ADHD severity is associated with white matter microstructure in the subgenual cingulum
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AIMS: This analysis examined hypothesised associations between microstructural attributes in specific white matter (WM) tracts selected a priori and measures of clinical variability in adolescents with a diagnosis of attention deficit hyperactivity disorder (ADHD). Firstly, associations were explored between WM microstructure and ADHD severity in the subgenual cingulum. Secondly, to ensure that tract-specific approaches afforded enhanced rather than differential sensitivity, associations were measured between WM microstructure and autistic traits in the right corticospinal tract based on results of a previously-published voxelwise analysis. METHODS: 40 right-handed males aged 14-18 years (19 with DSM-IV combined type ADHD and 21 healthy controls) underwent a 60 direction diffusion MRI scan. Clinical ADHD and autism variation were assessed by validated questionnaires. Deterministic tractography based on spherical deconvolution methods was used to map the subgenual cingulum and corticospinal tract. RESULTS: Fractional anisotropy was positively correlated and radial diffusivity was negatively correlated with a) ADHD severity in the left subgenual cingulum and b) autistic traits in the inferior segment of the right corticospinal tract. No case-control differences were found. CONCLUSIONS: Results shed light on possible anatomical correlates of ADHD severity and autistic symptoms in pathways which may be involved in the ADHD phenotype. They provide further evidence that tract-specific approaches may a) reveal associations between microstructural metrics and indices of phenotypic variability which would not be detected using voxelwise approaches, and b) provide improved rather than differential sensitivity compared to voxelwise approaches.
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In 19 adolescents with ADHD, ADHD severity correlated with increased FA and reduced radial diffusivity.
“ADHD severity correlated with increased FA and reduced radial diffusivity (Cooper et al., 2015).”
From The cingulum bundle: Anatomy, function, and dysfunction (2018) · cites this paper as Cooper et al., 2015
The Results report that greater ADHD severity was significantly associated with higher FA in the left subgenual cingulum, but the association with lower radial diffusivity was only a trend (p = 0.067). The Methods report 19 adolescents with ADHD were recruited; the Results clarify that two were excluded and the correlations used 17. (LLM, conf=0.92)
Experimental — accuracy not yet measuredIn ADHD, more constrained cingulum diffusion can be positively correlated with the severity of symptoms.
“where more constrained cingulum diffusion can be positively correlated with the severity of symptoms (Cooper et al., 2015; but see also Chiang et al., 2016).”
From The cingulum bundle: Anatomy, function, and dysfunction (2018) · cites this paper as Cooper et al., 2015
In a study of 19 adolescents with ADHD, ADHD severity was associated with the status of the left cingulum close to the genu.
“In a study of 19 adolescents with ADHD that focussed specifically on the cingulum (Cooper et al., 2015), ADHD severity was associated with the status of the left cingulum close to the genu”
From The cingulum bundle: Anatomy, function, and dysfunction (2018) · cites this paper as Cooper et al., 2015
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“At first glance the positive associations between FA and ADHD/ASD trait scores in the present study may seem at odds with the lack of case–control differences in the same areas.”
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The cingulum bundle: Anatomy, function, and dysfunction
Bubb, E. J., Metzler-Baddeley, C., & Aggleton, J. P. (2018) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2018.05.008 · Cited by 740 · see citing works
“, 2015), ADHD severity was associated with the status of the left cingulum close to the genu, but surprisingly, ADHD severity correlated with increased FA and reduced radial diffusivity (Cooper et al., 2015).”
- Authors
- Cooper, M., Thapar, A., & Jones, D. K.
- Affiliations
- Cardiff University (GB)
- Corresponding author
- Cooper, Miriam
- Venue
- NeuroImage: Clinical
- Publisher
- Elsevier BV
- Published
- 2015
- Volume
- 7
- Pages
- 653-660
- ISSN
- 2213-1582 (ISSN-L)
- PMC
- PMC4375644
- OpenAlex
- W2137502695
- Cited by
- 33
- References
- 7
- Citations by year
- 2026: 3 · 2025: 1 · 2024: 1 · 2023: 4 · 2022: 4 · 2021: 2 · 2020: 4 · 2019: 3 · 2018: 5 · 2017: 5 · 2016: 1
- FWCI
- 2.98
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- NeuroImage Clinical (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- ORCA Online Research @Cardiff (Cardiff University) (submittedVersion)
- Research Bank (Australian Catholic University) (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Cardiff University Schools of Medicine and Psychology
- Wellcome Trust (079711/Z/06/Z)
- Medical Research Council (07/MRE/09/45)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Advanced Neuroimaging Techniques and Applications
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Keywords
- attention deficit hyperactivity disorder, ADHD symptom severity, white matter microstructure, corticospinal tract, autistic traits, fractional anisotropy, radial diffusivity, adolescents, diffusion MRI, deterministic tractography
- MeSH terms
- Adolescent, Attention Deficit Disorder with Hyperactivity, Brain, Humans, Male, Neural Pathways, Diffusion Tensor Imaging, White Matter
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