Concurrent and Prospective Associations of Reward Response with Affective and Alcohol Problems: ADHD-Related Differential Vulnerability.

Attention-deficit/hyperactivity disorder (ADHD) is a heterogeneous disorder. Data on the role of transdiagnostic, intermediate phenotypes in ADHD-relevant characteristics and outcomes are needed to advance conceptual understanding and approaches to precision psychiatry. Specifically, the extent to w...

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Published in:Journal of Youth & Adolescence Vol. 52; no. 9; pp. 1856 - 1873
Main Authors: Rádosi, Alexandra, Ágrez, Kristóf, Pászthy, Bea, Réthelyi, János M., Ulbert, István, Bunford, Nóra
Format: Article
Published: Springer Nature Sep2023
Subjects:
Online Access:View this record in EBSCOhost
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      dt: Sep2023
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      pub: Springer Nature
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        atl: Concurrent and Prospective Associations of Reward Response with Affective and Alcohol Problems: ADHD-Related Differential Vulnerability.
      aug:
        au:
          Rádosi, Alexandra
          Ágrez, Kristóf
          Pászthy, Bea
          Réthelyi, János M.
          Ulbert, István
          Bunford, Nóra
        affil:
          Clinical and Developmental Neuropsychology Research Group, Institute of Cognitive Neuroscience and Psychology, Research Centre for Natural Sciences, Budapest, Hungary
          Doctoral School of Mental Health Sciences, Semmelweis University, Budapest, Hungary
          Department of Pediatrics, Semmelweis University, Budapest, Hungary
          Department of Psychiatry and Psychotherapy, Semmelweis University, Budapest, Hungary
          Integrative Neuroscience Research Group, Institute of Cognitive Neuroscience and Psychology, Research Centre for Natural Sciences, Budapest, Hungary
          Faculty of Information Technology and Bionics, Pázmány Péter Catholic University, Budapest, Hungary
      su:
        Risk factors of attention-deficit hyperactivity disorder
        Affective disorders
        Reward (Psychology)
        Adolescence
        Brain physiology
        Alcohol-induced disorders
        Magnetic resonance imaging
        Descriptive statistics
        Research funding
      sug:
        subj:
          Risk factors of attention-deficit hyperactivity disorder
          Affective disorders
          Reward (Psychology)
          Adolescence
          Diagnostic Imaging Centers
          Brain physiology
          Alcohol-induced disorders
          Magnetic resonance imaging
          Descriptive statistics
          Research funding
      keyword:
        ADHD
        Affect
        Alcohol
        Reinforcement sensitivity
        ADHD
        Affect
        Alcohol
        Reinforcement sensitivity
      ab: Attention-deficit/hyperactivity disorder (ADHD) is a heterogeneous disorder. Data on the role of transdiagnostic, intermediate phenotypes in ADHD-relevant characteristics and outcomes are needed to advance conceptual understanding and approaches to precision psychiatry. Specifically, the extent to which the association between neural response to reward and ADHD-associated affective, externalizing, internalizing, and substance use problems differ depending on ADHD status is unknown. Aims were to examine, in 129 adolescents, whether concurrent and prospective associations of fMRI-measured initial response to reward attainment (relative to loss) with affectivity and externalizing, internalizing, and alcohol use problems differs between youth at-risk for (i.e., subclinical) (n = 50) and not at-risk for ADHD. Adolescents were, on average, 15.29 years old (SD = 1.00; 38% female), 50 were at-risk for (M = 15.18 years, SD = 1.04; 22% female) and 79 not at-risk for (M = 15.37 years, SD = 0.98; 48.1% female) ADHD. Both concurrent and prospective relations differed given ADHD risk: across analyses, in at-risk youth, greater superior frontal gyrus response was associated with lower concurrent depressive problems but in not at-risk youth, these characteristics were not related. Controlling for baseline use, in at-risk youth, greater putamen response was associated with greater 18-month hazardous alcohol use, whereas in not at-risk youth, greater putamen response was associated with lower use. Where in brain and for which outcomes modulate (direction of) observed relations: superior frontal gyrus response is relevant for depressive problems whereas putamen response is relevant for alcohol problems and greater neural responsivity is linked to less depressive but to more alcohol problems in adolescents at-risk for ADHD and less alcohol problems in adolescents not at-risk. Differences in neural response to reward differentially confer vulnerability for adolescent depressive and alcohol problems depending on ADHD risk.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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