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. 2012 Jul;69(7):750-3.
doi: 10.1001/archgenpsychiatry.2011.2280.

Reduced GABA concentration in attention-deficit/hyperactivity disorder

Affiliations

Reduced GABA concentration in attention-deficit/hyperactivity disorder

Richard A E Edden et al. Arch Gen Psychiatry. 2012 Jul.

Abstract

Context: Attention-deficit/hyperactivity disorder (ADHD) is a developmental disorder characterized by a deficit in behavioral inhibition. Recent evidence also suggests a deficit in cortical inhibition via the GABA (γ-aminobutyric acid)-ergic system.

Objective: To investigate the GABAergic component of ADHD using magnetic resonance spectroscopy.

Design: Cross-sectional study.

Setting: Participants were recruited through local schools, local pediatric and other community clinics, and through advertisement in regional publications. Magnetic resonance spectroscopy was performed within the research institute.

Participants: Children (age range, 8-12 years) in a typically developing control group vs a group with ADHD were compared.

Main outcome measures: J-difference-edited magnetic resonance spectroscopy at 3 T was used to measure GABA concentration in a volume that included primary somatosensory and motor cortices.

Results: GABA concentration is reduced in children with ADHD compared with typically developing control subjects.

Conclusion: Our finding of reduced GABA concentration in ADHD is concordant with recently reported deficits in short intracortical inhibition in ADHD and suggests a GABAergic deficit in ADHD.

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Figures

Figure 1
Figure 1
Edited magnetic resonance spectroscopy of GABA (γ-aminobutyric acid). A, Location of the measurement voxel centered on the hand knob in primary motor cortex (as seen in the axial image). B, Typical edited GABA spectra from 1 child with attention-deficit/hyperactivity disorder (ADHD) and 1 typically developing (TD) child, showing a well-resolved edited peak at 3 ppm. The coedited peak at 3.75 ppm represents total glutamate plus glutamine.
Figure 2
Figure 2
Comparison of GABA (γ-aminobutyric acid) concentration, showing the statistically significant effect of attention-deficit/hyperactivity disorder (ADHD) diagnosis. Asterisk indicates the statistically significant difference (P <.05); IU, institutional units; and TD, typically developing.

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