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Drummond, S. P. A.

Publications and source records attributed to Drummond, S. P. A..

3 recordsLinked to original sources

Diminished Stimulus-Evoked Activity During Sustained Attention Without Behavioural Cost in ADHD

Attention-Deficit/Hyperactivity Disorder (ADHD) is often accompanied by attentional challenges, sleep difficulties and increased reports of daytime sleepiness, indicating potential links between attention and arousal mechanisms. Electroencephalographic (EEG) studies have shown that sleep-like wake slow wave (SW) activity during wakefulness, characterised by reduced cortical activity, corresponds with periods of inattention in both ADHD and neurotypical populations. However, it remains unclear whether group differences in waking SWs are consistent across different types of sustained attention tasks or may be context-dependent. The present study compared sustained attention performance and wake SW activity between adults with and without ADHD during a continuous visual target detection task. EEG data were collected while adults with (n = 52) and without ADHD (n = 49) completed a sustained attention paradigm. The task presented a continuous stream of rotating (anti-clockwise or clockwise) black-and-white checkerboard stimuli, and participants were required to detect infrequent targets that were marginally longer in duration than non-targets. Behavioural and neural measures (power spectra, steady-state visually evoked potentials (SSVEP), event-related potentials and SW density during wake) were analysed. No significant group differences were observed for task performance and wake SW activity. However, electrophysiological analyses revealed the ADHD group showed reduced P300, elevated beta-band power, and lower SSVEPs to target stimuli compared with the neurotypical group. These neural differences in the context of comparable performance suggest compensatory cortical recruitment in ADHD. The absence of SW differences further supports this, suggesting comparable performance and maintained arousal may reflect successful neural compensation in ADHD in this cognitive task. Significance StatementIndividuals with ADHD commonly experience attention differences, but emerging evidence suggests these difficulties may depend on task context. Using clinical diagnostic interviews, medication washout, and Bayesian statistics, we found strong evidence for comparable performance between ADHD and neurotypical adults on a sustained attention task. Notably, slow wave activity during wakefulness did not differ between groups, consistent with maintained arousal. Nevertheless, differences in brain activity, including altered target processing, increased cortical activation and reduced visual entrainment, suggested compensatory neural recruitment in ADHD. This context-dependent pattern has important theoretical and clinical implications: identifying task features that challenge or support performance in ADHD can reveal how individuals compensate neurally, and guide interventions that leverage task features to support attention in ADHD.

neuroscience↗

Beta spectral power during sleep is associated with impaired recall of extinguished fear

The failure to retain memory for extinguished fear plays a major role in the maintenance of post-traumatic stress disorder (PTSD), with successful extinction recall necessary for symptom reduction. Disturbed sleep, a hallmark symptom of PTSD, impairs fear extinction recall. However, our understanding of the electrophysiological mechanisms underpinning sleeps role in extinction retention remain underdetermined. We examined the relationship between the microarchitecture of sleep and extinction recall in healthy humans (n=46, both male and females included) and a pilot study in individuals with PTSD (n=12). Participants underwent a fear conditioning and extinction protocol over two days, with sleep recording occurring between conditioning and extinction. Twenty-four hours after extinction learning, participants underwent extinction recall. Power spectral density (PSD) was computed for pre- and post-extinction learning sleep. Increased beta band PSD ([~]17-26Hz) during pre-extinction learning sleep was associated with worse extinction recall in healthy participants (r=.41, p=.004). Beta PSD was highly stable across three nights of sleep (intraclass correlations (ICC)>0.92). Individuals with PTSD were found to have increased beta PSD compared to healthy controls (ps < .039), and beta PSD correlated with extinction recall in the PTSD group at a similar magnitude to controls (r=.39). Results suggest beta band PSD is elevated in PTSD, and is specifically implicated in difficulties recalling extinguished fear. Significance statementDisturbed sleep is a hallmark feature of posttraumatic stress disorder (PTSD). Certain neural oscillations that occur during sleep have been shown to be altered in PTSD. These include increased 15-30Hz beta oscillations, which are believed to index cortical hyperarousal. Alongside sleep disturbances, patients also show difficulty in recalling extinguished fear. Although prior studies have linked sleep with extinction retention, no studies have investigated the role that neural oscillations during sleep play in this process. Here, we show in both healthy participants and PTSD patients, that increased beta oscillatory power during sleep is associated with impaired extinction retention. Therefore, this study provides new evidence that electrophysiological changes in the sleep EEG of PTSD patients is also implicated in extinction recall processes.

neuroscience↗

Sleeping While Awake: The Intrusion of Neural Activity Associated with Sleep Onset in the Awake Human Brain

Sleep can intrude into the awake human brain when sleep deprived or fatigued, even while performing cognitive tasks. However, how the brain activity associated with sleep onset can co-exist with the activity associated with cognition in the awake humans remains unexplored. Here, we used simultaneous fMRI and EEG to generate fMRI activity maps associated with EEG theta (4-7 Hz) activity associated with sleep onset. We implemented a method to track these fMRI activity maps in individuals performing a cognitive task after well-rested and sleep-deprived nights. We found frequent intrusions of the fMRI maps associated with sleep-onset in the task-related fMRI data. These sleep events elicited a pattern of transient fMRI activity, which was spatially distinct from the task-related activity in the frontal and parietal areas of the brain. They were concomitant with reduced arousal as indicated by decreased pupil size and increased response time. Graph theoretical modelling showed that the activity associated with sleep onset emerges from the basal forebrain and spreads anterior-posteriorly via the brains structural connectome. We replicated the key findings in an independent dataset, which suggests that the approach can be reliably used in understanding the neuro-behavioural consequences of sleep and circadian disturbances in humans.

neuroscience↗