THETA/BETA RATIO IN EEG CORRELATED WITH ATTENTIONAL CAPACITY ASSESSED BY CONNERS CONTINUOUS PERFORMANCE TEST IN CHILDREN WITH ADHD

Theta/beta ratio in EEG correlated with attentional capacity assessed by Conners Continuous Performance Test in children with ADHD

Theta/beta ratio in EEG correlated with attentional capacity assessed by Conners Continuous Performance Test in children with ADHD

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IntroductionAttention-deficit/hyperactivity disorder (ADHD) is a prevalent neurodevelopmental disorder affecting children worldwide; however, diagnosing ADHD remains a complex task.Theta/beta ratio (TBR) derived from electroencephalography (EEG) recordings has been proposed as a potential biomarker for ADHD, but its effectiveness in children with ADHD remains controversial.Behavioral assessments, such as the Conners Continuous Performance Test–3rd edition (CPT-3), have been utilized to assess attentional capacity in individuals with ADHD.This study aims to investigate the correlation between TBR and CPT-3 scores in children and adolescents with ADHD.MethodsIn a retrospective analysis, we examined patients regularly monitored for ADHD at Taipei Tzu Chi Hospital, who underwent both EEG and CPT-3 730 sunken lake road assessments.

Severity of ADHD was evaluated using parent- and teacher-completed Swanson, Nolan, and Pelham (SNAP)-IV rating scales.ResultsThe study encompassed 55 ADHD patients (41 with abnormal CPT-3 scores, 14 with normal CPT-3 moondrop quarks scores) and 45 control subjects.TBR demonstrated elevation in ADHD patients with abnormal CPT-3 scores, indicating its potential to represent attentional capacity akin to behavioral assessments like CPT-3.However, significant correlations between TBR values and CPT-3 variables or SNAP-IV rating scales were not observed.Moreover, TBR values exhibited considerable overlap across the groups, leading to diminished sensitivity and negative predictive value as a potential neurophysiological ADHD biomarker.

DiscussionWhile our study underscores the utility of both TBR and CPT-3 in assessing attentional capacity, their sensitivity in diagnosing ADHD is limited.A comprehensive evaluation, integrating clinical expertise, parental input, and detailed neuropsychometric tests, remains pivotal for a thorough and precise diagnosis of ADHD.

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