Title
Functional connectivity changes associated with fMRI neurofeedback of right inferior frontal cortex in adolescents with ADHD
Date Issued
01 March 2019
Access level
open access
Resource Type
journal article
Author(s)
Rubia K.
Criaud M.
Wulff M.
Brinson H.
Barker G.
Stahl D.
Giampietro V.
Instituto de Psiquiatría, Psicología y Neurociencia de Londres
Publisher(s)
Academic Press Inc.
Abstract
Attention Deficit Hyperactivity Disorder (ADHD) is associated with poor self-control, underpinned by inferior fronto-striatal deficits. We showed previously that 18 ADHD adolescents over 11 runs of 8.5 min of real-time functional magnetic resonance neurofeedback of the right inferior frontal cortex (rIFC) progressively increased activation in 2 regions of the rIFC which was associated with clinical symptom improvement. In this study, we used functional connectivity analyses to investigate whether fMRI-Neurofeedback of rIFC resulted in dynamic functional connectivity changes in underlying neural networks. Whole-brain seed-based functional connectivity analyses were conducted using the two clusters showing progressively increased activation in rIFC as seed regions to test for changes in functional connectivity before and after 11 fMRI-Neurofeedback runs. Furthermore, we tested whether the resulting functional connectivity changes were associated with clinical symptom improvements and whether they were specific to fMRI-Neurofeedback of rIFC when compared to a control group who had to self-regulate another region. rIFC showed increased positive functional connectivity after relative to before fMRI-Neurofeedback with dorsal caudate and anterior cingulate and increased negative functional connectivity with regions of the default mode network (DMN) such as posterior cingulate and precuneus. Furthermore, the functional connectivity changes were correlated with clinical improvements and the functional connectivity and correlation findings were specific to the rIFC-Neurofeedback group. The findings show for the first time that fMRI-Neurofeedback of a typically dysfunctional frontal region in ADHD adolescents leads to strengthening within fronto-cingulo-striatal networks and to weakening of functional connectivity with posterior DMN regions and that this may be underlying clinical improvement.
Start page
43
End page
58
Volume
188
Language
English
OCDE Knowledge area
Neurología clínica
Psiquiatría
Subjects
Scopus EID
2-s2.0-85057605653
PubMed ID
Source
NeuroImage
ISSN of the container
10538119
Source funding
Eli Lilly and Company
Sponsor(s)
Conflict of interest/financial disclosure: KR has received grant support for other studies from Lilly and Shire Pharmaceuticals, and speaker's honoraria from Medice and Shire. 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, HB, 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