Abnormal amygdalar activation and connectivity in adolescents with attention-deficit/hyperactivity disorder

Jonathan Posner, Bonnie J. Nagel, Tiago V. Maia, Anna Mechling, Milim Oh, Zhishun Wang, Bradley S. Peterson

Research output: Contribution to journalArticle

73 Scopus citations

Abstract

Objective: Emotional reactivity is one of the most disabling symptoms associated with attention-deficit/hyperactivity disorder (ADHD). We aimed to identify neural substrates associated with emotional reactivity and to assess the effects of stimulants on those substrates. Method: We used functional magnetic resonance imaging (fMRI) to assess neural activity in adolescents with (n = 15) and without (n = 15) ADHD while they performed a task involving the subliminal presentation of fearful faces. Using dynamic causal modeling, we also examined the effective connectivity of two regions associated with emotional reactivity, i.e., the amygdala and the lateral prefrontal cortex (LPFC). The participants with ADHD underwent scanning both on and off stimulant medication in a counterbalanced fashion. Results: During the task, we found that activity in the right amygdala was greater in adolescents with ADHD than in control subjects. In addition, in adolescents with ADHD, greater connectivity was detected between the amygdala and LPFC. Stimulants had a normalizing effect on both the activity in the right amygdala and the connectivity between the amygdala and LPFC. Conclusions: Our findings demonstrate that in adolescents with ADHD, a neural substrate of fear processing is atypical, as is the connectivity between the amygdala and LPFC. These findings suggest possible neural substrates for the emotional reactivity that is often present in youths with ADHD, and provide putative neural targets for the development of novel therapeutic interventions for this condition.

Original languageEnglish (US)
Pages (from-to)828-837.e3
JournalJournal of the American Academy of Child and Adolescent Psychiatry
Volume50
Issue number8
DOIs
StatePublished - Aug 2011

Keywords

  • ADHD
  • amygdala
  • effective connectivity
  • fear
  • stimulant medication

ASJC Scopus subject areas

  • Developmental and Educational Psychology
  • Psychiatry and Mental health

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