Effect of methylphenidate on executive functioning in adults with attention-deficit/hyperactivity disorder: Normalization of behavior but not related brain activity

Julie B Schweitzer, Douglas O. Lee, Russell B. Hanford, Caroline F. Zink, Timothy D. Ely, Malle A. Tagamets, John M. Hoffman, Scott T. Grafton, Clinton D. Kilts

Research output: Contribution to journalArticle

103 Scopus citations

Abstract

We examined the effect of prolonged methylphenidate (MPH) treatment on the functional neuroanatomy of executive functioning in adult men with attention-deficit/hyperactivity disorder (ADHD). Positron emission tomography with [ 15O] water measured alterations of regional cerebral blood flow (rCBF) during the Paced Auditory Serial Addition Task and a control task in 10 ADHD and 11 normal control men. Attention-deficit/hyperactivity disorder men were imaged unmedicated and after a clinically optimal dose of MPH for 3 weeks. Methylphenidate improved ADHD task performance, reduced rCBF in the prefrontal cortex (PFC), and increased rCBF in the right thalamus and precentral gyrus. Comparisons between the ADHD and normal control groups showed that normal control participants exhibited greater anterior cingulate cortex and temporal gyrus rCBF than ADHD participants under both conditions. Executive functioning was associated with greater subcortical (basal ganglia and cerebellar vermis) activation in the ADHD than normal control group under both conditions. Methylphenidate does not normalize task-related activity in ADHD. Task-related rCBF decreases in the PFC may be due to improved filtering out of task-irrelevant stimuli by way of MPH-mediated dopamine release in the PFC.

Original languageEnglish (US)
Pages (from-to)597-606
Number of pages10
JournalBiological Psychiatry
Volume56
Issue number8
DOIs
StatePublished - Oct 15 2004
Externally publishedYes

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Keywords

  • ADHD
  • executive function
  • methylphenidate
  • PASAT
  • PET
  • working memory

ASJC Scopus subject areas

  • Biological Psychiatry

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