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Atypical Brain Development Observed in Pre-Schoolers With ADHD Symptoms

März 27, 2018

BETHESDA, Md -- March 27, 2018 -- Children aged as young as 4 years with symptoms of attention- deficit/hyperactivity disorder (ADHD) may have significant differences in brain structure, compared with children without such symptoms, according to a study published in the Journal of the

International Neuropsychological Society.

Their study is the first comprehensive examination of brain structure changes in pre-schoolers with signs of ADHD.

“Researchers were expecting to find the beginning signs of possible atypical brain development,” said James A. Griffin, PhD, National Institute of Child Health and Human Development, part of the

National Institutes of Health (NIH), Rockville, Maryland. “What they found in their high-resolution scans was solid evidence that these structural changes already are prominent by age 4 or 5.”

Previous studies have documented brain differences in adolescents with ADHD. However, few studies have looked for such differences in pre-schoolers, despite research citing ADHD as the most

commonly diagnosed psychological disorder among young children.

The research, led by E. Mark Mahone, PhD, was conducted at the Kennedy Krieger Institute in Baltimore. The study included 90 young children: 38 typically developing pre-schoolers and 52 pre- schoolers with symptoms of ADHD.

The children’s scans revealed that those with ADHD symptoms had multiple areas with less brain matter volume than their typical peers, and these differences were consistent with parent reports of hyperactive and impulsive behaviours.

The researchers cited challenges collecting data, mainly getting youngsters to lay still during the brain scan, particularly children with ADHD-associated behaviour. It is possible that the children who were eventually scanned had more moderate symptoms and, therefore, were better suited to participate in the study. The authors speculated that children with more severe ADHD may have more pronounced brain differences.

The research offers a greater understanding of brain development in children with ADHD symptoms, said Dr. Griffin. The researchers will continue to follow the children, monitoring brain changes or differences as the they grow older. The study provides the groundwork for future analysis of structural and functional brain changes in ADHD, which the researchers hope will provide new insights into how symptoms of the disorder relate to differences in the brain.

Reference: DOI: 10.1017/S1355617718000103 SOURCE: National Institutes of Health

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