1. Cognitive control and emotional response in attention-deficit/ hyperactivity disorder comorbidity with disruptive, impulse-control, and conduct disorders
- Author
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Qing Cai, Daoliang Yang, Lianxue Xue, Yiru Fang, Li Liu, Haifeng Ji, Yuncheng Zhu, Xixi Jiang, Lily Tao, Kaiyun Li, and Tianming Huang
- Subjects
Conduct Disorder ,China ,Adolescent ,Emotions ,RC435-571 ,Comorbidity ,Neuropsychological Tests ,behavioral disciplines and activities ,Stroop effect ,03 medical and health sciences ,Cognition ,0302 clinical medicine ,mental disorders ,Emotional Stroop test ,medicine ,Humans ,Attention deficit hyperactivity disorder ,Outpatient clinic ,Attention ,Child ,Psychiatry ,Methylphenidate ,Disruptive, impulse-control, and conduct disorders ,medicine.disease ,Mental health ,Neural network ,030227 psychiatry ,Psychiatry and Mental health ,Attention-deficit/hyperactivity disorder ,Attention Deficit Disorder with Hyperactivity ,Cognitive control ,Psychology ,030217 neurology & neurosurgery ,Research Article ,medicine.drug ,Clinical psychology - Abstract
Background This study investigated cognitive and emotional functioning in children and adolescents with attention-deficit/hyperactivity disorder (ADHD) and disruptive, impulse-control, and conduct disorders (DICCD). Methods Thirty patients with ADHD, 26 with DICCD, 22 with ADHD+DICCD were recruited from the outpatient department of Shanghai Changning Mental Health Center, plus 20 healthy controls (HC). Differences between the groups in cognitive and emotional functioning were examined using Golden’s Stroop and Emotional Stroop tests. For Emotional Stroop Mean reaction time (RT) of positive word (POS) and negative word (NEG) with color congruence (C) or incongruence (I) were recorded as POS-C, POS-I, NEG-C and NEG-I, respectively. Results For Golden’s interference scores (IGs), both errors and RTs in the ADHD group were higher than in the other groups. Longer mean RTs of POS-C, POS-I, NEG-C and neural word (NEU) of the ADHD group, and NEG-I of ADHD+DICCD and DICCD groups were observed compared to HC. After 12 weeks of methylphenidate treatment, differences between ADHD subgroups and HC on Golden’s Stroop RT disappeared, but differences in Golden’s Stroop errors and Emotional Stroop mean RTs remained. The ADHD+DICCD group showed longer mean RTs in NEG-C, NEG-I and NEU of the Emotional Stroop test than the ADHD group. Conclusions Our study shows that regardless of emotional responding, deficit in cognitive control is the core symptom of ADHD. However, emotionally biased stimuli may cause response inhibitory dysfunction among DICCD with callous-unemotional traits, and the comorbidity of ADHD and DICCD tends to account for the negative emotional response characteristic of DICCD. These deficits may be eliminated by medication treatment in ADHD, but not the ADHD with comorbid DICCD. Our results support the notion that ADHD with comorbid DICCD is more closely related to DICCD than to ADHD.
- Published
- 2021
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