Differential engagement of cognitive and affective neural systems in pediatric bipolar disorder and attention deficit hyperactivity disorder
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This fMRI study investigates the neural bases of cognitive control of emotion processing in pediatric bipolar disorder (PBD) and attention deficit hyperactivity disorder (ADHD). Seventeen un-medicated PBD patients, 15 un-medicated ADHD patients, and 14 healthy controls (HC) (mean age = 13.78 +/- 2.47) performed an emotional valence Stroop Task, requiring them to match the color of an emotionally valenced word to the color of either of two adjacent circles. Both patient groups responded significantly slower than HC, but there were no group differences in accuracy. A voxel-wise analysis of variance on brain activation revealed a significant interaction of group by word valence [F(2,41) = 4.44; p = .02]. Similar group differences were found for negative and positive words. For negative versus neutral words, both patient groups exhibited greater activation in dorsolateral prefrontal cortex (DLPFC) and parietal cortex relative to HC. The PBD group exhibited greater activation in ventrolateral prefrontal cortex (VLPFC) and anterior cingulate cortex (ACC) relative to HC. The ADHD group exhibited decreased VLPFC activation relative to HC and the PBD group. During cognitive control of emotion processing, PBD patients deployed the VLPFC to a greater extent than HC. The ADHD patients showed decreased VLPFC engagement relative to both HC and PBD patients.
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Two independent studies using the emotional Stroop task found hypoactivation in ADHD in right medial and ventrolateral prefrontal cortex while processing negative distractors but hyperactivation in left medial prefrontal cortex while processing positive distractors.
“Similarly, two independent studies using the emotional Stroop task found hypoactivation in ADHD in right medial and ventrolateral prefrontal cortex while processing negative distractors but hyperactivation in left medial prefrontal cortex while processing positive distractors (92, 108).”
From Emotion Dysregulation in Attention Deficit Hyperactivity Disorder (2014) · cites this paper as [108]
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- Authors
- PASSAROTTI, A. M., SWEENEY, J. A., & PAVULURI, M. N.
- Affiliations
- University of Illinois Chicago (US)
- Corresponding author
- PASSAROTTI, ALESSANDRA M.
- Venue
- Journal of the International Neuropsychological Society
- Publisher
- Cambridge University Press (CUP)
- Published
- 2009-10-22
- Volume
- 16
- Issue
- 1
- Pages
- 106-117
- ISSN
- 1355-6177 (ISSN-L)
- 1469-7661
- PMC
- PMC3169194
- OpenAlex
- W2136737488
- Cited by
- 107
- References
- 69
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 5 · 2023: 2 · 2022: 6 · 2021: 4 · 2020: 5 · 2019: 2 · 2018: 9 · 2017: 8 · 2016: 5 · 2015: 7 · 2014: 13 · 2013: 10 · 2012: 11
- FWCI
- 5.35
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of the International Neuropsychological Society (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Dana Foundation
- National Alliance for Research on Schizophrenia and Depression
- National Center for Research Resources (K23RR018638)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Keywords
- pediatric bipolar disorder, attention deficit hyperactivity disorder, cognitive emotion regulation, ventrolateral prefrontal cortex, dorsolateral prefrontal cortex, anterior cingulate cortex, parietal cortex, emotional processing
- MeSH terms
- Adolescent, Affect, Attention Deficit Disorder with Hyperactivity, Bipolar Disorder, Brain Mapping, Cerebral Cortex, Child, Cognition Disorders, Color Perception, Female, Humans, Image Processing, Computer-Assisted, Magnetic Resonance Imaging, Male, Neuropsychological Tests, Oxygen, Pediatrics, Photic Stimulation, Predictive Value of Tests, Reaction Time
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