Altered Neural Substrates of Cognitive Control in Childhood ADHD: Evidence From Functional Magnetic Resonance Imaging
Open accessAbstract
OBJECTIVE: The study compared the neural bases of two cognitive control operations, interference suppression and response inhibition, between children with and children without attention deficit hyperactivity disorder (ADHD). METHOD: Ten children (7-11 years of age) with combined-type ADHD and 10 comparison subjects matched for age and gender underwent rapid event-related functional magnetic resonance imaging (fMRI) during performance of a modified flanker task. Functional maps were generated through group averaging and performance-based correlational analyses. RESULTS: Interference suppression in ADHD subjects was characterized by reduced engagement of a frontal-striatal-temporal-parietal network that subserved healthy performance. In contrast, response inhibition performance relied upon different regions in the two groups, frontal-striatal in comparison subjects but right superior temporal in ADHD children. CONCLUSIONS: Alteration in the neural basis of two cognitive control operations in childhood ADHD was characterized by distinct, rather than unitary, patterns of functional abnormality. Greater between-group overlap in the neural network activated for interference suppression than in response inhibition suggests that components of cognitive control are differentially sensitive to ADHD. The ADHD children's inability to activate the caudate nucleus constitutes a core abnormality in ADHD. Observed functional abnormalities did not result from prolonged stimulant exposure, since most children were medication naive.
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Empirical evidence for impaired inhibitory control in ADHD remains mixed.
“However, empirical evidence for impaired inhibitory control in ADHD remains mixed9–17.”
From Delayed goal-directed processing underlies inhibitory control challenges in adult ADHD (2026) · cites this paper as [10]
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“The comparison subjects were a subset of a previously described comparison group (11).”
BackgroundInfluentialSelf-citationQuantitative brain magnetic resonance imaging in attention-deficit hyperactivity disorder
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“mally reduced right frontal lobes (12) and striatal (13) and cerebellar (14) structures in ADHD subjects.”
BackgroundA developmental functional MRI study of prefrontal activation during performance of a go-no-go task
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- Authors
- Vaidya, C. J., Bunge, S. A., Dudukovic, N. M., Zalecki, C. A., Elliott, G. R., & Gabrieli, J. D. E.
- Affiliations
- Georgetown University (US)
- Venue
- American Journal of Psychiatry
- Published
- 2005-09-01
- Volume
- 162
- Issue
- 9
- Pages
- 1605-1613
- ISSN
- 0002-953X (ISSN-L)
- 1535-7228
- PMC
- PMC4535914
- OpenAlex
- W2132921554
- Cited by
- 269
- References
- 6
- Citations by year
- 2026: 5 · 2025: 5 · 2024: 2 · 2023: 4 · 2022: 7 · 2021: 4 · 2020: 14 · 2019: 8 · 2018: 9 · 2017: 8 · 2016: 4 · 2015: 12 · 2014: 18 · 2013: 16 · 2012: 13
- FWCI
- 12.88
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (MH61426, MH 065395, R01MH061426, R01MH065395)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Developmental and Educational Neuropsychology
- Keywords
- attention deficit hyperactivity disorder, childhood ADHD, cognitive control, interference suppression, response inhibition, flanker task, neural correlates, caudate nucleus, superior temporal cortex, combined type ADHD
- MeSH terms
- Central Nervous System Stimulants, Brain Mapping, Cerebral Cortex, Child, Cognition, Cognition Disorders, Female, Frontal Lobe, Humans, Inhibition, Psychological, Magnetic Resonance Imaging, Male, Methylphenidate, Nerve Net, Psychomotor Performance, Reaction Time, Recruitment, Neurophysiological, Task Performance and Analysis, Attention Deficit and Disruptive Behavior Disorders
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