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ADHD related behaviors are associated with brain activation in the reward system
Abstract
Neuroimaging studies on attention-deficit/hyperactivity disorder (ADHD) suggest dysfunctional reward processing, with hypo-responsiveness during reward anticipation in the reward system including the nucleus accumbens (NAcc). In this study, we investigated the association between ADHD related behaviors and the reward system using functional magnetic resonance imaging in a non-clinical sample. Participants were 31 healthy, female undergraduate students with varying levels of self-reported ADHD related behaviors measured by the adult ADHD self-report scale. The anticipation of different types of reward was investigated: monetary reward, punishment avoidance, and verbal feedback. All three reward anticipation conditions were found to be associated with increased brain activation in the reward system, with the highest activation in the monetary reward anticipation condition, followed by the punishment avoidance anticipation condition, and the lowest activation in the verbal feedback anticipation condition. Most interestingly, in all three conditions, NAcc activation was negatively correlated with ADHD related behaviors. In conclusion, our results from a non-clinical sample are in accordance with reported deficits in the reward system in ADHD patients: the higher the number and severity of ADHD related behaviors, the lower the neural responses in the dopaminergic driven reward anticipation task. Thus, our data support current aetiological models of ADHD which assume that deficits in the reward system might be responsible for many of the ADHD related behaviors.
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“Interestingly, even the degree of subclinical ADHD symptoms has been shown to correlate with striatal hypoactivity during reward anticipation in a non-clinical sample (Stark et al., 2011).”
From Top-Down Dysregulation—From ADHD to Emotional Instability (2016) · cites this paper as Stark et al., 2011
In the citing paper
“a negative correlation between NAc activation during reward motivation for a range of rewards (monetary, verbal feedback, and loss avoidance) and the number of reported ADHD symptoms was found in the general population [492].”
From Reward circuitry dysfunction in psychiatric and neurodevelopmental disorders and genetic syndromes: animal models and clinical findings (2012) · cites this paper as [492]
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Metadata
- Authors
- Stark, R., Bauer, E., Merz, C. J., Zimmermann, M., Reuter, M., Plichta, M. M., Kirsch, P., Lesch, K. P., Fallgatter, A. J., Vaitl, D., & Herrmann, M. J.
- Affiliations
- Justus-Liebig-Universität Gießen (DE)
- University of Bonn (DE)
- University of Würzburg (DE)
- Central Institute of Mental Health (DE)
- University of Tübingen (DE)
- Corresponding author
- Stark, R.
- Venue
- Neuropsychologia
- Publisher
- Elsevier BV
- Published
- 2011-02
- Volume
- 49
- Issue
- 3
- Pages
- 426-434
- ISSN
- 0028-3932 (ISSN-L)
- OpenAlex
- W2006397164
- Cited by
- 82
- References
- 65
- Citations by year
- 2026: 9 · 2025: 2 · 2024: 3 · 2023: 6 · 2022: 2 · 2021: 3 · 2020: 8 · 2019: 3 · 2018: 3 · 2017: 6 · 2016: 6 · 2015: 3 · 2014: 5 · 2013: 6 · 2012: 14
- FWCI
- 5.01
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Neuropsychologia (publishedVersion)
- PubMed (publishedVersion)
- Funders
- German Research Foundation
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
- Keywords
- attention deficit hyperactivity disorder, reward processing, reward anticipation, nucleus accumbens, brain activation, monetary rewards, punishment avoidance, verbal feedback, dopaminergic reward system, non-clinical sample, female undergraduates
- MeSH terms
- Attention Deficit Disorder with Hyperactivity, Behavior, Brain, Data Interpretation, Statistical, Female, Humans, Image Processing, Computer-Assisted, Magnetic Resonance Imaging, Motivation, Neuropsychological Tests, Nucleus Accumbens, Psychomotor Performance, Reaction Time, Reinforcement, Psychology, Reward, Feedback, Psychological, Diagnostic and Statistical Manual of Mental Disorders, Young Adult
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