 healthy controls (HCs). The amplitude of low-frequency fluctuation (ALFF) and the functional connectivity (FC) analysis were conducted for all subjects.

Results: Compared with HCs, the ADHD group exhibited significantly increased ALFF and decreased FC. The ADHD-C group showed significantly higher ALFF in partial brain regions and significantly lower FC between multiple brain regions than participants with ADHD-I. The male group displayed a significant increase in ALFF in some brain regions, while no significant difference was found in FC when compared to the female group.

Conclusions: This study provides evidence to support the subtype classification of ADHD-I and ADHD-C, and the combined analysis of ALFF and FC has the potential to be a promising biomarker for the diagnosis of ADHD.

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不同亚型ADHD儿童低频波动异常幅度和功能连通性:静息状态fNIRS研究
背景:注意缺陷/多动障碍(ADHD)是一种具有不同亚型发病机制的神经发育障碍。对ADHD亚型的研究不足限制了治疗方法的有效性。方法:采用静息状态功能近红外光谱(fNIRS)记录34例adhd合并亚型(ADHD-C)患儿、52例adhd不注意亚型(ADHD-I)患儿和24例健康对照(hc)患儿的血流动力学信号。对所有受试者进行低频波动幅度(ALFF)和功能连通性(FC)分析。结果:与hc比较,ADHD组ALFF显著升高,FC显著降低。ADHD-C组在部分脑区的ALFF显著高于ADHD-I组,在多个脑区的FC显著低于ADHD-I组。男性组在部分脑区ALFF显著增加,而FC与女性组相比无显著差异。结论:本研究为ADHD- i和ADHD- c亚型分类提供了证据支持,ALFF和FC的联合分析有可能成为ADHD诊断的一种有前景的生物标志物。
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来源期刊
BMC Psychiatry
BMC Psychiatry 医学-精神病学
CiteScore
5.90
自引率
4.50%
发文量
716
审稿时长
3-6 weeks
期刊介绍: BMC Psychiatry is an open access, peer-reviewed journal that considers articles on all aspects of the prevention, diagnosis and management of psychiatric disorders, as well as related molecular genetics, pathophysiology, and epidemiology.
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