Heart Rate Variability in Children and Adolescents with Autism, ADHD and Co-occurring Autism and ADHD, During Passive and Active Experimental Conditions

被引:10
作者
Bellato, Alessio [1 ]
Arora, Iti [1 ]
Kochhar, Puja [1 ,2 ]
Ropar, Danielle [3 ]
Hollis, Chris [4 ,5 ,6 ]
Groom, Madeleine J. [1 ,6 ]
机构
[1] Univ Nottingham, Sch Med, Inst Mental Hlth, Div Psychiat & Appl Psychol, Innovat Pk,Triumph Rd, Nottingham NG7 2TU, England
[2] Derbyshire Healthcare NHS Fdn Trust, Child & Adolescent Mental Hlth Serv CAMHS, Temple House,Mill Hill Lane, Derby DE23 6SA, England
[3] Univ Nottingham, Sch Psychol, Univ Pk, Nottingham NG7 2RD, England
[4] Univ Nottingham, Sch Med, Mental Hlth & Clin Neurosci, Nottingham, England
[5] Inst Mental Hlth, NIHR MindTech Medtech Cooperat, Innovat Pk,Triumph Rd, Nottingham NG7 2TU, England
[6] NIHR Nottingham Biomed Res Ctr, Inst Mental Hlth, Innovat Pk,Triumph Rd, Nottingham NG7 2TU, England
关键词
ADHD; Autism; Autonomic nervous system; Heart rate variability; Comorbidity; Cognitive function; RESPIRATORY SINUS ARRHYTHMIA; ATTENTION-DEFICIT/HYPERACTIVITY DISORDER; WELL-BEING ASSESSMENT; EMOTION REGULATION; AUTONOMIC FUNCTION; SPECTRUM DISORDER; LOCUS-COERULEUS; PHASIC ACTIVITY; AROUSAL; HYPERACTIVITY;
D O I
10.1007/s10803-021-05244-w
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
Despite overlaps in clinical symptomatology, autism and ADHD may be associated with opposite autonomic arousal profiles which might partly explain altered cognitive and global functioning. We investigated autonomic arousal in 106 children/adolescents with autism, ADHD, co-occurring autism/ADHD, and neurotypical controls. Heart rate variability was recorded during resting-state, a 'passive' auditory oddball task and an 'active' response conflict task. Autistic children showed hyper-arousal during the active task, while those with ADHD showed hypo-arousal during resting-state and the passive task. Irrespective of diagnosis, children characterised by hyper-arousal showed more severe autistic symptomatology, increased anxiety and reduced global functioning than those displaying hypo-arousal, suggesting the importance of considering individual autonomic arousal profiles for differential diagnosis of autism/ADHD and when developing personalised interventions.
引用
收藏
页码:4679 / 4691
页数:13
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