DAT1 and COMT effects on delay discounting and trait impulsivity in male adolescents with attention deficit/hyperactivity disorder and healthy controls
Open accessAbstract
Choice impulsivity has been linked to dopamine function and is consistently observed in attention deficit/hyperactivity disorder (ADHD) as a preference for smaller-immediate over larger-delayed rewards using choice-delay paradigms. More sophisticated delay discounting paradigms have yielded inconsistent results. Context and sample characteristics may have contributed to these variations. In this study we examine the effect of type (real vs hypothetical) and magnitude of reward as well as of variation in dopamine genes on choice impulsivity. We selected 36 male adolescents with ADHD-combined subtype (ADHD-CT) and 32 controls (mean age=15.42, SD=2.05) to form four roughly equally sized subgroups on the basis of DAT110/6 haplotype dosage (2 copies and <2 copies). Participants, who were also genotyped for the COMTval158met and DRD448bp−VNTR polymorphisms, performed a hypothetical and a real-time discounting task and provided self-ratings of trait impulsivity. The ADHD-CT group discounted rewards more steeply than controls only in the hypothetical task, with delay, but not reward magnitude, influencing choices. They also rated themselves as more impulsive compared with controls. DAT110/6 dosage and the COMTVal158Met genotype predicted trait impulsivity and discounting rates in the hypothetical task, but not in the real-time task. Our results directly link variation in genes putatively influencing dopamine signaling in the prefrontal cortex (COMTVal158Met) and the striatum (DAT110/6) with discounting rates in a hypothetical task (but not a real-time task) and self-ratings of trait impulsivity in ADHD-CT and healthy controls. The lack of magnitude effects in the hypothetical task suggests that discounting in this task may be influenced by different processes in ADHD-CT than in healthy controls.
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Written from the paper’s full text.
TL;DR
In male adolescents with ADHD-combined subtype and healthy controls, ADHD-CT showed steeper delay discounting than controls only on a hypothetical discounting task, not a real-time task, and reported higher trait impulsivity. DAT1 10/6 dosage and COMT Val158Met genotype predicted hypothetical discounting and trait impulsivity, but not real-time discounting.
Key findings
- ADHD-CT discounted rewards more steeply than controls in the hypothetical task but not the real-time task, and rated themselves as more impulsive than controls.
- In the hypothetical task, discounting decreased as reward magnitude increased (F(2,132)=7.62, p=.001), but this magnitude effect was seen only in controls (magnitude × diagnosis: F(2,132)=5.39, p=.009).
- DAT1 10/6 status interacted with diagnosis for hypothetical discounting (puncorrected=.005; R2=.086; discussion reports 11.7% of variance); ADHD-CT showed higher discounting than controls only among carriers of <2 DAT1 10/6 copies (puncorrected<.001), and control DAT1 10/6 homozygotes discounted more steeply than controls with <2 copies (puncorrected=.002).
- COMT Val158Met predicted hypothetical discounting independent of diagnosis (puncorrected=.013; R2=.068), with Met-allele homozygotes discounting more steeply than Val-allele carriers (puncorrected=.014). DAT1 10/6 also predicted trait impulsivity (puncorrected=.004; R2=.095), with homozygotes reporting lower impulsivity than carriers of <2 copies. No DRD4 48bp-VNTR effects were found on any impulsivity measure.
Methods
- Sample: 68 male Caucasian adolescents aged 11–20 years (M=15.42, SD=2.05), including 36 with ADHD-combined subtype and 32 controls, selected by DAT1 10/6 haplotype dosage (2 copies vs <2 copies) into four roughly equal subgroups; participants were also genotyped for COMT Val158Met and DRD4 48bp-VNTR. Of the ADHD group, 72% discontinued stimulant medication for at least 48 hours before testing.
- Measures: a hypothetical adjusting-amount delay discounting task (delays 1–180 days; standard amounts £5, £15, £30) and a real-time Experiential Discounting Task (delays 1, 7, 14, 28 seconds; probabilistic 35% £0.20 vs certain immediate amount), plus BIS-11A self-rated trait impulsivity. Discounting rates were indexed by area under the curve (AUC).
- Analysis: age was covaried in all analyses; MANCOVA/ANCOVA and mixed ANCOVA tested diagnosis, reward magnitude, and genetic effects; Bonferroni-adjusted critical p-values were α=.017 for genetic ANCOVAs and α=.004 for simple effects; parametric results were confirmed with 10,000 random permutations. Analyses were repeated excluding ADHD participants with parent Conners’ T-scores <63 and those with substance use/heavy smoking.
Limitations
- The paper states that sample size is a limitation and that the genetic findings should be considered preliminary until confirmed in a larger sample; it also notes the study was not designed to distinguish trait from state impulsivity or to test models of impulsive behavior in ADHD.
- The paper calls for future studies with a wider range of real-time paradigms, gene-by-gene interaction analyses, and assessment of confounds such as long-term stimulant treatment effects in the ADHD-CT group.
- Evident from the text: the sample was restricted to male Caucasian adolescents, genotype subgroups were small, medication was discontinued for only at least 48 hours, and in the hypothetical task the randomly selected honored question always came from the £5 category despite choices involving £15 and £30.
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Claims the paper makes
0 of 58 cited sources checked · 0 supported · 0 flagged
- Findingown data
There were no effects of the DRD4 48bp-VNTR polymorphism on any impulsivity measures.
“There were no effects for the DRD448bp-VNTR polymorphism on any on the impulsivity measures”
Quote in the paperNot a substantial claim - Findingown data
Among carriers of <2 copies of DAT1 10/6, ADHD-CT participants showed higher discounting rates than controls.
“Adolescents with ADHD-CT showed higher discounting rates than controls only among carriers of <2 copies of DAT110/6 (pcorrected<.05; puncorrected<.001)”
Quote in the paperSubstantial claim - Findingown data
There was a significant interaction between reward magnitude and diagnosis on hypothetical discounting rates.
“but only in the control group (magnitude X diagnosis: F(2,132)=5.39, p=.009; covarying IQ/SES: p=.022)”
Quote in the paperNot a substantial claim - Findingown data
COMT Met-allele homozygotes showed higher discounting rates than Val-allele carriers.
“Met-allele homozygotes showed higher discounting rates than Val-allele carriers (pcorrected<.05; puncorrected=.014)”
Quote in the paperSubstantial claim - Findingown data
The COMT Val158Met polymorphism predicted discounting rates in the hypothetical task independent of diagnosis.
“The COMTval158met polymorphism predicted discounting rates independent of diagnosis; covarying trait-impulsivity ratings had no impact”
Quote in the paperSubstantial claim
- Findingown data
The ADHD-CT group did not differ from controls in the real-time delay discounting task.
“The ADHD-CT group displayed significantly steeper discounting rates (AUC) compared to controls in the hypothetical but not the real-time discounting task”
- Also stated in: § Abstract · plain
“The ADHD-CT group discounted rewards more steeply than controls only in the hypothetical task”
Quote in the paperSubstantial claim - Also stated in: § Abstract · plain
- Findingown data
DAT1 10/6 status interacted with diagnosis in the hypothetical discounting task.
“DAT110/6 status interacted with diagnosis (Table 4, Figure 3-a); this effect remained significant after covarying trait-impulsivity scores”
Quote in the paperSubstantial claim - Findingown data
DAT1 10/6 homozygotes reported lower trait-impulsivity than carriers of <2 copies.
“DAT110/6 homozygotes reported lower impulsivity levels than carriers of <2 copies”
Quote in the paperSubstantial claim - Findingown data
No significant genetic effects were observed in the real-time discounting task.
“No significant genetic effects were observed (Table 4).”
Quote in the paperSubstantial claim - Findingown data
Among control participants, DAT1 10/6 homozygotes showed higher discounting rates than those with <2 copies.
“DAT110/6 homozygotes showed significantly higher discounting rates compared to those with <2 copies (pcorrected<.05; puncorrected=.002) among control participants”
Quote in the paperSubstantial claim - Findingown data
Among DAT1 10/6 homozygotes, there was no difference in discounting rates between ADHD-CT and controls.
“there was no group difference for DAT110/6 homozygotes (puncorrected=.61)”
Quote in the paperSubstantial claim - Findingown data
DAT1 10/6 status predicted trait-impulsivity ratings independent of diagnosis.
“DAT110/6 status predicted trait-impulsivity ratings independent of diagnosis (Table 4, Figure 3-b).”
Quote in the paperSubstantial claim - Findingown data
DAT1 10/6 interacted with diagnosis in the hypothetical task, explaining 11.7% of the variance.
“In our study, DAT110/6 interacted with diagnosis in the hypothetical task, explaining 11.7% of the variance.”
Quote in the paperSubstantial claim - Findingown data
The ADHD-CT group showed steeper discounting rates (lower AUC) than controls in the hypothetical delay discounting task.
“The ADHD-CT group discounted rewards more steeply than controls only in the hypothetical task”
- Also stated in: § Adolescents with ADHD-CT displayed higher levels of impulsivity · plain
“The ADHD-CT group displayed significantly steeper discounting rates (AUC) compared to controls in the hypothetical but not the real-time discounting task”
Quote in the paperSubstantial claim - Also stated in: § Adolescents with ADHD-CT displayed higher levels of impulsivity · plain
- Findingown data
Steeper discounting rates in the hypothetical task were associated with COMT Val158Met Met-allele homozygosity, independent of diagnosis (R2=6.9%).
“Steeper discounting rates in the hypothetical task were also associated with homozygosity for the COMTVal158Met Met-allele (which substantially reduces dopamine catabolism in the prefrontal cortex) (Chen et al, 2004; Lachman et al, 1996; Lotta et al, 1995), independent of diagnosis (R2=6.9%).”
Quote in the paperSubstantial claim - Findingown data
The ADHD-CT group reported higher trait-impulsivity than controls.
“They also rated themselves as more impulsive compared to controls.”
- Also stated in: § Adolescents with ADHD-CT displayed higher levels of impulsivity · plain
“They also reported significantly higher levels of trait-impulsivity.”
Quote in the paperSubstantial claim - Also stated in: § Adolescents with ADHD-CT displayed higher levels of impulsivity · plain
- Findingown data
Both groups showed discounting in the real-time task.
“both groups showed discounting in the current study, supporting evidence from earlier studies”
Quote in the paperSubstantial claim - Findingown data
In the hypothetical task, discounting rates decreased as the monetary magnitude increased in the control group.
“The rate of discounting decreased as the magnitude of the monetary amount increased (magnitude effect: F(2,132)=7.62, p=.001; covarying IQ/SES: p<.001), but only in the control group”
Quote in the paperNot a substantial claim - Findingown data
In the ADHD-CT group, reward magnitude did not affect discounting rates in the hypothetical task.
“lack of reward magnitude effects in the hypothetical task for the ADHD-CT group, suggesting that their choices were influenced only by delay”
Quote in the paperSubstantial claim - Findingown data
Variation in DAT1 10/6 predicts behavioral impulsivity.
“While our data confirmed our hypotheses that variation in DAT110/6 and COMTVal158Met predicts behavioral impulsivity, the precise mechanisms mediating these effects, in terms of dopamine signaling or the neural processes involved, remain unknown.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Bellgrove et al, 2009 source
Not checked in the free run.
- Findingown data
Variation in COMT Val158Met predicts behavioral impulsivity.
“While our data confirmed our hypotheses that variation in DAT110/6 and COMTVal158Met predicts behavioral impulsivity, the precise mechanisms mediating these effects, in terms of dopamine signaling or the neural processes involved, remain unknown.”
Quote in the paperSubstantial claim - Findingcitation
The DRD4 48bp-VNTR was not associated with any impulsivity measure.
“The DRD448bp-VNTR was not associated with any impulsivity measure, in line with a recent meta-analytic review (which suggested that another marker on the gene might be related to impulsivity) (Munafò et al, 2008).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Munafò et al, 2008 source
Not checked in the free run.
- Study design and conductown data
The DAT1 10/6 effect on trait-impulsivity remained highly significant after covarying hypothetical discounting rates.
“an effect that remained highly significant after covarying discounting rates in the hypothetical task (pcorrected<.05; puncorrected=.004; R2=.095)”
Quote in the paperSubstantial claim - Study design and conductown data
The DAT1 10/6 interaction with diagnosis in hypothetical discounting remained significant after covarying trait-impulsivity scores.
“this effect remained significant after covarying trait-impulsivity scores (pcorrected<.05; puncorrected=.005; R2=.086)”
Quote in the paperSubstantial claim - Study design and conductown data
No comorbid disorder was associated with the three dopamine gene variants.
“No comorbid disorder was associated either of the three dopamine gene variants (see supplementary material Tables S2-S4).”
Quote in the paperNot a substantial claim - Interpretationown data
The contrast between tasks cannot be attributed to validity issues with the real-time task because both groups showed discounting.
“It cannot be attributed to validity issues with the real-time task since both groups showed discounting in the current study”
Quote in the paperSubstantial claim - Study design and conductown data
Analyses excluding six ADHD participants with current parent Conners' total ADHD T-scores <63 either improved or remained approximately the same.
“In all cases, p-values and effect sizes either improved or remained approximately the same (see supplementary material).”
Quote in the paperNot a substantial claim - Premisecitation
Populations with impulse control problems consistently demonstrate higher discounting rates compared to healthy controls.
“Populations with impulse control problems consistently demonstrate higher discounting rates compared to healthy controls (see Green et al, 2004; Reynolds, 2006b for reviews)”
Quote in the paperSubstantial claim0 of 2 sources checked- cites Green et al, 2004 source
Not checked in the free run.
- cites Reynolds, 2006b
Not checked in the free run.
- Study design and conductown data
The ADHD-CT effects on hypothetical discounting and trait-impulsivity remained significant after covarying IQ and SES.
“These effects remained significant after covarying IQ and SES.”
Quote in the paperSubstantial claim - Interpretationreasoning
Discounting rates in hypothetical and real-time tasks may reflect different aspects of impulsivity.
“These data therefore suggest that discounting rates in hypothetical and real-time tasks may reflect different aspects of impulsivity.”
Quote in the paperSubstantial claim - Study design and conductown data
The COMT Val158Met effect on hypothetical discounting was independent of trait-impulsivity ratings.
“covarying trait-impulsivity ratings had no impact (pcorrected<.05; puncorrected=.013; R2=.068)”
Quote in the paperSubstantial claim - Interpretationown data
The lack of reward magnitude effects in ADHD-CT indicates that different processes might drive discounting in ADHD-CT and controls.
“This discrepancy indicates that different processes might drive discounting in ADHD-CT and controls.”
Quote in the paperSubstantial claim - Interpretationcitation
The COMT Val158Met finding is consistent with evidence that the dopamine-modulated prefrontal cortex plays a key role in choice impulsivity.
“This finding is consistent with evidence showing that the dopamine-modulated prefrontal cortex plays a key role in choice impulsivity”
Quote in the paperSubstantial claim0 of 3 sources checked - Study design and conductown data
Excluding four ADHD participants with frequent or occasional substance use did not change the observed pattern of results.
“excluding the four ADHD participants with frequent or occasional current use of cannabis (including two with frequent/occasional use of cocaine and all heavy smokers (>5 cigarettes per day)) did not change the observed pattern of results”
Quote in the paperNot a substantial claim - Premisecitation
ADHD patients consistently prefer smaller-immediate over larger delayed rewards using the choice-delay paradigm.
“ADHD patients consistently prefer smaller-immediate over larger delayed rewards using the choice-delay paradigm (Willcutt et al, 2008)”
Quote in the paperSubstantial claim0 of 2 sources checked - Premisecitation
Delay discounting is linked to dopamine and the function of dopamine-modulated fronto-striatal circuits.
“Different lines of evidence have linked delay discounting to dopamine and the function of dopamine-modulated fronto-striatal circuits”
Quote in the paperSubstantial claim0 of 3 sources checked - Premisecitation
In adults (and thus in persisting forms of the disorder), ADHD has been associated with the 9-repeat allele.
“For example, the DAT1 10-repeat allele is considered to increase risk for ADHD in children and adolescents, yet in adults (and thus, by definition, in persisting forms of the disorder) ADHD has been associated with the 9-repeat allele (Franke et al, 2008; Franke et al, 2010).”
Quote in the paperNot a substantial claim0 of 2 sources checked - Interpretationown data
Discounting rates in a real-time task may be more sensitive to factors impacting on state-impulsivity levels.
“In summary, the pattern of findings in this study distinguishes between aspects of impulsivity by demonstrating specific effects of diagnosis and variation in dopamine genes (DAT110/6, COMTVal158Met ) on behavioral and laboratory measures assumed to reflect relatively stable aspects of impulsivity (discounting in the hypothetical task, trait-impulsivity self-ratings) but not on discounting rates”
Quote in the paperSubstantial claim - Premisecitation
A single study has examined the effects of COMT Val158Met in an adult sample of abstinent alcoholics and healthy participants.
“while a single study has examined the effects of COMTVal158Met in an adult sample of abstinent alcoholics and healthy participants (Boettiger et al, 2007)”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Boettiger et al, 2007 source
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- Premisecitation
Evidence from acute pharmacological interventions supports greater sensitivity of real-time tasks to manipulations likely to induce changes in state-impulsivity.
“Evidence from acute pharmacological interventions with psychomotor stimulants and suppressants supports the greater sensitivity of real-time tasks to manipulations likely to induce changes in state-impulsivity”
Quote in the paperSubstantial claim0 of 3 sources checked - Interpretationown data
The two measures of relatively stable impulsivity predispositions (hypothetical discounting and self-report rating scale) represent pleiotropic effects (multiple outcomes) of the genetic influences.
“This finding provides no support for the mediation of gene effects on discounting by impulsive behavior (or the reverse), but rather that the two measures of relatively stable impulsivity predispositions (hypothetical discounting and self-report rating scale) represent pleiotropic effects (multiple outcomes) of the genetic influences.”
Quote in the paperSubstantial claim - Premisecitation
Met is the risk allele in boys.
“Met being the risk allele in boys (Biederman et al, 2008; Qian et al, 2003).”
Quote in the paperNot a substantial claim0 of 2 sources checked - Premisenone given
No studies to date have examined the effects of variation in genes involved in dopamine signaling on impulsive decision-making in adolescents.
“To our knowledge, no studies to date have examined the effects of variation in genes involved in dopamine signaling on impulsive decision-making in adolescents”
Quote in the paperNot a substantial claim - Study design and conductnone given
The sample size is a limitation of this study.
“The sample size is a limitation of this study; the genetic findings should be considered as preliminary until confirmed within a larger sample, which should also examine gene by gene interactions and assess the impact of potential confounds pertaining to the ADHD-CT group, such as possible gene interactions with the effects of long-term stimulant treatment.”
Quote in the paperSubstantial claim - Premisecitation
Evidence regarding the impact of specific DAT1 variants is inconsistent.
“although the DAT13′UTR 48 base-pair VNTR polymorphism (part of the DAT110/6 haplotype) has been associated with alterations in gene expression, evidence regarding the impact of specific variants is inconsistent (for a review, see van de Giessen et al, 2009).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites van de Giessen et al, 2009 source
Not checked in the free run.
- Interpretationown data
The rate of experimental discounting and trait-impulsivity ratings reflect distinct aspects of impulsivity.
“Our genetic findings finally suggest that the rate of experimental discounting and trait-impulsivity ratings reflect distinct aspects of impulsivity.”
Quote in the paperSubstantial claim - Interpretationreasoning
The precise mechanisms mediating the effects of DAT1 10/6 and COMT Val158Met on behavioral impulsivity, in terms of dopamine signaling or neural processes, remain unknown.
“While our data confirmed our hypotheses that variation in DAT110/6 and COMTVal158Met predicts behavioral impulsivity, the precise mechanisms mediating these effects, in terms of dopamine signaling or the neural processes involved, remain unknown.”
Quote in the paperSubstantial claim - Interpretationown data
The finding provides no support for the mediation of gene effects on discounting by impulsive behavior (or the reverse).
“This finding provides no support for the mediation of gene effects on discounting by impulsive behavior (or the reverse), but rather that the two measures of relatively stable impulsivity predispositions (hypothetical discounting and self-report rating scale) represent pleiotropic effects (multiple outcomes) of the genetic influences.”
Quote in the paperSubstantial claim - Premisecitation
Real-time tasks are thought to be sensitive to state changes in impulsivity.
“Real-time tasks, where participants experience the rewards and delays associated with each decision they make, are thought to be sensitive to state changes in impulsivity (McDonald et al, 2003; Reynolds et al, 2006; Reynolds and Schiffbauer, 2004).”
Quote in the paperSubstantial claim0 of 3 sources checked- cites McDonald et al, 2003
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- cites Reynolds et al, 2006
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- cites Reynolds and Schiffbauer, 2004 source
Not checked in the free run.
- May combine two claims. 14
- Classified as probably not a substantial claim. 18
- The quote only partly states this claim. 1
May combine two claims.
Findingown dataADHD-CT participants reported higher trait-impulsivity than controls if they carried <2 DAT1 10/6 copies, but not among DAT1 10/6 homozygotes.
“adolescents with ADHD-CT reported higher levels of impulsivity compared to controls if they carried <2 DAT110/6 copies (pcorrected<.05; puncorrected<.001) but not among DAT110/6 homozygotes (puncorrected=.13)”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThere was a trend for a diagnosis X DAT1 10/6 interaction on trait-impulsivity, suggesting the effect might be significant only in the ADHD-CT group.
“A trend for a diagnosis X DAT110/6 (puncorrected<.10) suggested that this effect might be significant only in the ADHD-CT group”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataThe DAT1 10/6 interaction with diagnosis was only a trend for trait-impulsivity ratings, accounting for 4.7% of the variance.
“Although the DAT110/6 interaction with diagnosis was only a trend for trait-impulsivity ratings, it accounted for 4.7% of the variance”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataThere were no significant correlations between real-time discounting rates and trait-impulsivity scores, or between real-time and hypothetical discounting rates.
“lack of significant correlations between discounting rates in the real-time task and trait-impulsivity scores, or discounting rates in the hypothetical task”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThe pattern of findings in this study distinguishes between aspects of impulsivity by demonstrating specific effects of diagnosis and variation in dopamine genes (DAT1 10/6, COMT Val158Met) on behavioral and laboratory measures assumed to reflect relatively stable aspects of impulsivity (discounting in the hypothetical task, trait-impulsivity self-ratings) but not on discounting rates in a real-ti
“In summary, the pattern of findings in this study distinguishes between aspects of impulsivity by demonstrating specific effects of diagnosis and variation in dopamine genes (DAT110/6, COMTVal158Met ) on behavioral and laboratory measures assumed to reflect relatively stable aspects of impulsivity (discounting in the hypothetical task, trait-impulsivity self-ratings) but not on discounting rates”
Quote in the paperSubstantial claim- The authors state this as an assumption: Behavioral and laboratory measures (discounting in the hypothetical task, trait-impulsivity self-ratings) reflect relatively stable aspects of impulsivity.
May combine two claims.
Findingown dataCovarying trait-impulsivity ratings or discounting rates when examining the genetic effects on either measure left effect sizes virtually unchanged and results remained significant.
“Covarying trait-impulsivity ratings or discounting rates when examining the genetic effects on either measure left effect sizes virtually unchanged and results remained significant.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S2 (checkable).
Interpretationown dataThe contrast between hypothetical and real-time tasks in diagnostic group and gene effects is novel.
“The contrast between discounting rates in the hypothetical and real-time tasks in terms of diagnostic group and gene effects is novel.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationMeta-analytic evidence has not associated ADHD with COMT Val158Met.
“Meta-analytic evidence has not associated ADHD with COMTVal158Met (Gizer et al, 2009)”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Gizer et al, 2009 source
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Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationSome evidence suggests that gender could be a moderating factor with Met being the risk allele in boys.
“some evidence suggests that gender could be a moderating factor with Met being the risk allele in boys (Biederman et al, 2008; Qian et al, 2003)”
Quote in the paperNot a substantial claim0 of 2 sources checkedClassified as probably not a substantial claim.
PremisecitationImpulsive behavior is a key characteristic of several psychiatric conditions, including ADHD.
“Impulsive behavior is a key characteristic of several psychiatric conditions, including attention deficit/hyperactivity disorder (ADHD) (Moeller et al, 2001).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Moeller et al, 2001 source
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May combine two claims.
InterpretationreasoningPerformance in the hypothetical task putatively reflects a relatively stable individual difference (trait impulsivity), whereas performance in the real-time task may be more sensitive to transient state-impulsivity.
“one possible distinction is that performance in the hypothetical task putatively reflects a relatively stable individual difference (an aspect of trait impulsivity), whereas performance in the real-time task may be more sensitive to the transient effects of factors affecting state-impulsivity”
Quote in the paperSubstantial claim- The authors state this as an assumption: Real-time tasks are more sensitive to state-impulsivity than hypothetical tasks.
May combine two claims. The quote only partly states this claim.
Study design and conductown dataNo significant associations were observed between the DRD4 48bp-VNTR and COMT Val158Met polymorphisms and disease status.
“no significant associations were observed with disease status.”
Quote in the paperNot a substantial claimMay combine two claims.
PremisecitationDelay discounting paradigms have been used in few studies with ADHD patients, yielding somewhat inconsistent findings.
“Delay discounting paradigms overcome many of these problems, but have been used in few studies with ADHD patients, yielding somewhat inconsistent findings.”
Quote in the paperSubstantial claim0 of 3 sources checkedMay combine two claims.
PremisecitationDAT1 and COMT are responsible for the bulk of dopamine degradation in the striatum and prefrontal cortex respectively.
“which are responsible for the bulk of dopamine degradation in the striatum and the prefrontal cortex respectively”
Quote in the paperSubstantial claim0 of 3 sources checkedProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationThe DAT1 3′UTR 48 base-pair VNTR polymorphism (part of the DAT1 10/6 haplotype) has been associated with alterations in gene expression.
“although the DAT13′UTR 48 base-pair VNTR polymorphism (part of the DAT110/6 haplotype) has been associated with alterations in gene expression, evidence regarding the impact of specific variants is inconsistent (for a review, see van de Giessen et al, 2009).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites van de Giessen et al, 2009 source
Not checked in the free run.
May combine two claims.
PremisecitationADHD is associated with deficiencies in dopamine signaling and abnormalities in dopamine-modulated fronto-striatal circuits.
“Pharmacological, genetic and neuroimaging studies converge on the idea that ADHD is associated with deficiencies in dopamine signaling and abnormalities in dopamine-modulated fronto-striatal circuits”
Quote in the paperSubstantial claim0 of 3 sources checkedProbably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing).
InterpretationreasoningPredicting the precise role of a genetic variant on behavioral impulsivity may still be elusive, given that it is likely to depend on the dynamic interaction among many factors and reflect the outcome of long-term adaptation processes.
“Second, even when the effects of genetic variation in terms of gene expression and dopamine catabolism are better understood (e.g. COMTVal158Met), predicting the precise role of a variant on behavioral impulsivity may still be elusive, given that it is likely to depend on the dynamic interaction among many factors and reflect the outcome of long-term adaptation processes.”
Quote in the paperNot a substantial claimMay combine two claims.
PremisecitationExperimentally measured discounting rates using hypothetical tasks show good temporal stability, suggesting they reflect a relatively stable individual difference.
“Experimentally measured discounting rates using hypothetical tasks show good temporal stability (Audrain-McGovern et al, 2009; Beck and Triplett, 2009; Kirby, 2009; Ohmura et al, 2006), similar to personality traits (Costa and McCrae, 1992), suggesting that they reflect a relatively stable individual difference.”
Quote in the paperSubstantial claim0 of 3 sources checkedProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationMet has been associated with ADHD inattention and hyperactivity-impulsivity symptoms in adult community samples.
“Moreover, Met has been associated with ADHD inattention and hyperactivity-impulsivity symptoms in adult community samples (Ettinger et al, 2006; Gothelf et al, 2007; Michaelovsky et al, 2008; Reuter et al, 2006).”
Quote in the paperNot a substantial claim0 of 3 sources checkedProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationMethylphenidate reduced discounting rates in a real-time task but not in a hypothetical discounting task in ADHD patients.
“methylphenidate reduced discounting rates in a real-time task but not in a hypothetical discounting task in ADHD patients (Shiels et al, 2009)”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Shiels et al, 2009 source
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Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationSome promising initial evidence has indicated that the DAT1 3′UTR polymorphism may be modulating the responsivity of the striatum during a response inhibition and a reward-processing paradigm.
“Some promising initial evidence has indicated that the DAT13′UTR polymorphism may be modulating the responsivity of the striatum during a response inhibition and a reward-processing paradigm (Durston et al, 2008; Forbes et al, 2009).”
Quote in the paperNot a substantial claim0 of 2 sources checkedProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationThe Met-allele is associated with increased risk for ADHD in children in a predominantly male (84%) sample.
“A recent study confirmed the association of the Met-allele with increased risk for ADHD in children in a predominantly male (84%) sample, and also reported that Met was associated with increased symptom severity (Pálmason et al, 2010).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Pálmason et al, 2010 source
Not checked in the free run.
Probably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing).
Study design and conductreasoningThe genetic findings should be considered as preliminary until confirmed within a larger sample.
“The sample size is a limitation of this study; the genetic findings should be considered as preliminary until confirmed within a larger sample, which should also examine gene by gene interactions and assess the impact of potential confounds pertaining to the ADHD-CT group, such as possible gene interactions with the effects of long-term stimulant treatment.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationMet is associated with increased symptom severity.
“A recent study confirmed the association of the Met-allele with increased risk for ADHD in children in a predominantly male (84%) sample, and also reported that Met was associated with increased symptom severity (Pálmason et al, 2010).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Pálmason et al, 2010 source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationCOMTVal158Met is differentially expressed across genders.
“This is consistent with evidence that COMTVal158Met is differentially expressed across genders (Dempster et al, 2006; Gogos et al, 1998).”
Quote in the paperNot a substantial claim0 of 2 sources checkedProbably not a substantial claim: may not pass S2 (checkable).
Interpretationown dataOur data suggest that existing ADHD models need to distinguish between trait and state aspects of impulsivity.
“Our data suggest though that existing ADHD models need to distinguish between trait and state aspects of impulsivity, and that arousal-regulation should be further investigated as one potential mechanism contributing to real-time impulsive decision-making in ADHD.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductnone givenOur study was not designed to distinguish between trait and state aspects of impulsivity, or test the various models predicting impulsive behavior in ADHD.
“However, our study was not designed to distinguish between trait and state aspects of impulsivity, or test the various models predicting impulsive behavior in ADHD; these goals should be addressed in future research.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationThe DRD4 48bp-VNTR has consistently been associated with ADHD.
“a common variant of the dopamine D4-receptor gene (DRD448bp-VNTR) (Asghari et al, 1995) that has consistently been associated with ADHD (Brookes et al, 2006a; Gizer et al, 2009)”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites Brookes et al, 2006a
Not checked in the free run.
- cites Gizer et al, 2009 source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationThe DAT1 10-repeat allele is considered to increase risk for ADHD in children and adolescents.
“For example, the DAT1 10-repeat allele is considered to increase risk for ADHD in children and adolescents, yet in adults (and thus, by definition, in persisting forms of the disorder) ADHD has been associated with the 9-repeat allele (Franke et al, 2008; Franke et al, 2010).”
Quote in the paperNot a substantial claim0 of 2 sources checkedProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationProspective studies suggest that high discounting rates may indicate vulnerability for the development of substance abuse/dependence across species.
“prospective studies suggest that high discounting rates may indicate vulnerability for the development of such problems across species”
Quote in the paperNot a substantial claim0 of 3 sources checked
The authors state this as an assumption.
There is some optimal level of dopamine modulating the function of frontal-striatal circuits underlying impulsive behavior; any factor disturbing this balance in either direction would impair behavior.
“assuming that there is some optimal level of dopamine modulating the function of frontal-striatal circuits underlying impulsive behavior, any factor disturbing this balance in either direction would be likely to impair behavior”
The authors state this as an assumption.
Real-time tasks are more sensitive to state-impulsivity than hypothetical tasks.
“which consequently might induce changes in state-impulsivity (to which real-time tasks are assumed to be more sensitive)”
The authors state this as an assumption.
Behavioral and laboratory measures (discounting in the hypothetical task, trait-impulsivity self-ratings) reflect relatively stable aspects of impulsivity.
“behavioral and laboratory measures assumed to reflect relatively stable aspects of impulsivity (discounting in the hypothetical task, trait-impulsivity self-ratings)”
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Experimental data suggest an association between risky and impulsive behavior, characteristic of ADHD, and dopamine release or dopamine-dependent BOLD response to rewards in the striatum.
“Additionally, experimental data suggest an association between risky and impulsive behavior, which is characteristic of ADHD,14–16 and dopamine release or dopamine-dependent BOLD response to rewards in the striatum.11,17–20”
From Striatal sensitivity during reward processing in attention-deficit/hyperactivity disorder (2012) · cites this paper as [15]
Previous data from the same sample showed that DAT110/6 homozygosity predicted reduced reward-related impulsivity in the ADHD-CT group, but increased impulsivity in the control group.
“Second, previous data from the same sample showed that DAT110/6 homozygosity predicted reduced reward-related impulsivity in the ADHD-CT group, but increased impulsivity in the control group.15”
From Striatal sensitivity during reward processing in attention-deficit/hyperactivity disorder (2012) · cites this paper as [15]
Statistics recomputed
Every reported test result, recomputed from its test statistic and degrees of freedom. A result shows as not adding up only once an independent check has confirmed it.
- ConsistentF(2, 132) = 7.62reported p = .001 · recomputed p < .001
“F(2,132)=7.62, p = .001”
- ConsistentF(2, 132) = 5.39reported p = .009 · recomputed p = .006
“F(2,132)=5.39, p = .009”
The paper states a sphericity correction
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Self-check results appear here once an independent check has confirmed them.
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“Accordingly, delay-related impulsivity has been shown for children and adolescents (Paloyelis et al., 2010; Demurie et al., 2012; Scheres et al., 2013) as well as for adults with ADHD (Hurst et al., 2011; Dai et al., 2013).”
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- Authors
- Paloyelis, Y., Asherson, P., Mehta, M. A., Faraone, S. V., & Kuntsi, J.
- Affiliations
- King's College London (GB)
- SUNY Upstate Medical University (US)
- Corresponding author
- Paloyelis, Yannis
- Venue
- Neuropsychopharmacology
- Published
- 2010-08-25
- Volume
- 35
- Issue
- 12
- Pages
- 2414-2426
- ISSN
- 0893-133X (ISSN-L)
- 1740-634X
- PMC
- PMC2955909
- OpenAlex
- W2059057473
- Semantic Scholar
- 1b53547c815b185c175403f33991a0fedff6cbde
- Cited by
- 180
- References
- 137
- Citations by year
- 2026: 7 · 2025: 8 · 2024: 4 · 2023: 5 · 2022: 7 · 2021: 5 · 2020: 9 · 2019: 10 · 2018: 6 · 2017: 7 · 2016: 20 · 2015: 21 · 2014: 16 · 2013: 23 · 2012: 22
- FWCI
- 11.82
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Neuropsychopharmacology (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Research Portal (King's College London) (publishedVersion, other-oa)
- Funders
- National Institutes of Health
- Medical Research Council (G03001896)
- National Institute of Mental Health (R01MH081803, R01MH062873)
- 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
- delay discounting, trait impulsivity, attention deficit hyperactivity disorder, DAT1, catechol-O-methyltransferase, dopamine genes, COMT Val158Met, reward magnitude, adolescents
- MeSH terms
- Adolescent, Adolescent Behavior, Attention Deficit Disorder with Hyperactivity, Catechol O-Methyltransferase, Child, Choice Behavior, Haplotypes, Humans, Impulsive Behavior, Male, Polymorphism, Genetic, Reward, Dopamine Plasma Membrane Transport Proteins, Receptors, Dopamine D4, Young Adult, Self Report
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