Em. Ornitz et al., AFFECTIVE VALENCE AND AROUSAL IN ADHD AND NORMAL BOYS DURING A STARTLE HABITUATION EXPERIMENT, Journal of the American Academy of Child and Adolescent Psychiatry, 36(12), 1997, pp. 1698-1705
Objective: To measure two dimensions of emotion (affective valence and
arousal) in 29 boys with attention-deficit hyperactivity disorder (AD
HD) and 32 normal bays. Method: After a startle habituation experiment
during which these subjects heard 40 startling sounds while watching
a silent interesting movie, they were asked 12 questions (categorized
a priori into questions relating to affective valence and to arousal)
about their emotional reactions to these putatively unpleasant and ple
asurable stimuli. Responses were recorded for the two dimensions of em
otion, using two cartoon strips in each of which five expressions of a
cartoon character varied linearly from happy to unhappy (affective va
lence dimension) and calm to excited (arousal dimension). Results: Fac
tor analyses of the 12 responses revealed four factors in which the hi
ghest loadings were far affective valence to the startle responses, af
fective valence to the silent movie, arousal, and scary feelings. Rela
tive to the normal group, the responses of the ADHD group were signifi
cantly biased toward pleasurable valence to the startling stimuli and
to the silent movie, with a trend toward hypoarousal. Startle magnitud
e and habituation were similar in both groups. The normal tonic heart
rate acceleration throughout ?he experimental session was not sustaine
d in the ADHD group. Conclusions: The seif-reports of affective valenc
e biased in the direction of pleasure and away from displeasure and th
e trend toward hypoarousal suggest an emotional dysfunction in ADHD.