Infrequent, but not frequent, reinforcers produce more variable responding and deficient sustained attention in young children with attention‐deficit/hyperactivity disorder (ADHD)
Abstract
BACKGROUND: The underlying behavioral/psychological processes of attention-deficit/hyperactivity disorder are unclear. Motivational factors, related to dopamine dysfunction, may play an important role in the development of the behavioral symptoms. Particularly, infrequent, but not frequent, reinforcers have been suggested to be associated with altered responding and deviant behavior in children with ADHD. The present study was designed to analyze the influence of reinforcement frequency on operationalized measures of hyperactivity, impulsiveness, sustained attention, and response variability. METHODS: Fifty-six boys, half of whom were diagnosed with ADHD, completed a computerized task presented as a game with two squares on the screen. One square was associated with reinforcement. The task required responses by the computer mouse under contingencies alternating between variable interval schedules of short (mean 2 s) and long (mean 20 s) durations. Reinforcers were cartoon pictures and small trinkets. RESULTS: Overall, there was no difference between children with ADHD and comparison children when reinforcers were given frequently. Statistically significant differences on measures of sustained attention and variability, but not hyperactivity and impulsiveness, were found during infrequent reinforcement only. Age effects interacted with group effects on sustained attention, showing that group differences were found in the young children only. Surprisingly, older comparison children showed increased response variability and no learning. CONCLUSIONS: When reinforcers are infrequent, children with ADHD show deficient sustained attention and increased variability in responding. Computer experience may have interfered with measures of hyperactivity and impulsiveness. The unexpectedly poor performance of the older comparison children may have been due to inefficient reinforcers or to verbally governed behavior overruling reinforcer effects. Reinforcer characteristics and experimental procedures are important factors influencing findings in studies investigating motivational factors. The study provides some support for the dynamic developmental theory of ADHD predicting relationships between neurobiological deficits, altered reinforcement mechanisms, and treatment recommendations.
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ADHD children are differentially affected by slow event rates or sparse schedules of reinforcement.
“and are differentially affected by slow event rates/sparse schedules of reinforcement (Wiersema et al, 2006;Aase and Sagvolden, 2006).”
From Context-dependent Dynamic Processes in Attention Deficit/Hyperactivity Disorder: Differentiating Common and Unique Effects of State Regulation Deficits and Delay Aversion (2010) · cites this paper as Aase and Sagvolden, 2006
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Takagi, S., Hori, H., Yamaguchi, T., Ochi, S., Nishida, M., Maruo, T., & Takahashi, H. (2022) · Neuropsychiatric Disease and Treatment · doi:10.2147/ndt.s369845 · Cited by 13 · see citing works
Gibbs, K., Carrington, S. B., & Mercer, K. L. (2020) · International Journal of Disability Development and Education · doi:10.1080/1034912x.2020.1840529 · Cited by 9 · see citing works
Brown, R. W., & Peterson, D. J. (2015) · Current topics in behavioral neurosciences · doi:10.1007/7854_2015_394 · Cited by 8 · see citing works
Research Advances in ADHD and Technology
Cibrian, F. L., Hayes, G. R., & Lakes, K. D. (2020) · Synthesis lectures on assistive, rehabilitative, and health-preserving technologies · doi:10.2200/s01061ed1v01y202011arh015 · Cited by 8 · see citing works
Lauth-Lebens, M., & Lauth, G. W. (2020) · Lernen und Lernstörungen · doi:10.1024/2235-0977/a000284 · Cited by 7 · see citing works
Delay aversion in school-aged children with attention-deficit hyperactivity disorder
Mphahlele, R. M., Pillay, B. J., & Meyer, A. (2020) · South African Journal of Psychology · doi:10.1177/0081246320964350 · Cited by 7 · see citing works
Özerk, M., Handorff, J. A., & Özerk, K. Z. (2011) · lnternational Electronic Journal of Elementary Education · Cited by 7 · see citing works
Treating Social Skills Deficits in AD/HD: Behavioural Contributions and Future Challenges
Løkke, G. E. H. (2011) · European Journal of Behavior Analysis · doi:10.1080/15021149.2011.11434356 · Cited by 6 · see citing works
Furukawa, E., Alsop, B., Caparelli-Dáquer, E. M., Casella, E. B., da Costa, R. Q. M., Queiroz, P. D. M., Galvão, P. A., Benevides, L. R. D. S., Jucá-Vasconcelos, H. P., & Tripp, G. (2018) · ADHD Attention Deficit and Hyperactivity Disorders · doi:10.1007/s12402-018-0265-x · Cited by 6 · see citing works
Jensen, P. S. (2007) · Yearbook of Psychiatry and Applied Mental Health · doi:10.1016/s0084-3970(08)70316-5 · Cited by 5 · see citing works
Development of a Cognitive-Behavioral Treatment for Adult ADHD
Solanto, M. V., Marks, D. J., & Wasserstein, J. (2011) · The ADHD Report · doi:10.1521/adhd.2011.19.1.7 · Cited by 4 · see citing works
Stimulus Control and Generalization of Operant Variability in the Block Play of Children with Autism
Miller, N. D. (2012) · OhioLink ETD Center (Ohio Library and Information Network) · Cited by 4 · see citing works
Slezak, J. M., & Katz, J. L. (2013) · Experimental and Clinical Psychopharmacology · doi:10.1037/a0033726 · Cited by 3 · see citing works
Psychosocial treatment of ADHD in adults
Solanto, M. V. (2014) · Cambridge University Press eBooks · doi:10.1017/cbo9781139035491.024 · Cited by 2 · see citing works
Word of the Day Improves and Redirects Student Attention While Supporting Vocabulary Development
Vesely, P., & Gryder, N. (2009) · Intervention in School and Clinic · doi:10.1177/1053451208330901 · Cited by 1 · see citing works
McEachen, B. T. G. (2011) · Otago University Research Archive (University of Otago) · Cited by 1 · see citing works
Kulfan, M. R. (2013) · OhioLink ETD Center (Ohio Library and Information Network)
Behavioral, neurocognitive and treatment overlap between attention-deficit/hyperactivity
Skirrow, C., McLoughlin, G., Kuntsi, J., & Asherson, P. J. (2009)
Breivik, A. E. R. (2007) · NORA - Norwegian Open Research Archives
Meeuwsen, M. (2015) · ORCA Online Research @Cardiff (Cardiff University)
The Dual Pathway Hypothesis of ADHD: Retrospect and Prospect
Sonuga-Barke, E. J. S. (2007) · Medical psychiatry · doi:10.3109/9781420017144.011
Identification of Differential Predictors of ADHD Subtypes Using Laboratory Procedures
Grip, D. R. (2014) · Research Exchange (Washington State University)
Halsey, P. A. (2010) · JMU Scholoraly Commons (James Madison University)
Examining the effects of d-amphetamine on discounting in spontaneously hypertensive rats (SHR)
Peterson, D. J. (2013) · JMU Scholoraly Commons (James Madison University)
Mellado, R. (2026) · Research Square · doi:10.21203/rs.3.rs-9431030/v1
Neylon, D. M. (2009) · University of Limerick Institutional Repository (University of Limerick) · doi:10.34961/9323
- Authors
- Aase, H., & Sagvolden, T.
- Affiliations
- University of Oslo (NO)
- Corresponding author
- Aase, Heidi
- ORCID
- Aase, Heidi
- Venue
- Journal of Child Psychology and Psychiatry
- Publisher
- Wiley
- Published
- 2005-06-09
- Volume
- 47
- Issue
- 5
- Pages
- 457-471
- ISSN
- 0021-9630 (ISSN-L)
- 1469-7610
- OpenAlex
- W2098883395
- Cited by
- 92
- References
- 49
- Citations by year
- 2026: 2 · 2022: 2 · 2021: 4 · 2020: 5 · 2018: 6 · 2017: 2 · 2016: 2 · 2015: 5 · 2014: 5 · 2013: 6 · 2012: 4
- FWCI
- 3.21
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Child Psychology and Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Keywords
- attention deficit hyperactivity disorder, reinforcement frequency, sustained attention, response variability, hyperactivity, impulsivity, dopaminergic dysfunction, motivational factors, computerized task, age differences, young children
- MeSH terms
- Age Factors, Analysis of Variance, Attention, Attention Deficit Disorder with Hyperactivity, Child, Child Behavior, Humans, Impulsive Behavior, Male, Motivation, Psychomotor Performance, Reference Values, Reinforcement, Psychology, Task Performance and Analysis, Time Factors
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