Abstract

Increased reaction time variability (RTV) on cognitive tasks requiring a speeded response is characteristic of several psychiatric disorders. In attention deficit hyperactivity disorder (ADHD), the association with RTV is strong phenotypically and genetically, yet high RTV is not a stable impairment but shows ADHD-sensitive improvement under certain conditions, such as those with rewards. The state regulation theory proposed that the RTV difference score, which captures change from baseline to a rewarded or fast condition, specifically measures 'state regulation'. By contrast, the interpretation of RTV baseline (slow, unrewarded) scores is debated. We aimed to investigate directly the degree of phenotypic and etiological overlap between RTV baseline and RTV difference scores. Method We conducted genetic model fitting analyses on go/no-go and fast task RTV data, across task conditions manipulating rewards and event rate, from a population-based twin sample (n=1314) and an ADHD and control sibling-pair sample (n=1265). Phenotypic and genetic/familial correlations were consistently high (0.72-0.98) between RTV baseline and difference scores, across tasks, manipulations and samples. By contrast, correlations were low between RTV in the manipulated condition and difference scores. A comparison across two different go/no-go task RTV difference scores (slow-fast/slow-incentive) showed high phenotypic and genetic/familial overlap (r=0.75-0.83). Our finding that RTV difference scores measure largely the same etiological process as RTV under baseline condition supports theories emphasizing the malleability of the observed high RTV. Given the statistical shortcomings of difference scores, we recommend the use of RTV baseline scores for most analyses, including genetic analyses.

Highlights

  • Increased reaction time variability (RTV) on cognitive tasks requiring a speeded response is characteristic of several psychiatric disorders, including attention deficit hyperactivity disorder

  • High RTV in attention deficit hyperactivity disorder (ADHD) has in particular attracted a large number of studies, which serve as a useful example of how to uncover the nature and etiology of this phenomenon

  • The starting point has been the strong association of ADHD with high RTV, which has been replicated across many tasks, samples and definitions of ADHD (Kuntsi & Klein, 2012)

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Summary

Introduction

Increased reaction time variability (RTV) on cognitive tasks requiring a speeded response is characteristic of several psychiatric disorders, including attention deficit hyperactivity disorder (ADHD ; Kuntsi & Klein, 2012), schizophrenia (Kaiser et al 2008) and bipolar disorder (Brotman et al 2009).High RTV in ADHD has in particular attracted a large number of studies, which serve as a useful example of how to uncover the nature and etiology of this phenomenon. Increased reaction time variability (RTV) on cognitive tasks requiring a speeded response is characteristic of several psychiatric disorders, including attention deficit hyperactivity disorder (ADHD ; Kuntsi & Klein, 2012), schizophrenia (Kaiser et al 2008) and bipolar disorder (Brotman et al 2009). Increased reaction time variability (RTV) on cognitive tasks requiring a speeded response is characteristic of several psychiatric disorders. In attention deficit hyperactivity disorder (ADHD), the association with RTV is strong phenotypically and genetically, yet high RTV is not a stable impairment but shows ADHD-sensitive improvement under certain conditions, such as those with rewards. The state regulation theory proposed that the RTV difference score, which captures change from baseline to a rewarded or fast condition, measures ‘ state regulation ’. We aimed to investigate directly the degree of phenotypic and etiological overlap between RTV baseline and RTV difference scores

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