Comparison of Theta Beta Ratio in children with Attention deficit/hyperactive disorder and specific Learning Disorder during active EEG

Fatemeh Gholamali Nezhad, Mahdieh Mirmohammad, R. Rostami, Hanieh Ahmadi
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Abstract

Introduction: Theta-Beta Ratio (TBR) has been claimed as a biomarker to diagnose Attention Deficit and Hyperactivity Disorder (ADHD). However, the effectiveness of this index to differentiate between different groups of disorders is still under discussion. The primary purpose was to determine to what extent active TRB can differentiate between children with ADHD and specific Learning Disorder (sLD) as the most common comorbid disorder. Methods: Two groups of school-aged children with sLD (N=15) and ADHD (N=15) were diagnosed through a process of clinical interview and observation. Electroencephalography (EEG) was recorded in both groups during active condition. The implemented cognitive task was the visual continuous performance task (VCPT). TBR in sites of CZ and Fz, and cognitive measures of VCPT were calculated in the aforementioned groups. Results: There was no significant differences in cognitive measures (containing Commission, Omission, Reaction Time, and Variability of Reaction Times) shown in two matched groups of children with sLD and ADHD. According to TBR, two groups demonstrated no significant results in comparison. Conclusion: TBR cannot be considered as a reliable biomarker to differentiate between those groups of psychological disorders that contain primary cognitive deficits and require the allocation of attention and working memory loads.
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注意缺陷/多动障碍与特异性学习障碍儿童活动脑电图时Theta Beta比值的比较
β - β比值(TBR)被认为是诊断注意力缺陷和多动障碍(ADHD)的生物标志物。然而,该指标在区分不同类型疾病方面的有效性仍在讨论中。主要目的是确定活动性TRB在多大程度上可以区分ADHD儿童和最常见的共病障碍特异性学习障碍(sLD)。方法:通过临床访谈和观察,对两组学龄期儿童(15例)和ADHD(15例)进行诊断。两组均在活动状态下记录脑电图(EEG)。执行的认知任务为视觉连续表现任务(VCPT)。计算两组CZ、Fz部位TBR及VCPT认知测量值。结果:在两组匹配的sLD和ADHD儿童中,认知测量(包括委员会、遗漏、反应时间和反应时间变异性)没有显着差异。根据TBR,两组比较无显著结果。结论:TBR不能作为一种可靠的生物标志物来区分那些包含原发性认知缺陷并需要分配注意力和工作记忆负荷的心理障碍群体。
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