Top

Journal of Psychopathology and Behavioral Assessment

Gepubliceerd in:

18-01-2018

Physiological Emotion Regulation in Children with ADHD with and without Comorbid Internalizing Disorders: a Preliminary Study

Auteurs: Kirsten D. Leaberry, Paul J. Rosen, Nicholas D. Fogleman, Danielle M. Walerius, Kelly E. Slaughter

Gepubliceerd in: Journal of Psychopathology and Behavioral Assessment | Uitgave 3/2018

Abstract

Children with Attention-Deficit/Hyperactivity Disorder (ADHD) experience deficits in emotion regulation that can be measured physiologically under environmental stress conditions by examining respiratory sinus arrhythmia (RSA), a marker of parasympathetic nervous system (PNS) withdrawal. The current pilot study examined the impact of comorbid internalizing disorders and comorbid Oppositional Defiant Disorder (ODD) on emotion regulation in children with ADHD by measuring RSA as an indicator of dysregulated emotional reactivity. Twenty-four 7–10 year old children with ADHD participated in the current study. Children completed a 5-min resting attending baseline while electrocardiogram data (ECG) were recorded to examine baseline RSA. Children then completed a stress inducing, blocked goal, Card Sorting Task to measure RSA reactivity to stress. Results revealed a significant effect of internalizing disorder status on RSA difference score, F (1, 18) = 5.83, p = .03, η² = .25. Children in the comorbid internalizing disorder group had a significantly greater decrease in RSA from the baseline time period to the card sorting task. There was no significant effect of ODD diagnostic status on RSA difference score, p > .05. The results of this preliminary study suggest that among children with ADHD, the presence of a comorbid internalizing disorder predicts greater withdrawal of the PNS. These findings represent an important step in understanding autonomic functioning of children with ADHD and comorbid disorders.

vorige artikel Social Problems in ADHD: Is it a Skills Acquisition or Performance Problem?

volgende artikel Associations Between Lower Order Facets of Personality and Dimensions of Mental Disorder

Albano, A. M., & Kendall, P. C. (2002). Cognitive behavioural therapy for children and adolescents with anxiety disorders: Clinical research advances. International Review of Psychiatry, 14, 129–134. https://doi.org/10.1080/0954026022013264.CrossRef

American Academy of Pediatrics. (2011). ADHD: Clinical practice guideline for the diagnosis, evaluation, and treatment of attention-deficit/hyperactivity disorder in children and adolescents. Pediatrics, 128, 1–16. https://doi.org/10.1542/peds.2011-2654.CrossRef

American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders: DSM-IV-TR. Washington, DC: American Psychiatric Association.

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: American Psychiatric Association.CrossRef

Anastopoulos, A. D., Smith, T. F., Garrett, M. E., Morrissey-Kane, E., Schatz, N. K., Sommer, J. L.,... Ashley-Koch, A. (2011). Self regulation of emotion, functional impairment, and comorbidity among children with ADHD. Journal of Attention Disorders, 15, 583–592. https://doi.org/10.1177/1087054710370567.

Barkley, R. A. (1997). Behavioral inhibition, sustained attention, and executive functions: Constructing a unifying theory of ADHD. Psychological Bulletin, 121, 65–94. https://doi.org/10.1037/0033-2909.121.1.65.CrossRefPubMed

Barkley, R. A. (Ed.). (2015). Attention-deficit hyperactivity disorder: A handbook for diagnosis and treatment. New York: The Guilford Press.

Barkley, R., DuPaul, G. J., & McMurray, M. B. (1990). Comprehensive evaluation of attention deficit disorder with and without hyperactivity as defined by research criteria. Journal of Consulting and Clinical Psychology, 58, 775–789.CrossRefPubMed

Beauchaine, T. P. (2012). Physiological markers of emotional and behavioral dysregulation in externalizing psychopathology. Monographs of the Society for Research in Child Development, 77, 79–86. https://doi.org/10.1111/j.1540-5834.2011.00665.x.CrossRefPubMedPubMedCentral

Beauchaine, T. P., Katkin, E., Strassberg, Z., & Snarr, J. (2001). Disinhibitory psychopathology in male adolescents.pdf. Journal of Abnormal Psychology, 110, 610–624.CrossRefPubMed

Beauchaine, T. P., Gatzke-Kopp, L., & Mead, H. K. (2007). Polyvagal theory and developmental psychopathology: Emotion dysregulation and conduct problems from preschool to adolescence. Biological Psychology, 74, 174–184.CrossRefPubMed

Berntson, G. G., Lozano, D. L., Chen, Y., & Cacioppo, J. T. (2004). Where to Q in PEP. Psychophysiology, 41, 333–337. https://doi.org/10.1111/j.1469-8986.2004.00156.x.

Berntson, G. G., Bigger, J. T., Eckberg, D. L., Grossman, P., Kaufmann, P. G., Malik, M.,...Van der Molen, M. W. (1997). Heart rate variability: Origins, methods, and interpretive caveats. Psychophysiology, 34, 623–648. https://doi.org/10.1111/j.1469-8986.1997.tb02140.x.

Biederman, J., Spencer, T. J., Petty, C., Hyder, L. L., O'Connor, K. B., Surman, C. B., & Faraone, S. V. (2012). Longitudinal course of deficient emotional self-regulation CBCL profile in youth with ADHD: Prospective controlled study. Neuropsychiatric Disease and Treatment, 8, 267–276. https://doi.org/10.2147/NDT.S29670.

Boyce, W. T., Quas, J., Alkon, A., Smider, N., Essex, M. J., & Kupjer, D. J. (2001). Autonomic reactivity and psychopathlogy in middle childhood. British Journal of Psychiatry, 179, 144–150. https://doi.org/10.1192/bjp.179.2.144.CrossRefPubMed

Calkins, S. D., Graziano, P. A., & Keane, S. P. (2007). Cardiac vagal regulation differentiates among children at risk for behavioral problems. Biological Psychology, 74, 144–153. https://doi.org/10.1016/j.biopsycho.2006.09.005.

Conners, C. K., Sitarenios, G., Parker, J. D. A., & Epstein, J. N. (1998). The revised Conners rating scale parent (CPRS-R): Factor structure, reliability, and criterion validity. Journal of Abnormal Child Psychology, 26, 257–268.CrossRefPubMed

Crowell, S. E., Beauchaine, T. P., Gatske-Kopp, L., Sylvers, P., Mead, H., & Chipman-Chacon, J. (2006). Autonomic correlates of attention-deficit/hyperactivity disorder and oppositional defiant disorder in preschool children. Journal of Abnormal Psychology, 115, 174–178. https://doi.org/10.1037/0021-843X.115.1.174.CrossRefPubMed

Elia, J., Ambrosini, P., & Berrettini, W. (2008). ADHD characteristics: Concurrent comorbidity patterns in children and adolescents. Child and Adolescent Psychiatry and Mental Health, 2, 1–9. https://doi.org/10.1186/1753-2000-2-15.CrossRef

El-Sheikh, M., Hinnant, J. B., & Erath, S. (2011). Developmental trajectories of delinquency symptoms in childhood: The role of marital conflict and autonomic nervous system activity. Journal of Abnormal Psychology, 120, 16–32. https://doi.org/10.1037/a0020626.CrossRefPubMedPubMedCentral

Factor, P. I., Reyes, R. A., & Rosen, P. J. (2014). Emotional impulsivity in children with ADHD associated with comorbid-not ADHD-symptomatology. Journal of Psychopathology and Behavioral Assessment, 36, 530–541. https://doi.org/10.1007/s10862-014-9428-z.CrossRef

Gentzler, A. L., Santucci, A. K., & Fox, N. A. (2009). Respiratory sinus arrhythmia predicts emotion regulation and depressive symptoms in at-risk and control children. Biological Psychology, 82, 156–163. https://doi.org/10.1016/j.biopsycho.2009.07.002.

Gross, J. J. (1998). The emerging field of emotion regulation: An integrative review. Review of General Psychology, 2, 271–299. https://doi.org/10.1037/1089-2680.2.3.271.

Gross, J. J., & Levenson, R. W. (1993). Emotional suppression: Physiology, self-report, and expressive behavior. Journal of Personality and Social Psychology, 64, 970–986. https://doi.org/10.1037/0022-3514.64.6.970.CrossRefPubMed

Gruber, J., Oveis, C., Keltner, D., & Johnson, S. (2011). A discrete emotions approach to positive emotion disturbance in depression. Cognition and Emotion, 25, 40–52. https://doi.org/10.1080/02699931003615984.CrossRefPubMed

Hannesdottir, D. K., & Ollendick, T. H. (2007). The role of emotion regulation in the treatment of child anxiety disorders. Clinical Child and Family Psychology Review, 10, 275–293. https://doi.org/10.1007/s10567-007-0024-6.CrossRefPubMed

Herpertz, S. C., Wenning, B., Mueller, B., Qunaibi, M., Sass, H., & Herpertz-Dahlmann, M. (2001). Psychophysiological responses in ADHD boys with and without conduct disorder: Implications for adult antisocial behavior. Journal of the American Academy of Child & Adolescent Psychiatry, 40, 1220–1230.CrossRef

Hinnant, J. B., & El-Sheikh, M. (2009). Children’s externalizing and internalizing symptoms over time: The role of individual differences in patterns of RSA responding. Journal of Abnormal Child Psychology, 37, 1049–1061. https://doi.org/10.1007/s10802-009-9341-1.CrossRefPubMed

Keenan, K. (2000). Emotion dysregulation as a risk factor for child psychopathology. Clinical Psychology: Science and Practice, 7, 418–434. https://doi.org/10.1093/clipsy.7.4.418.

Kopp, C. B. (1989). Regulation of distress and negative emotions: A developmental view. Developmental Psychology, 25, 343–354.CrossRef

van Lang, D. J. N., Tulen, J. H. M., Kallen, V. L., Rosbergen, B., Dieleman, G., & Ferdinand, R. F. (2007) Autonomic reactivity in clinically referred children attention-deficit/hyperactivity disorder versus anxiety disorder. European Child & Adolescent Psychiatry, 16, 71–78. https://doi.org/10.1007/s00787-006-0575-y.

Larson, K., Russ, S. A., Kahn, R. S., & Halfon, N. (2011). Patterns of comorbidity, functioning, and service use in US children with ADHD, 2007. Pediatrics, 127, 462–470. https://doi.org/10.1542/peds.2010-0165.CrossRefPubMedPubMedCentral

Martel, M. M., & Nigg, J. T. (2006). Child ADHD and personality/temperament traits of reactive and effortful control, resiliency, and emotionality. Journal of Child Psychology and Psychiatry and Allied Disciplines, 47, 1175–1183. https://doi.org/10.1111/j.1469-7610.2006.01629.x.CrossRef

Maughan, B., Rowe, R., Messer, J., Goodman, R., & Meltzer, H. (2004). Conduct disorder and oppositional defiant disorder in a national sample: Developmental epidemiology. Journal of Child Psychology and Psychiatry, 45, 609–621. https://doi.org/10.1111/j.1469-7610.2004.00250.x.

Mauss, I. B., Bunge, S. A., & Gross, J. J. (2007). Automatic emotion regulation. Social and Personality Psychology Compass, 1, 1–22. https://doi.org/10.1111/j.1751-9004.2007.00005.x.

Musser, E. D., Backs, R. W., Schmitt, C. F., Ablow, J. C., Measelle, J. R., & Nigg, J. (2011). Emotion regulation via the autonomic nervous system in children with attention- deficit/hyperactivity disorder (ADHD). Journal of Abnormal Child Psychology, 39, 841–852. https://doi.org/10.1007/s10802-011-9499-1.CrossRefPubMedPubMedCentral

Newman, J., & Wallace, J. (1993). Diverse pathways to deficient self-regulation: Implications for disinhibitory psychopathology in children. Clinical Psychology Review, 13, 699–720.CrossRef

Nigg, J. T. (2001). Is ADHD a disinhibitory disorder? Psychological Bulletin, 127, 571–598. https://doi.org/10.1037/0033-2909.127.5.571.CrossRefPubMed

Okado, I., Mueller, C. W., & Nakamura, B. J. (2013). Positive negative affect in clinic-referred youth with ADHD. Journal of Attention Disorders. https://doi.org/10.1177/1087054713478466.

Palomba, D., Sarlo, M., Angrilli, A., Mini, A., & Stegagno, L. (2000). Cardiac responses associated with affective processing of unpleasant stimuli. International Journal of Psychophysiology, 36, 45–47.CrossRefPubMed

Pang, K. C., & Beauchaine, T. P. (2013). Longitudinal patterns of autonomic nervous system responding to emotion evocation among children with conduct problems and/or depression. Developmental Psychobiology, 55, 698–706. https://doi.org/10.1002/dev.21065.PubMed

Porges, S. W. (2001). The polyvagal theory: Phylogenetic substrates of a social nervous system. International Journal of Psychophysiology, 42, 123–146. https://doi.org/10.1016/S0167-8760(01)00162-3.CrossRefPubMed

Qu, M., Zhang, Y., Webster, J. G., & Tompkins, W. J. (1986). Motion artifact from spot and band electrodes during impedance cardiography. IEEE Transactions on Biomedical Engineering, 33, 1029–1036. https://doi.org/10.1109/TBME.1986.325869.CrossRefPubMed

Richards, J. E. (1995). Reliability of respiratory sinus arrhythmia in R-R intervals, in 14-, 20-, and 26-week-old infants. Infant Behavior and Development, 18, 155-161. Retrieved from: https://doi.org/10.1016/0163-6383(95)90045-4.

Rosen, P. J., Walerius, D. M., Fogleman, N. D., & Factor, P. I. (2015). The association of emotional lability and emotional and behavioral difficulties among children with and without ADHD. Attention Deficit and Hyperactivity Disorders, 7, 281–294.CrossRefPubMed

Shaffer, D., Fisher, P., Lucas, C. P., Dulcan, M. K., & Schwab-Stone, M. E. (2000). NIMH diagnostic interview schedule for children version IV (NIMH DISC-IV): Description, differences from previous versions, and reliability of some common diagnoses. Journal of the American Academy of Child & Adolescent Psychiatry, 39, 28–38.CrossRef

Shaw, P., Stringaris, A., Nigg, J., & Leibenluft, E. (2014). Emotion dysregulation in attention deficit hyperactivity disorder. American Journal of Psychiatry, 171, 276–293. https://doi.org/10.1176/appi.ajp.2013.13070966.CrossRefPubMed

Sobanski, E., Banaschewski, T., Asherson, P., Buitelaar, J., Chen, W., Franke, B., et al. (2010). Emotional lability in children and adolescents with attention deficit/hyperactivity disorder (ADHD): Clinical correlates and familial prevalence. Journal of Child Psychology and Psychiatry and Allied Disciplines, 51, 915–923. https://doi.org/10.1111/j.1469-7610.2010.02217.x.CrossRef

Stringaris, A., & Goodman, R. (2009a). Mood lability and psychopathology in youth. Psychological Medicine, 39, 1237–1245. https://doi.org/10.1017/S0033291708004662.CrossRefPubMed

Stringaris, A., & Goodman, R. (2009b). Longitudinal outcome of youth oppositionality: Irritable, headstrong, and hurtful behaviors have distinctive predictions. Journal of the American Academy of Child & Adolescent Psychiatry, 48, 404-412. Retrieved from: https://doi.org/10.1097/CHI.0b013e3181984f30.

Thompson, R. A. (1994). Emotion regulation: A theme in search of definition. Monographs of the Society for Research in Child Development, 59, 25–52.CrossRefPubMed

Thompson, E. R. (2007). Development and validation of an internationally reliable short-form of the positive and negative affect schedule (PANAS). Journal of Cross-Cultural Psychology, 38, 227–242.CrossRef

Vasilev, C. A., Crowell, S. E., Beauchaine, T. P., Mead, H. K., & Gatzke-Kopp, L. M. (2009). Correspondence between physiological and self-report measures of emotion dysregulation: A longitudinal investigation of youth with and without psychopathology. Journal of Child and Adolescent Psychiatry, 50, 1357–1364. https://doi.org/10.1111/j.1469-7610.2009.02172.x.

Vitiello, B. (2008). Understanding the risk of using medications for attention deficit hyperactivity disorder with respect to physical growth and cardiovascular function. Child and Adolescent Psychiatric Clinics of North America, 17, 459–474. https://doi.org/10.1016/j.chc.2007.11.010.CrossRefPubMedPubMedCentral

Watson, D., Clark, L., & Carey, G. (1988). Positive and negative affectivity and their relation to anxiety and depressive disorders. Journal of Abnormal Psychology, 97, 346–353.CrossRefPubMed

Waxmonsky, J. G., Wymbs, F. A., Pariseau, M. E., Belin, P. J., Waschbusch, D. A., Babocsai, L., … Pelham, W. E. (2013). A novel group therapy for children with ADHD and severe mood dysregulation. Journal of Attention Disorders, 17, 527–541. https://doi.org/10.1177/1087054711433423.

West, D., Claes, S., & Deboutte, D. (2009). Differences in hypothalamic-pituitary-adrenal axis functioning among children with ADHD predominantly inattentive and combined types. European Child and Adolescent Psychiatry, 18, 543–553.CrossRefPubMed

Whelan, Y. M., Stringaris, A., Maughan, B., & Barker, E. D. (2013). Developmental continuity of oppositional defiant disorder subdimensions at age 8, 10, and 13 years and their distinct psychiatric outcomes at age 16 years. Journal of the American Academy of Child & Adolescent Psychiatry, 52, 961–969.CrossRef

Wolraich, M. L., Feurer, I., Hannah, J. N., Pinnock, T. Y., & Baumgaertel, A. (1998). Obtaining systematic teacher report of disruptive behavior disorders utilizing the DSM-IV. Journal of Abnormal Child Psychology, 26, 141–152.CrossRefPubMed

Wolraich, M. L., Lambert, W., Doffing, M. A., Bickman, L., Simmons, T., & Worley, K. (2003). Psychometric properties of the Vanderbilt ADHD Diagnostic Parent Rating Scale in a referred population. Journal of Pediatric Psychology, 28, 559–568. https://doi.org/10.1093/jpepsy/jsg046.CrossRefPubMed

Zalewski, M., Lengua, L. J., Wilson, A. C., Trancik, A., & Baznit, A. (2011). Emotion regulation profiles, temperament, and adjustment problems in preadolescents. Child Development, 82, 951–966. https://doi.org/10.1111/j.1467-8624.2011.01575.x.CrossRefPubMedPubMedCentral

Zeman, J., Cassano, M., Perry-Parrish, C., & Stegall, S. (2006). Emotion regulation in children and adolescents. Journal of Developmental & Behavioral Pediatrics, 27, 155–168.CrossRef

Titel: Physiological Emotion Regulation in Children with ADHD with and without Comorbid Internalizing Disorders: a Preliminary Study
Auteurs: Kirsten D. Leaberry
Paul J. Rosen
Nicholas D. Fogleman
Danielle M. Walerius
Kelly E. Slaughter
Publicatiedatum: 18-01-2018
Uitgeverij: Springer US
Gepubliceerd in: Journal of Psychopathology and Behavioral Assessment / Uitgave 3/2018
Print ISSN: 0882-2689
Elektronisch ISSN: 1573-3505
DOI: https://doi.org/10.1007/s10862-018-9644-z

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Log in om toegang te krijgen

Andere artikelen Uitgave 3/2018

Social Problems in ADHD: Is it a Skills Acquisition or Performance Problem?

Speed-Accuracy Tradeoffs on an Affective Lexical Decision Task: Implications for the Affect Regulation Theory of Psychopathy

Difficulties in Interpersonal Emotion Regulation: Initial Development and Validation of a Self-Report Measure

Treatment Response among Preschoolers with EBP: The Role of Social Functioning

Accuracy of Reported Community Diagnosis of Autism Spectrum Disorder

Detection of Feigned ADHD across Two Domains: The MMPI-2-RF and CAARS for Faked Symptoms and TOVA for Simulated Attention Deficits