Evidence map›Paper›PMID 42100769›Full record

ArticleFrontiers in psychiatry2026

Caregiver strain modulates the association between attention deficit and alpha oscillations in children with ADHD.

Xiangsheng Luo, Mengqi Liu, Hanbo Zhang, Junhui Qi, Yanjie Qi, Huanhuan Huang, Yiwei Lin, Yin Tian, Lichong Luo, Tianyu Qu and 5 more

Abstract read
In one paragraph

Article in Frontiers in psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

15 authors.

Xiangsheng Luo *Beijing Key Laboratory of Intelligent Drug Research and Development for Mental Disorders; National Clinical Research Center for Mental Disorders; National Center for Mental Disorders; Beijing Anding Hospital, Capital Medical University, Beijing, China.
Mengqi Liu *Beijing Key Laboratory of Intelligent Drug Research and Development for Mental Disorders; National Clinical Research Center for Mental Disorders; National Center for Mental Disorders; Beijing Anding Hospital, Capital Medical University, Beijing, China.
Hanbo ZhangBeijing Key Laboratory of Intelligent Drug Research and Development for Mental Disorders; National Clinical Research Center for Mental Disorders; National Center for Mental Disorders; Beijing Anding Hospital, Capital Medical University, Beijing, China.
Junhui QiBeijing Key Laboratory of Intelligent Drug Research and Development for Mental Disorders; National Clinical Research Center for Mental Disorders; National Center for Mental Disorders; Beijing Anding Hospital, Capital Medical University, Beijing, China.
Yanjie QiBeijing Key Laboratory of Intelligent Drug Research and Development for Mental Disorders; National Clinical Research Center for Mental Disorders; National Center for Mental Disorders; Beijing Anding Hospital, Capital Medical University, Beijing, China.
Huanhuan HuangBeijing Key Laboratory of Intelligent Drug Research and Development for Mental Disorders; National Clinical Research Center for Mental Disorders; National Center for Mental Disorders; Beijing Anding Hospital, Capital Medical University, Beijing, China.
Yiwei LinBeijing Key Laboratory of Intelligent Drug Research and Development for Mental Disorders; National Clinical Research Center for Mental Disorders; National Center for Mental Disorders; Beijing Anding Hospital, Capital Medical University, Beijing, China.
Yin TianBeijing Key Laboratory of Intelligent Drug Research and Development for Mental Disorders; National Clinical Research Center for Mental Disorders; National Center for Mental Disorders; Beijing Anding Hospital, Capital Medical University, Beijing, China.
Lichong LuoBeijing Key Laboratory of Intelligent Drug Research and Development for Mental Disorders; National Clinical Research Center for Mental Disorders; National Center for Mental Disorders; Beijing Anding Hospital, Capital Medical University, Beijing, China.
Tianyu QuBeijing Key Laboratory of Intelligent Drug Research and Development for Mental Disorders; National Clinical Research Center for Mental Disorders; National Center for Mental Disorders; Beijing Anding Hospital, Capital Medical University, Beijing, China.
Li QinDepartment of Medical Psychology, the First Medical Center, Chinese People's Liberation Army (PLA) General Hospital, Beijing, China.
Longjun CaiDepartment of Medical Psychology, the First Medical Center, Chinese People's Liberation Army (PLA) General Hospital, Beijing, China.
Li SunPeking University Sixth Hospital & Peking University Institute of Mental Health, Child Psychiatry, Beijing, China.
Xiaojie GuoDepartment of Medical Psychology, the First Medical Center, Chinese People's Liberation Army (PLA) General Hospital, Beijing, China.
Xu ChenBeijing Key Laboratory of Intelligent Drug Research and Development for Mental Disorders; National Clinical Research Center for Mental Disorders; National Center for Mental Disorders; Beijing Anding Hospital, Capital Medical University, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The neurobiological mechanisms underlying Attention-Deficit/Hyperactivity Disorder (ADHD) remain incompletely understood. Existing research has identified abnormalities in alpha rhythm among individuals with ADHD; however, its association with core symptoms lacks consistency, suggesting that enhanced alpha activity may represent a state-dependent compensatory manifestation. The family environment, particularly caregiver stress, is recognized as an important external factor influencing the development of children with ADHD, yet its potential role as a mediator between clinical symptoms and neural brain activity has yet to be systematically explored. Methods: The study included 59 children with ADHD. Correlations among attention deficit scores (ADS), hyperactivity/impulsivity scores (HIS), various dimensions of caregiver strain, and posterior alpha power were analyzed, with Bonferroni correction applied to control for multiple comparisons. Subsequently, hierarchical regression and mediation modeling were employed to examine the mediating effect of caregiver strain. Results: No direct correlation was found between ADS and alpha power. A triangular pattern among symptoms, stress, and brain activity emerged: ADS showed strong positive correlations with all dimensions of caregiver strain, and subjective internalized strain (SIS) remained significantly positively correlated with alpha power even after correction. The mediation model indicated a suppression pattern, wherein the statistical association between ADS and alpha power was consistent with a positive indirect pathway via SIS, alongside a masked direct association, resulting in a non-significant total effect. Discussion: The findings suggest a model in which SIS is a key statistical mediator in the relationship between ADHD symptoms and specific neural oscillatory patterns, and highlight the plasticity of brain function in response to the family emotional environment.

Indexed as

ADHDalpha oscillationscaregiver straindevelopmental psychopathologymediation effect

Identifiers

PMID42100769
PMCPMC13143875

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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.