Electroencephalographic Biomarkers of Relaxation: A Systematic Review and Meta-analysis
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Abstract
Alpha oscillations (8–13 Hz), which are prominent in human EEG, have long been considered a neural marker of relaxation. However, the extent to which different frequency bands and electrode positions of the EEG reflect relaxation remains unclear. This systematic review and meta-analysis assessed the associations between EEG components and concurrently measured the reference indices of relaxation in healthy adults. A comprehensive database search and screening employing preset criteria identified 54 studies that involve 2569 participants published from January 1940 to March 2025 for qualitative synthesis. These studies utilized various reference relaxation measures, such as electrocardiographic (ECG) indices associated with parasympathetic nervous system activity and introspective indices obtained through questionnaires. Risks of bias were assessed based on the risk of bias assessment tool for nonrandomized studies. A meta-analysis of 31 studies employing a random-effects model revealed positive correlations between relaxation indices and the power of alpha oscillations in three specific combinations of EEG channel regions and reference index types: frontal channels with all reference indices, central channels with ECG-related indices, and occipital channels with questionnaire-based indices. No significant correlations were observed between relaxation indices and other EEG frequencies or channels. These findings indicate that alpha oscillations in different scalp regions may represent distinct aspects of the relaxation response based on the type of reference measure used.
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Flagged first, then by citations
- Authors
- Sugimoto, K., Kurashiki, H., Xu, Y., Takemi, M., & Amano, K.
- Affiliations
- Waseda University (JP)
- Keio University (JP)
- The University of Tokyo (JP)
- Corresponding author
- Amano, Kaoru
- Venue
- Journal of Cognitive Neuroscience
- Publisher
- MIT Press
- Published
- 2026
- Volume
- 38
- Issue
- 3
- Pages
- 598-628
- ISSN
- 0898-929X (ISSN-L)
- 1530-8898
- OpenAlex
- W4414909548
- Cited by
- 10
- References
- 23
- Citations by year
- 2026: 6 · 2025: 2 · 2024: 1 · 2023: 1
- FWCI
- 1.33
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Journal of Cognitive Neuroscience (publishedVersion, cc-by)
- bioRxiv (Cold Spring Harbor Laboratory) (acceptedVersion)
- PubMed (publishedVersion)
- Funders
- Moonshot Research and Development Program (JPMJMS2012)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural dynamics and brain function
- Life Sciences › Neuroscience › Cognitive Neuroscience › EEG and Brain-Computer Interfaces
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
- Keywords
- relaxation, alpha oscillations, EEG biomarkers, parasympathetic activity, electrocardiographic indices, frontal EEG channels, EEG frequency bands, relaxation response
- MeSH terms
- Alpha Rhythm, Electroencephalography, Humans, Relaxation, Biomarkers
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