PMID- 23206930 OWN - NLM STAT- MEDLINE DCOM- 20130819 LR - 20220309 IS - 1873-7862 (Electronic) IS - 0924-977X (Print) IS - 0924-977X (Linking) VI - 23 IP - 1 DP - 2013 Jan TI - Reward circuit connectivity relates to delay discounting in children with attention-deficit/hyperactivity disorder. PG - 33-45 LID - S0924-977X(12)00306-9 [pii] LID - 10.1016/j.euroneuro.2012.10.015 [doi] AB - Attention-deficit/hyperactivity disorder (ADHD) is a prevalent psychiatric disorder that has poor long-term outcomes and remains a major public health concern. Recent theories have proposed that ADHD arises from alterations in multiple neural pathways. Alterations in reward circuits are hypothesized as one core dysfunction, leading to altered processing of anticipated rewards. The nucleus accumbens (NAcc) is particularly important for reward processes; task-based fMRI studies have found atypical activation of this region while the participants performed a reward task. Understanding how reward circuits are involved with ADHD may be further enhanced by considering how the NAcc interacts with other brain regions. Here we used the technique of resting-state functional connectivity MRI (rs-fcMRI) to examine the alterations in the NAcc interactions and how they relate to impulsive decision making in ADHD. Using rs-fcMRI, this study: examined differences in functional connectivity of the NAcc between children with ADHD and control children; correlated the functional connectivity of NAcc with impulsivity, as measured by a delay discounting task; and combined these two initial segments to identify the atypical NAcc connections that were associated with impulsive decision making in ADHD. We found that functional connectivity of NAcc was atypical in children with ADHD and the ADHD-related increased connectivity between NAcc and the prefrontal cortex was associated with greater impulsivity (steeper delayed-reward discounting). These findings are consistent with the hypothesis that atypical signaling of the NAcc to the prefrontal cortex in ADHD may lead to excessive approach and failure in estimating future consequences; thus, leading to impulsive behavior. CI - Copyright (c) 2012 Elsevier B.V. and ECNP. All rights reserved. FAU - Costa Dias, Taciana G AU - Costa Dias TG AD - Department of Behavioral Neuroscience, Oregon Health & Science University, Portland, OR, USA. tacigcdias@yahoo.com.br FAU - Wilson, Vanessa B AU - Wilson VB FAU - Bathula, Deepti R AU - Bathula DR FAU - Iyer, Swathi P AU - Iyer SP FAU - Mills, Kathryn L AU - Mills KL FAU - Thurlow, Bria L AU - Thurlow BL FAU - Stevens, Corinne A AU - Stevens CA FAU - Musser, Erica D AU - Musser ED FAU - Carpenter, Samuel D AU - Carpenter SD FAU - Grayson, David S AU - Grayson DS FAU - Mitchell, Suzanne H AU - Mitchell SH FAU - Nigg, Joel T AU - Nigg JT FAU - Fair, Damien A AU - Fair DA LA - eng GR - UL1RR024140/RR/NCRR NIH HHS/United States GR - K99/R00MH091238/MH/NIMH NIH HHS/United States GR - R01 MH096773/MH/NIMH NIH HHS/United States GR - R00 MH091238/MH/NIMH NIH HHS/United States GR - R01MH096773/MH/NIMH NIH HHS/United States GR - UL1 RR024140/RR/NCRR NIH HHS/United States GR - K99 MH091238/MH/NIMH NIH HHS/United States GR - R01 MH086654/MH/NIMH NIH HHS/United States GR - R01MH086654/MH/NIMH NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20121201 PL - Netherlands TA - Eur Neuropsychopharmacol JT - European neuropsychopharmacology : the journal of the European College of Neuropsychopharmacology JID - 9111390 SB - IM MH - Attention Deficit Disorder with Hyperactivity/*metabolism/pathology/physiopathology/psychology MH - Child MH - Child Behavior MH - Decision Making MH - Female MH - Functional Neuroimaging MH - Humans MH - Impulsive Behavior/etiology/psychology MH - Magnetic Resonance Imaging MH - Male MH - Nerve Net/*metabolism/pathology MH - Neural Pathways MH - Nucleus Accumbens/*metabolism/pathology MH - Psychiatric Status Rating Scales MH - Reward MH - *Signal Transduction MH - Task Performance and Analysis MH - Time Factors MH - *Up-Regulation PMC - PMC3581744 MID - NIHMS420608 EDAT- 2012/12/05 06:00 MHDA- 2013/08/21 06:00 PMCR- 2014/01/01 CRDT- 2012/12/05 06:00 PHST- 2012/05/14 00:00 [received] PHST- 2012/10/17 00:00 [revised] PHST- 2012/10/29 00:00 [accepted] PHST- 2012/12/05 06:00 [entrez] PHST- 2012/12/05 06:00 [pubmed] PHST- 2013/08/21 06:00 [medline] PHST- 2014/01/01 00:00 [pmc-release] AID - S0924-977X(12)00306-9 [pii] AID - 10.1016/j.euroneuro.2012.10.015 [doi] PST - ppublish SO - Eur Neuropsychopharmacol. 2013 Jan;23(1):33-45. doi: 10.1016/j.euroneuro.2012.10.015. Epub 2012 Dec 1.