Electroencephalography (EEG) is an ideal neuroscientific approach, providing a direct measurement of neural activity that demonstrates reliability, developmental stability and high heritability. This systematic review of a subset of domains evaluates the utility of electrophysiological measures as potential intermediate phenotypes for ADHD in the domains of quantitative EEG indices of arousal and intra-individual variability, and functional investigations of inhibitory and error processing using the event-related potential (ERP) technique. Each domain demonstrates consistent and meaningful associations with ADHD, a degree of genetic overlap with ADHD and potential links to specific genetic variants. Investigations of the genetic and environmental contributions to EEG/ERP and shared genetic overlap with ADHD may enhance molecular genetic studies and provide novel insights into aetiology. Such research will aid in the precise characterisation of the clinical deficits seen in ADHD and guide the development of novel intervention and prevention strategies for those at risk.
KeywordsADHD; arousal; default-mode; electrophysiology; endophenotype; executive function; genetics; heritability Attention deficit hyperactivity disorder (ADHD) is a developmental condition characterised by impairing levels of inattentive, impulsive and hyperactive symptoms (Ref. 1), with prevalence in school-aged children around 5% (Ref. 2). The disorder frequently persists into adult life, with approximately 15% of children with ADHD retaining the diagnosis by the age of 25 years and a further 50% showing persistence of some symptoms giving rise to continued impairments (Ref. 3).ADHD tends to run in families, with a risk of ADHD to first-degree relatives of an affected proband around four to ten times the general population rate (Ref. 4). Twin studies suggest that around 70-80% of the phenotypic variance is explained by genetic factors (Ref. 5). Such quantitative genetic studies suggest that ADHD represents the extreme of one or more continuously distributed traits, rather than a distinct categorical disorder (Ref. 6,7,8,9,10).The conceptualisation of ADHD symptoms as continuous traits (Ref. 10) seems to better reflect the underlying aetiological processes involved, in which risk factors for ADHD influence levels of ADHD symptoms throughout the population (Ref. 8
Europe PMC Funders GroupAuthor Manuscript Expert Rev Mol Med. Author manuscript; available in PMC 2014 June 03.
Published in final edited form as:Expert Rev Mol Med. ; 13: e9. doi:10.1017/S1462399411001797.
Europe PMC Funders Author ManuscriptsEurope PMC Funders Author Manuscripts quantitative genetic studies support the use of both categorical and quantitative trait locus (QTL) approaches in the investigation of genetic risk factors for ADHD (Ref. 11) and the underlying neurobiological processes involved.Candidate gene studies implicate genetic variants involved in the regulation of dopamine and related neurotransmitter systems, predicted by the effects of stimulant medicatio...