TABLE 1. Overview of the utility of selected candidate electrophysiological intermediate phenotypes in ADHD.
This table summarises the findings following a systematic review of the literature, described in this paper. Databases Pubmed, Ovid MEDLINE, PsycINFO and EMBASE were searched using combinations of the key words EEG, ERP, electrophysiology, heritability, twin, family, endophenotype, genetic, ADHD within each selected domain. The computer search was supplemented with bibliographic cross-referencing.
Intermediate phenotype | Association with ADHD | Heritability | Familial/genetic overlap with ADHD | Genetic associations with ADHD risk variants |
---|---|---|---|---|
| ||||
EEG power | ↑ theta ↓beta ↑theta-beta ratio |
High | High familial correlations for theta and beta in multiply affected families (not unaffected relatives) | SLC6A3 DRD4 |
Partially inconsistent | Consistent | Limited | Consistent | |
| ||||
EEG power: very low frequency fluctuations | ↓power at rest ↓rest-task attenuation |
Unknown | Unknown | Unknown |
Limited | ||||
| ||||
EEG: coherence and connectivity | ↑ inter- and intrahemispheric coherence | Moderate | ↑ alpha asymmetry in first-degree relatives indicating familial risk factor | COMT Serotonin 1A receptor |
Partially inconsistent | Partially inconsistent | Limited | Limited | |
| ||||
ERP: Inhibitory and attentional processing | ↓ go-P3 amplitude ↓ no-go-P3 amplitude ↓ cue-P3 ↓ CNV ↓ no-go-anteriorisation ↓ N2 |
Moderate | ↓ P3 not familial or associated with familial risk for broader externalising conditions ↓ no-go-P3, cue-P3 and CNV demonstrate familial association with ADHD |
SLC6A3 DRD2 DRD4 COMT TPH2 |
Partially inconsistent | Consistent | Partially inconsistent | Consistent | |
| ||||
ERP: Performance monitoring | ↓ error negativity ↓ error positivity ↓ N2 |
Moderate | ↓ error negativity ↓ error positivity ↓ N2 demonstrated in non-affected first-degree relatives |
SLC6A3 DRD4 COMT 5-HTTLPR |
Inconsistent | Limited | Limited | Consistent |
Key: Unknown: Genetically sensitive designs are required to confirm utility.
Inconsistent: Multiple parameters/studies within the domain demonstrate non-replication. Confounding effects of sample and paradigm differences and presence of subtypes and comorbid conditions must be explored.
Partially inconsistent: A small number of parameters/studies within the domain demonstrate non-replication. Confounding effects of sample and paradigm differences and presence of subtypes and comorbid conditions must be explored.
Limited: Promising consistency but further replication is required due to a limited number of studies.
Consistent: To date fulfils this criterion for a potential intermediate phenotype of ADHD but further work in ADHD samples is required.