Abstract
Background: Attention-deficit/hyperactivity disorder (ADHD) in children and adolescents
is characterized by excessive restlessness and an extremely poor concentration span,
resulting in impulsive and disruptive behavior. Clinical observation of ADHD in adults
suggests that the hyperactivity component is diminished although the impulsive type
behaviors remain apparent. EEG studies of children and adolescents with ADHD have
reported significantly higher levels of low frequency activity (predominantly theta)
and lower levels of beta activity than normal controls.
Methods: We examined the relationship between the age-related changes reported in
clinical observation and changes in EEG activity occurring in a group of ADHD patients
ranging in age from 6 to 42 years. Quantitative EEGs were obtained from the midline
sites of 25 children, 25 adolescents and 25 adults diagnosed with ADHD, and compared
with those of age matched normal controls.
Results: Theta activity was elevated in the ADHD groups across all age groups compared
with the normal controls. The extent of the reduction in relative beta activity in
the ADHD groups compared to normal controls decreased with increasing age.
Conclusions: Given that the hyperactivity component in ADHD reduces with age while
the impulsivity component remains, these data, in ADHD, suggest that decreased beta
activity may be linked to hyperactivity and increased theta activity to impulsivity.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Biological PsychiatryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Diagnostic and Statistical Manual of Mental Disorders. 4th ed. American Psychiatric Press, Washington, DC1994
- Attention Deficit Hyperactivity Disorder. Guilford Press, New York1990
- Adolescents with ADHD.J Am Acad Child Adolesc Psychiatry. 1991; 30: 752-761
- EEG development of healthy boys and girls.Electroencephalogr Clin Neurophysiol. 1984; 57: 1-12
- Hyperactivity at adolescence.J Clin Child Psychol. 1986; 15: 194-209
- Hyperactive children’s event-related potentials fail to support underarousal and maturational-lag theories.Arch Gen Psychiatry. 1983; 40: 1243-1248
- Electrocortical frequencies in hyperactive, learning disabled, mixed and normal children.Biol Psychiatry. 1982; 17: 675-686
- Development of the EEG of school age children and adolescents. II. Topography.Electroencephalogr Clin Neurophysiol. 1988; 69: 100-109
- Development of the EEG of school children and adolescents. I. Analysis of band power.Electroencephalogr Clin Neurophysiol. 1988; 69: 91-99
- Hyperactives as young adults.Adolesc Psychiatry. 1981; 9: 295-306
- Developmental equations of the electroencephalogram.Science. 1980; 210: 1255-1258
- Minimal brain dysfunction as a neurodevelopmental lag.Ann NY Acad Sci. 1973; 205: 263-273
- Discourse on the development of EEG diagnostics and biofeedback for attention-deficit/hyperactivity disorders.Biofeedback Self Regul. 1991; 16: 201-225
- Quantitative analysis of EEG in boys with attention-deficit-hyperactivity disorder.Pediatric Neurol. 1992; 8: 30-36
- Frequency analysis of the EEG in normal children and normal adolescents.in: Kellaway P. Petersen I. Automation of Clinical Electroencephalography. Raven Press, New York1973: 75-102
- A cross-national EEG study of children with emotional and behavioral problems.Biol Psychiatry. 1993; 34: 59-65
- Essentials of Clinical Neurophysiology. Butterworth-Heinemann, Boston1993
- Brain electrical activity mapping (BEAM) in schizophrenic patients.Arch Gen Psychiatry. 1983; 40: 719-728
- Cerebrospinal fluid homovanillic acid and 5-hydroxyindole acetic acid in adults with attention deficit disorder, residual type.Psychiatry Res. 1984; 11: 71-78
- EEG issues in children with minimal brain dysfunction.Semin Psychiatry. 1973; 5: 35-46
- CNS function and response to methylphenidate in hyperactive children.Psychopharmacol Bull. 1974; 10: 36-37
- Physiological studies of the hyperkinetic child.Am J Psychiatry. 1972; 128: 1418-1424
- Electrodermal correlates of hyperactivity in children.Psychophysiology. 1971; 8: 191-197
- A cross-sectional and longitudinal study of age effects of electrophysiological measures in hyperactive and normal children.Biol Psychiatry. 1984; 19: 973-989
- ADD in Adults. Simon & Schuster, Sydney1994
- CSF monoamine metabolites in children with minimal brain dysfunction.J Pediatr. 1977; 90: 67-71
- Using Multivariate Statistics. 2nd ed. Harper Collins, New York1989
- Hyperactive Children Grown Up. 2nd ed. Guilford, New York1993
- Attention-deficit hyperactivity disorders in adolescence.J Dev Behav Pediatr. 1995; 16: 192-195
- Attention-Deficit Hyperactivity Disorder in Adults. Oxford University Press, New York1995
Article info
Publication history
Accepted:
February 10,
1999
Received in revised form:
February 4,
1999
Received:
July 29,
1998
Identification
Copyright
© 1999 Society of Biological Psychiatry. Published by Elsevier Inc. All rights reserved.