Lower Cardiac Vagal Activity Predicts Self-Reported Difficulties With Emotion Regulation in Adolescents With ADHD

ObjectiveTo investigate the relation between cardiac vagal activity (CVA), a measure of autonomic nervous system (ANS) flexibility, and self-reported emotion regulation (ER) difficulties in adolescents with attention-deficit/hyperactivity disorder (ADHD) and controls.MethodsThe sample comprised 11–1...

Full description

Bibliographic Details
Main Authors: Elisabet Kvadsheim, Ole Bernt Fasmer, Berge Osnes, Julian Koenig, Steinunn Adolfsdottir, Heike Eichele, Kerstin Jessica Plessen, Lin Sørensen
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-04-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fpsyt.2020.00244/full
_version_ 1818837709868761088
author Elisabet Kvadsheim
Ole Bernt Fasmer
Berge Osnes
Julian Koenig
Julian Koenig
Steinunn Adolfsdottir
Steinunn Adolfsdottir
Heike Eichele
Kerstin Jessica Plessen
Kerstin Jessica Plessen
Lin Sørensen
author_facet Elisabet Kvadsheim
Ole Bernt Fasmer
Berge Osnes
Julian Koenig
Julian Koenig
Steinunn Adolfsdottir
Steinunn Adolfsdottir
Heike Eichele
Kerstin Jessica Plessen
Kerstin Jessica Plessen
Lin Sørensen
author_sort Elisabet Kvadsheim
collection DOAJ
description ObjectiveTo investigate the relation between cardiac vagal activity (CVA), a measure of autonomic nervous system (ANS) flexibility, and self-reported emotion regulation (ER) difficulties in adolescents with attention-deficit/hyperactivity disorder (ADHD) and controls.MethodsThe sample comprised 11–17-year-old adolescents with ADHD (n=34) and controls (n = 33). Multiple linear regression analyses investigated the relation between CVA, as indexed by high frequency heart rate variability (HF-HRV), and ER difficulties as assessed by the Difficulties in Emotion Regulation Scale (DERS). Supplemental analyses were performed in ADHD and control groups separately. Analyses assessed effects of body mass index (BMI), physical activity levels, and HF peak as a surrogate of respiration on CVA.ResultsLower CVA was associated with ER difficulties, and specifically with limited access to effective ER strategies. When investigating the relation between CVA and ER in the ADHD and control groups separately, there was a tendency of lower CVA predicting limited access to effective ER strategies in the ADHD group, and not in the control group.ConclusionThe results suggest that lower CVA, i.e., reduced ANS flexibility, in adolescents with ADHD and controls is associated with self-reported ER difficulties, and specifically with limited access to effective ER strategies. There was a tendency for lower CVA to predict limited ER strategies only in the adolescents with ADHD and not controls.
first_indexed 2024-12-19T03:26:49Z
format Article
id doaj.art-ef475a9bf7fd48e6b6a9a45f960ee72b
institution Directory Open Access Journal
issn 1664-0640
language English
last_indexed 2024-12-19T03:26:49Z
publishDate 2020-04-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Psychiatry
spelling doaj.art-ef475a9bf7fd48e6b6a9a45f960ee72b2022-12-21T20:37:35ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402020-04-011110.3389/fpsyt.2020.00244412644Lower Cardiac Vagal Activity Predicts Self-Reported Difficulties With Emotion Regulation in Adolescents With ADHDElisabet Kvadsheim0Ole Bernt Fasmer1Berge Osnes2Julian Koenig3Julian Koenig4Steinunn Adolfsdottir5Steinunn Adolfsdottir6Heike Eichele7Kerstin Jessica Plessen8Kerstin Jessica Plessen9Lin Sørensen10Department of Biological and Medical Psychology, University of Bergen, Bergen, NorwayDepartment of Clinical Medicine, University of Bergen, Bergen, NorwayDepartment of Biological and Medical Psychology, University of Bergen, Bergen, NorwaySection for Experimental Child and Adolescent Psychiatry, Department of Child and Adolescent Psychiatry, Centre for Psychosocial Medicine, University of Heidelberg, Heidelberg, GermanyUniversity Hospital of Child and Adolescent Psychiatry and Psychotherapy, University of Bern, Bern, SwitzerlandDepartment of Biological and Medical Psychology, University of Bergen, Bergen, NorwayDepartment of Visual Impairments, Statped West - National Service for Special Needs Education, Bergen, NorwayDepartment of Biological and Medical Psychology, University of Bergen, Bergen, NorwayChild and Adolescent Mental Health Center, Capital Region Psychiatry, Copenhagen, DenmarkDepartment of Clinical Medicine, Faculty of Health Sciences, University of Copenhagen, Copenhagen, DenmarkDepartment of Biological and Medical Psychology, University of Bergen, Bergen, NorwayObjectiveTo investigate the relation between cardiac vagal activity (CVA), a measure of autonomic nervous system (ANS) flexibility, and self-reported emotion regulation (ER) difficulties in adolescents with attention-deficit/hyperactivity disorder (ADHD) and controls.MethodsThe sample comprised 11–17-year-old adolescents with ADHD (n=34) and controls (n = 33). Multiple linear regression analyses investigated the relation between CVA, as indexed by high frequency heart rate variability (HF-HRV), and ER difficulties as assessed by the Difficulties in Emotion Regulation Scale (DERS). Supplemental analyses were performed in ADHD and control groups separately. Analyses assessed effects of body mass index (BMI), physical activity levels, and HF peak as a surrogate of respiration on CVA.ResultsLower CVA was associated with ER difficulties, and specifically with limited access to effective ER strategies. When investigating the relation between CVA and ER in the ADHD and control groups separately, there was a tendency of lower CVA predicting limited access to effective ER strategies in the ADHD group, and not in the control group.ConclusionThe results suggest that lower CVA, i.e., reduced ANS flexibility, in adolescents with ADHD and controls is associated with self-reported ER difficulties, and specifically with limited access to effective ER strategies. There was a tendency for lower CVA to predict limited ER strategies only in the adolescents with ADHD and not controls.https://www.frontiersin.org/article/10.3389/fpsyt.2020.00244/fullattention-deficit/hyperactivity disorderheart rate variabilitycardiac vagal activityemotion regulationautonomic nervous systemdifficulties in emotion regulation scale
spellingShingle Elisabet Kvadsheim
Ole Bernt Fasmer
Berge Osnes
Julian Koenig
Julian Koenig
Steinunn Adolfsdottir
Steinunn Adolfsdottir
Heike Eichele
Kerstin Jessica Plessen
Kerstin Jessica Plessen
Lin Sørensen
Lower Cardiac Vagal Activity Predicts Self-Reported Difficulties With Emotion Regulation in Adolescents With ADHD
Frontiers in Psychiatry
attention-deficit/hyperactivity disorder
heart rate variability
cardiac vagal activity
emotion regulation
autonomic nervous system
difficulties in emotion regulation scale
title Lower Cardiac Vagal Activity Predicts Self-Reported Difficulties With Emotion Regulation in Adolescents With ADHD
title_full Lower Cardiac Vagal Activity Predicts Self-Reported Difficulties With Emotion Regulation in Adolescents With ADHD
title_fullStr Lower Cardiac Vagal Activity Predicts Self-Reported Difficulties With Emotion Regulation in Adolescents With ADHD
title_full_unstemmed Lower Cardiac Vagal Activity Predicts Self-Reported Difficulties With Emotion Regulation in Adolescents With ADHD
title_short Lower Cardiac Vagal Activity Predicts Self-Reported Difficulties With Emotion Regulation in Adolescents With ADHD
title_sort lower cardiac vagal activity predicts self reported difficulties with emotion regulation in adolescents with adhd
topic attention-deficit/hyperactivity disorder
heart rate variability
cardiac vagal activity
emotion regulation
autonomic nervous system
difficulties in emotion regulation scale
url https://www.frontiersin.org/article/10.3389/fpsyt.2020.00244/full
work_keys_str_mv AT elisabetkvadsheim lowercardiacvagalactivitypredictsselfreporteddifficultieswithemotionregulationinadolescentswithadhd
AT oleberntfasmer lowercardiacvagalactivitypredictsselfreporteddifficultieswithemotionregulationinadolescentswithadhd
AT bergeosnes lowercardiacvagalactivitypredictsselfreporteddifficultieswithemotionregulationinadolescentswithadhd
AT juliankoenig lowercardiacvagalactivitypredictsselfreporteddifficultieswithemotionregulationinadolescentswithadhd
AT juliankoenig lowercardiacvagalactivitypredictsselfreporteddifficultieswithemotionregulationinadolescentswithadhd
AT steinunnadolfsdottir lowercardiacvagalactivitypredictsselfreporteddifficultieswithemotionregulationinadolescentswithadhd
AT steinunnadolfsdottir lowercardiacvagalactivitypredictsselfreporteddifficultieswithemotionregulationinadolescentswithadhd
AT heikeeichele lowercardiacvagalactivitypredictsselfreporteddifficultieswithemotionregulationinadolescentswithadhd
AT kerstinjessicaplessen lowercardiacvagalactivitypredictsselfreporteddifficultieswithemotionregulationinadolescentswithadhd
AT kerstinjessicaplessen lowercardiacvagalactivitypredictsselfreporteddifficultieswithemotionregulationinadolescentswithadhd
AT linsørensen lowercardiacvagalactivitypredictsselfreporteddifficultieswithemotionregulationinadolescentswithadhd