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

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

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Beauchaine, Theodore P·2015·Current Opinion in Psychology

DOI 10.1016/j.copsyc.2015.01.017PMC PMC4389219

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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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“63 64 The pattern of respiratory sinus arrhythmia (RSA: influence of respiration on heart rate) changes in response to frustration induction was related to better emotion regulation and adjustment (i.e., more prosocial behaviours) in community adolescents.”

Authors: Beauchaine, T. P.
Affiliations: The Ohio State University (US)
Corresponding author: Beauchaine, Theodore P
ORCID: Beauchaine, Theodore P
Venue: Current Opinion in Psychology
Publisher: Elsevier BV
Published: 2015-06
Volume: 3
Pages: 43-47
ISSN: 2352-250X (ISSN-L)
DOI: 10.1016/j.copsyc.2015.01.017
PMC: PMC4389219
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: green
www.ncbi.nlm.nih.gov
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
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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Respiratory sinus arrhythmia: a transdiagnostic biomarker of emotion dysregulation and psychopathology

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