Investigation of autonomic nervous system functions by pupillometry in children with Attention-Deficit/Hyperactivity disorder
Open accessAbstract
Objective: Attention deficit hyperactivity disorder (ADHD) is one of the most frequently seen neurodevelopmental disorders among school-aged children. Although the main cause of ADHD is unknown, combinations of genetic, biological and psychosocial factors are thought to play a part in the etiology of ADHD. This study aims to compare the autonomic nervous system functions of 6–11 year-old males diagnosed with ADHD against healthy controls by measuring pupil diameters.Methods: Thirty-two males with ADHD and 24 healthy controls participated in this study. Any other psychiatric disorders except oppositional defiant disorder (ODD) were excluded from this study. The autonomic nervous system functions of participants were evaluated by measuring pupil diameter changes in photopic and mesopic conditions.Results: There were no statistically significant difference on photopic and mesopic pupil diameters between the ADHD and healthy control groups. Moreover, the ADHD subgroup with ODD did not differ from the ADHD subgroup without ODD with respect to the same parameters.Conclusion: In conclusion, these findings suggest that males with ADHD show no differences in pupil diameters compared to typically developing children. This might indicate no difference in autonomic nervous system functions measured by pupillometry. However, it is recommended that the results of our study need to be confirmed by more detailed studies.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In Kara et al. (2013), ADHD = CTRL on pupil diameter during resting-state.
“ADHD = CTRL”
From Is autonomic nervous system function atypical in Attention Deficit Hyperactivity Disorder (ADHD)? A systematic review of the evidence (2020) · cites this paper as Kara et al., 2013
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
KAUFMAN, J., BIRMAHER, B., BRENT, D., RAO, U., FLYNN, C., MORECI, P., WILLIAMSON, D., & RYAN, N. (1997) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199707000-00021 · Cited by 10,148 · see citing works
Berridge, C. W., & Waterhouse, B. D. (2003) · Brain Research Reviews · doi:10.1016/s0165-0173(03)00143-7 · Cited by 2,529 · see citing works
Attention-deficit hyperactivity disorder
Biederman, J., & Faraone, S. V. (2005) · The Lancet · doi:10.1016/s0140-6736(05)66915-2 · Cited by 1,463 · see citing works
Heart Rate Level and Antisocial Behavior in Children and Adolescents: A Meta-Analysis
ORTIZ, J., & Raine, A. (2004) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-200402000-00010 · Cited by 479 · see citing works
van Goozen, S. H. M., Matthys, W., Cohen‐Kettenis, P. T., Wied, C. G.-D., Wiegant, V. M., & van Engeland, H. (1998) · Biological Psychiatry · doi:10.1016/s0006-3223(97)00253-9 · Cited by 304 · see citing works
Beauchaine, T. P., Katkin, E. S., Strassberg, Z., & Snarr, J. (2001) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.110.4.610 · Cited by 288 · see citing works
Beauchaine, T. P., Katkin, E. S., Strassberg, Z., & Snarr, J. (2001) · Journal of Abnormal Psychology · doi:10.1037//0021-843x.110.4.610 · Cited by 287 · see citing works
Autonomic reactivity and psychopathology in middle childhood
Boyce, W. T., Quas, J., Alkon, A., Smider, N. A., Essex, M. J., Kupfer, D. J., & MacArthur Assessment Battery Working Group of the MacArthur Foundation Research Network on Psychopathology and Development (2001) · British Journal of Psychiatry · doi:10.1192/bjp.179.2.144 · Cited by 274 · see citing works
ELECTRODERMAL CORRELATES OF HYPERACTIVITY IN CHILDREN
Satterfield, J. H., & Dawson, M. E. (1971) · Psychophysiology · doi:10.1111/j.1469-8986.1971.tb00450.x · Cited by 272 · see citing works
Anxiety, antisocial behavior, and heart rate regulation in adolescent males
Mezzacappa, E., Tremblay, R. E., Kindlon, D., Saul, J. P., Arseneault, L., Seguin, J., Pihl, R. O., & Earls, F. (1997) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.1997.tb01531.x · Cited by 223 · see citing works
Crowell, S. E., Beauchaine, T. P., Gatzke-Kopp, L., Sylvers, P., Mead, H., & Chipman-Chacon, J. (2006) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.115.1.174 · Cited by 221 · see citing works
The Pupillary Response in Cognitive Psychophysiology and Schizophreniaa
Steinhauer, S. R., & Hakerem, G. (1992) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.1992.tb22845.x · Cited by 206 · see citing works
Physiological Studies of the Hyperkinetic Child: I
Satterfield, J. H., Cantwell, D. P., Lesser, L. I., & Podosin, R. L. (1972) · American Journal of Psychiatry · doi:10.1176/ajp.128.11.1418 · Cited by 184 · see citing works
Simultaneous EEG and EDA measures in adolescent attention deficit hyperactivity disorder
Lazzaro, I., Gordon, E., Li, W., Lim, C. L., Plahn, M., Whitmont, S., Clarke, S., Barry, R. J., Dosen, A., & Meares, R. (1999) · International Journal of Psychophysiology · doi:10.1016/s0167-8760(99)00068-9 · Cited by 159 · see citing works
Psychophysiological response of ADHD children to reward and extinction
IABONI, F., DOUGLAS, V. I., & DITTO, B. (1997) · Psychophysiology · doi:10.1111/j.1469-8986.1997.tb02422.x · Cited by 146 · see citing works
Fotiou, F., Fountoulakis, K. Ν., Goulas, A., Alexopoulos, L. G., & Palikaras, A. (2000) · Clinical Physiology · doi:10.1046/j.1365-2281.2000.00259.x · Cited by 132 · see citing works
HERPERTZ, S. C., WENNING, B., MUELLER, B., QUNAIBI, M., SASS, H., & HERPERTZ-DAHLMANN, B. (2001) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-200110000-00017 · Cited by 126 · see citing works
Pupil evaluation as a test for autonomic disorders
Bremner, F. (2009) · Clinical Autonomic Research · doi:10.1007/s10286-009-0515-2 · Cited by 116 · see citing works
Sex differences in adult ADHD: a double dissociation in brain activity and autonomic arousal
Hermens, D. F., Williams, L. M., Lazzaro, I., Whitmont, S., Melkonian, D. S., & Gordon, E. (2004) · Biological Psychology · doi:10.1016/j.biopsycho.2003.10.006 · Cited by 100 · see citing works
Rogeness, G., Cepeda, C., Macedo, C., Fisher, C., & Harris, W. R. (1990) · Psychiatry Research · doi:10.1016/0165-1781(90)90074-f · Cited by 98 · see citing works
Identification of neural projections from the forebrain to the kidney, using the virus pseudorabies
Sly, D. J., Colvill, L., McKinley, M. J., & Oldfield, B. J. (1999) · Journal of the Autonomic Nervous System · doi:10.1016/s0165-1838(99)00031-4 · Cited by 97 · see citing works
Attention, autonomic arousal, and personality in behaviorally disordered children
Raine, A., & Jones, F. A. (1987) · Research on Child and Adolescent Psychopathology · doi:10.1007/bf00917243 · Cited by 88 · see citing works
Autonomic activity in boys with disruptive behavior disorders
Zahn, T. P., & Kruesi, M. J. P. (1993) · Psychophysiology · doi:10.1111/j.1469-8986.1993.tb02086.x · Cited by 86 · see citing works
Attenuation of the pupillary light reflex in anxious patients.
Bakes, A., Bradshaw, C. M., & Szabadi, E. (1990) · British Journal of Clinical Pharmacology · doi:10.1111/j.1365-2125.1990.tb03787.x · Cited by 85 · see citing works
Physiology, assessment, and disorders of the pupil
Kawasaki, A. (1999) · Current Opinion in Ophthalmology · doi:10.1097/00055735-199912000-00005 · Cited by 80 · see citing works
Autonomic responses in boys with externalizing disorders
Herpertz, S. C., Mueller, B., Wenning, B., Qunaibi, M., Lichterfeld, C., & Herpertz-Dahlmann, B. (2003) · Journal of Neural Transmission · doi:10.1007/s00702-003-0026-6 · Cited by 76 · see citing works
Tonhajzerová, I., Ondrejka, I., Adamík, P., Hrubý, R., Javorka, M., Trunkvalterova, Z., Mokrá, D., & Javorka, K. (2009) · PubMed · Cited by 59 · see citing works
Infrared pupillometry in the assessment of autonomic function
Piha, S. J., & Halonen, J.-P. (1994) · Diabetes Research and Clinical Practice · doi:10.1016/0168-8227(94)90140-6 · Cited by 57 · see citing works
Psychophysiological anomalies in children with emotional and conduct disorders
Garralda, M. E., Connell, J., & Taylor, D. C. (1991) · Psychological Medicine · doi:10.1017/s0033291700029937 · Cited by 49 · see citing works
Donaghue, K. C., Pena, M. M., Fung, A. T. W., Bonney, M., Howard, N. J., Silink, M., & Schwingshandl, J. (1995) · Diabetic Medicine · doi:10.1111/j.1464-5491.1995.tb00388.x · Cited by 39 · see citing works
Pupillary and heart rate reactivity in children with minimal brain dysfunction
Zahn, T. P., Little, B. C., & Wender, P. H. (1978) · Research on Child and Adolescent Psychopathology · doi:10.1007/bf00915789 · Cited by 35 · see citing works
Shibagaki, M., Yamanaka, T., & Furuya, T. (1993) · Perceptual and Motor Skills · doi:10.2466/pms.1993.77.1.331 · Cited by 33 · see citing works
Delamater, A. M., Lahey, B. B., & Drake, L. (1981) · Research on Child and Adolescent Psychopathology · doi:10.1007/bf00917858 · Cited by 30 · see citing works
Cholinergic sensitivity predicts severity of mania
Sokolski, K. N., & DeMet, E. M. (2000) · Psychiatry Research · doi:10.1016/s0165-1781(00)00182-7 · Cited by 26 · see citing works
Pupillometric assessment of autonomic nervous system in children with functional enuresis
Dündaröz, R., Türkbay, T., Erdem, Ü., Cöngöloğlu, M. A., Sakallıoğlu, O., & Taşçılar, E. (2008) · International Urology and Nephrology · doi:10.1007/s11255-008-9481-1 · Cited by 16 · see citing works
Human pupillary light reflex during and after two-fold Valsalva maneuver
Gavriysky, V. (1995) · Journal of the Autonomic Nervous System · doi:10.1016/0165-1838(95)00017-r · Cited by 14 · see citing works
Matsuyama (1997) · doi:10.1002/(sici)1096-9861(19971229)389:4
Flagged first, then by citations
Research works printed but not linked: 4
- American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders DSM-IV-TR Fourth Edition (Text Revision) (Çev. ed.: E. Köroğlu). Ankara: Hekimler Yayın Birliği; 2000. (Turkish)
- Piha SJ, Halonen JP. Infrared pupillometry in the assessment of autonomic function. Diabetes Res Clin Pract 1994; 26(1):61-6.
- Fotiou F, Fountoulakis KN, Goulas A, Alexopoulos L, Palikaras A. Automated standardized pupillometry with optical method for purposes of clinical practice and research. Clin Physiol 2000; 20(5):336-47.
- Marson L. Identification of central nervous system neurons that innervate the bladder body, bladder base, or external urethral sphincter of female rats: a transneuronal tracing study using pseudorabies virus. J Comp Neurol 1997; 389(4):584-602.
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
Wangwiwattana, C., Ding, X., & Larson, E. C. (2018) · Proceedings of the ACM on Interactive, Mobile, Wearable and Ubiquitous Technologies · doi:10.1145/3161164 · Cited by 26 · see citing works
Sekaninova, N., Mestanik, M., Mestanikova, A., Hamrakova, A., & Tonhajzerová, I. (2019) · Physiological Research · doi:10.33549/physiolres.934160 · Cited by 23 · see citing works
Kouhbanani, S. S., Zarenezhad, S., & Arabi, S. M. (2022) · Current Psychology · doi:10.1007/s12144-022-03216-6 · Cited by 14 · see citing works
Redondo, B., Molina, R., Vera, J., Muñoz‐Hoyos, A., Barrett, B. T., & Jiménez, R. (2020) · Graefe s Archive for Clinical and Experimental Ophthalmology · doi:10.1007/s00417-020-04645-4 · Cited by 12 · see citing works
Redondo, B., Vera, J., Molina, R., García, J. A. G., Catena, A., Muñoz‐Hoyos, A., & Jiménez, R. (2020) · Vision Research · doi:10.1016/j.visres.2020.06.005 · Cited by 11 · see citing works
López‐Hernández, A. E., Miquel‐López, C., García‐Medina, J. J., & García‐Ayuso, D. (2024) · Acta Ophthalmologica · doi:10.1111/aos.16657 · Cited by 10 · see citing works
Aslan, M. G., Uzun, F., Fındık, H., Kaçar, M., Okutucu, M., & Hocaoğlu, Ç. (2020) · Graefe s Archive for Clinical and Experimental Ophthalmology · doi:10.1007/s00417-020-04658-z · Cited by 10 · see citing works
Hamrakova, A., Ondrejka, I., Sekaninova, N., Olexova, L. B., Višňovcová, Z., Cesnekova, D., Hrtánek, I., Oppa, M., Hutka, P., & Tonhajzerová, I. (2021) · Physiological Research · doi:10.33549/physiolres.934589 · Cited by 11 · see citing works
Pupillary Light Reflex in Children with ADHD
Hamrakova, A., Ondrejka, I., Sekaninova, N., Peregrim, L., & Tonhajzerová, I. (2019) · Acta Medica Martiniana · doi:10.2478/acm-2019-0004 · Cited by 4 · see citing works
Dikkat Eksikliği Hiperaktivite Bozukluğu İle Otonom Sinir Sisteminin İlişkisi: Bir Güncelleme
Kılınç, K., Çetin, F. H., Uçar, H. N., & Türkoğlu, S. (2022) · Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry · doi:10.18863/pgy.982643 · Cited by 2 · see citing works
Jostrup, E., Claesdotter‐Knutsson, E., Tallberg, P., Söderlund, G. B. W., Gustafsson, P., & Nyström, M. (2025) · Brain Disorders · doi:10.1016/j.dscb.2025.100289 · Cited by 1 · see citing works
Chromatic pupillometry findings in attention deficit hyperactivity disorder: Sex differences
Duque–Chica, G. L., Durán‐Cristiano, S. C., León, A., Nagy, B. V., Szakali, B., Correa‐Osorio, L. F., Cardona‐Silgado, J. C., & Ventura, D. F. (2025) · Ophthalmic and Physiological Optics · doi:10.1111/opo.70028 · Cited by 2 · see citing works
Pupillary Functions and Wavefront Aberrations in Childhood Obesity
İlhan, A., Yolcu, Ü., Altun, S., & Erdem, Ü. (2021) · Kafkas Journal of Medical Sciences · doi:10.5505/kjms.2021.76094
- Authors
- Kara, K., Karaman, D., Erdem, U., Congologlu, M. A., Durukan, I., & Ilhan, A.
- Affiliations
- Gulhane Military Academy, School of Medicine Department of Child and Adolescent Psychiatry, Ankara - Turkey
- Gulhane Military Academy, School of Medicine Department of Ophthalmology, Ankara - Turkey
- Corresponding author
- Kara, Koray
- Venue
- Klinik Psikofarmakoloji Bülteni-Bulletin of Clinical Psychopharmacology
- Publisher
- Informa UK Limited
- Published
- 2013-03
- Volume
- 23
- Issue
- 1
- Pages
- 49-56
- ISSN
- 1017-7833 (ISSN-L)
- 1302-9657
- OpenAlex
- W2113756683
- Cited by
- 14
- References
- 36
- Citations by year
- 2025: 2 · 2024: 1 · 2022: 2 · 2021: 2 · 2020: 3 · 2019: 3 · 2018: 1
- FWCI
- 0.00
- Type
- journal article
- Language
- en
- Open access
- Licence
- cc-by-nc
- Locations
- Klinik Psikofarmakoloji Bülteni-Bulletin of Clinical Psychopharmacology (publishedVersion)
- Psychiatry and Clinical Psychopharmacology (publishedVersion, cc-by-nc)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
- Keywords
- attention deficit hyperactivity disorder, autonomic nervous system, pupillometry, pupil size, oppositional defiant disorder, children, neurodevelopmental disorders
About these checks
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.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review