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Peripheral Hypoarousal but Not Preparation-Vigilance Impairment Endures in ADHD Remission.


ABSTRACT: Objective: This study investigates whether impairments associated with persistent ADHD-impaired attention allocation (P3 amplitude), peripheral hypoarousal (skin conductance level [SCL]), and adjustment in preparatory state (contingent negative variation [CNV])-reflect enduring deficits unrelated to ADHD outcome or are markers of ADHD remission. Method: Young people with childhood ADHD (73 persisters and 18 remitters) and 144 controls were compared on neurophysiological measures during two conditions (baseline and fast-incentive) of a four-choice reaction time task. Results: ADHD remitters differed from persisters, and were indistinguishable from controls, on baseline P3 amplitude and fast-incentive CNV amplitude (p ? .05). ADHD remitters differed from controls (p ? .01), and were indistinguishable from persisters (p > .05), on baseline SCL. Conclusion: Preparation-vigilance measures were markers of ADHD remission, confirming previous findings with other measures. Yet, SCL-measured peripheral hypoarousal emerges as an enduring deficit unrelated to ADHD improvement. Future studies should explore potential compensatory mechanisms that enable efficient preparation-vigilance processes in ADHD remitters.

SUBMITTER: James SN 

PROVIDER: S-EPMC5617106 | biostudies-literature | 2020 Nov

REPOSITORIES: biostudies-literature

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Peripheral Hypoarousal but Not Preparation-Vigilance Impairment Endures in ADHD Remission.

James Sarah-Naomi SN   Cheung Celeste H M CHM   Rommel Anna-Sophie AS   McLoughlin Gráinne G   Brandeis Daniel D   Banaschewski Tobias T   Asherson Philip P   Kuntsi Jonna J  

Journal of attention disorders 20170331 13


<b>Objective:</b> This study investigates whether impairments associated with persistent ADHD-impaired attention allocation (P3 amplitude), peripheral hypoarousal (skin conductance level [SCL]), and adjustment in preparatory state (contingent negative variation [CNV])-reflect enduring deficits unrelated to ADHD outcome or are markers of ADHD remission. <b>Method:</b> Young people with childhood ADHD (73 persisters and 18 remitters) and 144 controls were compared on neurophysiological measures du  ...[more]

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