Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

ADHD, substance abuse and conduct disorder develop from the same neurocognitive deficits

13.08.2014

Study suggests ways to treat these deficits before the psychiatric symptoms develop

Researchers at the University of Montreal and CHU Sainte-Justine Research Centre have traced the origins of ADHD, substance abuse and conduct disorder, and found that they develop from the same neurocognitive deficits, which in turn explains why they often occur together.

"Psychopathology exists on multiple continua of brain function. Some of these dimensions contribute to a multitude of problems, others contribute to specific problems. Together, they explain patterns of comorbidity such as why ADHD and conduct problems co-occur with substance misuse at such a high rate," explained the study's lead author, Professor Patricia Conrod. "Our findings suggest that risk for externalizing problems exist on a continuum in the general population, are easily measured and can be targeted before diagnosable problems arise.

The findings also help reduce stigma and address some of the complexities when diagnosing and treating concurrent psychiatric problems. The implications are that clinicians can manage multiple psychiatric problems by focusing on how a young person is functioning on a fewkey neurocognitive dimensions. The next step is to develop evidence-based intervention strategies that will target these three areas of brain function"

The findings were established by studying the reward sensitivity and decision making patterns of 1,778 European 14-year-olds of comparable demographic profile. The teens were asked to undertake several tasks while undergoing an MRI and answer personality questionnaires.

Clinicians also profiled the participants, once at the time of the testing, and again two years later.. At age 14, 4.4% of participants were identified as having a diagnosis of conduct disorder, ADHD, or both; by 16, this figure had risen to 6.6%. Alcohol and substance abuse were also identified, with 3.7% and 10.6% prevalence respectively at age 14, and 18.0% and 27.1% respectively at age 16.

The researchers were able to use statistical modelling to see what risk factors were linked to which psychiatric symptoms. "This is the first study to model ADHD, conduct disorder and substance use problems in adolescence by using a novel statistical approach that identifies the shared variance among these problems as well as the neurocognitive risk factors that are common across these problems. Three key neurocognitive dimensions were identified as being implicated is most externalizing problems: impulsive action, impulsive choice (valuing immediate rewards over delayed rewards) and reward sensitivity.

A young person's performance and brain function on each of these dimensions were shown to be related to externalizing problems. Self report impulsivity, impulsive actions on a response inhibition task and the extent to which frontal brain regions are hypoactive when committing an impulsive action differentiated youth who were most at risk for ADHD and conduct problems from youth who are at risk for all externalizing behaviours more generally.

Thrill or sensation seeking and abnormal activity in frontal brain regions when anticipating rewards differentiated youth who were uniquely at risk for alcohol misuse relative to those at risk for problems generally." explained Natalie Castellanos-Ryan, first author of the study.

"There has recently been a trend in psychiatry to reformulate diagnostic categories from a dimensional and neuroscience perspective, fueled mainly by the high rates of comorbidity between certain disorders. This is precisely what we do with regards to externalizing disorders/problems. Our findings provide support for this new "dimensional" approach to psychiatric research by showing these disorder/problems share substantial variance as well as common risk factors and that they exist along a continuum in the general population."

The findings shed light on the cognitive deficits that could be targeted in order to potentially help treat comorbid cases (e.g. adolescents who have been diagnosed with both conduct disorder and substance use problems). "Comorbid cases are harder to treat and have worse prognosis than non-comorbid cases, and currently there are very few interventions or clinical strategies that are designed to treat comorbidity," Castellanos-Ryan said.

"Prevention and intervention approaches for externalizing problems – ADHD, conduct disorder and substance use – could benefit from incorporating training components that target the brain functions or deficits related to impulsive action, impulsive choice, and reward sensitivity.

Furthermore, these findings suggest that new intervention and prevention strategies targeting these deficits, either at the personality, cognitive or neural level, have the potential to concurrently impact on a number of clinical outcomes during adolescence and potentially before problems occur."

About the Study

Natalie Castellanos-Ryan, PhD, and Professor Patricia Conrod, PhD, are researchers affiliated with the University of Montreal's Department of Psychiatry and the Research Centre at the CHU Sainte-Justine Mother and Child Hospital Centre. Castellanos-Ryan is also affiliated with the university's School of Psychoeducation. The research team published "Neural and Cognitive Correlates of the Common and Specific Variance Across Externalizing Problems in Young Adolescence" in the American Journal of Psychiatry on July 30, 2014. The research was supported by the European Union-funded FP6 Integrated Project IMAGEN (Reinforcement- Related Behaviour in Normal Brain Function and Psychopathology; LSHM-CT- 2007-037286), the FP7 project IMAGEMEND (Imaging Genetics for Mental Disorders) and the Innovative Medicine Initiative Project EU-AIMS (115300-2), the Medical Research Council Programme Grant "Developmental Pathways Into Adolescent Substance Abuse" (93558), and the Swedish funding agency FORMAS. Further support was provided by the Bundesministerium für Bildung und Forschung (BMBF grants 01GS08152 and 01EV0711), the Deutsche Forschungsgemeinschaft (DFG) Reinhart-Koselleck Award (SP 383/5-1), and DFG grants SM80/5-2, SM 80/7-1, SFB 940/1. This research was also supported by the German Ministry of Education and Research (grant 01EV0711). Natalie Castellanos-Ryan's and Patricia Conrod's salaries are awarded from the Fonds de Recherche du Québec–Santé.

William Raillant-Clark | Eurek Alert!
Further information:
http://www.umontreal.ca

Further reports about: ADHD deficits dimensions disorder findings sensitivity strategies

More articles from Studies and Analyses:

nachricht Innovative genetic tests for children with developmental disorders and epilepsy
11.07.2018 | Christian-Albrechts-Universität zu Kiel

nachricht Oxygen loss in the coastal Baltic Sea is “unprecedentedly severe”
05.07.2018 | European Geosciences Union

All articles from Studies and Analyses >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: First evidence on the source of extragalactic particles

For the first time ever, scientists have determined the cosmic origin of highest-energy neutrinos. A research group led by IceCube scientist Elisa Resconi, spokesperson of the Collaborative Research Center SFB1258 at the Technical University of Munich (TUM), provides an important piece of evidence that the particles detected by the IceCube neutrino telescope at the South Pole originate from a galaxy four billion light-years away from Earth.

To rule out other origins with certainty, the team led by neutrino physicist Elisa Resconi from the Technical University of Munich and multi-wavelength...

Im Focus: Magnetic vortices: Two independent magnetic skyrmion phases discovered in a single material

For the first time a team of researchers have discovered two different phases of magnetic skyrmions in a single material. Physicists of the Technical Universities of Munich and Dresden and the University of Cologne can now better study and understand the properties of these magnetic structures, which are important for both basic research and applications.

Whirlpools are an everyday experience in a bath tub: When the water is drained a circular vortex is formed. Typically, such whirls are rather stable. Similar...

Im Focus: Breaking the bond: To take part or not?

Physicists working with Roland Wester at the University of Innsbruck have investigated if and how chemical reactions can be influenced by targeted vibrational excitation of the reactants. They were able to demonstrate that excitation with a laser beam does not affect the efficiency of a chemical exchange reaction and that the excited molecular group acts only as a spectator in the reaction.

A frequently used reaction in organic chemistry is nucleophilic substitution. It plays, for example, an important role in in the synthesis of new chemical...

Im Focus: New 2D Spectroscopy Methods

Optical spectroscopy allows investigating the energy structure and dynamic properties of complex quantum systems. Researchers from the University of Würzburg present two new approaches of coherent two-dimensional spectroscopy.

"Put an excitation into the system and observe how it evolves." According to physicist Professor Tobias Brixner, this is the credo of optical spectroscopy....

Im Focus: Chemical reactions in the light of ultrashort X-ray pulses from free-electron lasers

Ultra-short, high-intensity X-ray flashes open the door to the foundations of chemical reactions. Free-electron lasers generate these kinds of pulses, but there is a catch: the pulses vary in duration and energy. An international research team has now presented a solution: Using a ring of 16 detectors and a circularly polarized laser beam, they can determine both factors with attosecond accuracy.

Free-electron lasers (FELs) generate extremely short and intense X-ray flashes. Researchers can use these flashes to resolve structures with diameters on the...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

VideoLinks
Industry & Economy
Event News

Leading experts in Diabetes, Metabolism and Biomedical Engineering discuss Precision Medicine

13.07.2018 | Event News

Conference on Laser Polishing – LaP: Fine Tuning for Surfaces

12.07.2018 | Event News

11th European Wood-based Panel Symposium 2018: Meeting point for the wood-based materials industry

03.07.2018 | Event News

 
Latest News

Leading experts in Diabetes, Metabolism and Biomedical Engineering discuss Precision Medicine

13.07.2018 | Event News

Research finds new molecular structures in boron-based nanoclusters

13.07.2018 | Materials Sciences

Algae Have Land Genes

13.07.2018 | Life Sciences

VideoLinks
Science & Research
Overview of more VideoLinks >>>