Biology subjects

Pinggal, E.

Publications and source records attributed to Pinggal, E..

3 recordsLinked to original sources

bioRxiv2026

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↗

bioRxiv2025

Sleep-like Slow Waves During Wakefulness Mediate Attention and Vigilance Difficulties in Adult Attention-Deficit/Hyperactivity Disorder

BackgroundAttention-Deficit/Hyperactivity Disorder (ADHD) is characterised by behavioural variability and heightened inattention associated with increased mind wandering (MW) and mind blanking (MB). Individuals with ADHD frequently experience sleep disorders and excessive daytime sleepiness, suggesting interactions between attention and arousal systems. Research examining brain activity using electroencephalography (EEG) has demonstrated that sleep-like slow waves (SW) during wakefulness are linked to inattention in neurotypical individuals, particularly following sleep deprivation, yet their role in ADHD remains unclear. This study investigated whether individuals with ADHD present with altered waking SW distribution compared to neurotypical controls and whether SW explain attentional difficulties in ADHD. MethodsAdults with (n = 32) and without ADHD (n = 31) completed a sustained attention task while EEG recorded brain activity. Mental state probes (on-task, MW, MB) were embedded within the task. Sleep-like SW reflect a slowing of cortical activity and was detected from EEG activity. Omission/commission errors, reaction time (RT), RT variability, mental state reports and subjective sleepiness were analysed. Mediation analysis examined whether SW density explained ADHD-related performance differences. ResultsIndividuals with ADHD exhibited more commission errors, MW and MB, and higher SW density (SW/min), particularly over parieto-temporal electrodes. Increased SW density correlated with higher omission errors, slower RTs, greater RT variability, and elevated sleepiness ratings. On-task reports were negatively correlated with SW density. Mediation analysis revealed that SW density significantly accounted for ADHD-related attentional difficulties. ConclusionsWake SW may explain attentional difficulties in ADHD, providing a potential mechanistic link between sleep disturbances and attentional fluctuations.

neuroscience↗

bioRxiv2022

Pharmacological manipulations of physiological arousal and sleep-like slow waves modulate sustained attention

Sustained attention describes our ability to keep a constant focus on a given task. This ability is modulated by our physiological state of arousal. Although lapses of sustained attention have been linked with dysregulations of arousal, the underlying physiological mechanisms remain unclear. An emerging body of work proposes that the intrusion during wakefulness of sleep-like slow waves, a marker of the transition toward sleep, could mechanistically account for attentional lapses. This study aimed to expose, via pharmacological manipulations of the monoamine system, the relationship between the occurrence of sleep-like slow waves and the behavioural consequences of sustained attention failures. In a double-blind, randomised-control trial, 32 healthy human male participants received methylphenidate, atomoxetine, citalopram or placebo during four separate experimental sessions. During each session, electroencephalography (EEG) was used to measure neural activity whilst participants completed a visual task requiring sustained attention. Methylphenidate, which increases wake-promoting dopamine and noradrenaline across cortical and subcortical areas, improved behavioural performance whereas atomoxetine, which increases dopamine and noradrenaline predominantly over frontal cortices, led to more impulsive responses. Additionally, citalopram, which increases sleep-promoting serotonin, led to more missed trials. Based on EEG recording, citalopram was also associated with an increase in sleep-like slow waves. Importantly, compared to a classical marker of arousal such as alpha power, only slow waves differentially predicted both misses and faster responses in a region-specific fashion. These results suggest that a decrease in arousal can lead to local sleep intrusions during wakefulness which could be mechanistically linked to impulsivity and sluggishness. Significance StatementWe investigated whether the modulation of attention and arousal could not only share the same neuromodulatory pathways but also rely on similar neuronal mechanisms; for example, the intrusion of sleep-like activity within wakefulness. To do so, we pharmacologically manipulated noradrenaline, dopamine, and serotonin in a four-arm, randomised, placebo-controlled trial and examined the consequences on behavioural and EEG indices of attention and arousal. We showed that sleep-like slow waves can predict opposite behavioural signatures: impulsivity and sluggishness. Slow waves may be a candidate mechanism for the occurrence of attentional lapses since the relationship between slow-wave occurrence and performance is region-specific and the consequences of these local sleep intrusions are in line with the cognitive functions carried by the underlying brain regions.

neuroscience↗