Who may be eligible
- Ages
- 18 Years to 60 Years
- Sex
- All
- Healthy volunteers accepted
- Yes
ClinicalTrials.gov lists the following eligibility criteria.
Inclusion criteria common to all groups:
* Subject (male or female) aged 18 to 60 years old
* Subject affiliated to a social protection health insurance scheme
* Subject capable of understanding the objectives and risks of the research and of providing dated and signed informed consent
* Subject having been informed of the results of the prior medical examination
* For a woman of childbearing age: negative blood pregnancy test and effective contraception throughout the study (intrauterine device, sterilization, estro-progestogen or progestogen per os, injectable or in the form of an implant or ring) and refusal to perform a pregnancy test before each MRI)
Inclusion criteria for Group A: ADHD patients without associated mood disorder (ADHD-P)
* Diagnosis of ADHD according to DSM-5 (in particular criterion B: presence of symptoms before the age of 12 years) NB: the diagnosis was not necessarily made at this age.
* Subject with or without methylphenidate treatment
Inclusion criteria for Group B: Patients with attention deficit disorder due to/accentuated by mood disorders (ADHD-MD)
* Association of ADHD symptoms with attentional disorders according to the combination of the following criteria :
* Diagnosis of Recurrent Depressive Disorder or Bipolar Disorder according to DSM-5
* Currently euthymic, i.e. a QIDS-16SC depression score \< 6 and a YRMS mania score \< 6, and clinically stabilized for at least 6 weeks prior to inclusion (stable and off-acute treatment). NB: for ISQ item 10 (concentration/decision making, score decision making only)
* DSM-5 Adult ADHD Criteria A (at least 5 symptoms of inattention and/or hyperactivity/impulsivity)
* Absence of Criterion D during childhood, adolescence and before mood disorders (i.e., no significant impact with reduced quality of social, academic or occupational functioning)
* Presence of Criterion D at present (symptoms have a significant impact with a reduction in the quality of social, academic or professional functioning)
* Subject with or without approved mood disorder treatment: Mood stabilizers (lithium, valproate, lamotrigine); antidepressants (SSRIs, IRSNa ≤60mg/j of venlafaxine and ≤60mg/j of duloxetine); benzodiazepines in stable doses for more than a month.
* Subject with or without methylphenidate treatment
Inclusion criteria for Group C: healthy subjects control
\- Subject with no psychiatric or neurological history
Exclusion criteria common to all groups
* Subjects with contraindication to methylphenidate :
* hypersensitivity to the active substance,
* glaucoma,
* pheochromocytoma,
* treatment with other indirect sympathomimetics or alpha sympathomimetics (oral and/or nasal routes), irreversible MAOIs
* Hyperthyroidism or thyrotoxicosis,
* Pre-existing cardiovascular disorders including severe hypertension, heart failure, occlusive arterial disease, angina pectoris, congenital heart disease with hemodynamic impact, cardiomyopathy, myocardial infarction, arrhythmias and potentially life-threatening ductopathies (disorders caused by ion channel dysfunction),
* Pre-existing cerebrovascular disorders, brain aneurysms, vascular abnormalities including vasculitis or stroke,
* wheat allergy (other than celiac disease)
* Diagnosis or history of severe depression, anorexia nervosa or anorexic disorder, suicidal tendencies, psychotic symptoms, severe mood disorders, mania, schizophrenia, psychopathic or borderline personality disorder.
* Diagnosis or history of episodic and severe (type 1) (and poorly controlled) bipolar (affective) disorder.
* Subjectis with contraindication to performing an MRI: presence of non-removable ferromagnetic body, prosthesis, pacemaker, medication delivered by an implanted pump, vascular clip or stent, heart valve or ventricular shunt
* History that may affect brain anatomy or be related to an abnormality (neonatal suffering, neurosurgical operation, comitiality, stroke, head injury with unconsciousness of more than 15 minutes and mental retardation)
* History that may affect brain function (general anaesthesia or ECT within 3 months prior to inclusion)
* Substance Use Disorder as per DSM-5 criteria (except tobacco)
* Pregnant women or, in women of childbearing age and ability (non-sterile), lack of effective contraception
* Breastfeeding women
* Severe or unstable somatic pathology.
* Subject deprived of liberty, or in care under restraint
* Subject under safeguard of justice
* Incompetent subject (subject to a legal protection measure: curatorship, guardianship, future protection mandate, family habilitation)
* Impossibility to give informed information about the subject (subject in an emergency situation, difficulties in understanding the subject, ...)
* Subject in exclusion period defined by another protocol in progress
Exclusion criteria for Group A: ADHD patients without associated mood disorder (ADHD-P)
* Current Mood Disorder
* History of bipolar disorder in a first-degree relative
* Taking unauthorized psychotropic drugs: all antidepressants, antipsychotics, sedative antihistamines, regular hypnotics, benzodiazepines in unstable doses.
Exclusion criteria for Group B: Patients with attention deficit disorder due to/accentuated by mood disorders (ADHD-MD)
* Acute phase of mood disorder defined by scores a depression score in the QIDS-16SC ≥ 6 and a mania score in the YRMS ≥ 6. NB: for ISQ item 10 (concentration/decision making, score decision making only).
* Use of unauthorized psychotropic drugs including antipsychotics, sedative antihistamines, high-dose IRSNa (\>150mg/d venlafaxine and \>60mg/d duloxetine), MAOIs, tricyclic antidepressants, benzodiazepines in unstable doses.