Role of electroencephalography in attention-deficit hyperactivity disorder

被引：19

作者：

Becker, Katja ^{[1
]}

Holtmann, Martin ^{[2
]}

机构：

[1] Psychotherapy Cent Inst Mental Hlth, Dept Child & Adolescent Psychiat & Psychotherapy, D-68072 Mannheim, Germany

[2] JW Frankfurt Main Deutschordenstrasse, Dept Child & Adolescent Psychiat & Psychotherapy, D-60528 Frankfurt, Germany

来源：

EXPERT REVIEW OF NEUROTHERAPEUTICS | 2006年 / 6卷 / 05期

关键词：

adolescents; attention-deficit hyperactivity disorder; children; diagnostics; electroencephalography; event-related potentials;

D O I：

10.1586/14737175.6.5.731

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Attention-deficit hyperactivity disorder (ADHD) is characterized by symptoms of inattention, hyperactivity and impulsivity, and affects 3-5% of school-aged children. Recommendations regarding the relative importance of electroencephalography (EEG) in ADHD are ambiguous. Most guidelines for ADHD diagnostics only recommend an EEG in cases with clinical suggestion of seizure disorders or degenerative conditions and not for routine use. Although in most cases of ADHD, an EEG is indeed unnecessary, without a routine EEG, some children with absences or rolandic spikes will not be identified and, therefore, will not be treated correctly. The EEGs of children with ADHD demonstrated increased theta activity and fewer alpha waves compared with controls. Research on event-related potentials is helpful in identifying underlying attentional deficits in ADHD. Future studies that combine EEG analysis with functional magnetic resonance imaging data, positron emission tomography studies or genetic research will help to improve our knowledge about the pathophysiology of ADHD and perhaps lead to a better, more individual treatment in well defined subgroups. Expert Rev. Neurotherapeutics 6(5), 731-739 (2006)

引用

页码：731 / 739

页数：9

共 59 条

[1]

Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, (1994)

[2]

Diagnostic and Statistical Manual of Mental Disorders, 4th Edition. Text Revision (DSM-IV-TR), (2000)

[3]

Barkley R.A., Fischer M., Edelbrock C.S., Smallish L., The adolescent outcome of hyperactive children diagnosed by research criteria, I: An 8-year prospective follow-up study, J. Am. Acad. Child Adolesc. Psychiatry, 29, pp. 546-557, (1990)

[4]

Weiss G., Hechtman L.T., Hyperactive Children Grown Up: ADHD in Children, Adolescents and Adults, 2nd Edition, (1993)

[5]

Faraone S.V., Biederman J., Spencer T., Et al., Attention-deficit/hyperactivity disorder in adults: An overview, Biol. Psychiatry, 48, pp. 9-20, (2000)

[6]

Sullivan M.A., Rudnik-Levin F., Attention-deficit/hyperactivity disorder and substance abuse. Diagnostic and therapeutic considerations, Ann. NY Acad. Sci., 931, pp. 251-270, (2001)

[7]

Asherson P., Clinical assessment and treatment of attention deficit hyperactivity disorder in adults, Expert Rev. Neurotherapeutics, 5, 4, pp. 525-539, (2005)

[8]

Spencer T.J., Biederman J., Wilens T.E., Faraone S.V., Overview and neurobiology of attention-deficit/hyperactivity disorder, J. Clin. Psych., 62, 12 SUPPL., pp. 3-9, (2002)

[9]

Comings D.E., Gade-Andavolu R., Gonzalez N., Et al., Comparison of the role of dopamine, serotonin, and noradrenaline genes in ADHD, ODD and conduct disorder: Multivariate regression analysis of 20 genes, Clin. Genet., 57, 3, pp. 178-196, (2000)

[10]

Comings D.E., Clinical and molecular genetics of ADHD and Tourette syndrome. Two related polygenic disorders, Ann. NY Acad. Sci., 931, pp. 50-83, (2001)

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