Evidence map›Paper›PMID 41163181›Full record

ArticleBMC psychiatry2025

Altered auditory attention and functional connectivity in the auditory cortex of children with Attention-Deficit/Hyperactivity Disorder.

Mengjie Zhang, Jiayun Yu, Hanlin Li, Ruilin Jin, Jiaqi Zhou, Teng Zhu, Xiaolei Cen, Wanying Zheng, Meihao Wang, Xiaoqi Huang and 1 more

Abstract read
In one paragraph

Article in BMC psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  3. 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

11 authors.

Mengjie Zhang *The First Clinical Medical College (College of Information and Engineering), Wenzhou Medical University, Wenzhou, 325003, China.
Jiayun Yu *The First Clinical Medical College (College of Information and Engineering), Wenzhou Medical University, Wenzhou, 325003, China.
Hanlin LiThe First Clinical Medical College (College of Information and Engineering), Wenzhou Medical University, Wenzhou, 325003, China.
Ruilin JinSchool of Mental Health, Wenzhou Medical University, Wenzhou, 325003, China.
Jiaqi ZhouSchool of Mental Health, Wenzhou Medical University, Wenzhou, 325003, China.
Teng ZhuSchool of Mental Health, Wenzhou Medical University, Wenzhou, 325003, China.
Xiaolei CenThe First Clinical Medical College (College of Information and Engineering), Wenzhou Medical University, Wenzhou, 325003, China.
Wanying ZhengThe First Clinical Medical College (College of Information and Engineering), Wenzhou Medical University, Wenzhou, 325003, China.
Meihao WangSecond Affiliated Hospital & Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, 325000, China.
Xiaoqi HuangInstitution of Radiology and Medical Imaging, West China Hospital, Sichuan University, Chengdu, 610041, China. julianahuang@163.com.
Chuang YangDepartment of Psychiatry, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou Medical University, Wenzhou, Zhejiang Province, 325003, China. dryangchuang@163.com.

Funding

the Department of Science and Technology of Zhejiang Province No. Y2024C04021
6 · The paper itself

Abstract

BACKGROUND AND

aimsPrevious studies have identified both auditory attention deficits and functional connectivity abnormalities in auditory brain regions in children with ADHD. However, auditory attention deficits are prevalent in children with Attention Deficit/Hyperactivity Disorder (ADHD), but the underlying neurophysiological mechanisms remain unclear, particularly the direct relationship between auditory attention performance and auditory cortical connectivity, which our study uniquely addresses. This study aimed to investigate the relationship between auditory attention deficits and functional connectivity (FC) in the auditory cortex and other auditory-related regions in children with ADHD.

methodsWe assessed auditory attention in 42 unmedicated children with ADHD and 36 healthy controls (HC) using the Integrated Visual and Auditory Continuous Performance Test (IVA-CPT), along with clinical symptom ratings and neuropsychological assessments. We then conducted a seed-based functional connectivity analysis, focusing on the auditory cortex and related regions. We analyzed the FC of these regions for correlations with auditory attention levels and clinical symptom scores in ADHD.

resultsCompared to HC, children with ADHD performed more poorly on the IVA-CPT, showing decreased FC between the insula, right planum polare, and bilateral cerebellum; between the left Heschl’s gyrus, right insula, and left superior temporal gyrus; and between the planum temporale and the right insula. In contrast, increased FC was observed between the right Heschl’s gyrus and the superior frontal gyrus, and between the bilateral middle frontal gyrus, right supramarginal gyrus, and right planum temporale.

conclusionsOur results indicate that children with ADHD exhibit significant auditory attention deficits, along with numerous abnormalities in functional connectivity within the auditory cortex and related regions, which are correlated with auditory attention performance. Abnormalities in auditory cortical FC in children with ADHD may underlie auditory attention deficits. These regions could serve as potential therapeutic targets for clinical interventions aimed at ADHD children with auditory attention deficits. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

AttentionAttention Deficit Disorder with HyperactivityAuditory CortexAuditory PerceptionAdolescentBrain MappingCase-Control StudiesChildFemaleHumansMagnetic Resonance ImagingMaleNeuropsychological TestsADHDAuditory attentionAuditory cortexChildrenFunctional connectivity

Identifiers

PMID41163181
PMCPMC12574008

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LicenceCC BY-NC-ND
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Registered trials

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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.