Specificity of reward sensitivity and parasympathetic-based regulation among children with Attention-Deficit/Hyperactivity and disruptive behavior disorders
Open accessAbstract
Attention-deficit/hyperactivity disorder (ADHD) is associated with disruptionsin reward sensitivity and regulatory processes. However, it is unclear whether thesedisruptions are better explained by comorbid disruptive behavior disorder (DBD)symptomology. This study sought to examine this question using multiple levels ofanalysis (i.e., behavior, autonomic reactivity). One hundred seventeen children (aged 6 to 12 years; 72.6% male; 69 with ADHD) completed theBalloon-Analogue Risk Task (BART) to assess external reward sensitivity behaviorally.Sympathetic-based internal reward sensitivity and parasympathetic-based regulationwere indexed via cardiac pre-ejection period (PEP) and respiratory sinus arrhythmia(RSA), respectively. Children with ADHD exhibited reduced internal reward sensitivity (i.e.,lengthened PEP; F(1,112)=4.01, p=0.047) compared to healthy controls and werecharacterized by greater parasympathetic-based dysregulation (i.e., reduced RSAaugmentation F(1,112)=10.12, p=0.002). However, follow-up analyses indicated theADHD effect was better accounted for by comorbid DBD diagnoses; that is, childrenwith ADHD and comorbid ODD were characterized by reduced internal rewardsensitivity (i.e., lengthened PEP; t=2.47, p=0.046) and by parasympathetic-baseddysregulation (i.e., reduced RSA augmentation; t=3.51, p=0.002) in response to rewardwhen compared to typically developing youth. Furthermore, children with ADHD and comorbid CD exhibited greater behaviorally-based external reward sensitivity (i.e.,more total pops; F(3,110)= 5.96, p=0.001) compared to children with ADHD only (t=3.87, p=0.001) and children with ADHD and ODD (t=3.56, p=0.003). Results suggest that disruptions in sensitivity to reward may be betteraccounted for, in part, by comorbid DBD.Key Words: attention-deficit/hyperactivity disorder, autonomic nervous system,disruptive behavior disorders, reward sensitivityPowered.
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Tenenbaum et al. (2018) found that increased reward sensitivity, lengthening of PEP and reduced RSA withdrawal were explained by comorbid CD and ODD symptoms, and not by hyperactivity or inattention, in a sample of children with ADHD.
“Tenenbaum et al. (2018) similarly focused on ADHD and CD/ODD, and found that increased reward sensitivity (measured using the Balloon Analogue Risk-Taking Task), lengthening of PEP and reduced RSA withdrawal were explained by comorbid CD and ODD symptoms, and not by hyperactivity or inattention, in a sample of children with ADHD.”
From Is autonomic nervous system function atypical in Attention Deficit Hyperactivity Disorder (ADHD)? A systematic review of the evidence (2020) · cites this paper as Tenenbaum et al., 2018
The Results (Follow-up Continuous Analyses; page not available) associate greater CD symptoms with increased behavioral reward sensitivity and greater ODD symptoms with PEP lengthening; neither inattention nor hyperactivity/impulsivity showed a significant association with these measures. The same section associates ODD symptoms with reduced RSA augmentation, not reduced RSA withdrawal as claimed, and distinguishes the CD finding from the ODD findings. (LLM, conf=0.88)
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El‐Sheikh, M., Arsiwalla, D. D., Hinnant, J. B., & Erath, S. A. (2011) · Physiology & Behavior · doi:10.1016/j.physbeh.2011.02.004 · Cited by 51 · see citing works
Luman, M., van Noesel, S. J. P., Papanikolau, A., Van Oostenbruggen-Scheffer, J., Veugelers, D., Sergeant, J. A., & Oosterlaan, J. (2009) · Journal of Abnormal Child Psychology · doi:10.1007/s10802-009-9334-0 · Cited by 51 · see citing works
Evidence for deficits in reward responsivity in antisocial youth with callous-unemotional traits.
Marini, V. A., & Stickle, T. R. (2010) · Personality Disorders Theory Research and Treatment · doi:10.1037/a0017675 · Cited by 47 · see citing works
Neural Reactivity to Angry Faces Predicts Treatment Response in Pediatric Anxiety
Bunford, N., Kujawa, A., Fitzgerald, K. D., Swain, J. E., Hanna, G. L., Koschmann, E., Simpson, D., Connolly, S. D., Monk, C. S., & Phan, K. L. (2016) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-016-0168-2 · Cited by 46 · see citing works
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Childhood methylphenidate treatment of ADHD and response to affective stimuli
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Flagged first, then by citations
Research works printed but not linked: 1
- Nigg JT Barkley RA 2014 Attention-deficit/hyperactivity disorder Mash E Barkley RA Child and Adolescent Psychopathology 4th New York Guilford Press
Cited by
Sorted by citations
Bellato, A., Arora, I., Hollis, C., & Groom, M. J. (2020) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2019.11.001 · Cited by 172 · see citing works
Working memory and short-term memory deficits in ADHD: A bifactor modeling approach
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“A uthor M anuscript A uthor M anuscript A uthor M anuscript A uthor M anuscript and colleagues reported that pediatric ADHD may be associated with a strength in motor speed (Raiker et al., 2017) and intact reward sensitivity (Tenenbaum et al., 2018).”
Backgroundvan der Oord, S., & Tripp, G. (2020) · Clinical Child and Family Psychology Review · doi:10.1007/s10567-020-00327-z · Cited by 91 · see citing works
Fanti, K. A., Eisenbarth, H., Goble, P., Demetriou, C., Kyranides, M. N., Goodwin, D., Zhang, J., Bobak, B., & Cortese, S. (2019) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2019.02.016 · Cited by 69 · see citing works
Robe, A., Dobrean, A., Cristea, I. A., Păsărelu, C. R., & Predescu, E. (2019) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2019.01.022 · Cited by 54 · see citing works
Fosco, W. D., Kofler, M. J., Alderson, R. M., Tarle, S. J., Raiker, J. S., & Sarver, D. E. (2019) · Journal of Abnormal Child Psychology · doi:10.1007/s10802-018-0504-9 · Cited by 42 · see citing works
Self-citationParent emotion expression and autonomic-linked emotion dysregulation in childhood ADHD
Musser, E. D., Lugo, Y., Ward, A. R., Tenenbaum, R. B., Morris, S., Brijmohan, N., & Martinez, J. (2018) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/s10862-018-9685-3 · Cited by 15 · see citing works
Self-citation
- Authors
- Tenenbaum, R. B., Musser, E. D., Raiker, J. S., Coles, E. K., Gnagy, E. M., & Pelham, W. E.
- Affiliations
- Florida International University (US)
- Corresponding author
- Musser, Erica D.
- Venue
- Journal of Abnormal Child Psychology
- Published
- 2017-09-06
- Volume
- 46
- Issue
- 5
- Pages
- 965-977
- ISSN
- 0091-0627 (ISSN-L)
- 1573-2835
- PMC
- PMC5839917
- OpenAlex
- W2753222798
- Cited by
- 44
- References
- 98
- Citations by year
- 2026: 3 · 2025: 8 · 2024: 2 · 2023: 3 · 2022: 5 · 2021: 7 · 2020: 5 · 2019: 7 · 2018: 4
- FWCI
- 29.53
- Type
- book chapter
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Research on Child and Adolescent Psychopathology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (1R03MH110812-01, 1R01MH099030)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
- Keywords
- attention deficit hyperactivity disorder, disruptive behavior disorders, reward sensitivity, parasympathetic modulation, autonomic nervous system, respiratory sinus arrhythmia, comorbidities, oppositional defiant disorder, conduct disorder, children, Balloon Analogue Risk Task
- MeSH terms
- Attention Deficit Disorder with Hyperactivity, Child, Female, Humans, Male, Parasympathetic Nervous System, Reward, Comorbidity, Attention Deficit and Disruptive Behavior Disorders, Respiratory Sinus Arrhythmia
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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