Electrophysiological indices of reward anticipation as ADHD risk and prognostic biomarkers.

The attention-deficit/hyperactivity disorder (ADHD) clinical phenotype has limitations for deciphering ADHD etiology and predicting prognosis. Although relative to the clinical phenotype, intermediate phenotypes may have better explanatory and prognostic power, the extent to which ADHD intermediate...

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Publicado en:European Child & Adolescent Psychiatry Vol. 34; no. 6; pp. 1905 - 1917
Autores principales: Bunford, Nóra, Ágrez, Kristóf, Hámori, György, Koller, Júlia, Pulay, Attila, Nemoda, Zsófia, Réthelyi, János M.
Formato: pictorial research tables/charts Journal Article
Publicado: Springer Nature Jun2025
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
      place: New York, New York
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        atl: Electrophysiological indices of reward anticipation as ADHD risk and prognostic biomarkers.
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        au:
          Bunford, Nóra
          Ágrez, Kristóf
          Hámori, György
          Koller, Júlia
          Pulay, Attila
          Nemoda, Zsófia
          Réthelyi, János M.
        affil: https://ror.org/03zwxja46 Clinical and Developmental Neuropsychology Research Group, HUN-REN Research Centre for Natural Sciences, Budapest, Hungary
      sug:
        subj:
          Attention Deficit Hyperactivity Disorder Risk Factors
          Attention Deficit Hyperactivity Disorder Prognosis
          Biological Markers
          Evoked Potentials
          Electrophysiology
          Reward
          Risk Assessment
          Human
          Male
          Female
          Adolescence
          Prospective Studies
          Comparative Studies
          Descriptive Statistics
          Age Factors
          Sex Factors
          Depression
          Alcohol Drinking
          Prediction Models
          Electroencephalography
          Brain Mapping
          Factor Analysis
          Analytic Research
          Psychomotor Performance
          Adolescent Behavior
          Funding Source
          Adolescent: 13-18 years
          Male
          Female
      ab: The attention-deficit/hyperactivity disorder (ADHD) clinical phenotype has limitations for deciphering ADHD etiology and predicting prognosis. Although relative to the clinical phenotype, intermediate phenotypes may have better explanatory and prognostic power, the extent to which ADHD intermediate phenotypes are associated with ADHD risk and prognosis is unknown. The aim of this study was to evaluate evidence for event-related potential (ERP) measures of reward anticipation as ADHD risk and prognostic biomarkers. We examined, whether (1) in a sample of adolescents (N = 304; Mage = 15.78 years, SD = 1.08; 39.5% female), accounting for the effects of age, sex, ADHD severity and depression, ERPs are associated with ADHD polygenic risk scores (PRSs) (ADHD risk) and (2) in a sample of adolescents at-risk for ADHD (n = 99; Mage = 15.78 years, SD = 1.08; 39.5% female), accounting for the effects of age, sex, ADHD severity, depression, and baseline outcome values, ERPs are associated, prospectively, with alcohol misuse (ADHD prognosis). In adolescents, greater ADHD PRSs were associated with lower electrophysiological anticipatory attention to motivationally relevant feedback (b = −0.115, p =.046 95%CI [−0.228; −0.002]). The predictors accounted for 5% of the variance in the outcome. In adolescents at-risk for ADHD, at 18-month follow-up, lower electrophysiological anticipatory attention to motivationally relevant feedback was associated with greater alcohol consumption (b = −7.454, p =.007, 95%CI [−12.873; −2.034]). The predictors accounted for 31% of the variance in this outcome. These findings were replicated in sensitivity analyses with behavioral performance variables added as covariates. The current findings support the hypothesis that ERP amplitudes of reward anticipation may be ADHD risk and prognostic biomarkers and suggest that intermediate phenotypes may confer advantages over the ADHD clinical phenotype in delineating etiology and predicting prognosis.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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