Evidence map›Paper›PMID 41257668›Full record

SynthesisBMC psychiatry2025

Brain-behavior relationships in task-based fMRI assessments of executive functions in children and adolescents with and without ADHD: a systematic review and ALE meta-analysis.

Hui Zhang, Xiao Liang, Chun Liang Hsu, Raffy C F Chan, Yushan Feng, Yeuk Kei Yeung, Duo Li, Peng Wang, David H K Shum

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Reading Disabilities With and Without Co-Occurring ADHD: No Evidence for Additive Impact on Reading Skills.Scientific studies of reading : the official journal of the Society for the Scientific Study of Reading · 2026
    Article
  2. Review
  3. Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Hui ZhangDepartment of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong SAR, China.
Xiao LiangDepartment of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong SAR, China. xliang@eduhk.hk.
Chun Liang HsuDepartment of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong SAR, China.
Raffy C F ChanDepartment of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong SAR, China.
Yushan FengDepartment of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong SAR, China.
Yeuk Kei YeungDepartment of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong SAR, China.
Duo LiDepartment of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong SAR, China.
Peng WangCenter for Lifestyle Medicine, Fuwai Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
David H K ShumDepartment of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong SAR, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAttention-deficit/hyperactivity disorder (ADHD) is a common neurodevelopmental disorder affecting about 5% of children and adolescents worldwide. ADHD symptoms often reflect impairments in executive functions (EFs). Functional magnetic resonance imaging (fMRI), particularly task-based fMRI (tb-fMRI), has been crucial in studying the neural mechanisms behind ADHD and its EF deficits. However, few studies have examined differences in brain activation and behavioral outcomes between children with and without ADHD using tb-fMRI, or the correlation between brain activation and behavior.

methodsThis meta-analysis aimed to summarize evidence using activation likelihood estimation (ALE) analysis to identify differences in EFs and brain activation during tb-fMRI between children with and without ADHD. We retrieved published studies from PsychINFO, CINAHL Ultimate, Embase, MEDLINE, PubMed and Web of Science from inception through April 2024.

resultsFollowing systematic review guidelines, 32 studies using tb-fMRI to compare children with and without ADHD during EF tasks were included in the ALE analysis. Children with ADHD showed significant differences in inhibitory control and working memory compared to controls. They exhibited reduced activation during EF tasks in areas such as the bilateral inferior frontal gyrus, supramarginal gyrus, inferior parietal gyrus, angular gyrus, caudate, occipital gyrus, and cerebellum. Correlation analyses revealed positive associations between brain activation and inhibitory control in the inferior frontal gyrus and anterior cingulate cortex in the ADHD group, suggesting a link between increased neural activity and better EF performance.

conclusionThe results of this study enhance our understanding of ADHDs pathophysiology and suggest potential pathways for developing interventions and therapies.

Indexed as

Attention Deficit Disorder with HyperactivityBrainExecutive FunctionMagnetic Resonance ImagingAdolescentChildHumansLikelihood FunctionsMemory, Short-TermADHDALE meta-analysisChildren and adolescentsExecutive functionsTask-based fMRI

Identifiers

PMID41257668
PMCPMC12751750

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.