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Updated: Oct 23, 2025

Psychophysiological Assessment of the Effectiveness of Emotion Regulation Strategies in Childhood
Published on: February 11, 2017
Examining Links Between Infant Parasympathetic Regulation during the Still-Face Paradigm and Later
Sarah F Lynch1, Rachael Bedford2,3, Cathi Propper4
1Department of Psychological and Brain Sciences, Boston University Developmental Sciences, Boston, MA, USA.
Insights
Infants showing less distress during a still-face challenge at 6 months, combined with lower parasympathetic nervous system activity (respiratory sinus arrhythmia), predict later callous-unemotional traits, especially in insecurely attached children.
Area of Science:
- Developmental Psychology
- Neuroscience
- Child Psychiatry
Background:
- Callous-unemotional (CU) traits are linked to social deficits and reduced threat sensitivity.
- Biophysiological regulatory mechanisms in infancy underlying these traits are under-researched.
- Infant behavioral reactivity and autonomic functioning may predict later behavioral problems.
Purpose of the Study:
- To investigate if infant behavioral reactivity and respiratory sinus arrhythmia (RSA) during a still-face episode predict callous-unemotional (CU) traits and oppositional defiant behaviors (ODD) at age 3.
- To examine if attachment security moderates these relations.
Main Methods:
- Longitudinal study of 206 infants from the Durham Child Health and Development Study (DCHD).
- Assessed behavioral reactivity and RSA during the still-face paradigm at 6 months.
- Measured CU traits and ODD at 3 years.
Main Results:
- Reduced negative affect during the still-face episode predicted higher CU traits and ODD at 3 years.
- Lower RSA (indicating parasympathetic engagement) predicted higher CU traits, but not ODD.
- The combination of blunted negative affect and lower RSA predicted CU traits in insecurely attached infants.
Conclusions:
- Infant autonomic and affective responses during social stressors are early indicators of risk for CU traits.
- Attachment security plays a moderating role in the development of CU traits.
- These findings highlight the interplay of biophysiological and relational factors in the etiology of CU traits.
Abstract:
Although research suggests that callous-unemotional (CU) traits are underpinned by deficits in social affiliation and reduced sensitivity to threat, there has been little investigation of the biophysiological regulatory mechanisms underlying these processes in infancy. The current study uses data from the Durham Child Health and Development Study (DCHD; n = 206) to examine whether and how the combination of infants' behavioral reactivity and levels of respiratory sinus arrhythmia (RSA), an indicator of parasympathetic nervous system functioning, during the still-face episode of the still-face paradigm at 6 months differentiates risk for CU traits and oppositional defiant behaviors (ODD) at age 3 years, as well as whether these relations vary by children's attachment security. Results indicate that reduced negative affect during the still-face episode at 6 months predicts higher CU traits (B = -0.28, β = -0.27, p = 0.003) and ODD (B = -0.35, β = -0.24, p = 0.007) at 3 years. Results also show that comparatively lower RSA, i.e. engaged parasympathetic system, predicts higher CU traits (B = -0.10, β = -0.34, p = 0.013), but not ODD. Tests of moderation suggest the combination of blunted negative affect but comparatively lower RSA levels during a social stressor constitutes risk for later CU traits for children who are also insecurely attached (simple slope = -0.70, t = 2.88, p = 0.006 at -1 SD). Findings contribute to our understanding of the complex and interactive risk processes which precede the development of CU traits.
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