Dopamine dysfunction in AD/HD: integrating clinical and basic neuroscience research

被引:322
作者
Solanto, MV [1 ]
机构
[1] CUNY, Mt Sinai Med Ctr, Div Child & Adolescent Psychiat, New York, NY 10029 USA
关键词
attention-deficit hyperactivity disorder (ADHD); dopamine; methylphenidate; amphetamine; autoreceptors; prefrontal cortex; prefrontal-striatal-thalamic cortical circuit; striatum; attention; impulsivity; MRI; fMRI; PET; dopamine transporter (DAT); rate dependency;
D O I
10.1016/S0166-4328(01)00431-4
中图分类号
B84 [心理学]; C [社会科学总论]; Q98 [人类学];
学科分类号
03 ; 0303 ; 030303 ; 04 ; 0402 ;
摘要
There is strong evidence that the catecholamines dopamine and norepinephrine are both important in the pathophysiology of ADHD, as well as in the mechanism of therapeutic action of stimulant drugs. Due to the known effects of stimulants in blocking reuptake of catecholamines and (in the case Of D-amphetamine) facilitating their release, it has traditionally been believed that the stimulants compensate for catecholamine deficiency in ADHD. More recently, however, alternate hypotheses of a hyperdopaminergic and/or hyper-noradrenergic state in ADHD have been suggested. This paper will be limited to a review of the evidence for involvement of dopamine in mediating behavioral and cognitive symptoms and response to stimulants in ADHD, with implications for possible mechanisms, (C) 2002 Elsevier Science B.V. All rights reserved.
引用
收藏
页码:65 / 71
页数:7
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