Evidence map›Paper›PMID 33450814›Full record

ArticleBrain sciences2021

Precision Medicine Care in ADHD: The Case for Neural Excitation and Inhibition.

Ping C Mamiya, Anne B Arnett, Mark A Stein

Abstract read
In one paragraph

Article in Brain sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

34 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. High-dose Vitamin-B6 reduces sensory over-responsivity.Journal of psychopharmacology (Oxford, England) · 2024
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  19. EEG aperiodic dynamics from early through late childhood: Associations with ADHD, cognition, and development.Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology · 2024
    Article
  20. Review
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

3 authors.

Ping C MamiyaInstitute for Learning and Brain Sciences, University of Washington, Seattle, WA 98195, USA.
Anne B ArnettDepartment of Psychiatry & Behavioral Sciences, University of Washington, Seattle, WA 98195, USA.ORCID 0000-0003-1342-0488
Mark A SteinDepartment of Psychiatry & Behavioral Sciences, University of Washington, Seattle, WA 98195, USA.

Funding

Neurophysiologically Defined Subtypes of ADHDK99MH116064 · NIMH · UNIVERSITY OF WASHINGTON · PI ARNETT, ANNE BERNARD · 2018 to 2019
$255k
Klingenstein Third Generation Foundation 2020 ADHD FellowshipNIMH NIH HHS 5K99MH116064-02NIMH NIH HHS K99 MH116064
6 · The paper itself

Abstract

Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder that has become increasingly prevalent worldwide. Its core symptoms, including difficulties regulating attention, activity level, and impulses, appear in early childhood and can persist throughout the lifespan. Current pharmacological options targeting catecholamine neurotransmissions have effectively alleviated symptoms in some, but not all affected individuals, leaving clinicians to implement trial-and-error approach to treatment. In this review, we discuss recent experimental evidence from both preclinical and human studies that suggest imbalance of excitation/inhibition (E/I) in the fronto-striatal circuitry during early development may lead to enduring neuroanatomical abnormality of the circuitry, causing persistence of ADHD symptoms in adulthood. We propose a model of precision medicine care that includes E/I balance as a candidate biomarker for ADHD, development of GABA-modulating medications, and use of magnetic resonance spectroscopy and scalp electrophysiology methods to monitor the effects of treatments on shifting E/I balance throughout the lifespan.

Indexed as

amphetaminedopamineexecutive functioninhibitory controlmethylphenidatenorepinephrine

Identifiers

PMID33450814
PMCPMC7828220

What OpenQuestion holds

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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.