Dopamine vs noradrenaline: inverted-U effects and ADHD theories.

The aim of the present study was to review the dopamine theory of attention-deficit-hyperactivity disorder (ADHD), in light of recent use of noradrenergic therapies. A historical review of pharmacological theories of ADHD was conducted, including inverted-U, spatial working memory and neural circuit...

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Publicado en:Australian & New Zealand Journal of Psychiatry Vol. 43; no. 2; pp. 101 - 109
Autor principal: Levy F
Formato: research Journal Article
Publicado: Sage Publications Inc. Feb2009
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Sage Publications Inc.
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        atl: Dopamine vs noradrenaline: inverted-U effects and ADHD theories.
      aug:
        au: Levy F
        affil: School of Psychiatry, University of New South Wales Head, Child and Family East, Prince of Wales Hospital, Randwick, New South Wales, Australia
      sug:
        subj:
          Attention Deficit Hyperactivity Disorder
          Cerebral Cortex Drug Effects
          Cerebral Cortex Physiology
          Dopamine Agents
          Memory Disorders
          Norepinephrine
          Stress Disorders, Post-Traumatic
          Human
      ab: The aim of the present study was to review the dopamine theory of attention-deficit-hyperactivity disorder (ADHD), in light of recent use of noradrenergic therapies. A historical review of pharmacological theories of ADHD was conducted, including inverted-U, spatial working memory and neural circuit aspects. Pharmacological advances, including animal and human studies of dopaminergic and noradrenergic mechanisms at the prefrontal cortex (PFC), indicate that alpha-2A adrenoreceptor stimulation results in increased dendritic firing during delay periods for preferred directions, while moderate levels of D1 receptor stimulation result in reduction of delay-related firing to non-preferred directions, allowing representational control in the PFC. Recent studies of the COMT val/met gene and stimulant medication response may help explain variation in inverted-U responses in individuals. Further studies utilizing delay-related firing paradigms should be useful in the investigation of attentional syndromes, and responses to newer pharmacological treatments.
      pubtype: Academic Journal
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        research
        Journal Article
      ougenre: Article
    language: English
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