Cited by 439Heart Rate Variability and Autonomic ControlChild and Adolescent Psychosocial and Emotional DevelopmentVagus Nerve Stimulation Research

The DOI matches its Crossref record; 146 of the 146 references it cites were found in a registry or an index; 2 of the 98 sources its claims cite were checked for support.

Cardiac vagal control and children's adaptive functioning: A meta-analysis

Open access
Graziano, Paulo, Derefinko, Karen·2013·Biological Psychology

Abstract

Polyvagal theory has influenced research on the role of cardiac vagal control, indexed by respiratory sinus arrhythmia withdrawal (RSA-W) during challenging states, in children’s self-regulation. However, it remains unclear how well RSA-W predicts adaptive functioning (AF) outcomes and whether certain caveats of measuring RSA (e.g., respiration) significantly impact these associations. A meta-analysis of 44 studies (n = 4,996 children) revealed small effect sizes such that greater levels of RSA-W were related to fewer externalizing, internalizing, and cognitive/academic problems. In contrast, RSA-W was differentially related to children’s social problems according to sample type (community vs. clinical/at-risk). The relations between RSA-W and children’s AF outcomes were stronger among studies that co-varied baseline RSA and in Caucasian children (no effect was found for respiration). Children from clinical/at-risk samples displayed lower levels of baseline RSA and RSA-W compared to children from community samples. Theoretical/practical implications for the study of cardiac vagal control are discussed.

Overview

Integrity signals

Registry

Crossref · 10.1016/j.biopsycho.2013.04.011

Cites

146 of 146 references verified0 citation errors · 0 not checkable

Statistics

Verification

Claims the paper makes

59 Not checked yet · 34 Own result · 16 Own interpretation · 7 No basis given · 5 Own method · 1 Partly supported · accuracy not yet measured

Verify all 96 references — free account

Show all 82 claims

  • Probably not a substantial claim. 22
  • It may state two separate claims as one. 23
40 of 40
  • The paper relies on this without support.

    High-risk groups have more complex psychological and biological deficits that contribute to their impairment.

    “While our mixed findings are unlikely the result of smaller sample sizes for children from clinical/at-risk samples (44% of studies we reviewed contained clinical/at-risk samples), high-risk groups undoubtedly have more complex psychological and biological deficits that contribute to their impairment.”
  • The paper relies on this without support.

    Baseline RSA represents a general responsiveness measure and provides a ceiling on how much withdrawal a child can engage in during challenging situations.

    “Baseline RSA is thought to represent a general responsiveness measure as it provides a ceiling on how much withdrawal a child can engage in during challenging situations.”
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Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Statistics recomputed

Every reported test result, recomputed from its test statistic and degrees of freedom. A result shows as not adding up only once an independent check has confirmed it.

  • ConsistentF(1, 21) = 6.16reported p = .02 · recomputed p = .022

    “F (1, 21) = 6.16, p = .02”

  • ConsistentF(1, 2003) = 11.3reported p < .001 · recomputed p < .001

    “F (1, 2003) = 11.30, p < .001”

  • ConsistentF(1, 1342) = 3.61reported p = .058 · recomputed p = .058

    “F(1, 1342) = 3.61, p = .058”

  • ConsistentF(1, 2976) = 250.5reported p < .001 · recomputed p < .001

    “F(1, 2976) = 250.50, p < .001”

4 of 4

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

4 of 4

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Metadata

Authors
Graziano, P., & Derefinko, K.
Affiliations
  • Florida International University (US)
  • University of Kentucky (US)
Corresponding author
Graziano, Paulo
Venue
Biological Psychology
Publisher
Elsevier BV
Published
2013-09
Volume
94
Issue
1
Pages
22-37
ISSN
0301-0511 (ISSN-L)
OpenAlex
W2043258274
Cited by
439
References
145
Citations by year
2026: 13 · 2025: 29 · 2024: 35 · 2023: 28 · 2022: 29 · 2021: 58 · 2020: 43 · 2019: 43 · 2018: 40 · 2017: 38 · 2016: 37 · 2015: 24 · 2014: 19 · 2013: 3
FWCI
4.72
Type
journal article
Language
en
Open access
Locations
  • Biological Psychology (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institute on Drug Abuse (T32DA007304, T32DA035200)
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
  • Life Sciences › Neuroscience › Neurology › Vagus Nerve Stimulation Research
Keywords
cardiac vagal control, polyvagal theory, self-regulation, externalizing problems, internalizing problems, academic difficulties, social problems, respiration measurement, racial differences
MeSH terms
Adaptation, Physiological, Arrhythmia, Sinus, Child, Child Behavior Disorders, Cognition Disorders, Humans, Respiration, Social Behavior, Vagus Nerve

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