Attention-deficit hyperactivity disorder and cardiac vagal control: a systematic review

Rash, Joshua A.; Aguirre-Camacho, Aldo

doi:10.1007/s12402-012-0087-1

Cited by 72Attention Deficit Hyperactivity DisorderHeart Rate Variability and Autonomic ControlAutism Spectrum Disorder Research

Attention-deficit hyperactivity disorder and cardiac vagal control: a systematic review

Rash, Joshua A., Aguirre-Camacho, Aldo·2012·ADHD Attention Deficit and Hyperactivity Disorders

DOI 10.1007/s12402-012-0087-1

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Abstract

Attention-deficit hyperactivity disorder (ADHD) is characterized by behavioural disinhibition, deficient emotional self-regulation, inattention, and hyperactivity. The constellation of deficits found in children with ADHD implicates autonomic dysregulation characterized by deficient control of the heart by parasympathetic influences. While it is generally assumed that autonomic regulation of the heart is impaired during ADHD, the information pertaining to this dysregulation is limited. A systematic review of three databases was conducted between January and March 2012 for peer reviewed publications examining the relationship between cardiac vagal control (CVC) and ADHD without comorbid psychopathology. 19 articles were reviewed with only 6 meeting inclusion criteria. Findings were not unanimous but suggested that children with unmedicated ADHD experienced lower levels of CVC than did healthy controls. It was difficult to evaluate whether children with ADHD exhibited a different pattern of withdrawal and application of CVC than did normal controls. Findings suggested CVC reactivity depended on the task employed but children with ADHD experienced dampened CVC reactivity during tasks that involved self-regulation and emotion regulation. Finally, medication acted to correct the autonomic imbalance experienced by children with ADHD but did not bring this imbalance into normal levels. Given that so few studies were identified, no firm conclusions can be made, and there is a clear need for additional research in this area. Recommendations for future research are discussed.

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Altered circadian function may manifest in alterations of autonomic function relevant for ADHD.
“Both of these studies indicate that altered circadian function may manifest in alterations of autonomic function relevant for ADHD (Buijs et al. 2016; Rash et al. 2012).”
From A systematic review of circadian function, chronotype and chronotherapy in attention deficit hyperactivity disorder (2017) · cites this paper as Rash et al. 2012

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Authors: Rash, J. A., & Aguirre-Camacho, A.
Affiliations: University of Calgary (CA)
Corresponding author: Rash, Joshua A.
ORCID: Rash, Joshua A.
Venue: ADHD Attention Deficit and Hyperactivity Disorders
Publisher: Springer Science and Business Media LLC
Published: 2012-07-07
Volume: 4
Issue: 4
Pages: 167-177
ISSN: 1866-6116 (ISSN-L)
1866-6647
DOI: 10.1007/s12402-012-0087-1
OpenAlex: W2080718231
Cited by: 72
References: 86
Citations by year: 2026: 1 · 2025: 4 · 2024: 2 · 2023: 3 · 2022: 3 · 2021: 7 · 2020: 5 · 2019: 10 · 2018: 5 · 2017: 12 · 2016: 5 · 2015: 5 · 2014: 7 · 2013: 3
FWCI: 0.65
Type: journal article
Language: en
Open access: closed
Licence: www.springer.com/tdm (tdm)
Locations: ADHD Attention Deficit and Hyperactivity Disorders (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
Keywords: attention deficit hyperactivity disorder, cardiac vagal control, parasympathetic nervous system, autonomic dysfunction, heart rate variability, emotion regulation, self-regulation, ADHD medication, children
MeSH terms: Central Nervous System Stimulants, Attention Deficit Disorder with Hyperactivity, Emotions, Heart, Humans, Methylphenidate, Social Control, Informal, Vagus Nerve, Vagus Nerve Diseases

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Attention-deficit hyperactivity disorder and cardiac vagal control: a systematic review

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