Reduced emotion-generated frontolimbic functional connectivity in psychostimulant-free ADHD youth with and without familial risk for bipolar I disorder.

Although youth with attention-deficit/hyperactivity disorder (ADHD) and a family history of bipolar I disorder (BD) are at increased risk for developing BD, the underlying neurobiological mechanisms remain poorly understood. Aberrant ventrolateral prefrontal cortex (VLPFC) and amygdala (AMY) functio...

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Publicado en:European Child & Adolescent Psychiatry Vol. 35; no. 4; pp. 1151 - 1161
Autores principales: Li, Qian, Qin, Kun, Lei, Du, Li, Wenbin, Tallman, Maxwell J., Patino, L. Rodrigo, Sweeney, John A., Gong, Qiyong, Li, Fei, DelBello, Melissa P., McNamara, Robert K.
Formato: pictorial research tables/charts Journal Article
Publicado: Springer Nature Apr2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2026
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00787-025-02926-z
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        atl: Reduced emotion-generated frontolimbic functional connectivity in psychostimulant-free ADHD youth with and without familial risk for bipolar I disorder.
      aug:
        au:
          Li, Qian
          Qin, Kun
          Lei, Du
          Li, Wenbin
          Tallman, Maxwell J.
          Patino, L. Rodrigo
          Sweeney, John A.
          Gong, Qiyong
          Li, Fei
          DelBello, Melissa P.
          McNamara, Robert K.
        affil: https://ror.org/007mrxy13 Department of Radiology, Huaxi MR Research Center (HMRRC), Institute of Radiology and Medical Imaging, West China Hospital of Sichuan University, No 37 Guo Xue Alley, 610041, Chengdu, Sichuan Province, P.R. China
      sug:
        subj:
          Attention Deficit Hyperactivity Disorder Complications
          Disease Susceptibility
          Bipolar Disorder Risk Factors
          Emotions
          Prefrontal Cortex
          Amygdala
          Functional Connectivity
          Family History
          Task Performance and Analysis
          Human
          Male
          Female
          Child
          Adolescence
          China
          Funding Source
          Exploratory Research
          Questionnaires
          DSM
          Analysis of Variance
          Chi Square Test
          Post Hoc Analysis
          Child Behavior Checklist
          Scales
          Risk Assessment
          Magnetic Resonance Imaging
          Data Analysis Software
          Child: 6-12 years
          Adolescent: 13-18 years
          Male
          Female
      ab: Although youth with attention-deficit/hyperactivity disorder (ADHD) and a family history of bipolar I disorder (BD) are at increased risk for developing BD, the underlying neurobiological mechanisms remain poorly understood. Aberrant ventrolateral prefrontal cortex (VLPFC) and amygdala (AMY) functional connectivity (FC) have been implicated in the pathophysiology of BD. This study compared VLPFC-AMY FC in psychostimulant-free ADHD youth with (high-risk, HR) and without (low-risk, LR) a BD family history, and healthy controls (HCs). Subjects received a magnetic resonance scan while performing a continuous performance task with emotional and neutral distractors. Generalized psychophysiological interaction analysis was used to assess VLPFC-AMY FC in response to unpleasant emotional stimuli and attentional targets. A total of 144 adolescents (46 HC, 50 LR, and 48 HR) were included. In response to unpleasant emotional stimuli, FC between right VLPFC and left AMY differed among groups. HR youth exhibited lower right VLPFC-left AMY FC compared with both LR and HC, and LR youth exhibited lower right VLPFC-left AMY FC compared with HC. There were no group differences in right VLPFC-left AMY FC in response to attentional distractors. ADHD in conjunction with BD family history is associated with blunted emotion-generated right VLPFC-left AMY FC compared with ADHD youth without a BD family history and healthy youth, and may represent a neurobiological feature associated with genetic vulnerability to BD.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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