Title
Increased left inferior fronto-striatal activation during error monitoring after fMRI neurofeedback of right inferior frontal cortex in adolescents with attention deficit hyperactivity disorder
Date Issued
01 January 2020
Access level
open access
Resource Type
journal article
Author(s)
King's College de Londres
Publisher(s)
Elsevier Inc.
Abstract
Attention Deficit/Hyperactivity Disorder (ADHD) is a self-regulation disorder, with impairments in error monitoring associated with underactivation of the related brain network(s). Psychostimulant medication improves ADHD symptoms and can upregulate brain function, but has side effects, with limited evidence for longer-term effects. Real-time functional magnetic resonance neurofeedback (fMRI-NF) has potential longer-term neuroplastic effects. We previously reported the effects of 11 runs of 8.5 min of fMRI-NF of the right inferior frontal cortex (rIFC) in adolescents with ADHD. This resulted in improvement of clinical symptom and enhanced rIFC activation post-pre treatment during response inhibition, when compared to a control group receiving fMRI-NF of the left parahippocampal gyrus (lPHG). In the current study we applied a novel analysis to the existing data by investigating the effects of fMRI-NF of rIFC in 16 adolescents with ADHD compared to fMRI-NF of lPHG in 11 adolescents with ADHD on the neurofunctional correlates of error monitoring during the same fMRI tracking stop task and potential associations with cognitive and clinical measures. We found stronger performance adjustment to errors in the rIFC-NF compared to the control lPHG-NF group. At the brain function level, fMRI-NF of rIFC compared to that of lPHG was associated with increased activation in error monitoring regions of the left IFC, premotor cortex, insula and putamen. The increased activation in left IFC-insular-striatal error monitoring regions in the rIFC-NF relative to the lPHG-NF group was furthermore trend-wise correlated with NF-induced ADHD symptom improvements. The findings of this study show, that during error monitoring, fMRI-NF training of rIFC upregulation elicited improvement in post-error behavioural adjustments and concomitant increased activation in left hemispheric fronto-insular-striatal and premotor regions mediating self-control and self-monitoring functions. This suggests that the administration of fMRI-NF of the rIFC may have had an impact on wider networks of self-regulation and self-monitoring in adolescents with ADHD.
Volume
27
Language
English
OCDE Knowledge area
Neurociencias
Psicología
Subjects
Scopus EID
2-s2.0-85086577467
PubMed ID
Source
NeuroImage: Clinical
ISSN of the container
2213-1582
Sponsor(s)
We thank South London and Maudsley NHS Trust clinicians for their help with patient recruitment and all parents and children for their participation in the study. Conflict of interest/financial disclosure: KR has received grant support for another study from Takeda Pharmaceuticals. GJB has received honoraria for teaching from General Electric Healthcare, and acts as a consultant for IXICO. All other authors report no financial interests or potential conflicts of interest.
This work, AA and MW were supported by a grant from Action Medial Research (grant number: 1890) to KR. Additional support was provided by the National Institute for Health Research (NIHR) Biomedical Research Centre at South London and the Maudsley NHS Foundation Trust and King’s College London and by the Medical Research Council (MRC) (MR/P012647/1) to KR which also supported MC. AA was supported by a Ph.D studentship from the Institute of Psychiatry, Psychology and Neuroscience, King’s College London. The funders had no involvement in the collection, analysis and interpretation of data; in the writing of the report; or in the decision to submit the article for publication.
Sources of information:
Directorio de Producción Científica
Scopus