Resting state fMRI functional connectivity of inhibitory control of attention and ADHD in children

Poster No:

301 

Submission Type:

Abstract Submission 

Authors:

Kelsey Harkness1, Matthias Wilms1, Kate Godfrey1, Signe Bray1, Kara Murias1

Institutions:

1University of Calgary, Calgary, Alberta

First Author:

Kelsey Harkness  
University of Calgary
Calgary, Alberta

Co-Author(s):

Matthias Wilms  
University of Calgary
Calgary, Alberta
Kate Godfrey  
University of Calgary
Calgary, Alberta
Signe Bray  
University of Calgary
Calgary, Alberta
Kara Murias, MD PhD  
University of Calgary
Calgary, Alberta

Introduction:

Inhibitory control of attention (the ability to attend to target stimuli and inhibit attention to non-target stimuli) presents along a spectrum of ability but is commonly dysregulated in individuals with neurodevelopmental conditions such as attention deficit/hyperactivity disorder ADHD (Mueller et al. 2017). Impairments in inhibitory attention have been associated with poorer academic, occupational, and personal outcomes (Boxhoorn et al. 2018). Therefore, better understanding the neural correlates of inhibitory attention and with symptoms may be important in understanding ADHD and treatment.

This study assessed whether the relationship between FC and inhibitory attention (as measured by the Flanker task; Zelazo et al. 2013) is consistent across children with or without ADHD, or if there is a significant interaction between ADHD diagnosis and inhibitory attention skills when predicting network level connectivity.

Methods:

Neuroimaging, Flanker t-scores, ADHD diagnosis (from Kiddie Score for Affective Disorders and Schizophrenia), and demographic information was acquired from the Adolescent Brain Cognitive Development (ABCD) database. Preprocessed resting state fMRI network interconnectivity and intraconnectivity (between and within respectively) for twelve brain networks (based in parcellation described by Gordon et. al), as obtained from the ABCD release 4.0 (https://nda.nih.gov/abcd/abcd-annual-releases). After exclusions participants (aged 9-10 years; N=7030) were divided into groups with (n=494) and without (n=6536) ADHD. Additional analysis was conducted utilizing a composite measure of ADHD symptom severity as described by Cordova et al. (2022).

Analysis: Mixed effects models (MEMs) were used to evaluate the relationship between network-level FC and the main effect of Flanker scores and ADHD diagnosis separately, controlling for the fixed effects of age, sex, parental education, in-scanner movement, and the nested random effects of site and family group. Then MEMs were performed including both the main effects of Flanker scores and ADHD diagnosis, plus an interaction between Flanker scores and ADHD diagnosis (same covariates as above.) This was repeated using ADHD symptom severity score. Models were created with each intra- and inter-network FC value as the outcome, totaling 78 models per hypothesis (Bonferroni corrected alpha=0.00065).

Results:

FC between the retrosplenial-temporal network and the cingulo-parietal, sensorimotor-mouth, visual, and default mode network (DMN) was significantly associated with inhibitory attention. There were also significant associations within the cingulo-parietal network, and between the sensorimotor-mouth network and both the fronto-parietal and sensorimotor-hand networks (figure 1A). ADHD group was significantly associated with FC between the auditory and salience networks; and cingulo-opercular and ventral attention networks (figure 1B). The dimensional ADHD symptom measure showed significant associations with FC between the visual and cingulo-parietal networks; DMN and cingulo-parietal networks; and dorsal attention and DMN(figure 1C).

The interaction between Flanker scores and ADHD (group or symptom severity) was not significant associated with FC between or within networks in any of the MEMs.
Supporting Image: OHBMfigure.png
   ·Figure 1
 

Conclusions:

We found that there were network-level FC associations with inhibitory attention, current ADHD diagnosis, and ADHD symptom severity. However, the networks implicated were different. Furthermore, network level FC is not significantly associated with the interaction between inhibitory attention and ADHD diagnosis, or inhibitory attention and ADHD symptom severity. This supports the hypothesis that inhibitory attention lies along a spectrum of ability and likely has similar neural correlates in children with and without an ADHD (Kelly et al. 2008, Vandewouw et al. 2023). This has implications for understanding inhibitory attention ability, as well as the neural correlates of ADHD symptoms.

Disorders of the Nervous System:

Neurodevelopmental/ Early Life (eg. ADHD, autism) 1

Higher Cognitive Functions:

Executive Function, Cognitive Control and Decision Making 2

Keywords:

Attention Deficit Disorder
Cognition
Development
FUNCTIONAL MRI
PEDIATRIC
Pediatric Disorders

1|2Indicates the priority used for review

Abstract Information

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Please indicate below if your study was a "resting state" or "task-activation” study.

Resting state

Healthy subjects only or patients (note that patient studies may also involve healthy subjects):

Patients

Was this research conducted in the United States?

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Were any human subjects research approved by the relevant Institutional Review Board or ethics panel? NOTE: Any human subjects studies without IRB approval will be automatically rejected.

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Were any animal research approved by the relevant IACUC or other animal research panel? NOTE: Any animal studies without IACUC approval will be automatically rejected.

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Please indicate which methods were used in your research:

Functional MRI
Behavior

Provide references using APA citation style.

Boxhoorn, S., Lopez, E., Schmidt, C., Schulze, D., Hänig, S., & Freitag, C. M. (2018). Attention profiles in autism spectrum disorder and subtypes of attention-deficit/hyperactivity disorder. European Child and Adolescent Psychiatry, 27(11), 1433–1447. https://doi.org/10.1007/s00787-018-1138-8
Cordova MM, Antovich DM, Ryabinin P, Neighbor C, Mooney MA, Dieckmann NF, Miranda-Dominguez O, Nagel BJ, Fair DA, Nigg JT. Attention-Deficit/Hyperactivity Disorder: Restricted Phenotypes Prevalence, Comorbidity, and Polygenic Risk Sensitivity in the ABCD Baseline Cohort. J Am Acad Child Adolesc Psychiatry. 2022 Oct;61(10):1273-1284. doi: 10.1016/j.jaac.2022.03.030.
Gordon, E. M., Laumann, T. O., Adeyemo, B., Huckins, J. F., Kelley, W. M., & Petersen, S. E. (2016). Generation and Evaluation of a Cortical Area Parcellation from Resting-State Correlations. Cerebral Cortex, 26(1), 288–303. https://doi.org/10.1093/cercor/bhu239
Kelly, A. M. C., Uddin, L. Q., Biswal, B. B., Castellanos, F. X., & Milham, M. P. (2008). Competition between functional brain networks mediates behavioral variability. NeuroImage, 39(1), 527–537. https://doi.org/10.1016/j.neuroimage.2007.08.008
Mueller, A., Hong, D. S., Shepard, S., & Moore, T. (2017). Linking ADHD to the Neural Circuitry of Attention. Trends in Cognitive Sciences, 21(6), 474–488. https://doi.org/10.1016/j.tics.2017.03.009
Vandewouw, M. M., Brian, J., Crosbie, J., Schachar, R. J., Iaboni, A., Georgiades, S., Nicolson, R., Kelley, E., Ayub, M., Jones, J., Taylor, M. J., Lerch, J. P., Anagnostou, E., & Kushki, A. (2023). Identifying Replicable Subgroups in Neurodevelopmental Conditions Using Resting-State Functional Magnetic Resonance Imaging Data. JAMA Network Open, 6(3). https://doi.org/10.1001/jamanetworkopen.2023.2066
Zelazo, P. D., Anderson, J. E., Richler, J., Wallner-Allen, K., Beaumont, J. L., & Weintraub, S. (2013). NIH toolbox cognition battery (CB): Measuring executive function and attention. Monogr Soc Res Child Dev, 78(4), 16–33. https://doi.org/10.1111/mono.12032

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