Jm. Halperin et al., PLASMA-CATECHOLAMINE METABOLITE LEVELS IN ADHD BOYS WITH AND WITHOUT READING DISABILITIES, Journal of clinical child psychology, 22(2), 1993, pp. 219-225
Examined plasma catecholamine metabolite levels in 24 boys with attent
ion-deficit hyperactivity disorder (ADHD) who were divided into suhgro
ups based on the presence or absence of reading disabilities. The read
ing-disabled ADHD group had a significantly (p < .01) higher level of
plasma 3-methoxy-4-hydroxyphenyl-glycol (MHPG), the metabolite of nore
pinephrine, but the groups did not differ on the dopamine metabolite h
omovanillic acid (HVA). Furthermore, MHPG levels were correlated with
measures of reading and spelling ability such that high MHPG was assoc
iated with poor academic achievement. These findings suggest that a fr
uitful approach to understanding the neural substrates of ADHD may be
to focus on homogeneous subgroups defined according to individual symp
tom dimensions.