medigraphic.com
SPANISH

Medicina Interna de México

Colegio de Medicina Interna de México.
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2025, Number 07

<< Back Next >>

Med Int Mex 2025; 41 (07)

Clinical and neurophysiological profile of attention-deficit/hyperactivity disorder in women: An analysis using quantitative electroencephalography

Córdova PVH, Gutiérrez BD, Carapia MJ, Zabaneh CV
Full text How to cite this article

Language: Spanish
References: 44
Page: 386-401
PDF size: 536.70 Kb.


Key words:

Attention deficit hyperactivity disorder (ADHD), Quantitative electroencephalography (qEEG), Female, Anxiety depression, Dysantonomi, Biomarkers, Response time ADHD phenotype, Autonomic nervous system diseases.

ABSTRACT

Objective: To analyze the clinical and neurophysiological profiles of women diagnosed with attention deficit hyperactivity disorder (ADHD) using quantitative electroencephalography (qEEG).
Materials and Methods: This descriptive study analyzed the clinical and neurophysiological profiles of female patients diagnosed with ADHD using qEEG. Three groups of variables were considered in the analysis: clinical (emotional dysregulation, anxiety, depression, and dysautonomia); performance (omissions, commissions, and response time); and neurophysiological (biomarkers obtained from qEEG). Spearman's rank correlation was used for statistical analysis to explore nonlinear relationships between ordinal variables, particularly between biomarkers and clinical and performance indicators.
Results: Forty-nine patients were studied, ranging in age from 4 to 64 years old (mean age 27 years), most of whom had not previously been diagnosed. A generalized pattern of alterations in attention performance was observed, with an average of 6.88 omissions, 2.88 commissions, and an average response time of 503 ms. These values reflect poor performance on sustained attention tasks, which is consistent with the characteristics of ADHD. The distribution of these results varied by age group. In girls under 12 years of age, the mean number of omissions was 7.3; in adolescents, it was 8.5, indicating greater difficulty in these subgroups.
Conclusions: The findings support the usefulness of qEEG as a complementary diagnostic tool for identifying specific ADHD phenotypes in females. There is a need for personalized assessment and intervention approaches.


REFERENCES

  1. Sayal K, Prasad V, Daley D, Ford T, et al. ADHD in childrenand young people: prevalence, care pathways, and serviceprovision. Lancet Psychiatry 2017; 5 (2): 175-86. https://doi.org/10.1016/S2215-0366(17)30167-0

  2. Salari N, Ghasemi H, Abdoli N, Rahmani A, et al. The globalprevalence of ADHD in children and adolescents: a systematicreview and meta-analysis. Italian J Pediatrics 2023.https://doi.org/10.1186/s13052-023-01456-1

  3. Climie EA. Miss. Diagnosis: A systematic review of ADHD inadult women. J Attention Disorders 2023; 27 (7): 645-57.https://doi.org/10.1177/10870547231161533

  4. Guo C. Specific impairments and challenges in women withADHD. J Education, Humanities and Social Sciences 2024;29: 34-39. https://doi.org/10.54097/vrh8jk90

  5. Poil SS, Bollmann S, Ghisleni C, O’Gorman RL, et al. Agedependent electroencephalographic changes in attentiondeficit/hyperactivity disorder (ADHD). Clin Neurophysiol2014. https://doi.org/10.1016/J.CLINPH.2013.12.118

  6. Martín-Brufau R, Nombela Gómez M. Bioelectrical markersof ADHD: Enhancement of direct EEG analysis. ElectronicJ Research in Educational Psychology 2017. https://doi.org/10.25115/EJREP.41.16024

  7. Cheng C-H, Cheng C-H, Chan P-Y S, Hsieh Y, Chen K-F. Ameta-analysis of mismatch negativity in children withattention deficit-hyperactivity disorders. Neuroscience Letters2016. https://doi.org/10.1016/J.NEULET.2015.11.033

  8. Yamamuro K, Ota T, Iida J, Nakanishi Y, et al. Associationsbetween the mismatch-negativity component and symptomseverity in children and adolescents with attentiondeficit/hyperactivity disorder. Neuropsy Dis Treat 2016.https://doi.org/10.2147/NDT.S120540

  9. Wang TS, Wang SS, Wang CL, Wong SB. Theta/beta ratio inEEG correlated with attentional capacity assessed by ConnersContinuous Performance Test in children with ADHD.Frontiers in Psychiatry 2024. https://doi.org/10.3389/fpsyt.2023.1305397

  10. Ghowinam M, Alnujaidi MH, Alshammari SF, Alharthi AA.Characterising attention deficit hyperactivity disorder.2022. https://doi.org/10.4018/978-1-7998-9534-3.ch008

  11. American Psychiatric Association. Diagnostic and StatisticalManual of Mental Disorders, 5th ed. Washington, DC:APA, 2013.

  12. Konrad K, Di Martino A, Aoki Y. Brain volumes and intrinsicbrain connectivity in ADHD 2018. https://doi.org/10.1093/MED/9780198739258.003.0006

  13. Kumar U, Arya A, Agarwal V. Neural network connectivityin ADHD children: an independent component andfunctional connectivity analysis of resting state fMRI data.Brain Imaging and Behavior 2021. https://doi.org/10.1007/S11682-019-00242-0

  14. Hoogman M, Bralten J, Hibar DP, et al. Subcortical brainvolume differences in participants with attention deficithyperactivity disorder in children and adults: a crosssectionalmega-analysis. Lancet Psychiatry 2017; 4 (4):310-19. https://doi.org/10.1016/S2215-0366(17)30049-4

  15. Rubia K. Cognitive neuroscience of attention deficit hyperactivitydisorder (ADHD) and its clinical translation. FrontHum Neurosci 2018; 12: 100. https://doi.org/10.3389/fnhum.2018.00100

  16. Soman SM, Vijayakumar N, Thomson P, Ball G, et al. Corticalstructural and functional coupling during developmentand implications for attention deficit hyperactivitydisorder. Transl Psychiatry 2023; 13 (1): 252. https://doi.org/10.1038/s41398-023-02546-8

  17. Russell J, Franklin B, Piff A, Allen S, et al. Number of ADHDPatients Rising, especially among women. Epic research.https://epicresearch.org/articles/number-of-adhdpatients-rising-especially-among-women.

  18. Agnew‐Blais JC. Hidden in plain sight: delayed ADHD diagnosisamong girls and women – a commentary on Skoglundet al. J Child Psychology A Psychiatry 2024; 65 (10): 1398-400. https://doi.org/10.1111/jcpp.14023

  19. Oroian BA, Costandache G, Popescu EC, Nechita P, et al. Theuncharted territory of female adult ADHD: a comprehensivereview. European Psychiatry 2024; 67 (S1).

  20. D’Agostino A, Covanti S, Rossi Monti M, Starcevic V. Emotiondysregulation: A review of the concept and implicationsfor clinical practice. European Psychiatry 2016. https://doi.org/10.1016/J.EURPSY.2016.01.1956

  21. Waite R. Women with ADHD: it is an explanation, notthe excuse du jour. Perspectives in Psychiatric Care 2010.https://doi.org/10.1111/J.1744-6163.2010.00254.X

  22. Hirsch O, Chavanon ML, Christiansen H. Emotional dysregulationsubgroups in patients with adult Attention-Deficit/Hyperactivity Disorder (ADHD): a cluster analytic approach.Scientific Reports 2019. https://doi.org/10.1038/S41598-019-42018-Y

  23. Shaw P, Stringaris A, Nigg J, Leibenluft E. Emotion dysregulationin attention deficit hyperactivity disorder. Am JPsychiatry 2014; 171 (3): 276-93. https://doi.org/10.1176/appi.ajp.2013.13070966

  24. Bellato A, Arora I, Hollis C, Groom MJ. Is autonomic nervoussystem function atypical in attention deficit hyperactivitydisorder (ADHD)? A systematic review of the evidence.Neurosci Biobehav Rev 2020; 108: 182-206. https://doi.org/10.1016/j.neubiorev.2019.11.001

  25. Geiss L, Stemmler M, Beck B, Hillemacher T, et al. Dysregulationof the autonomic nervous system in adult attentiondeficit hyperactivity disorder. A systematic review. CognitiveNeuropsychiatry 2023; 1-22. https://doi.org/10.1080/13546805.2023.2255336

  26. Toda S, Tsushima S, Takashio O, et al. The repressedlife of adult female patients with mild ADHD. FrontPsychiatry 2024; 15: 1418698. https://doi.org/10.3389/fpsyt.2024.1418698

  27. Id DM, Palencia-Avendaño M, Mogollón-Rincón C, McE. [Theta/beta ratio (NEBA) in the diagnosis of attentiondeficit hyperactivity disorder]. Revista De Neurologia 2014.

  28. Khaleghi A, Mohammadi MR, Zarafshan H, Vand SR. Diagnosisof ADHD based on nonlinear analysis of pediatric EEG.Biomedical Signal Processing and Control 2020; 57: 101754.https://doi.org/10.1016/j.bspc.2019.101754

  29. Castellanos FX, Aoki Y. Intrinsic functional connectivity inattention-deficit/hyperactivity disorder: A science in development.Biol Psychiatry Cogn Neurosci Neuroimaging 2016;1 (3): 253-261. https://doi.org/10.1016/j.bpsc.2016.03.004

  30. Barry RJ, Clarke AR, McCarthy R, Selikowitz M. EEGcoherence in attention-deficit/hyperactivity disorder: acomparative study of two DSM-IV types. Clin Neurophysiol2002; 113 (4): 579-85. https://doi.org/10.1016/s1388-2457(02)00036-6

  31. Arns M, Conners CK, Kraemer HC. A decade of EEGTheta/Beta ratio research in ADHD: A meta-analysis.J Atten Disord 2013; 17 (5): 374-83. https://doi.org/10.1177/1087054712460087

  32. Breteler R, Arns M, Peters S, Giepmans I, et al. Improvementsin spelling after QEEG-based neurofeedback indyslexia: a randomized controlled treatment study. ApplPsychophysiol Biofeedback 2010; 35 (1): 5-11. https://doi.org/10.1007/s10484-009-9105-2

  33. Silk TJ, Vance A, Rinehart N, Bradshaw JL, et al. White matterabnormalities in attention deficit hyperactivity disorder:a diffusion tensor imaging study. Hum Brain Mapp 2009; 30(9): 2757-65. https://doi.org/10.1002/hbm.20703

  34. Sangal RB, Sangal JM. Use of EEG Beta-1 Power andTheta/Beta ratio over Broca’s area to confirm diagnosisof attention deficit/hyperactivity disorder in children.Clin EEG Neurosci 2015; 46 (3): 177-82. https://doi.org/10.1177/1550059414527284

  35. Gaddis A, Rosch KS, Dirlikov B, Crocetti D, et al. Motor overflowin children with attention-deficit/hyperactivity disorderis associated with decreased extent of neural activationin the motor cortex. Psychiatry Res 2015; 233 (3): 488-95.https://doi.org/10.1016/j.pscychresns.2015.08.001

  36. Bush G, Luu P, Posner MI. Cognitive and emotional influencesin anterior cingulate cortex. Trends Cogn Sci 2000; 4 (6):215-22. https://doi.org/10.1016/s1364-6613(00)01483-2

  37. Gaál ZA, Boha R, Stam CJ, Molnár M. Age-dependent featuresof EEG-reactivity-spectral, complexity, and networkcharacteristics. Neurosci Lett 2010; 479 (2): 79-84. https://doi.org/10.1016/j.neulet.2010.05.037

  38. Martinussen R, Hayden J, Hogg-Johnson S, Tannock R. Ameta-analysis of working memory impairments in childrenwith attention-deficit/hyperactivity disorder. J Am AcadChild Adolesc Psychiatry 2005; 44 (4):377-84. https://doi.org/10.1097/01.chi.0000153228.72591.73

  39. Cheng CH, Chan PS, Hsieh YW, Chen KF. A meta-analysisof mismatch negativity in children with attention deficithyperactivitydisorders. Neurosci Lett 2016; 612: 1327.https://doi.org/10.1016/j.neulet.2015.11.033

  40. Perone S, Nasman JT, Whitaker HJ, Cline KMC. Variations inTheta/Beta ratio and cognitive performance in adults withADHD symptoms. Brain Sci 2023; 13 (6): 831. https://doi.org/10.3390/brainsci13060831

  41. Rucklidge JJ. Gender differences in attention-deficit/hyperactivity disorder. Psychiatr Clin North Am 2010; 33(2): 357-73. https://doi.org/10.1016/j.psc.2010.01.006

  42. Mahone EM, Denckla MB. Attention-deficit/hyperactivitydisorder in girls. Curr Psychiatry Rep 2017; 19 (12): 109.https://doi.org/10.1007/s11920-017-0850-5

  43. Ji H, Kim J, Lee S, et al. Quantitative EEG characteristicsof attention-deficit/hyperactivity disorder subtypesin children: a cluster analysis. Clin PsychopharmacolNeurosci 2022; 20 (2): 268-78. https://doi.org/10.9758/cpn.2022.20.2.268

  44. Wiebe A, Selaskowski B, Paskin M, et al. Virtual realityassistedprediction of adult ADHD based on eye tracking,EEG, actigraphy and behavioral indices: a machine learninganalysis of independent training and test samples. TranslPsychiatry 2024; 14 (1): 508. https://doi.org/10.1038/s41398-024-03217-y




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Med Int Mex. 2025;41