Gray matter asymmetry alterations in children and adolescents with comorbid autism spectrum disorder and attention-deficit/hyperactivity disorder.

Despite the high coexistence of autism spectrum disorder (ASD) and attention-deficit/hyperactivity disorder (ADHD) (ASD + ADHD), the underlying neurobiological basis of this disorder remains unclear. Altered brain structural asymmetries have been verified in ASD and ADHD, respectively, making brain...

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Published in:European Child & Adolescent Psychiatry Vol. 33; no. 8; pp. 2593 - 2605
Main Authors: Li, Cuicui, Zhang, Rui, Zhou, Yunna, Li, Tong, Qin, Rui, Li, Lin, Yuan, Xianshun, Wang, Li, Wang, Ximing
Format: diagnostic images research tables/charts Journal Article
Published: Springer Nature Aug2024
Online Access:View this record in EBSCOhost
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      pub: Springer Nature
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        atl: Gray matter asymmetry alterations in children and adolescents with comorbid autism spectrum disorder and attention-deficit/hyperactivity disorder.
      aug:
        au:
          Li, Cuicui
          Zhang, Rui
          Zhou, Yunna
          Li, Tong
          Qin, Rui
          Li, Lin
          Yuan, Xianshun
          Wang, Li
          Wang, Ximing
        affil: Department of Radiology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, No. 324, Jingwu Road, 250021, Jinan, Shandong, China
      sug:
        subj:
          Autism Spectrum Disorder Pathology
          Attention Deficit Hyperactivity Disorder Pathology
          Comorbidity
          Gray Matter Anatomy and Histology
          Gray Matter Physiology
          Human
          Male
          Female
          Child
          Adolescence
          Academic Medical Centers
          Gray Matter Radiography
          Magnetic Resonance Imaging Methods
          T-Tests
          Statistical Significance
          Data Analysis Software
          Descriptive Statistics
          Funding Source
          Child: 6-12 years
          Adolescent: 13-18 years
          Male
          Female
      ab: Despite the high coexistence of autism spectrum disorder (ASD) and attention-deficit/hyperactivity disorder (ADHD) (ASD + ADHD), the underlying neurobiological basis of this disorder remains unclear. Altered brain structural asymmetries have been verified in ASD and ADHD, respectively, making brain asymmetry a candidate for characterizing this coexisting disorder. Here, we measured the gray matter (GM) volume asymmetry in ASD + ADHD versus ASD without ADHD (ASD-only), ADHD without ASD (ADHD-only), and typically developing controls (TDc). High-resolution T1-weighted data from 48 ASD + ADHD, 63 ASD-only, 32 ADHD-only, and 211 matched TDc were included in our study. We also assessed brain-behavior relationships and the effects of age on GM asymmetry. We found that there were both shared and disorder-specific GM volume asymmetry alterations in ASD + ADHD, ASD-only, and ADHD-only compared with TDc. This finding demonstrates that ASD + ADHD is neither an endophenocopy nor an additive pathology of ASD and ADHD, but an entirely different neuroanatomical pathology. In addition, ASD + ADHD displayed altered GM volume asymmetries in the prefrontal regions responsible for executive function and theory of mind compared with ASD-only. We also found significant effects of age on GM asymmetry. The present study may provide structural insights into the neural basis of ASD + ADHD.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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