Infant visual sustained attention and respiratory sinus arrhythmia.

Infants were studied cross-sectionally at 14, 20, and 26 weeks of age. They were presented with varying and complex patterns on a TV screen. Two-thirds of the presentations were accompanied by an "interrupting stimulus" in the periphery delayed in time from the onset of fixation on the central stimulus. The infants were not easily distracted from looking at the central stimulus when the presentation of the interrupting stimulus occurred at the point of maximal heart rate (HR) deceleration. However, if the presentation occurred at the end of the HR response, the infants were easily distracted. Infants with large amounts of respiratory sinus arrhythmia (RSA; i.e., HR variability) in a baseline recording were less distractible during the deceleration-defined trials than were infants with low amounts of RSA. High-RSA infants also showed larger HR deceleration on these trials than did the low-RSA infants. These results are consistent with a model positing that sustained HR lowering during visual fixation is an index of active attention and that RSA is an index of voluntary, sustained attention in infants.