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Karalunas, S. L.

Publications and source records attributed to Karalunas, S. L..

3 recordsLinked to original sources

Beyond Neural Noise: Critical Dynamics Predict Slower Reaction Times in Adults With and Without ADHD

Historically, neural variability observed during task was interpreted as "noise," assumed to obscure meaningful signal and thus something to be minimized both analytically by researchers and functionally by the brain. Changes to this signal-to-noise ratio have been proposed as a possible neural mechanism behind the increased reaction-time variability (RTV) in attention deficit hyperactivity disorder (ADHD). However, not all variability is the same - in some cases, variability can have some underlying "statistical structure" that can be beneficial to information processing. The challenge lies in distinguishing meaningful variability from random noise. The edge-of-synchrony critical point, which describes a system poised between synchronous and asynchronous regimes, could be a good theoretical framework to study these different types of neural variability. In this study, we investigate whether changes in criticality and oscillatory dynamics preceded slower behavioral responses during a bimodal continuous performance task in ADHD. We find evidence that, prior to slower responses, neural dynamics shift toward criticality in both ADHD and control groups, suggesting that increase variability in ADHD and during attention lapses are related to structured variability and not necessarily random noise. Notably, these findings run counter predictions based on the proposed model and previous literature on neural noise in this population, challenging predictions of edge-of-synchrony criticality as a unifying account of neural variability and behavioral performance. Furthermore, this effect did not emerge at the between-subject level, underscoring the limitations of relying on between-subject correlations to infer neural mechanisms. Impact StatementOur findings add new perspective to the hypothesis that links neural variability to reaction time variability in adults with and without ADHD. We found that neural dynamics shift towards criticality prior to slow reaction times in adults with and without ADHD, but in ADHD, dynamics lie closer to criticality regardless of response type, suggesting a different "attractor" state.

neuroscience↗

Developmental Differences in White Matter Microarchitecture in Youth with ADHD: Longitudinal Findings from the ABCD Study

BackgroundAttention-deficit/hyperactivity disorder (ADHD) is the most common neurodevelopmental disorder and is a risk factor for later brain disorders. Here, we characterize the relationship between ADHD status and white matter cellularity across development and examine associations with medication, using a novel biophysical diffusion MRI model in youth aged 9 to 14 years. Methods: The ABCD Study(R) is a longitudinal cohort study with three biennial waves of brain MRI collection. Twenty-seven white matter tracts were delineated using multi-shell diffusion-weighted imaging (DWI) and tractography. Intracellular isotropic (RNI) and directional (RND) diffusion were quantified using the Restriction Spectrum Imaging (RSI) model. Longitudinal linear mixed-effect models characterize the effects of ADHD status and medication use on white matter cellularity across three waves. Results: By wave: 9,426 participants at baseline (mean [SD] age: 9.92 [0.63] years; 48.7% Female; 12.2% with ADHD), 6745 participants at 2-year (11.95 [0.65] years; 46.8% Female; 11.3% with ADHD), and 2,483 participants at 4-year (14.07 [0.69] years; 46.0% Female; 11.8% with ADHD). ADHD was associated with decreased RNI in 20 tracts at age 9, with evidence of developmental trajectory differences suggesting attenuation over early adolescence. We found enduring ADHD-associated decreases in RND of 16 tracts spanning ages 9 to 14 years, with methylphenidate effects on 2 tracts. Low-motion sensitivity analyses confirmed robust RNI findings, but not RND findings. ConclusionsADHD was associated with reductions in isotropic diffusion in white matter tracts, and possibly with complementary reductions in directional diffusion of select tracts. Isotropic diffusion findings suggest atypical glial cellularity in white matter during late childhood.

neuroscience↗

ADHD Medications and Preadolescent Brain Structure: Patterns of Cortical Attenuation from the ABCD Study

Attention-deficit/hyperactivity disorder (ADHD) is the most common neurodevelopmental disorder in the U.S., and the stimulant and nonstimulant medications used to treat ADHD are among the most widely prescribed treatments in youth. Stimulants--including amphetamine-based (AMP) and methylphenidate-based (MPH) medications--act primarily on dopaminergic and noradrenergic systems, while nonstimulants (NS) more selectively target noradrenergic pathways. Although pharmacotherapy is the most clinically effective treatment, its neurostructural effects remain poorly understood. Leveraging the Adolescent Brain Cognitive Development* Study (ABCD Study(R)), we used a machine learning approach to identify neuroanatomical targets of medications, followed by linear mixed-effects modeling to estimate the effects of ADHD status and medication class (AMP, MPH, NS) on cortical thickness, surface area, and cortical and subcortical volumes. ADHD was not associated with statistically significant differences; however, a consistent pattern emerged in which AMP and MPH effects attenuated ADHD effects, suggesting that stimulant medications may attenuate ADHD-related cortical patterns. NS medications showed a similar, albeit weaker, effect pattern. Notably, AMP and/or MPH use was associated with significant effects in the right entorhinal cortex and the right banks of the superior temporal sulcus, potentially reflecting overcompensatory effects, as well as in the left posterior cingulate, possibly indicating de novo medication-related differences.

neuroscience↗