Cited by 677Attention Deficit Hyperactivity DisorderNeurotransmitter Receptor Influence on BehaviorNeural and Behavioral Psychology Studies

Neuropsychopharmacological mechanisms of stimulant drug action in attention-deficit hyperactivity disorder: a review and integration

Solanto, Mary V·1998·Behavioural Brain Research

Abstract

The psychostimulants, D-amphetamine (D-AMP) and methylphenidate (MPH), are widely used to treat attention-deficit hyperactivity disorder (ADHD) in both children and adults. The purpose of this paper is to integrate results of basic and clinical research with stimulants in order to enhance understanding of the neuropharmacological mechanisms of therapeutic action of these drugs. Neurochemical, neurophysiological and neuroimaging studies in animals reveal that the facilitative effects of stimulants on locomotor activity, reinforcement processes, and rate-dependency are mediated by dopaminergic effects at the nucleus accumbens, whereas effects on delayed responding and working memory are mediated by noradrenergic afferents from the locus coeruleus (LC) to prefrontal cortex (PFC). Enhancing effects of the stimulants on attention and stimulus control of behavior are mediated by both dopaminergic and noradrenergic systems. In humans, stimulants appear to exert rate-dependent effects on activity levels, and primarily enhance the motor output, rather than stimulus evaluation stages of information-processing. Similarity of response of individuals with and without ADHD suggests that the stimulants do not target a specific neurobiological deficit in ADHD, but rather exert compensatory effects. Integration of evidence from pre-clinical and clinical research suggests that these effects may involve stimulation of pre-synaptic inhibitory autoreceptors, resulting in reduced activity in dopaminergic and noradrenergic pathways. The implications of these and other hypotheses for further pre-clinical and clinical research are discussed.

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Crossref · 10.1016/s0166-4328(97)00175-7

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Authors
Solanto, M. V.
Affiliations
Long Island Jewish Medical Center (US)
Corresponding author
Solanto, Mary V
Venue
Behavioural Brain Research
Publisher
Elsevier BV
Published
1998-07
Volume
94
Issue
1
Pages
127-152
ISSN
0166-4328 (ISSN-L)
OpenAlex
W2098677721
Cited by
677
References
294
Citations by year
2026: 1 · 2025: 9 · 2024: 8 · 2023: 8 · 2022: 15 · 2021: 12 · 2020: 17 · 2019: 18 · 2018: 13 · 2017: 13 · 2016: 17 · 2015: 24 · 2014: 18 · 2013: 22 · 2012: 38
FWCI
15.25
Type
journal article
Language
en
Open access
closed
Locations
  • Behavioural Brain Research (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
  • Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
Keywords
attention deficit hyperactivity disorder, psychostimulants, d-amphetamine, methylphenidate, dopaminergic system, noradrenergic system, nucleus accumbens, locus coeruleus, prefrontal cortex, working memory, rate-dependent effects, locomotor activity, reinforcement processes, compensatory mechanisms
MeSH terms
Adult, Central Nervous System Stimulants, Animals, Attention Deficit Disorder with Hyperactivity, Brain, Child, Dextroamphetamine, Humans, Methylphenidate

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