Skip to main content
Log in

Effects of Reward and Response Cost on Response Inhibition in AD/HD, Disruptive, Anxious, and Normal Children

  • Published:
Journal of Abnormal Child Psychology Aims and scope Submit manuscript

Abstract

In previous research, children with attention deficit/hyperactivity disorder (AD/HD) have demonstrated impaired response inhibition on the stop paradigm. In this study we examined whether this impairment in fact reflects a motivational deficit. Four groups of children (age range 7–13 years) participated in the study: 14 AD/HD children, 21 normal controls, 14 disruptive children, and 14 anxious children. The psychopathological groups were recruited from special educational services and mental health outpatient clinics. Parent, teacher, and child questionnaires were used to select children with pervasive disorders. Normal controls attended regular classes and scored low on all questionnaires. Children were tested once with reward contingencies and once with response cost contingencies in a randomized cross-over design. We hypothesized that if a motivational deficit underlies poor response inhibition in AD/HD children, this deficit will be remedied by response contingencies. Despite the presence of response contingencies, AD/HD children showed poor response inhibition compared with normal controls. Findings argue against a motivational explanation for the response inhibition deficit in AD/HD children

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

REFERENCES

  • Abramowitz, A. J., O'Leary, S. G., & Rosen, L. A. (1987). Reducing off-task behavior in the classroom: A comparison of encouragement and reprimands. Journal of Abnormal Child Psychology, 15, 153-163.

    Google Scholar 

  • Achenbach, T. M., & Edelbrock, C. S. (1983). Manual for the child behavior checklist and revised child behavior profile. Burlington: University of Vermont.

    Google Scholar 

  • Acker, M. M., & O'Leary, S. G. (1987). Effects of reprimands and praise on appropriate behavior in the classroom. Journal of Abnormal Child Psychology, 15, 549-557.

    Google Scholar 

  • Aman, C. J., Roberts, R. J., & Pennington (in press). A neuropsychological examination of the underlying deficit in ADHD: The frontal lobe vs. right parietal lobe theories. Developmental Psychology.

  • Baer, R. A., & Nietzel, M. T. (1991). Cognitive and behavioral treatment of impulsivity: A meta-analytic review of the outcome literature. Journal of Clinical Child Psychology, 20, 400-412.

    Google Scholar 

  • Barber, M. A., Milich, R., & Welsh, R. (1996). Effects of reinforcement schedule and task difficulty on the performance of attention deficit hyperactivity disordered and control boys. Journal of Clinical Child Psychology, 25, 66-67.

    Google Scholar 

  • Barkley, R. A. (1990). Attention-deficit hyperactivity disorder: A handbook for diagnosis and treatment. New York: Guilford.

    Google Scholar 

  • Barkley, R. A. (1994). Impaired delayed responding: A unified theory of attention deficit disorder. In D. K. Routh (Ed.), Disruptive behavior disorders in childhood (pp. 11-57). New York: Plenum Press.

    Google Scholar 

  • Barkley, R. A. (1997). Behavioral inhibition, sustained attention, and executive functions: Constructing a unifying theory of ADHD. Psychological Bulletin, 121, 65-94.

    Google Scholar 

  • Barkley, R. A., Grodzinsky, G., & DuPaul, G. (1992). Frontal lobe functions in attention deficit disorder with and without hyperactivity: A review and research report. Journal of Abnormal Child Psychology, 20, 163-188.

    Google Scholar 

  • Biederman, J., Newcorn, J., & Sprich, S. (1991). Comorbidity of attention deficit hyperactivity disorder with conduct, depressive, anxiety, and other disorders. American Journal of Psychiatry, 148, 564-577.

    Google Scholar 

  • Campbell, S. B., Douglas, V. I., & Morgenstern, G. (1971). Cognitive styles in hyperactive children and the effect of methylphenidate. Journal of Child Psychology and Psychiatry, 12, 55-67.

    Google Scholar 

  • Carlson, C. L., Alexander, D. K., & Gaub, M. (1996). Effects of reinforcement on the performance and intrinsic motivation of ADHD children. Manuscript submitted for publication.

  • Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Erlbaum.

    Google Scholar 

  • Corkum, P., & Siegel, L. S. (1993). Is the continuous performance task a valuable research tool for use with children with attention-deficit-hyperactivity disorder. Journal of Child Psychology and Psychiatry, 34,34, 1217-1239.

    Google Scholar 

  • Corkum, P. V., Schachar, R. J., & Siegel, L. S. (1996). Performance on the continuous performance task and the impact of reward. Journal of Attention Disorders, 1, 114-121.

    Google Scholar 

  • Cunningham, S. J., & Knights, R. M. (1978). The performance of hyperactive and normal boys under differing reward and punishment schedules. Journal of Pediatric Psychology, 3, 195-201.

    Google Scholar 

  • Daugherty, T. K., Quay, H. C., & Ramos, L. (1993). Response perseveration, inhibitory control, and central dopaminergic activity in childhood behavior disorders. Journal of Genetic Psychology, 154, 177-188.

    Google Scholar 

  • Douglas, V. I. (1985). The response of ADD children to reinforcement: Theoretical and clinical implications. In L. M. Bloomingdale (Ed.), Attention deficit disorder: Identification, course and rationale (pp. 49-66). Jamaica, NY: Spectrum.

    Google Scholar 

  • Douglas, V. I. (1989). Can Skinnerian theory explain attention deficit disorder? A reply to Barkley. In L. M. Bloomingdale & J. Sergeant (Eds.), Attention deficit disorder: Current concepts and emerging trends in attentional and behavioral disorders of childhood (pp. 235-254). Elmsford, NY: Pergamon.

    Google Scholar 

  • Douglas, V. I., & Parry, P. A. (1983). Effects of reward on delayed reaction time task performance of hyperactive children. Journal of Abnormal Child Psychology, 11, 313-326.

    Google Scholar 

  • Douglas, V. I., & Parry, P. A. (1994). Effects of reward and nonreward on frustration in attention deficit disorder. Journal of Abnormal Child Psychology, 22, 281-302.

    Google Scholar 

  • DuPaul, G. J., Anastopoulos, A. D., Shelton, T. L., Guevremont, D. C., & Metevia, L. (1992). Multimethod assessment of attention deficit hyperactivity disorder: The diagnostic utility of clinic-based tests. Journal of Clinical Child Psychology, 21, 394-402.

    Google Scholar 

  • Fergusson, D. M., Horwood, L. J., & Lloyd, M. (1991). Confirmatory factor models of attention deficit and conduct disorder. Journal of Child Psychology and Psychiatry, 32, 257-274.

    Google Scholar 

  • Firestone, P., & Douglas, V. (1975). The effects of reward and punishment on reaction times and autonomic activity in hyperactive and normal children. Journal of Abnormal Child Psychology, 3, 201-216.

    Google Scholar 

  • Freibergs, V., & Douglas, V. I. (1969). Concept learning in hyperactive and normal children. Journal of Abnormal Psychology, 74, 388-395.

    Google Scholar 

  • Grodzinsky, G. M., & Diamond, R. (1992). Frontal lobe functioning in boys with attention-deficit hyperactivity disorder. Developmental Neuropsychology, 8, 427-445.

    Google Scholar 

  • Groth-Marnat, G. (1990). Handbook of psychological assessment (2nd ed., chap. 5: The Wechsler intelligence scales). New York: Wiley.

    Google Scholar 

  • Haenlein, M., & Caul, W. F. (1987). Attention deficit disorder with hyperactivity: A specific hypothesis of reward dysfunction. Journal of the American Academy of Child and Adolescent Psychiatry, 26, 356-362.

    Google Scholar 

  • Hinshaw, S. P., Lahey, B. B., & Hart, E. L. (1993). Issues of taxonomy and comorbidity in the development of conduct disorder. Development and Psychopathology, 5, 31-49.

    Google Scholar 

  • Iaboni, F., Douglas, V. I., & Baker, A. G. (1995). Effects of reward and response costs on inhibition in ADHD children. Journal of Abnormal Psychology, 104, 232-240.

    Google Scholar 

  • Jennings, J. R., Van der Molen, M. W., Pelham, W., Brock, K., & Hoza, B. (1997). Psychophysiology of inhibition in boys with attention deficit disorder. Developmental Psychology, 33, 308-318.

    Google Scholar 

  • Kindlon, D., Mezzacappa, E., & Earls, F. (1995). Psychometric properties of impulsivity measures: Temporal stability, validity and factor structure. Journal of Child Psychology and Psychiatry, 36, 645-661.

    Google Scholar 

  • Logan, G. D. (1994). On the ability to inhibit thought and action: A users' guide to the stop signal paradigm. In D. Dagenbach & T. H. Carr (Eds.), Inhibitory processes in attention, memory, and language (pp. 189-239). San Diego: Academic Press.

    Google Scholar 

  • Logan, G. D., & Cowan, W. B. (1984). On the ability to inhibit thought and action: A theory of an act of control. Psychological Review, 91, 295-327.

    Google Scholar 

  • Logan, G. D., Cowan, W. B., & Davis, K. A. (1984). On the ability to inhibit thought and action: A model and a method. Journal of Experimental Psychology, 10, 276-291.

    Google Scholar 

  • Loney, J., & Milich, R. (1982). Hyperactivity, inattention, and aggression in clinical practice. Advances in Developmental and Behavioural Pediatrics, 3, 113-147.

    Google Scholar 

  • Milich, R., Hartung, C. M., Martin, C. A., & Haigler, E. D. (1994). Behavioural disinhibition and underlying processes in adolescents with disruptive disorders. In D. K. Routh (Ed.), Disruptive behavior disorders in childhood (pp. 109-138). New York: Plenum Press.

    Google Scholar 

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

    Google Scholar 

  • Ollendick, T. H. (1983). Reliability and validity of the revised fear survey schedule for children (FSSC-R). Behavior Research and Therapy, 21, 685-692.

    Google Scholar 

  • Oosterlaan, J., Prins, P. J. M., Hartman, C. A., & Sergeant, J. A. (1995). Vragenlijst voor angst bij kinderen. Handleiding [User's manual for the revised fear survey schedule for children (FSSC-R)]. Lisse, The Netherlands: Swets Test Services.

    Google Scholar 

  • Oosterlaan, J., Prins, P. J. M., & Sergeant, J. (1992). Beoordelingsschaal voor leerkrachten [Teacher rating scale]. Unpublished manuscript. University of Amsterdam, Faculty of Psychology, Amsterdam.

  • Oosterlaan, J., & Sergeant, J. (1996). Inhibition in ADHD, anxious and aggressive children: A biologically based model of child psychology. Journal of Abnormal Child Psychology, 24, 19-36.

    Google Scholar 

  • Parry, P. A. & Douglas, V. (1983). Effects of reinforcement on concept identification in hyperactive children. Journal of Abnormal Child Psychology, 11, 327-340.

    Google Scholar 

  • Pelham, W. E., Carlson, C., Sams, S. E., Vallano, G., Dixon, M. J., & Hoza, B. (1993). Separate and combined effects of methylphenidate and behavior modification on boys with attention deficit-hyperactivity disorder in the classroom. Journal of Consulting and Clinical Psychology, 61, 506-515.

    Google Scholar 

  • Pelham, W. E., & Hinshaw, S. P. (1992). Behavioral intervention for attention deficit hyperactivity disorder. In S. M. Turner, K. S. Calhoun, & H. E. Adams (Eds.), Handbook of clinical behavior therapy: Vol. 2. New York: Wiley.

    Google Scholar 

  • Pelham, W. E., Milich, R., Murphy, D. A., & Murphy, H. A. (1989). Normative data on the IOWA Conners teacher rating scale. Journal of Clinical Child Psychology, 18, 259-262.

    Google Scholar 

  • Pelham, W. E., Milich, R., & Walker, J. L. (1986). Effects of continuous and partial reinforcement and methylphenidate on learning in children with attention deficit disorder. Journal of Child Psychology and Psychiatry, 95, 319-325.

    Google Scholar 

  • Pennington, B. F., & Ozonoff, S. (1996). Executive functions and developmental psychopathology. Journal of Child Psychology and Psychiatry, 37, 51-87.

    Google Scholar 

  • Pfiffner, L. J., & O'Leary, S. G. (1987). The efficacy of all-positive management as a function of the prior use of negative consequences. Journal of Applied Behavior Analysis, 20, 265-271.

    Google Scholar 

  • Pliszka, S. R., & Borcherding, S. H. (1995). The stop signal task in children with attention deficit hyperactivity disorder and anxiety. Manuscript submitted for publication.

  • Quay, H. C. (1988a). Attention deficit disorder and the behavioral inhibition system: The relevance of the neuropsychological theory of Jeffrey A. Gray. In L. M. Bloomingdale & J. Sergeant (Eds.), Attention deficit disorder: Criteria, cognition, intervention (pp. 117-125). Oxford, U.K.: Pergamon.

    Google Scholar 

  • Quay, H. C. (1988b). The behavioral reward and inhibition system in childhood behavior disorder. In L. M. Bloomingdale (Ed.), Attention deficit disorder (Vol. 3, pp. 176-185). Oxford, U.K.: Pergamon.

    Google Scholar 

  • Quay, H. C. (1997). Inhibition and attention deficit hyperactivity disorder. Journal of Abnormal Child Psychology, 25, 7-13.

    Google Scholar 

  • Rapport, M. D., Murphy, H. A., & Baily, J. S. (1982). Ritalin versus response cost in the control of hyperactive children: A within-subject comparison. Journal of Applied Behavior Analysis, 15, 205-216.

    Google Scholar 

  • Rosen, L. A., O'Leary, S. G., Joyce, S. A., Conway, G., & Pfiffner, L. J. (1984). The importance of prudent negative consequences for maintaining the appropriate behavior of hyperactive students. Journal of Abnormal Child Psychology, 12, 581-604.

    Google Scholar 

  • Rosenbaum, M., & Baker, E. (1984). Self-control behavior in hyperactive and nonhyperactive children. Journal of Abnormal Child Psychology, 12, 303-318.

    Google Scholar 

  • Schachar, R., & Logan, G. D. (1990). Impulsivity and inhibitory control in normal development and childhood psychopathology. Developmental Psychology, 26, 710-720.

    Google Scholar 

  • Schachar, R., & Tannock, R. (1995). Test of four hypotheses for the comorbidity of attention-deficit hyperactivity disorder and conduct disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 34, 639-648.

    Google Scholar 

  • Schachar, R., Tannock, R., Marriott, M., & Logan, G. (1995). Deficient inhibitory control in attention deficit hyperactivity disorder. Journal of Abnormal Child Psychology, 23, 411-437.

    Google Scholar 

  • Sergeant, J. A., & Van der Meere, J. (1990a). Additive factor method applied to psychopathology with special reference to childhood hyperactivity. Acta Psychologica, 74, 277-295.

    Google Scholar 

  • Sergeant, J. A., & Van der Meere, J. (1990b). Converging approaches on localizing the hyperactive deficit. In B. B. Lahey & A. E. Kazdin (Eds.), Advancements in clinical child psychology: Vol. 13 (pp. 207-245). New York: Plenum Press.

    Google Scholar 

  • Sergeant, J. A., & Van der Meere, J. (1994). Toward an empirical child psychopathology. In D. K. Routh (Ed.), Disruptive behavior disorders in childhood (pp. 59-85). New York: Plenum Press.

    Google Scholar 

  • Shue, K. L., & Douglas, V. I. (1992). Attention deficit hyperactivity disorder and the frontal lobe syndrome. Brain and Cognition, 20, 104-124.

    Google Scholar 

  • Solanto, M. V. (1990). The effects of reinforcement and responsecost on a delayed response task in children with attention deficit hyperactivity disorder: A research note. Journal of Child Psychology and Psychiatry, 31, 803-808.

    Google Scholar 

  • Sonuga-Barke, E. J. S. (1995). Disambiguating inhibitory dysfunction in childhood hyperactivity. In J. A. Sergeant (Ed.), European approaches to hyperkinetic disorder (pp. 209-223). Zurich, Switzerland: Fotorotar.

    Google Scholar 

  • Stevens, J. (1992). Applied multivariate statistics for the social sciences. Hillsdale, NJ: Erlbaum.

    Google Scholar 

  • Tannock, R., Schachar, R. J., Carr, R. P., Chajczyk, D, & Logan, G. D. (1989). Effects of methylphenidate on inhibitory control in hyperactive children. Journal of Abnormal Child Psychology, 17, 473-491.

    Google Scholar 

  • Tannock, R., Schachar, R., & Logan, G. (1995). Methylphenidate and cognitive flexibility: Dissociated dose effects in hyperactive children. Journal of Abnormal Child Psychology, 23, 235-266.

    Google Scholar 

  • Townsend, J. T., & Ashbey, F. G. (1983) The stochastic modeling of elementary psychological processes. New York: Cambridge University Press.

    Google Scholar 

  • Van der Meere, J. J. (1996) The role of attention. In S. T. Sandberg (Ed.), Monographs in child and adolescent psychiatry. Hyperactivity disorders of childhood (pp. 109-146). Cambridge, U.K.: Cambridge University Press.

    Google Scholar 

  • Van der Meere, J. J., Hughes, K. A., Burger, N, & Sallee, F. R. (1995). The effect of reward on sustained attention in ADHD children with and without CD. In J. A. Sergeant (Ed.), European approaches to hyperkinetic disorder (pp. 241-253). Zurich, Switzerland: Fotorotar.

    Google Scholar 

  • Verhulst, F. C. (1985). Mental health in Dutch children: An epidemiological study. Unpublished doctoral dissertation, Erasmus University, Rotterdam, The Netherlands.

  • Wender, P. H. (1972). The minimal brain dysfunction syndrome in children. Journal of Nervous and Mental Disease, 155, 55-71.

    Google Scholar 

  • Weyandt, L. L., & Grant, W. W. (1994). Executive functions in school-aged children: Potential efficacy of tasks in discriminating clinical groups. Developmental Neuropsychology, 10,10, 27-38.

    Google Scholar 

  • Worland, J. (1976). Effects of positive and negative feedback on behavior control in hyperactive and normal boys. Journal of Abnormal Child Psychology, 4, 315-326.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Oosterlaan, J., Sergeant, J.A. Effects of Reward and Response Cost on Response Inhibition in AD/HD, Disruptive, Anxious, and Normal Children. J Abnorm Child Psychol 26, 161–174 (1998). https://doi.org/10.1023/A:1022650216978

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1023/A:1022650216978

Navigation