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Cited by 137Attention Deficit Hyperactivity DisorderChild and Adolescent Psychosocial and Emotional DevelopmentPsychopathy, Forensic Psychiatry, Sexual Offending

The dominance of behavioural activation over behavioural inhibition in conduct disordered boys with or without attention deficit hyperactivity disorder

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Matthys, Walter, van Goozen, Stephanie H. M., de Vries, Han, Cohen-Kettenis, Peggy T., van Engeland, Herman·1998·Journal of Child Psychology and Psychiatry
DOI 10.1017/s0021963098002534
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Abstract

On the basis of Gray's theory, Quay suggested that conduct disorder (CD) is associated with a Behavioural Activation System (BAS) that dominates over the Behavioural Inhibition System (BIS), whereas attention deficit hyperactivity disorder (ADHD) is characterised by an underactive BIS. Two studies were conducted to test the hypothesis that the dominance of the BAS over the BIS is more pronounced in CD comorbid with ADHD (CD/ADHD) than in CD alone. First of all, a response perseveration task was used, i.e. the door-opening task (Daugherty & Quay, 1991). In this game, the subject chooses either to open the next door or to stop playing; there is a steadily increasing ratio of punished responses to rewarded responses and a large number of doors opened is indicative of response perseveration. As expected, a steady increase in the number of doors opened was found across normal control (NC) boys, CD boys, and CD/ADHD boys (NC < CD < CD/ADHD). Second, the dominance of the BAS over the BIS was examined by observing the social behaviour of the child in interaction with a research assistant who alternately activated the BAS and the BIS while a game was played. The behaviour of the children was analysed according to ethological methods. Group differences in the frequencies of three out of five behavioural categories were in line with the results of the door-opening task (NC < CD < CD/ADHD).

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  • In two of three DOT studies, children with ADHD and comorbid ODD/CD played the task longer and ran more risks than NCs (Cohen's d = 0.97 and 1.32).

    “Two out of the three studies reported that children with ADHD and comorbid ODD/CD played the task longer and therefore ran more risks than the NCs [35], [53] (Cohen’s d respectively = 0.97 and 1.32).”

    From Risky behavior in gambling tasks in individuals with ADHD–a systematic literature review (2013) · cites this paper as [53]

  • Group differences between ADHD participants and NCs were present in 5/10 (50%) of studies with positive findings in which participants discontinued MPH 8 to 48 hours before the experiment.

    “Group differences between ADHD participants and NCs were present in studies in which participants discontinued medication treatment with MPH 8 to 48 hours before the experiment [40], [49], [53], [58], [67] (5/10 = 50% of studies with positive findings; reference 67 refers to study 1)”

    From Risky behavior in gambling tasks in individuals with ADHD–a systematic literature review (2013) · cites this paper as [53]

  • Ten additional studies could not be considered in the discussion of ADHD subtypes because no information was provided about participants' ADHD subtypes.

    “The findings of ten additional studies could not be taken into consideration in this discussion, since no information was provided about the participants’ subtypes of ADHD”

    From Risky behavior in gambling tasks in individuals with ADHD–a systematic literature review (2013) · cites this paper as [53]

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Authors
Matthys, W., van Goozen, S. H. M., de Vries, H., Cohen-Kettenis, P. T., & van Engeland, H.
Affiliations
Utrecht University (NL)
ORCID
Matthys, Walter
Venue
Journal of Child Psychology and Psychiatry
Publisher
Wiley
Published
1998-07
Volume
39
Issue
5
Pages
643-651
ISSN
0021-9630 (ISSN-L)
DOI
10.1017/s0021963098002534
OpenAlex
W2028449287
Cited by
136
References
34
Citations by year
2026: 2 · 2025: 5 · 2024: 2 · 2023: 2 · 2022: 2 · 2021: 4 · 2020: 3 · 2019: 5 · 2018: 1 · 2017: 4 · 2016: 9 · 2015: 8 · 2014: 7 · 2013: 5 · 2012: 5
FWCI
1.82
Type
journal article
Language
en
Open access
Licence
doi.wiley.com/10.1002/tdm_license_1 (tdm, 6271 d)
Locations
  • Journal of Child Psychology and Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
  • Amsterdam UMC (VU Amsterdam) - Institutional Repository (publishedVersion)
  • Utrecht University Repository (Utrecht University) (submittedVersion, other-oa)
  • Pure Amsterdam UMC (submittedVersion)
  • Data Archiving and Networked Services (DANS) (submittedVersion)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
  • Social Sciences › Psychology › Clinical Psychology › Psychopathy, Forensic Psychiatry, Sexual Offending
Keywords
conduct disorder, attention deficit hyperactivity disorder, comorbidities, behavioural activation system, behavioral inhibition system, response perseveration, social behavior, boys, ethological observation
MeSH terms
Antisocial Personality Disorder, Arousal, Attention, Attention Deficit Disorder with Hyperactivity, Child, Humans, Impulsive Behavior, Inhibition, Psychological, Internal-External Control, Male, Motor Activity, Personality Assessment, Psychometrics, Social Behavior, Comorbidity, Attention Deficit and Disruptive Behavior Disorders

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