成人ADHD患者皮质抑制受损:经颅磁刺激的研究。

M Schneider, W Retz, C Freitag, J Irsch, P Graf, P Retz-Junginger, M Rösler
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引用次数: 36

摘要

本研究的目的是分析双脉冲经颅磁刺激(TMS)对成人ADHD患者的运动抑制和促进作用。根据DSM-IV对26名右撇子成年ADHD患者进行了调查,并与26名年龄和性别匹配的对照组进行了比较。在左半球,ADHD患者的平均运动抑制为0.53 +/- 0.33(平均+/- SD),对照组为0.34 +/- 0.16(平均+/- SD) (p = 0.012)。在促进性和右半球的运动兴奋性方面没有显著差异。运动抑制下降与Wender Reimherr访谈(WRI)得出的较高症状评分相关(p = 0.28;P = 0.04),也有自评的多动/冲动症状(P = 0.30;P = 0.03)。综上所述,成人ADHD患者的运动抑制下降与儿童ADHD患者的类似发现相一致(Moll等,2000),并在神经生理水平上反映了冲动和多动障碍。
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Impaired cortical inhibition in adult ADHD patients: a study with transcranial magnetic stimulation.

The aim of this study was to analyze motor inhibition and facilitation of adult ADHD patients using double pulse transcranial magnetic stimulation (TMS). Twenty-six right handed adult ADHD patients according to DSM-IV were investigated and compared to 26 age and sex-matched controls. In the left hemisphere, mean motor inhibition was 0.53 +/- 0.33 (mean +/- SD) in ADHD patients and 0.34 +/- 0.16 (mean +/- SD) in controls (p = 0.012). There were no significant differences in motor excitability concerning facilitation or in the right hemisphere. Decreased motor inhibition correlated with a higher symptom score derived from the Wender Reimherr Interview (WRI) (p = 0.28; p = 0.04) and also with self rated hyperactivity/impulsivity symptoms (p = 0.30; p = 0.03). In conclusion, decreased motor inhibition in adult ADHD corroborate similar findings in children with ADHD (Moll et al., 2000) and reflect disturbed impulsivity and hyperactivity on a neurophysiological level.

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