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Physiological Correlates of Sluggish Cognitive Tempo in Children: Examining Autonomic Nervous System Reactivity during Social and Cognitive Stressor Tasks

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Abstract

It is important to establish correlates of sluggish cognitive tempo (SCT) across units of analysis and to better understand how SCT may be conceptualized in models of psychopathology. The current study examined SCT symptoms in relation to automatic nervous system reactivity during social and cognitive stressor tasks. Participants were 61 children ages 8–12 years with a full range of attention-deficit/hyperactivity disorder (ADHD) symptom severity. Parents provided ratings of SCT and parents and teachers completed measures that were used to create composite indices of ADHD symptoms. Children were administered standardized peer rejection and impossible puzzle tasks, during which their respiratory sinus arrhythmia (RSA) and skin conductance level (SCL) reactivity were recorded. Regression analyses indicated that SCT symptoms were unassociated with RSA reactivity to either task. Greater SCT symptoms were significantly associated with greater SCL reactivity to peer rejection. Greater SCT symptoms were not significantly associated with SCL reactivity to the impossible puzzle task. The pattern of findings was unchanged in sensitivity analyses that controlled for ADHD symptoms, internalizing symptoms, medication status, or sex. This study provides the first evidence that SCT symptoms are associated with sympathetic nervous system reactivity. These findings suggest that SCT symptoms may be associated with greater behavioral inhibition system activation, and reactivity may be especially pronounced in social challenges.

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Notes

  1. Reactivity data on both tasks was treated as missing for one child because of extreme non-compliance during the task. Reactivity data on the social task was treated as missing for one additional subject who failed to understand the task. Due to equipment failure, RSA data was missing for four participants on the impossible puzzle task and three participants on the peer rejection task.

References

  • Achenbach, T. M., & Rescorla, L. A. (2001). Manual for the ASEBA school-age forms and profiles. Burlington: University of Vermont, Research Center for Children, Youth, and Families.

    Google Scholar 

  • Barkley, R. A. (2013). Distinguishing sluggish cognitive tempo from ADHD in children and adolescents: Executive functioning, impairment, and comorbidity. Journal of Clinical Child and Adolescent Psychology, 42, 161–173. https://doi.org/10.1080/15374416.2012.734259.

    Article  PubMed  Google Scholar 

  • Barkley, R. A. (2014). Sluggish cognitive tempo (concentration deficit disorder?): Current status, future directions, and a plea to change the name. Journal of Abnormal Child Psychology, 42, 117–125. https://doi.org/10.1007/s10802-013-9824-y.

    Article  PubMed  Google Scholar 

  • Bauermeister, J. J., Barkley, R. A., Bauermeister, J. A., Martinez, J. V., & McBurnett, K. (2012). Validity of the sluggish cognitive tempo, inattention, and hyperactivity symptom dimensions: Neuropsychological and psychosocial correlates. Journal of Abnormal Child Psychology, 40, 683–697. https://doi.org/10.1007/s10802-011-9602-7.

    Article  PubMed  Google Scholar 

  • Beauchaine, T. (2001). Vagal tone, development, and Gray's motivational theory: Toward an integrated model of autonomic nervous system functioning in psychopathology. Development and Psychopathology, 13, 183–214.

    Article  PubMed  Google Scholar 

  • Beauchaine, T. P., Bell, Z., Knapton, E., McDonough-Caplan, H., Shader, T., & Zisner, A. (2019). Respiratory sinus arrhythmia reactivity across empirically based structural dimensions of psychopathology: A meta-analysis. Psychophysiology, 56, e13329. https://doi.org/10.1111/psyp.13329.

    Article  PubMed  PubMed Central  Google Scholar 

  • Becker, S. P., & Barkley, R. A. (2018). Sluggish cognitive tempo. In T. Banaschewski, D. Coghill, & A. Zuddas (Eds.), Oxford textbook of attention deficit hyperactivity disorder (pp. 147–153). Oxford: Oxford University Press.

    Google Scholar 

  • Becker, S. P., & Langberg, J. M. (2013). Sluggish cognitive tempo among young adolescents with ADHD: Relations to mental health, academic, and social functioning. Journal of Attention Disorders, 17, 681–689. https://doi.org/10.1177/1087054711435411.

    Article  PubMed  Google Scholar 

  • Becker, S. P., & Willcutt, E. G. (2019). Advancing the study of sluggish cognitive tempo via DSM, RDoC, and hierarchical models of psychopathology. European Child and Adolescent Psychiatry, 28, 603–613. https://doi.org/10.1007/s00787-018-1136-x.

    Article  PubMed  Google Scholar 

  • Becker, S. P., Fite, P. J., Garner, A. A., Greening, L., Stoppelbein, L., & Luebbe, A. M. (2013). Reward and punishment sensitivity are differentially associated with ADHD and sluggish cognitive tempo symptoms in children. Journal of Research in Personality, 47, 719–727. https://doi.org/10.1016/j.jrp.2013.07.001.

    Article  Google Scholar 

  • Becker, S. P., Luebbe, A. M., Fite, P. J., Stoppelbein, L., & Greening, L. (2014a). Sluggish cognitive tempo in psychiatrically hospitalized children: Factor structure and relations to internalizing symptoms, social problems, and observed behavioral dysregulation. Journal of Abnormal Child Psychology, 42, 49–62. https://doi.org/10.1007/s10802-013-9719-y.

    Article  PubMed  Google Scholar 

  • Becker, S. P., Marshall, S. A., & McBurnett, K. (2014b). Sluggish cognitive tempo in abnormal child psychology: An historical overview and introduction to the special section. Journal of Abnormal Child Psychology, 42, 1–6. https://doi.org/10.1007/s10802-013-9825-x.

    Article  PubMed  Google Scholar 

  • Becker, S. P., Leopold, D. R., Burns, G. L., Jarrett, M. A., Langberg, J. M., Marshall, S. A., McBurnett, K., Waschbusch, D. A., & Willcutt, E. G. (2016a). The internal, external, and diagnostic validity of sluggish cognitive tempo: A meta-analysis and critical review. Journal of the American Academy of Child and Adolescent Psychiatry, 55, 163–178. https://doi.org/10.1016/j.jaac.2015.12.006.

    Article  PubMed  Google Scholar 

  • Becker, S. P., Withrow, A. R., Stoppelbein, L., Luebbe, A. M., Fite, P. J., & Greening, L. (2016b). Sluggish cognitive tempo is associated with suicide risk in psychiatrically hospitalized children. Journal of Child Psychology and Psychiatry, 57, 1390–1399. https://doi.org/10.1111/jcpp.12580.

    Article  PubMed  Google Scholar 

  • Becker, S. P., Burns, G. L., Leopold, D. R., Olson, R. K., & Willcutt, E. G. (2018a). Differential impact of trait sluggish cognitive tempo and ADHD inattention in early childhood on adolescent functioning. Journal of Child Psychology and Psychiatry, 59, 1094–1104. https://doi.org/10.1111/jcpp.12946.

    Article  PubMed  Google Scholar 

  • Becker, S. P., Schmitt, A. P., Jarrett, M. A., Luebbe, A. M., Garner, A. A., Epstein, J. N., & Burns, G. L. (2018b). Sluggish cognitive tempo and personality: Links to BIS/BAS sensitivity and the five factor model. Journal of Research in Personality, 75, 103–112. https://doi.org/10.1016/j.jrp.2018.06.001.

    Article  PubMed  PubMed Central  Google Scholar 

  • Becker, S. P., Garner, A. A., Tamm, L., Antonini, T. N., & Epstein, J. N. (2019). Honing in on the social difficulties associated with sluggish cognitive tempo in children: Withdrawal, peer ignoring, and low engagement. Journal of Clinical Child and Adolescent Psychology, 48, 228–237. https://doi.org/10.1080/15374416.2017.1286595.

    Article  PubMed  Google Scholar 

  • Berntson, G. G., Cacioppo, J. T., & Quigley, K. S. (1991). Autonomic determinism: The modes of autonomic control, the doctrine of autonomic space, and the laws of autonomic constraint. Psychological Review, 98, 459–487.

    Article  PubMed  Google Scholar 

  • Brain-Body Center. (2007). CardioEdit/CardioBatch [computer software]. Chicago: University of Illinois.

    Google Scholar 

  • Burns, G. L., & Becker, S. P. (2019). Sluggish cognitive tempo and ADHD symptoms in a nationally representative sample of U.S. children: Differentiation using categorical and dimensional approaches. Journal of Clinical Child and Adolescent Psychology. Advance online publication. https://doi.org/10.1080/15374416.2019.1678165.

  • Buss, K. A., Jaffee, S., Wadsworth, M. E., & Kliewer, W. (2018). Impact of psychophysiological stress-response systems on psychological development: Moving beyond the single biomarker approach. Developmental Psychology, 54, 1601–1605. https://doi.org/10.1037/dev0000596.

    Article  PubMed  Google Scholar 

  • Cohen, J., Cohen, P., West, S. G., & Aiken, L. S. (2003). Applied multiple correlation/regression analysis for the behavioral sciences. Mahwah: Lawrence Erlbaum Associates.

    Google Scholar 

  • Denver, J. W., Reed, S. F., & Porges, S. W. (2007). Methodological issues in the quantification of respiratory sinus arrhythmia. Biological Psychology, 74, 286–294. https://doi.org/10.1016/j.biopsycho.2005.09.005.

    Article  PubMed  Google Scholar 

  • Flannery, A. J., Becker, S. P., & Luebbe, A. M. (2016). Does emotion dysregulation mediate the association between sluggish cognitive tempo and college students' social impairment? Journal of Attention Disorders, 20, 802–812. https://doi.org/10.1177/1087054714527794.

    Article  PubMed  Google Scholar 

  • Fowles, D. C. (1980). The three arousal model: Implications of gray's two-factor learning theory for heart rate, electrodermal activity, and psychopathy. Psychophysiology, 17, 87–104.

    Article  PubMed  Google Scholar 

  • Fowles, D. C. (1986). The eccrine system and electrodermal activity. In M. G. H. Coles, S. W. Porges, & E. Donchin (Eds.), Psychophysiology: Systems, processes, and applications (Vol. 1, pp. 51–96). New York: Guilford.

    Google Scholar 

  • Fowles, D. C. (1988). Psychophysiology and psychopathology: A motivational approach. Psychophysiology, 25, 373–391. https://doi.org/10.1111/j.1469-8986.1988.tb01873.x.

    Article  PubMed  Google Scholar 

  • Fowles, D. C., Kochanska, G., & Murray, K. (2000). Electrodermal activity and temperament in preschool children. Psychophysiology, 37, 777–787.

    Article  PubMed  Google Scholar 

  • Fox, N. A., Hane, A. A., & Pérez-Edgar, K. (2015). Psychophysiological methods for the study of developmental psychopathology. In D. Cicchetti (Ed.), Developmental Psychopathology: Volume Two: Developmental Neuroscience (pp. 381-426).

  • Garner, A. A., Peugh, J., Becker, S. P., Kingery, K. M., Tamm, L., Vaughn, A. J., Ciesielski, H., Simon, J. O., Loren, R. E. A., & Epstein, J. N. (2017). Does sluggish cognitive tempo fit within a bi-factor model of ADHD? Journal of Attention Disorders, 21, 642–654. https://doi.org/10.1177/1087054714539995.

    Article  PubMed  Google Scholar 

  • Gray, J. A. (1970). The psychophysiological basis of introversion-extraversion. Behaviour Research and Therapy, 8, 249–266.

    Article  PubMed  Google Scholar 

  • Gray, J. A. (1976). The behavioural inhibition system: A possible substrate for anxiety. In M. P. Feldman & A. Broadhurst (Eds.), Theoretical and experimental bases of the Behavioural therapies (pp. 3–41). London: Wiley.

    Google Scholar 

  • Graziano, P., & Derefinko, K. (2013). Cardiac vagal control and children's adaptive functioning: A meta-analysis. Biological Psychology, 94, 22–37. https://doi.org/10.1016/j.biopsycho.2013.04.011.

    Article  PubMed  PubMed Central  Google Scholar 

  • Hastings, P. D., Nuselovici, J. N., Utendale, W. T., Coutya, J., McShane, K. E., & Sullivan, C. (2008). Applying the polyvagal theory to children's emotion regulation: Social context, socialization, and adjustment. Biological Psychology, 79, 299–306. https://doi.org/10.1016/j.biopsycho.2008.07.005.

    Article  PubMed  Google Scholar 

  • Herpertz, S. C., Wenning, B., Mueller, B., Qunaibi, M., Sass, H., & Herpertz-Dahlmann, B. (2001). Psychophysiological responses in ADHD boys with and without conduct disorder: Implications for adult antisocial behavior. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 1222–1230. https://doi.org/10.1097/00004583-200110000-00017.

    Article  PubMed  Google Scholar 

  • Hoza, B., Pelham, W. E., Waschbusch, D. A., Kipp, H., & Owens, J. S. (2001). Academic task persistence of normally achieving ADHD and control boys: Performance, self-evaluations, and attributions. Journal of Consulting and Clinical Psychology, 69, 271–283. https://doi.org/10.1037//0022-006x.69.2.271.

    Article  PubMed  Google Scholar 

  • Hubbard, J. A., Smithmyer, C. M., Ramsden, S. R., Parker, E. H., Flanagan, K. D., Dearing, K. F., Relyea, N., & Simons, R. F. (2002). Observational, physiological, and self-report measures of children's anger: Relations to reactive versus proactive aggression. Child Development, 73, 1101–1118.

    Article  PubMed  Google Scholar 

  • Iaboni, F., Douglas, V. I., & Ditto, B. (1997). Psychophysiological response of ADHD children to reward and extinction. Psychophysiology, 34, 116–123. https://doi.org/10.1111/j.1469-8986.1997.tb02422.x.

    Article  PubMed  Google Scholar 

  • Kaufman, A. S., & Kaufman, N. L. (2004). Kaufman Brief Intelligence Test, Second Edition (KBIT-2): Pearson.

  • Kozak, M. J., & Cuthbert, B. N. (2016). The NIMH research domain criteria initiative: Background, issues, and pragmatics. Psychophysiology, 53, 286–297. https://doi.org/10.1111/psyp.12518.

    Article  PubMed  Google Scholar 

  • Lambe, L. J., Craig, W. M., & Hollenstein, T. (2019). Blunted physiological stress reactivity among youth with a history of bullying and victimization: Links to depressive symptoms. Journal of Abnormal Child Psychology, 47, 1981–1993. https://doi.org/10.1007/s10802-019-00565-y.

    Article  PubMed  Google Scholar 

  • Lee, S., Burns, G. L., Beauchaine, T. P., & Becker, S. P. (2016). Bifactor latent structure of attention-deficit/hyperactivity disorder (ADHD)/oppositional defiant disorder (ODD) symptoms and first-order latent structure of sluggish cognitive tempo symptoms. Psychological Assessment, 28, 917–928. https://doi.org/10.1037/pas0000232.

    Article  PubMed  Google Scholar 

  • Lewis, G. F., Furman, S. A., McCool, M. F., & Porges, S. W. (2012). Statistical strategies to quantify respiratory sinus arrhythmia: Are commonly used metrics equivalent? Biological Psychology, 89, 349–364. https://doi.org/10.1016/j.biopsycho.2011.11.009.

    Article  PubMed  Google Scholar 

  • Marshall, S. A., Evans, S. W., Eiraldi, R. B., Becker, S. P., & Power, T. J. (2014). Social and academic impairment in youth with ADHD, predominately inattentive type and sluggish cognitive tempo. Journal of Abnormal Child Psychology, 42, 77–90. https://doi.org/10.1007/s10802-013-9758-4.

    Article  PubMed  Google Scholar 

  • McQuade, J. D., & Breaux, R. P. (2017a). Are elevations in ADHD symptoms associated with physiological reactivity and emotion dysregulation in children? Journal of Abnormal Child Psychology, 45, 1091–1103. https://doi.org/10.1007/s10802-016-0227-8.

    Article  PubMed  Google Scholar 

  • McQuade, J. D., & Breaux, R. P. (2017b). Parent emotion socialization and pre-adolescent's social and emotional adjustment: Moderating effects of autonomic nervous system reactivity. Biological Psychology, 130, 67–76. https://doi.org/10.1016/j.biopsycho.2017.10.007.

    Article  PubMed  Google Scholar 

  • McQuade, J. D., Breaux, R. P., Miller, R., & Mathias, L. (2017a). Executive functioning and engagement in physical and relational aggression among children with ADHD. Journal of Abnormal Child Psychology, 45, 899–910. https://doi.org/10.1007/s10802-016-0207-z.

    Article  PubMed  Google Scholar 

  • McQuade, J. D., Penzel, T. E., Silk, J. S., & Lee, K. H. (2017b). Parasympathetic nervous system reactivity moderates associations between children's executive functioning and social and academic competence. Journal of Abnormal Child Psychology, 45, 1355–1367. https://doi.org/10.1007/s10802-016-0246-5.

    Article  PubMed  Google Scholar 

  • Muthén, L. K., & Muthén, B. O. (1998-2018). Mplus user’s guide (Eigth ed.). Los Angeles: Muthén & Muthén.

    Google Scholar 

  • Obradović, J., & Boyce, W. T. (2012). Developmental psychophysiology of emotion processes. Monographs of the Society for Research in Child Development, 77, 120–128. https://doi.org/10.1111/j.1540-5834.2011.00670.x.

    Article  Google Scholar 

  • Ortiz, J., & Raine, A. (2004). Heart rate level and antisocial behavior in children and adolescents: A meta-analysis. Journal of the American Academy of Child and Adolescent Psychiatry, 43, 154–162. https://doi.org/10.1097/00004583-200402000-00010.

    Article  PubMed  Google Scholar 

  • Pelham Jr., W. E., Gnagy, E. M., Greenslade, K. E., & Milich, R. (1992). Teacher ratings of DSM-III-R symptoms for the disruptive behavior disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 31, 210–218. https://doi.org/10.1097/00004583-199203000-00006.

    Article  PubMed  Google Scholar 

  • Porges, S. W. (1985). US patent no. 4,510,944: US patent and trademark office Washington, DC.

  • Porges, S. W. (2001). The polyvagal theory: Phylogenetic substrates of a social nervous system. International Journal of Psychophysiology, 42, 123–146.

    Article  PubMed  Google Scholar 

  • Porges, S. W. (2003). The Polyvagal theory: Phylogenetic contributions to social behavior. Physiology and Behavior, 79, 503–513.

    Article  PubMed  Google Scholar 

  • Porges, S. W. (2007). The polyvagal perspective. Biological Psychology, 74, 116–143. https://doi.org/10.1016/j.biopsycho.2006.06.009.

    Article  PubMed  Google Scholar 

  • Porges, S. W., & Byrne, E. A. (1992). Research methods for measurement of heart rate and respiration. Biological Psychology, 34, 93–130. https://doi.org/10.1016/0301-0511(92)90012-j.

    Article  PubMed  Google Scholar 

  • Posthumus, J. A., Bocker, K. B., Raaijmakers, M. A., Van Engeland, H., & Matthys, W. (2009). Heart rate and skin conductance in four-year-old children with aggressive behavior. Biological Psychology, 82, 164–168. https://doi.org/10.1016/j.biopsycho.2009.07.003.

    Article  PubMed  Google Scholar 

  • Sáez, B., Servera, M., Becker, S. P., & Burns, G. L. (2019). Optimal items for assessing sluggish cognitive tempo in children across mother, father, and teacher ratings. Journal of Clinical Child and Adolescent Psychology, 48, 1–15. https://doi.org/10.1080/15374416.2017.1416619.

    Article  Google Scholar 

  • Silk, J. S., Stroud, L. R., Siegle, G. J., Dahl, R. E., Lee, K. H., & Nelson, E. E. (2012). Peer acceptance and rejection through the eyes of youth: Pupillary, eyetracking and ecological data from the Chatroom interact task. Socical Cognitive and Affective Neuroscience, 7, 93–105. https://doi.org/10.1093/scan/nsr044.

    Article  Google Scholar 

  • Skirbekk, B., Hansen, B. H., Oerbeck, B., & Kristensen, H. (2011). The relationship between sluggish cognitive tempo, subtypes of attention-deficit/hyperactivity disorder, and anxiety disorders. Journal of Abnormal Child Psychology, 39, 513–525. https://doi.org/10.1007/s10802-011-9488-4.

    Article  PubMed  Google Scholar 

  • Smith, Z. R., Breaux, R. P., Green, C. D., & Langberg, J. M. (2019). Evaluation of the interplay between homework motivation and sluggish cognitive tempo in youth with ADHD: Associations with homework performance. Journal of Attention Disorders, 23, 1262–1273. https://doi.org/10.1177/1087054718763722.

    Article  PubMed  Google Scholar 

  • Ward, A. R., Alarcón, G., Nigg, J. T., & Musser, E. D. (2015). Variation in parasympathetic dysregulation moderates short-term memory problems in childhood attention-deficit/hyperactivity disorder. Journal of Abnormal Child Psychology, 43, 1573–1583. https://doi.org/10.1007/s10802-015-0054-3.

    Article  PubMed  PubMed Central  Google Scholar 

  • Ward, A. R., Sibley, M. H., Musser, E. D., Campez, M., Bubnik-Harrison, M. G., Meinzer, M. C., & Yeguez, C. E. (2019). Relational impairments, sluggish cognitive tempo, and severe inattention are associated with elevated self-rated depressive symptoms in adolescents with ADHD. ADHD Attention Deficit and Hyperactivity Disorders, 11, 289–298. https://doi.org/10.1007/s12402-019-00293-9.

    Article  PubMed  Google Scholar 

  • Willcutt, E. G., Chhabildas, N., Kinnear, M., DeFries, J. C., Olson, R. K., Leopold, D. R., Keenan, J. M., & Pennington, B. F. (2014). The internal and external validity of sluggish cognitive tempo and its relation with DSM-IV ADHD. Journal of Abnormal Child Psychology, 42, 21–35. https://doi.org/10.1007/s10802-013-9800-6.

    Article  PubMed  PubMed Central  Google Scholar 

  • Yung, T. W. K., Lai, C. Y. Y., Chan, J. Y. C., Ng, S. S. M., & Chan, C. C. H. (2020). Neuro-physiological correlates of sluggish cognitive tempo (SCT) symptoms in school-aged children. European Child and Adolescent Psychiatry, 29, 315–326. https://doi.org/10.1007/s00787-019-01353-1.

    Article  PubMed  Google Scholar 

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Acknowledgements

Stephen Becker is supported by award number K23MH108603 from the National Institute of Mental Health (NIMH). The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIMH.

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Becker, S.P., McQuade, J.D. Physiological Correlates of Sluggish Cognitive Tempo in Children: Examining Autonomic Nervous System Reactivity during Social and Cognitive Stressor Tasks. J Abnorm Child Psychol 48, 923–933 (2020). https://doi.org/10.1007/s10802-020-00651-6

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