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Heart rate variability during adolescent and adult social interactions: A meta-analysis
Abstract
Social interaction skill is important for psychological wellbeing, stress regulation, protection from disability and overall life satisfaction. Increase in activity of the vagus nerve, measured by heart rate variability (HRV), is associated with social interaction skill and decreased stress. In this meta-analysis we collated statistics from thirteen studies consisting of 787 participants who were participating in social interactions while HRV was simultaneously collected. Results revealed that while dyadic social interactions do not increase HRV generally from a baseline state, negative dyadic social interactions decrease HRV in a manner similar to the Trier Social Stress Task. Further, participants with psychopathology do not show cardiac autonomic flexibility during social interactions as indicated by reductions under stress and increases with subsequently positive social interactions. The role of age, gender and HRV index were also examined as potential moderators of HRV. Implications for health and wellbeing resulting from exposure to negative social interactions are discussed.
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“On one hand, high levels of HRV are associated with better interaction quality (Shahrestani et al. 2015), which may enhance interpersonal physiological synchrony.”
From Interpersonal Physiological Synchrony During Dyadic Joint Action Is Increased by Task Novelty and Reduced by Social Anxiety (2025) · cites this paper as Shahrestani et al. 2015
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“Reduced HRV has been consistently reported in studies where individuals are exposed to negative social situations78, indicating HRV is a reliable marker of social cognitive processes79.”
From Autonomic nervous system dysfunction in schizophrenia: impact on cognitive and metabolic health (2021) · cites this paper as [78]
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Williams, K., Fuchs, A., Kuehn, J., Fleck, L., Lerch, S., Cavelti, M., Koenig, J., & Kaess, M. (2025) · Borderline Personality Disorder and Emotion Dysregulation · doi:10.1186/s40479-025-00289-0 · Cited by 1
Metadata
- Authors
- Shahrestani, S., Stewart, E. M., Quintana, D. S., Hickie, I. B., & Guastella, A. J.
- Affiliations
- The University of Sydney (AU)
- Corresponding author
- Guastella, Adam J.
- Venue
- Biological Psychology
- Publisher
- Elsevier BV
- Published
- 2015-02
- Volume
- 105
- Pages
- 43-50
- ISSN
- 0301-0511 (ISSN-L)
- OpenAlex
- W2052269038
- Cited by
- 126
- References
- 77
- Citations by year
- 2026: 9 · 2025: 17 · 2024: 11 · 2023: 14 · 2022: 7 · 2021: 19 · 2020: 16 · 2019: 10 · 2018: 8 · 2017: 6 · 2016: 7 · 2015: 1
- FWCI
- 1.26
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Biological Psychology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- NHMRC (APP1043664, APP1061922)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
- Life Sciences › Neuroscience › Neurology › Vagus Nerve Stimulation Research
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Keywords
- heart rate variability, social interaction, vagus nerve activity, negative social interactions, stress, psychopathology, adolescents, adults, dyadic interaction, Trier Social Stress Test, age and gender moderators, well-being
- MeSH terms
- Adolescent, Adult, Autonomic Nervous System, Female, Heart, Heart Rate, Humans, Interpersonal Relations, Male, Stress, Psychological, Vagus Nerve, Respiratory Sinus Arrhythmia
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