Evidence map›Paper›PMID 41222592›Full record

SynthesisEuropean child & adolescent psychiatry2026

A resting-state functional magnetic resonance imaging meta-analysis of differences in brain activity between children and adolescents with attention-deficit/hyperactivity disorder using activation likelihood estimation.

Yanping Shu, Qin Zhang, Jiaoying Liu, Qiang He, Yongzhe Hou

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in European child & adolescent psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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. Trial
  2. Article
  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

5 authors.

Yanping ShuDepartment of Psychiatry of Women and Children, The Second People's Hospital of Guizhou Province, No. 206 South Section of Xintian Avenue, Yunyan District, Guiyang, Guizhou Province, 550000, China.
Qin ZhangDepartment of Radiology, The Second People's Hospital of Guizhou Province, Guiyang, China.ORCID http://orcid.org/0000-0002-0828-5675
Jiaoying LiuDepartment of Psychiatry of Women and Children, The Second People's Hospital of Guizhou Province, No. 206 South Section of Xintian Avenue, Yunyan District, Guiyang, Guizhou Province, 550000, China.
Qiang HeDepartment of Psychiatry of Women and Children, The Second People's Hospital of Guizhou Province, No. 206 South Section of Xintian Avenue, Yunyan District, Guiyang, Guizhou Province, 550000, China.
Yongzhe HouDepartment of Psychiatry of Women and Children, The Second People's Hospital of Guizhou Province, No. 206 South Section of Xintian Avenue, Yunyan District, Guiyang, Guizhou Province, 550000, China. tedyong@163.com.ORCID http://orcid.org/0000-0003-2694-8441

Funding

2024 Health Commission of Guizhou Province Project gzwkj2024-475Guizhou High-level Innovative Talent Project Thousand levels: gzwjrs2022-013Guizhou Province Science and Technology Plan Project ZK-2023-195National Natural Science Foundation of China 82460282Provincial Medical Key Discipline Construction Project of Guizhou Provincial Health Commission in 2025-2026 2025-1
6 · The paper itself

Abstract

Attention-deficit/hyperactivity disorder (ADHD) is a prevalent neurodevelopmental disorder that often persists from childhood into adolescence and adulthood. Resting-state functional magnetic resonance imaging (rs-fMRI) provides valuable insights into the intrinsic neural activity associated with ADHD. However, despite increasing neuroimaging research, the developmental specificity of spontaneous alterations in brain activity in children and adolescents with ADHD remains poorly understood. A comprehensive activation likelihood estimation (ALE) meta-analysis was performed on rs-fMRI data to investigate alterations in spontaneous brain activity in children and adolescents with ADHD compared with healthy controls (HCs). A contrast analysis was conducted to assess potential overlap in altered brain regions between the child and adolescent ADHD groups. The robustness of the findings was evaluated using a jackknife sensitivity analysis. A systematic review of the literature identified 28 rs-fMRI studies (1019 ADHD patients and 943 HCs). In children with ADHD, ALE revealed decreased spontaneous neural activity in the left middle frontal gyrus, superior frontal gyrus, medial frontal gyrus, precentral gyrus, and subgyral region, with no regions showing increased activity. In adolescents with ADHD, increased activity was observed in the bilateral paracentral lobule, left postcentral gyrus, and medial frontal gyrus, whereas decreased activity was found in the cerebellar tonsil, uvula, declive, anterior lobe, and superior/medial frontal gyrus. No significant clusters were identified in the contrast analyses. The jackknife sensitivity analysis demonstrated robustness in 9 of 17 iterations for children and 4 of 5 iterations for adolescent-specific cerebellar findings. Spontaneous alterations in brain activity in children and adolescents with ADHD reflect developmentally distinct neural mechanisms and may guide future age-specific neuroimaging research.

Indexed as

Attention Deficit Disorder with HyperactivityBrainMagnetic Resonance ImagingAdolescentBrain MappingChildHumansLikelihood FunctionsAdolescentAttention-deficit/hyperactivity disorderChildrenResting-state functional magnetic resonance imagingSpontaneous brain activity

Identifiers

PMID41222592
PMCPMC13219127

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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.