Functional and structural connectivity of the subregions of the amygdala in ADHD children with or without ODD

Abstract Objectives The current study aimed to investigate the structural and functional connectivity of the subregions of the amygdala in children with Attention Deficit/Hyperactivity Disorder (ADHD) only or comorbid with Oppositional Defiant Disorder (ODD). Methods A total of 354 children with ADH...

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Main Authors: Zhao-Min Wu, Peng Wang, Xue-Chun Liu, Qing-Chao Zhou, Xiao-Lan Cao, Li Sun, Lu Liu, Qing-Jiu Cao, Li Yang, Yu-Feng Wang, Ying Qian, Bin-Rang Yang
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Psychiatry
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Online Access:https://doi.org/10.1186/s12888-025-06500-4
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author Zhao-Min Wu
Peng Wang
Xue-Chun Liu
Qing-Chao Zhou
Xiao-Lan Cao
Li Sun
Lu Liu
Qing-Jiu Cao
Li Yang
Yu-Feng Wang
Ying Qian
Bin-Rang Yang
author_facet Zhao-Min Wu
Peng Wang
Xue-Chun Liu
Qing-Chao Zhou
Xiao-Lan Cao
Li Sun
Lu Liu
Qing-Jiu Cao
Li Yang
Yu-Feng Wang
Ying Qian
Bin-Rang Yang
author_sort Zhao-Min Wu
collection DOAJ
description Abstract Objectives The current study aimed to investigate the structural and functional connectivity of the subregions of the amygdala in children with Attention Deficit/Hyperactivity Disorder (ADHD) only or comorbid with Oppositional Defiant Disorder (ODD). Methods A total of 354 children with ADHD-only, 161 children with ADHD and ODD (ADHD + ODD), and 100 healthy controls were enrolled. The Child Behavior Checklist (CBCL) and the Behavior Rating Inventory of Executive Function (BRIEF) were filled out by caregivers. Analysis of covariance (ANCOVA) was performed to test group-wise differences in these behavioral measures. A subsample comprising 209 participants underwent a resting-state functional MRI scan and a diffusion-weighted imaging (DWI) scan. Functional connectivity and structural connectivity were calculated using bilateral subregions of the Amygdala as seeds. Between-group voxel-wise comparisons were conducted. Results The ADHD + ODD group had more anxious/depressed moods, more delinquent and aggressive behaviors, more emotional control problems, and more inhibition deficits than the ADHD-only group (all P Bonferroni−corrected < 0.05). Compared with the control and ADHD + ODD groups, the ADHD-only group displayed increased FC strength between the amygdala subregions and the left caudate, left putamen, and frontal cortex. Regarding structural connectivity (SC), the ADHD-only group demonstrated higher streamline density in the left internal capsule, corpus callosum, and the right superior corona radiata. The altered SC was associated with emotional problems in children with ADHD, while the altered FC was associated with other ADHD-related clinical features. Conclusions Altered structural and functional connectivity of the subregions of the amygdala in children with ADHD compared with their healthy counterparts were respectively associated with ADHD-related behavioral and emotional problems. Clinical trial number : not applicable.
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spelling doaj-art-2660fe75c3464d8d98c4f193c939f9ad2025-01-26T12:46:38ZengBMCBMC Psychiatry1471-244X2025-01-0125111010.1186/s12888-025-06500-4Functional and structural connectivity of the subregions of the amygdala in ADHD children with or without ODDZhao-Min Wu0Peng Wang1Xue-Chun Liu2Qing-Chao Zhou3Xiao-Lan Cao4Li Sun5Lu Liu6Qing-Jiu Cao7Li Yang8Yu-Feng Wang9Ying Qian10Bin-Rang Yang11Shenzhen Children’s HospitalCardiac Rehabilitation Center, Fuwai Hospital, CAMS & PUMCShenzhen Children’s HospitalShenzhen Children’s HospitalShenzhen Children’s HospitalInstitute of Mental Health, Peking University Sixth Hospital, National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital)Institute of Mental Health, Peking University Sixth Hospital, National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital)Institute of Mental Health, Peking University Sixth Hospital, National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital)Institute of Mental Health, Peking University Sixth Hospital, National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital)Institute of Mental Health, Peking University Sixth Hospital, National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital)Institute of Mental Health, Peking University Sixth Hospital, National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital)Shenzhen Children’s HospitalAbstract Objectives The current study aimed to investigate the structural and functional connectivity of the subregions of the amygdala in children with Attention Deficit/Hyperactivity Disorder (ADHD) only or comorbid with Oppositional Defiant Disorder (ODD). Methods A total of 354 children with ADHD-only, 161 children with ADHD and ODD (ADHD + ODD), and 100 healthy controls were enrolled. The Child Behavior Checklist (CBCL) and the Behavior Rating Inventory of Executive Function (BRIEF) were filled out by caregivers. Analysis of covariance (ANCOVA) was performed to test group-wise differences in these behavioral measures. A subsample comprising 209 participants underwent a resting-state functional MRI scan and a diffusion-weighted imaging (DWI) scan. Functional connectivity and structural connectivity were calculated using bilateral subregions of the Amygdala as seeds. Between-group voxel-wise comparisons were conducted. Results The ADHD + ODD group had more anxious/depressed moods, more delinquent and aggressive behaviors, more emotional control problems, and more inhibition deficits than the ADHD-only group (all P Bonferroni−corrected < 0.05). Compared with the control and ADHD + ODD groups, the ADHD-only group displayed increased FC strength between the amygdala subregions and the left caudate, left putamen, and frontal cortex. Regarding structural connectivity (SC), the ADHD-only group demonstrated higher streamline density in the left internal capsule, corpus callosum, and the right superior corona radiata. The altered SC was associated with emotional problems in children with ADHD, while the altered FC was associated with other ADHD-related clinical features. Conclusions Altered structural and functional connectivity of the subregions of the amygdala in children with ADHD compared with their healthy counterparts were respectively associated with ADHD-related behavioral and emotional problems. Clinical trial number : not applicable.https://doi.org/10.1186/s12888-025-06500-4ADHDODDAmygdalaFunctional connectivityStructural connectivity
spellingShingle Zhao-Min Wu
Peng Wang
Xue-Chun Liu
Qing-Chao Zhou
Xiao-Lan Cao
Li Sun
Lu Liu
Qing-Jiu Cao
Li Yang
Yu-Feng Wang
Ying Qian
Bin-Rang Yang
Functional and structural connectivity of the subregions of the amygdala in ADHD children with or without ODD
BMC Psychiatry
ADHD
ODD
Amygdala
Functional connectivity
Structural connectivity
title Functional and structural connectivity of the subregions of the amygdala in ADHD children with or without ODD
title_full Functional and structural connectivity of the subregions of the amygdala in ADHD children with or without ODD
title_fullStr Functional and structural connectivity of the subregions of the amygdala in ADHD children with or without ODD
title_full_unstemmed Functional and structural connectivity of the subregions of the amygdala in ADHD children with or without ODD
title_short Functional and structural connectivity of the subregions of the amygdala in ADHD children with or without ODD
title_sort functional and structural connectivity of the subregions of the amygdala in adhd children with or without odd
topic ADHD
ODD
Amygdala
Functional connectivity
Structural connectivity
url https://doi.org/10.1186/s12888-025-06500-4
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