Evidence map›Paper›PMID 36224169›Full record

ReviewTranslational psychiatry2022

Treatment biomarkers for ADHD: Taking stock and moving forward.

Giorgia Michelini, Luke J Norman, Philip Shaw, Sandra K Loo

Open access · goldAbstract readReview
In one paragraph

Review in Translational psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
7.5field-weighted citation impact, top 2% 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

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 citations in OpenAlex.

  1. Pooled it
  2. Article
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  5. Review
  6. Article
  7. Review
  8. Article
  9. Review
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  11. Review
  12. Review
  13. Article
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  15. Article
  16. Serotonin dysfunction in ADHD.Journal of neurodevelopmental disorders · 2025
    Review
  17. Infant attention and frontal EEG neuromarkers of childhood ADHD.Developmental cognitive neuroscience · 2025
    Article
  18. Article
  19. Article
  20. Commentary: Using QbTest for monitoring pharmacological treatment response in ADHD - are we there yet?Journal of child psychology and psychiatry, and allied disciplines · 2025
    Article
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

4 authors at 3 institutions in 2 countries.

Giorgia Michelini *Department of Biological and Experimental Psychology, School of Biological and Behavioural Sciences, Queen Mary University of London, London, UK.
Luke J Norman *Office of the Clinical Director, NIMH, Bethesda, MD, USA.
Philip ShawOffice of the Clinical Director, NIMH, Bethesda, MD, USA.ORCID 0000-0002-1313-2526
Sandra K LooDepartment of Psychiatry and Biobehavioral Sciences, Semel Institute for Neuroscience and Human Behavior, University of California Los Angeles, Los Angeles, CA, USA. sloo@mednet.ucla.edu.ORCID 0000-0002-9108-0565
University of California, Los Angeles · USNational Human Genome Research Institute · USOffice of the Director · US

Funding

The neurobehavioral, environmental and genetic factors impacting ADHD.ZIAHG200378 · NHGRI · NATIONAL HUMAN GENOME RESEARCH INSTITUTE · PI SHAW, PHILIP · 2012 to 2025
$17.7M
UCLA IDDRC: Translational CoreP50HD103557 · NICHD · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Peyman Golshani, SUMA JACOB · 2020 to 2026
$9.6M
Alpha oscillations and working memory deficits in ADHD: A multimodal imaging investigationR01MH116268 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI LENARTOWICZ, AGATHA, LOO, SANDRA K · 2019 to 2023
$3.5M
Efficacy of External Trigeminal Nerve Stimulation for Treatment of ADHDR01MH126041 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI LOO, SANDRA K, MCGOUGH, JAMES JOHN · 2022 to 2025
$2.9M
Intramural NIH HHS ZIA HG200378NHGRI NIH HHS ZIAHG200378NICHD NIH HHS P50 HD103557NIMH NIH HHS R01 MH116268NIMH NIH HHS R01MH116268NIMH NIH HHS R01 MH126041NIMH NIH HHS RO1MH126041
6 · The paper itself

Abstract

The development of treatment biomarkers for psychiatric disorders has been challenging, particularly for heterogeneous neurodevelopmental conditions such as attention-deficit/hyperactivity disorder (ADHD). Promising findings are also rarely translated into clinical practice, especially with regard to treatment decisions and development of novel treatments. Despite this slow progress, the available neuroimaging, electrophysiological (EEG) and genetic literature provides a solid foundation for biomarker discovery. This article gives an updated review of promising treatment biomarkers for ADHD which may enhance personalized medicine and novel treatment development. The available literature points to promising pre-treatment profiles predicting efficacy of various pharmacological and non-pharmacological treatments for ADHD. These candidate predictive biomarkers, particularly those based on low-cost and non-invasive EEG assessments, show promise for the future stratification of patients to specific treatments. Studies with repeated biomarker assessments further show that different treatments produce distinct changes in brain profiles, which track treatment-related clinical improvements. These candidate monitoring/response biomarkers may aid future monitoring of treatment effects and point to mechanistic targets for novel treatments, such as neurotherapies. Nevertheless, existing research does not support any immediate clinical applications of treatment biomarkers for ADHD. Key barriers are the paucity of replications and external validations, the use of small and homogeneous samples of predominantly White children, and practical limitations, including the cost and technical requirements of biomarker assessments and their unknown feasibility and acceptability for people with ADHD. We conclude with a discussion of future directions and methodological changes to promote clinical translation and enhance personalized treatment decisions for diverse groups of individuals with ADHD.

Indexed as

Attention Deficit Disorder with HyperactivityNeurodevelopmental DisordersBiomarkersBrainChildHumansNeuroimagingBiomarkers

Identifiers

PMID36224169
PMCPMC9556670
OpenAlexW4304693762

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.