TABLE 1. Overview of the utility of selected candidate electrophysiological intermediate phenotypes in ADHD.
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.