Methylphenidate improves response inhibition in adults with attention-deficit/hyperactivity disorder

Response inhibition is an executive function that requires voluntary control over responses when there is a change of context. The right inferior frontal cortex is necessary for response inhibition, and a deficit in right frontostriatal circuitry might underlie attention-deficit/hyperactivity disord...

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Veröffentlicht in:Biological psychiatry (1969) 2003-12, Vol.54 (12), p.1465-1468
Hauptverfasser: Aron, Adam R, Dowson, Jonathon H, Sahakian, Barbara J, Robbins, Trevor W
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container_end_page 1468
container_issue 12
container_start_page 1465
container_title Biological psychiatry (1969)
container_volume 54
creator Aron, Adam R
Dowson, Jonathon H
Sahakian, Barbara J
Robbins, Trevor W
description Response inhibition is an executive function that requires voluntary control over responses when there is a change of context. The right inferior frontal cortex is necessary for response inhibition, and a deficit in right frontostriatal circuitry might underlie attention-deficit/hyperactivity disorder (ADHD). Many studies of childhood ADHD have demonstrated impaired response inhibition and its amelioration by methylphenidate (MPH). The current study tested response inhibition and the effect of MPH in adult ADHD. Response inhibition was assessed with the “tracking” stop-signal test in 13 adults with a diagnosis of ADHD, both while taking and while not taking medication, and 13 healthy, unmedicated, age- and intelligence quotient–matched control subjects. Stop-signal reaction time was significantly slower in unmedicated adults with ADHD relative to healthy control subjects, and this deficit was significantly ameliorated by medication. Adult ADHD patients had a response inhibition profile similar to that produced by lesions to the right inferior frontal cortex, which was remedied by stimulant medication.
doi_str_mv 10.1016/S0006-3223(03)00609-7
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The right inferior frontal cortex is necessary for response inhibition, and a deficit in right frontostriatal circuitry might underlie attention-deficit/hyperactivity disorder (ADHD). Many studies of childhood ADHD have demonstrated impaired response inhibition and its amelioration by methylphenidate (MPH). The current study tested response inhibition and the effect of MPH in adult ADHD. Response inhibition was assessed with the “tracking” stop-signal test in 13 adults with a diagnosis of ADHD, both while taking and while not taking medication, and 13 healthy, unmedicated, age- and intelligence quotient–matched control subjects. Stop-signal reaction time was significantly slower in unmedicated adults with ADHD relative to healthy control subjects, and this deficit was significantly ameliorated by medication. Adult ADHD patients had a response inhibition profile similar to that produced by lesions to the right inferior frontal cortex, which was remedied by stimulant medication.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Attention Deficit Disorder with Hyperactivity - drug therapy</subject><subject>Biological and medical sciences</subject><subject>Case-Control Studies</subject><subject>Central Nervous System Stimulants - therapeutic use</subject><subject>Executive function</subject><subject>frontal cortex</subject><subject>Humans</subject><subject>impulsivity</subject><subject>Inhibition (Psychology)</subject><subject>Intelligence - drug effects</subject><subject>Intelligence Tests</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Methylphenidate - therapeutic use</subject><subject>Miscellaneous</subject><subject>Neuropsychological Tests</subject><subject>Psychology. 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source MEDLINE; Elsevier ScienceDirect Journals
subjects Adolescent
Adult
Adult and adolescent clinical studies
Attention Deficit Disorder with Hyperactivity - drug therapy
Biological and medical sciences
Case-Control Studies
Central Nervous System Stimulants - therapeutic use
Executive function
frontal cortex
Humans
impulsivity
Inhibition (Psychology)
Intelligence - drug effects
Intelligence Tests
Male
Medical sciences
Methylphenidate - therapeutic use
Miscellaneous
Neuropsychological Tests
Psychology. Psychoanalysis. Psychiatry
Psychomotor Performance - drug effects
Psychopathology. Psychiatry
Reaction Time - drug effects
right hemisphere
stimulant drugs
stop-signal
Time Factors
title Methylphenidate improves response inhibition in adults with attention-deficit/hyperactivity disorder
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