Evidence map›Paper›PMID 29094658›Full record

ArticlePsychological medicine2018

Association of preterm birth with ADHD-like cognitive impairments and additional subtle impairments in attention and arousal malleability.

S-N James, A-S Rommel, C Cheung, G McLoughlin, D Brandeis, T Banaschewski, P Asherson, J Kuntsi

Open access · hybridAbstract readComparative Study
In one paragraph

Article in Psychological medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.6field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 23 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 3 countries.

S-N JamesKing's College London,MRC Social,Genetic and Developmental Psychiatry Centre,Institute of Psychiatry,Psychology and Neuroscience,London,UK.
A-S RommelKing's College London,MRC Social,Genetic and Developmental Psychiatry Centre,Institute of Psychiatry,Psychology and Neuroscience,London,UK.
C CheungKing's College London,MRC Social,Genetic and Developmental Psychiatry Centre,Institute of Psychiatry,Psychology and Neuroscience,London,UK.
G McLoughlinKing's College London,MRC Social,Genetic and Developmental Psychiatry Centre,Institute of Psychiatry,Psychology and Neuroscience,London,UK.
D BrandeisDepartment of Child and Adolescent Psychiatry and Psychotherapy,Central Institute of Mental Health,Medical Faculty Mannheim/Heidelberg University,Mannheim,Germany.
T BanaschewskiDepartment of Child and Adolescent Psychiatry and Psychotherapy,Central Institute of Mental Health,Medical Faculty Mannheim/Heidelberg University,Mannheim,Germany.
P AshersonKing's College London,MRC Social,Genetic and Developmental Psychiatry Centre,Institute of Psychiatry,Psychology and Neuroscience,London,UK.
J KuntsiKing's College London,MRC Social,Genetic and Developmental Psychiatry Centre,Institute of Psychiatry,Psychology and Neuroscience,London,UK.
King's College London · GBUniversity Hospital Heidelberg · DEUniversity College London · GB

Funding

International Multi-Center ADHD Genetics ProjectR01MH062873 · NIMH · UPSTATE MEDICAL UNIVERSITY · PI FARAONE, STEPHEN V · 2002 to 2007
$7.2M
Medical Research Council G0300189NIMH NIH HHS R01 MH062873
6 · The paper itself

Abstract

backgroundWhilst preterm-born individuals have an increased risk of developing attention-deficit/hyperactivity disorder (ADHD), and are reported to have ADHD-like attention and arousal impairments, direct group comparisons are scarce.

methodsWe directly compared preterm-born adolescents (n = 186) to term-born adolescents with ADHD (n = 69), and term-born controls (n = 135), aged 11-23, on cognitive-performance, event-related potential and skin conductance level (SCL) measures associated with attention and arousal. The measures are from baseline and fast-incentive conditions of a four-choice reaction time task, previously shown to discriminate between the individuals with ADHD and controls. We aimed to establish whether preterm-born adolescents show: (a) identical cognitive-neurophysiological impairments to term-born adolescents with ADHD (b) possible additional impairments, and whether (c) the observed impairments correlate with ADHD symptom scores.

resultsThe preterm group, like the term-born ADHD group, showed increased mean reaction time (MRT) and reaction time variability (RTV) in the baseline condition, and attenuated contingent negative variation (CNV) amplitude (response preparation) in the fast-incentive condition. The preterm group, only, did not show significant within-group adjustments in P3 amplitude (attention allocation) and SCL (peripheral arousal). Dimensional analyses showed that ADHD symptoms scores correlated significantly with MRT, RTV and CNV amplitude only.

conclusionsWe find impairments in cognition and brain function in preterm-born adolescents that are linked to increased ADHD symptoms, as well as further impairments, in lack of malleability in neurophysiological processes. Our findings indicate that such impairments extend at least to adolescence. Future studies should extend these investigations into adulthood.

Indexed as

ArousalAttentionInfant, PrematureAdolescentAttention Deficit Disorder with HyperactivityChildCognitive DysfunctionContingent Negative VariationElectroencephalographyEnglandFemaleHumansMalePremature BirthPsychomotor PerformanceReaction TimeADHDadolescentsarousalcognitive impairmentsEEGpreterm birth

Identifiers

PMID29094658
PMCPMC6088527
OpenAlexW2767032669

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.