Objective
Recent morphometric studies suggest that children with ADHD may demonstrate differential or delayed brain development than children without ADHD. Further, the regions that appear to be affected are regions that control attention and executive functioning. This study examines the developmental course of brain activation patterns during an attention task.
Method
Ten adolescents with ADHD and 14 normal controls performed a continuous performance task twice one year apart. fMRI scans were collected at each timepoint.
Results
In the absence of performance differences, children with ADHD and normal controls activated frontal-parietal regions while performing an attention task at initial testing. One year later, the normal control group evidenced no task-related areas of activation while performing the same task while the children with ADHD showed less activation at the second testing but continued to evidence task-related activations in bilateral frontal areas and left parietal lobe at the time of the second testing. In particular, children with ADHD appeared to require continued use of the right middle frontal gyrus during administration of testing one year apart while normal controls did not activate this region at the time of the second testing.
Conclusions
Children with ADHD appear to maintain the use of right prefrontal regions during attentional tasks beyond what is observed among normal controls. Given observed cortical thinning in corresponding brain regions, future research must address the recipocal effects of volumetric reductions and a continued need for using these regions to perform basic attentional tasks.