Electrophysiological correlates of reinforcement learning in young people with Tourette syndrome with and without co-occurring ADHD symptoms

Altered reinforcement learning is implicated in the causes of Tourette syndrome (TS) and attention-deficit/hyperactivity disorder (ADHD). TS and ADHD frequently co-occur but how this affects reinforcement learning has not been investigated. We examined the ability of young people with TS (n = 18), T...

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Main Authors: Shephard, Elizabeth, Jackson, Georgina M., Groom, Madeleine J.
Format: Article
Published: Elsevier 2016
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Online Access:https://eprints.nottingham.ac.uk/32883/
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author Shephard, Elizabeth
Jackson, Georgina M.
Groom, Madeleine J.
author_facet Shephard, Elizabeth
Jackson, Georgina M.
Groom, Madeleine J.
author_sort Shephard, Elizabeth
building Nottingham Research Data Repository
collection Online Access
description Altered reinforcement learning is implicated in the causes of Tourette syndrome (TS) and attention-deficit/hyperactivity disorder (ADHD). TS and ADHD frequently co-occur but how this affects reinforcement learning has not been investigated. We examined the ability of young people with TS (n = 18), TS+ADHD (N = 17), ADHD (n = 13) and typically developing controls (n = 20) to learn and reverse stimulus-response (S-R) associations based on positive and negative reinforcement feedback. We used a 2 (TS-yes, TS-no) x 2 (ADHD-yes, ADHD-no) factorial design to assess the effects of TS, ADHD, and their interaction on behavioural (accuracy, RT) and event-related potential (stimulus-locked P3, feedback-locked P2, feedback-related negativity, FRN) indices of learning and reversing the S-R associations. TS was associated with intact learning and reversal performance and largely typical ERP amplitudes. ADHD was associated with lower accuracy during S-R learning and impaired reversal learning (significantly reduced accuracy and a trend for smaller P3 amplitude). The results indicate that co-occurring ADHD symptoms impair reversal learning in TS+ADHD. The implications of these findings for behavioural tic therapies are discussed.
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spelling nottingham-328832020-05-04T17:48:56Z https://eprints.nottingham.ac.uk/32883/ Electrophysiological correlates of reinforcement learning in young people with Tourette syndrome with and without co-occurring ADHD symptoms Shephard, Elizabeth Jackson, Georgina M. Groom, Madeleine J. Altered reinforcement learning is implicated in the causes of Tourette syndrome (TS) and attention-deficit/hyperactivity disorder (ADHD). TS and ADHD frequently co-occur but how this affects reinforcement learning has not been investigated. We examined the ability of young people with TS (n = 18), TS+ADHD (N = 17), ADHD (n = 13) and typically developing controls (n = 20) to learn and reverse stimulus-response (S-R) associations based on positive and negative reinforcement feedback. We used a 2 (TS-yes, TS-no) x 2 (ADHD-yes, ADHD-no) factorial design to assess the effects of TS, ADHD, and their interaction on behavioural (accuracy, RT) and event-related potential (stimulus-locked P3, feedback-locked P2, feedback-related negativity, FRN) indices of learning and reversing the S-R associations. TS was associated with intact learning and reversal performance and largely typical ERP amplitudes. ADHD was associated with lower accuracy during S-R learning and impaired reversal learning (significantly reduced accuracy and a trend for smaller P3 amplitude). The results indicate that co-occurring ADHD symptoms impair reversal learning in TS+ADHD. The implications of these findings for behavioural tic therapies are discussed. Elsevier 2016-06-01 Article PeerReviewed Shephard, Elizabeth, Jackson, Georgina M. and Groom, Madeleine J. (2016) Electrophysiological correlates of reinforcement learning in young people with Tourette syndrome with and without co-occurring ADHD symptoms. International Journal of Developmental Neuroscience, 51 . pp. 17-27. ISSN 1873-474X Tourette syndrome; ADHD; Reinforcement learning; Comorditity; Event-related potentials; Electrophysiology http://www.sciencedirect.com/science/article/pii/S0736574816301009 doi:10.1016/j.ijdevneu.2016.04.005 doi:10.1016/j.ijdevneu.2016.04.005
spellingShingle Tourette syndrome; ADHD; Reinforcement learning; Comorditity; Event-related potentials; Electrophysiology
Shephard, Elizabeth
Jackson, Georgina M.
Groom, Madeleine J.
Electrophysiological correlates of reinforcement learning in young people with Tourette syndrome with and without co-occurring ADHD symptoms
title Electrophysiological correlates of reinforcement learning in young people with Tourette syndrome with and without co-occurring ADHD symptoms
title_full Electrophysiological correlates of reinforcement learning in young people with Tourette syndrome with and without co-occurring ADHD symptoms
title_fullStr Electrophysiological correlates of reinforcement learning in young people with Tourette syndrome with and without co-occurring ADHD symptoms
title_full_unstemmed Electrophysiological correlates of reinforcement learning in young people with Tourette syndrome with and without co-occurring ADHD symptoms
title_short Electrophysiological correlates of reinforcement learning in young people with Tourette syndrome with and without co-occurring ADHD symptoms
title_sort electrophysiological correlates of reinforcement learning in young people with tourette syndrome with and without co-occurring adhd symptoms
topic Tourette syndrome; ADHD; Reinforcement learning; Comorditity; Event-related potentials; Electrophysiology
url https://eprints.nottingham.ac.uk/32883/
https://eprints.nottingham.ac.uk/32883/
https://eprints.nottingham.ac.uk/32883/