Mindfulness based cognitive therapy may improve emotional processing in bipolar disorder: pilot ERP and HRV study
Abstract
Emotional processing in bipolar disorder (BD) is impaired. We aimed to measure the effects of mindfulness based cognitive-behavioral therapy (MBCT) in BD on emotional processing, as measured by event related potentials (ERP) and by heart rate variability (HRV). ERP and HRV were recorded during the completion of a visual matching task, which included object matching, affect matching, and affect labeling. Individuals with BD (n = 12) were compared with controls (n = 9) to obtain baseline data prior to the individuals with BD undergoing an 8-week MBCT intervention. ERP and HRV recording was repeated after the MBCT intervention in BD. Participants with BD had exaggerated ERP N170 amplitude and increased HRV HF peak compared to controls, particularly during the affect matching condition. After an 8-week MBCT intervention, participants with BD showed attenuation of ERP N170 amplitude and reduced HRV HF peak. Our findings support findings from the literature emphasizing that emotional processing in BD is altered, and suggesting that MBCT may improve emotional processing in BD.
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Mindfulness based cognitive-behavioural therapy has been found to attenuate reduction in HF-HRV and improve emotional processing in bipolar disorder.
“Mindfulness based cognitive-behavioural therapy is also another potential intervention, and has been found to attenuate reduction in HF-HRV and improve emotional processing in bipolar disorder109.”
From Autonomic nervous system dysfunction in schizophrenia: impact on cognitive and metabolic health (2021) · cites this paper as [109]
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Trends in Heart-Rate Variability Signal Analysis
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Burgos-Julián, F. A., Díaz‐Silveira, C., Ruiz‐Íñiguez, R., & Germán, M. Á. S. (2024) · Anales de Psicología · doi:10.6018/analesps.549581
Mindfulness-Based Therapies with Bipolar Disorder
Russell, T. A. (2024) · Springer eBooks · doi:10.1007/978-3-031-63349-2_13
Wu, X., Alwis, J. D., Dou, Z., Lo, H., Wang, S., & Xu, W. (2025) · SSRN Electronic Journal · doi:10.2139/ssrn.5177397
- Authors
- Howells, F. M., Laurie Rauch, H. G., Ives-Deliperi, V. L., Horn, N. R., & Stein, D. J.
- Affiliations
- University of Cape Town (ZA)
- Corresponding author
- Howells, Fleur M.
- Venue
- Metabolic Brain Disease
- Published
- 2013-12-07
- Volume
- 29
- Issue
- 2
- Pages
- 367-375
- ISSN
- 0885-7490 (ISSN-L)
- 1573-7365
- OpenAlex
- W2048326078
- Cited by
- 59
- References
- 45
- Citations by year
- 2025: 5 · 2024: 4 · 2023: 5 · 2022: 2 · 2021: 8 · 2020: 8 · 2019: 6 · 2018: 5 · 2017: 9 · 2016: 4 · 2015: 3
- FWCI
- 1.65
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Metabolic Brain Disease (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Research Foundation
- Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
- University of Cape Town
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Keywords
- mindfulness-based cognitive therapy, bipolar disorder, emotional processing, N170, heart rate variability, event-related potentials, affect labeling, visual object recognition, treatment effects
- MeSH terms
- Adult, Bipolar Disorder, Electrocardiography, Electroencephalography, Emotions, Evoked Potentials, Female, Heart Rate, Humans, Male, Photic Stimulation, Pilot Projects, Cognitive Behavioral Therapy, Mindfulness
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