Toward Tailored Interventions: Sympathetic and Parasympathetic Functioning Predicts Responses to an Intervention for Conduct Problems Delivered in Two Formats
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Coping Power is an evidence-based preventive intervention for youth with aggressive behavior problems that has traditionally been delivered in small group formats, but because of concerns about potentially diminished effects secondary to aggregation of high-risk youth, an individual format of Coping Power has been developed. The current study examined whether physiological characteristics of the child may provide information about which intervention delivery format works best for that individual. Indicators of sympathetic and parasympathetic nervous system functioning were examined in 360 fourth-grade children (65% male; 76.4% self-reported African-American) who were randomly assigned to Group Coping Power (GCP) or Individual Coping Power (ICP) (Lochman et al. 2015). Longitudinal assessments of teacher- and parent-reported proactive and reactive aggression were collected through a 1-year follow-up. For children with higher initial levels of aggression, those with lower parasympathetic functioning at pre-intervention showed greater reductions in teacher-rated proactive aggression in the ICP condition than the GCP condition. For children with high parasympathetic functioning, there was no differential effect of intervention format. Regardless of intervention format, youth with lower levels of sympathetic functioning at pre-intervention demonstrated greater reductions in teacher-rated proactive aggression. These findings suggest that physiological indicators may be worth considering in future studies examining which youth respond best to specific types of interventions.
KeywordsSkin conductance Respiratory sinus arrhythmia Aggression Conduct problems Intervention Physiology
This research was supported by grants from NIDA (R01 DA023156) and the National Institute of Child Health & Human Development (R01 HD079273).
Compliance with Ethical Standards
Conflict of Interest
None of the authors except for John Lochman has a conflict of interest. John Lochman is co-developer of the Coping Power program and receives royalties for the implementation guide published by Oxford University Press.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed consent was obtained from all individual participants included in the study.
- Albert, D., Belsky, D. W., Crowley, D. M., Latendresse, S. J., Aliev, F., Riley, B., et al. (2015). Can genetics predict response to complex behavioral interventions? Evidence from a genetic analysis of the fast track randomized control trial. Journal of Policy Analysis and Management, 34, 497–518. https://doi.org/10.1002/pam.21811.Google Scholar
- Beauchaine, T. P. (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.Google Scholar
- Beauchaine, T. P. (2015). Respiratory sinus arrhythmia: a transdiagnostic biomarker of emotion dysregulation and psychopathology. Current Opinion in Psychology, 3, 43–47.Google Scholar
- Beauchaine, T. P., Neuhaus, E., Gatzke-Kopp, L. M., Reid, M. J., Chipman, J., Brekke, A., et al. (2015). Electrodermal responding predicts responses to, and may be altered by, preschool intervention for ADHD. Journal of Consulting and Clinical Psychology, 83, 293–303. https://doi.org/10.1037/a0038405.Google Scholar
- Clark, C. A., Skowron, E. A., Giuliano, R. J., & Fisher, P. A. (2016). Intersections between cardiac physiology, emotion regulation and interpersonal warmth in preschoolers: implications for drug abuse prevention from translational neuroscience. Drug and Alcohol Dependence, 163, S60–S69. https://doi.org/10.1016/j.drugalcdep.2016.01.033.Google Scholar
- Cummings, E. M., El-Sheikh, M., Kouros, C. D., & Keller, P. S. (2007). Children’s skin conductance reactivity as a mechanism of risk in the context of parental depressive symptoms. Journal of Child Psychology and Psychiatry, 48, 436–445. https://doi.org/10.1111/j.1469-7610.2006.01713.x.Google Scholar
- Dishion, T. J., & Tipsord, J. M. (2011). Peer contagion in child and adolescent social and emotional development. Annual Review of Psychology, 62, 189–214. https://doi.org/10.1146/annurev.psych.093008.100412.Google Scholar
- Dodge, K. A. (2009). Community intervention and public policy in the prevention of antisocial behavior. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 50, 194–200.Google Scholar
- Dodge, K. A., & Coie, J. D. (1987). Social-information processing factors in reactive and proactive aggression in children’s peer groups. Journal of Personality and Social Psychology, 53, 1146–1158.Google Scholar
- Dodge, K. A., Dishion, T. J., & Landsford, J. E. (2006). Deviant peer influences in programs for youth: problems and solutions. New York: Guilford Press.Google Scholar
- Eisenberg, N., Fabes, R. A., Murphy, B., Maszk, P., Smith, M., & Karbon, M. (1995). The role of emotionality and regulation in children’s social functioning: a longitudinal study. Child Development, 66, 1360–1384.Google Scholar
- Fabes, R. A., & Eisenberg, N. (1997). Regulatory control and adults’ stress-related responses to daily life events. Journal of Personality and Social Psychology, 73, 1107–1117.Google Scholar
- Fortunato, C. K., Gatzke-Kopp, L. M., & Ram, N. (2013). Associations between respiratory sinus arrhythmia reactivity and internalizing and externalizing symptoms are emotion specific. Cognitive, Affective, & Behavioral Neuroscience, 13, 238–251. https://doi.org/10.3758/s13415-012-0136-4.Google Scholar
- Gatzke-Kopp, L. M., Greenberg, M., & Bierman, K. (2015). Children’s parasympathetic reactivity to specific emotions moderates response to intervention for early-onset aggression. Journal of Clinical Child and Adolescent Psychology, 44, 291–304. https://doi.org/10.1080/15374416.2013.862801.Google Scholar
- Goodnight, J. A., Bates, J. E., Newman, J. P., Dodge, K. A., & Pettit, G. S. (2006). The interactive influences of friend deviance and reward dominance on the development of externalizing behavior during middle adolescence. Journal of Abnormal Child Psychology, 34, 573–583.Google Scholar
- Gregson, K. D., Tu, K. M., & Erath, S. A. (2014). Sweating under pressure: skin conductance level reactivity moderates the association between peer victimization and externalizing behavior. Journal of Child Psychology and Psychiatry, 55, 22–30. https://doi.org/10.1111/jcpp.12086
- Grossman, P., van Beek, J., & Wientjes, C. (1990). A comparison of three quantification methods for estimation of respiratory sinus arrhythmia. Psychophysiology, 27, 702–714.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.Google Scholar
- Lipsey, M. W. (2009). The primary factors that characterize effective interventions with juvenile offenders: a meta-analytic overview. Victims and Offenders, 4, 124–147.Google Scholar
- Lochman, J. E., & Wells, K. C. (2003). Effectiveness study of Coping Power and classroom intervention with aggressive children: outcomes at a one-year follow-up. Behavior Therapy, 34, 493–515.Google Scholar
- Lochman, J. E., Wells, K., & Lenhart, L. (2008). Coping power: child group facilitator’s guide. New York: Oxford University Press.Google Scholar
- Lochman, J. E., Dishion, T. J., Powell, N. P., Boxmeyer, C. L., Qu, L., & Sallee, M. (2015). Evidence-based preventive intervention for preadolescent aggressive children: one-year outcomes following randomization to group versus individual delivery. Journal of Consulting and Clinical Psychology, 83, 728–735. https://doi.org/10.1037/ccp0000030.Google Scholar
- Lorber, M. F. (2004). Psychophysiology of aggression, psychopathy, and conduct problems: a meta-analysis. Pychological Bulletin, 130, 531–552.Google Scholar
- Porges, S. W. (2007a). Inter-beat interval editing for heart period variability analysis: an integrated training program with standards for student reliability assessment. Chicago: The Brain-Body Center at the University of Illinois at Chicago.Google Scholar
- Porges, S. W. (2007b). The polyvagal perspective. Biological Psychology, 74, 116–143.Google Scholar
- Porges, S. W., Macellaio, M., Stanfill, S. D., McCue, K., Lewis, G. F., Harden, E. R., et al. (2013). Respiratory sinus arrhythmia and auditory processing in autism: modifiable deficits of an integrated social engagement system? International Journal of Psychophysiology, 88, 261–270. https://doi.org/10.1016/j.ijpsycho.2012.11.009.Google Scholar
- Raine, A. (1993). The psychopathology of crime: criminal behavior as a clinical disorder. San Diego: Academic Press.Google Scholar
- Raudenbush, S. W., & Bryk, A. S. (2002). Hierarchical linear models: applications and data analysis methods (2nd ed.). Newbury Park: Sage.Google Scholar
- Reynolds, C. R., & Kamphaus, R. W. (1992). Behavior assessment system for children (BASC). Circle Pines: American Guidance Service.Google Scholar
- Vaughan Van Hecke, A., Lebow, J., Bal, E., Lamb, D., Harden, E., Kramer, A., et al. (2009). Electroencephalogram and heart rate regulation to familiar and unfamiliar people in children with autism spectrum disorders. Child Development, 80, 1118–1133. https://doi.org/10.1111/j.1467-8624.2009.01320.x.Google Scholar