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Updated: Jun 21, 2026

Psychophysiological Assessment of the Effectiveness of Emotion Regulation Strategies in Childhood
Published on: February 11, 2017
Heart rate and skin conductance in four-year-old children with aggressive behavior
J A Posthumus1, K B E Böcker, M A J Raaijmakers
1Department of Child and Adolescent Psychiatry, Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, The Netherlands.
Insights
In preschool children, low skin conductance level (SCL) is linked to aggressive behavior and ODD/CD. However, heart rate (HR) levels did not differ significantly, suggesting SCL is a key indicator in young aggressive children.
Area of Science:
- Developmental Psychology
- Child Psychiatry
- Psychophysiology
Background:
- Autonomic underarousal, characterized by low heart rate (HR) and skin conductance level (SCL), is associated with childhood aggression.
- Previous research findings regarding autonomic activity in preschoolers exhibiting aggression have been inconsistent.
- Understanding these physiological correlates is crucial for early identification and intervention in disruptive behaviors.
Purpose of the Study:
- To investigate autonomic nervous system activity, specifically HR and SCL, and their reactivity in four-year-old children.
- To compare physiological measures between aggressive and non-aggressive preschoolers, and between children with ODD/CD and controls.
- To clarify the role of autonomic underarousal in preschool aggression and related disorders.
Main Methods:
- Assessed heart rate (HR), skin conductance level (SCL), heart rate reactivity (HRR), and skin conductance reactivity (SCR) in four-year-old children.
- Compared physiological data between children with high versus low aggressive behavior (Child Behavior Checklist 1 1/2-5).
- Compared physiological data between children diagnosed with Oppositional Defiant Disorder/Conduct Disorder (ODD/CD) and children with low aggression.
Main Results:
- Preschool children with high aggressive behavior exhibited significantly lower SCL and SCR compared to less aggressive peers.
- Children diagnosed with ODD/CD also showed significantly lower SCL.
- No significant differences in HR or HRR were found between aggressive and non-aggressive children or between ODD/CD and control groups.
Conclusions:
- Decreased skin conductance level (SCL) appears to be a characteristic physiological feature of preschool children with aggressive behavior.
- Lower SCL is also associated with Oppositional Defiant Disorder/Conduct Disorder (ODD/CD) in this age group.
- Heart rate (HR) and its reactivity do not seem to be reliable indicators of aggression or ODD/CD in preschoolers, contrary to previous assumptions.
Abstract:
Autonomic underarousal, indicated by low heart rate (HR) and skin conductance level (SCL), is related to childhood aggression. However, results are inconsistent in preschoolers. We assessed HR, SCL, heart rate reactivity and skin conductance reactivity in four-year-old children. Comparisons were made between children with a high level and with a low level of aggressive behavior according to the Child Behavior Checklist 1 1/2-5 as well as between children who were diagnosed with Oppositional Defiant Disorder or Conduct Disorder (ODD/CD) and children with a low level of aggression. Preschool children with a high level of aggressive behavior showed lower SCL and SCR and children with ODD/CD showed lower SCL. In contrast, we did not find lower HR and HRR in preschool children with a high level of aggressive behavior or ODD/CD. Thus, results suggest that decreased SCL, but not HR, is a characteristic of preschool children with aggressive behavior or ODD/CD.
Related Concept Videos
Conduct Disorder
Aggression
Attention-Deficit/Hyperactivity Disorder
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings.

