PMID- 25328838 OWN - NLM STAT- MEDLINE DCOM- 20150625 LR - 20211021 IS - 2162-3279 (Electronic) IS - 2162-3279 (Print) VI - 4 IP - 5 DP - 2014 Sep TI - Withholding and canceling a response in ADHD adolescents. PG - 602-14 LID - 10.1002/brb3.244 [doi] AB - BACKGROUND: Deficient response inhibition in situations involving a trade-off between response execution and response stopping is a hallmark of attention deficit hyperactive disorder (ADHD). There are two key components of response inhibition; reactive inhibition where one attempts to cancel an ongoing response and prospective inhibition is when one withholds a response pending a signal to stop. Prospective inhibition comes into play prior to the presentation of the stop signal and reactive inhibition follows the presentation of a signal to stop a particular action. The aim of this study is to investigate the neural activity evoked by prospective and reactive inhibition in adolescents with and without ADHD. METHODS: Twelve adolescents with ADHD and 12 age-matched healthy controls (age range 9-18) were imaged while performing the stop signal task (SST). RESULTS: Reactive inhibition activated right inferior frontal gyrus (IFG) in both groups. ADHD subjects activated IFG bilaterally. In controls, prospective inhibition invoked preactivation of the same part of right IFG that activated during reactive inhibition. In ADHD subjects, prospective inhibition was associated with deactivation in this region. Controls also deactivated the medial prefrontal cortex (MPFC) during prospective inhibition, whereas ADHD subjects activated the same area. DISCUSSION: This pattern of activity changes in the same structures, but in opposite directions, was also evident across all phases of the task in various task-specific areas like the superior and middle temporal gyrus and other frontal areas. CONCLUSION: Differences between ADHD and control participants in task-specific and default mode structures (IFG and MPFC) were evident during prospective, but not during reactive inhibition. FAU - Bhaijiwala, Mehereen AU - Bhaijiwala M AD - Institute of Medical Science, University of Toronto 7213 Medical Sciences Building, 1 King's College Circle, Toronto, Ontario, M5S1A8, Canada ; Neurosciences and Mental Health and the Department of Psychiatry, The Hospital for Sick Children 555 University Avenue, Toronto, Ontario, M5G1X8, Canada. FAU - Chevrier, Andre AU - Chevrier A AD - Institute of Medical Science, University of Toronto 7213 Medical Sciences Building, 1 King's College Circle, Toronto, Ontario, M5S1A8, Canada ; Neurosciences and Mental Health and the Department of Psychiatry, The Hospital for Sick Children 555 University Avenue, Toronto, Ontario, M5G1X8, Canada. FAU - Schachar, Russell AU - Schachar R AD - Institute of Medical Science, University of Toronto 7213 Medical Sciences Building, 1 King's College Circle, Toronto, Ontario, M5S1A8, Canada ; Neurosciences and Mental Health and the Department of Psychiatry, The Hospital for Sick Children 555 University Avenue, Toronto, Ontario, M5G1X8, Canada. LA - eng GR - M0P 82796/Canadian Institutes of Health Research/Canada PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140626 PL - United States TA - Brain Behav JT - Brain and behavior JID - 101570837 SB - IM MH - Adolescent MH - Attention Deficit Disorder with Hyperactivity/*physiopathology/psychology MH - Brain Mapping MH - Case-Control Studies MH - Child MH - Functional Laterality/*physiology MH - Humans MH - *Inhibition, Psychological MH - Neuropsychological Tests MH - Prefrontal Cortex/*physiopathology PMC - PMC4086366 OTO - NOTNLM OT - ADHD OT - IFG OT - MPFC OT - adolescents OT - fMRI OT - imaging OT - proactive inhibition OT - reactive inhibition OT - response inhibition OT - stop-signal task EDAT- 2014/10/21 06:00 MHDA- 2015/06/26 06:00 PMCR- 2014/09/01 CRDT- 2014/10/21 06:00 PHST- 2013/10/30 00:00 [received] PHST- 2014/05/27 00:00 [revised] PHST- 2014/06/01 00:00 [accepted] PHST- 2014/10/21 06:00 [entrez] PHST- 2014/10/21 06:00 [pubmed] PHST- 2015/06/26 06:00 [medline] PHST- 2014/09/01 00:00 [pmc-release] AID - 10.1002/brb3.244 [doi] PST - ppublish SO - Brain Behav. 2014 Sep;4(5):602-14. doi: 10.1002/brb3.244. Epub 2014 Jun 26.