Cited by 529Heart Rate Variability and Autonomic ControlNeural and Behavioral Psychology StudiesChild and Adolescent Psychosocial and Emotional Development

Respiratory sinus arrhythmia: a transdiagnostic biomarker of emotion dysregulation and psychopathology

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Beauchaine, Theodore P·2015·Current Opinion in Psychology

Abstract

In the past two decades, respiratory sinus arrhythmia (RSA)-an index of parasympathetic nervous system (PNS)-mediated cardiac control-has emerged as a reliable peripheral biomarker of emotion regulation (ER). Reduced RSA and excessive RSA reactivity (i.e., withdrawal) to emotional challenge are observed consistently among individuals with poor ER capabilities, including those with various forms of internalizing and externalizing psychopathology, and those with specific psychopathological syndromes, including anxiety, phobias, attention problems, autism, callousness, conduct disorder, depression, non-suicidal self-injury, panic disorder, and trait hostility. Emerging evidence suggests that low RSA and excessive RSA reactivity index poor ER because they are downstream peripheral markers of prefrontal cortex (PFC) dysfunction. Poorly modulated inhibitory efferent pathways from the medial PFC to the PNS result in reduced RSA and excessive RSA reactivity. According to this perspective, RSA is a non-invasive proxy for poor executive control over behavior, which characterizes most forms of psychopathology.

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  1. [3]Ekman P Davidson RJ The nature of emotion 1994 Oxford University Press
  2. [7]Panksepp J Ekman P Davidson RJ The clearest physiological distinctions between emotions will be found in the brain The nature of emotion 1994 Oxford University Press 258 260

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Authors
Beauchaine, T. P.
Affiliations
The Ohio State University (US)
Corresponding author
Beauchaine, Theodore P
Venue
Current Opinion in Psychology
Publisher
Elsevier BV
Published
2015-06
Volume
3
Pages
43-47
ISSN
2352-250X (ISSN-L)
OpenAlex
W2008969489
Cited by
529
References
50
Citations by year
2026: 52 · 2025: 51 · 2024: 47 · 2023: 53 · 2022: 47 · 2021: 79 · 2020: 63 · 2019: 47 · 2018: 36 · 2017: 28 · 2016: 17 · 2015: 8
FWCI
5.12
Type
journal article
Language
en
Open access
Locations
  • Current Opinion in Psychology (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institute of Mental Health (R01MH063699)
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Keywords
respiratory sinus arrhythmia, emotion regulation, parasympathetic nervous system, emotional dysregulation, psychopathology, internalizing disorders, externalizing disorders, anxiety, autism spectrum disorder, depression, non-suicidal self-injury, panic disorder, trait hostility, prefrontal cortex dysfunction, executive function, peripheral biomarkers

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