Cited by 168Heart Rate Variability and Autonomic ControlSchizophrenia research and treatmentVagus Nerve Stimulation Research

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Resting vagal activity in schizophrenia: Meta-analysis of heart rate variability as a potential endophenotype

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Clamor, Annika, Lincoln, Tania M., Thayer, Julian F., Koenig, Julian·2016·British Journal of Psychiatry

DOI 10.1192/bjp.bp.114.160762

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Abstract

Background: Cardiac vagal tone, indexed by heart rate variability (HRV), is a proxy for the functional integrity of feedback mechanisms integrating central and peripheral physiology. Aims: To quantify differences in HRV in individuals with schizophrenia compared with healthy controls. Method: Databases were systematically searched for studies eligible for inclusion. Random effect meta-analyses of standardised mean differences were calculated for vagal activity indicated by high-frequency HRV and the root mean square of successive R–R interval differences (RMSSD). Results: Thirty-four studies were included. Significant main effects were found for high-frequency HRV (P = 0.0008; Hedges' g =–0.98, 95% CI −1.56 to −0.41, k = 29) and RMSSD (P<0.0001; g =–0.91, 95% CI −1.19 to −0.62, k = 24), indicating lower vagal activity in individuals with schizophrenia than in healthy controls. Considerable heterogeneity was evident but effects were robust in subsequent sensitivity analyses. Conclusions: Given the association between low HRV, threat processing, emotion regulation and executive functioning, reduced vagal tone may be an endophenotype for the development of psychotic symptoms.

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Authors: Clamor, A., Lincoln, T. M., Thayer, J. F., & Koenig, J.
Affiliations: Universität Hamburg (DE)
Corresponding author: Clamor, Annika
ORCID: Clamor, Annika
Lincoln, Tania M.
Thayer, Julian F.
Koenig, Julian
Venue: British Journal of Psychiatry
Publisher: Royal College of Psychiatrists
Published: 2016-01
Volume: 208
Issue: 1
Pages: 9-16
ISSN: 0007-1250 (ISSN-L)
1472-1465
DOI: 10.1192/bjp.bp.114.160762
OpenAlex: W2236535974
Cited by: 167
References: 65
Citations by year: 2026: 10 · 2025: 13 · 2024: 22 · 2023: 18 · 2022: 16 · 2021: 17 · 2020: 20 · 2019: 11 · 2018: 16 · 2017: 9 · 2016: 11
FWCI: 2.77
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.cambridge.org/core/terms (unspecified, 732 d)
Locations: The British Journal of Psychiatry (publishedVersion)
PubMed (publishedVersion)
Funders: Ohio State University
Deutscher Akademischer Austauschdienst
Topics: Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
Life Sciences › Neuroscience › Neurology › Vagus Nerve Stimulation Research
Keywords: schizophrenia, heart rate variability, vagal tone, endophenotypes, high-frequency HRV, RMSSD, cardiac autonomic function, threat processing, emotion regulation, executive function, psychotic symptoms
MeSH terms: Brain, Emotions, Heart Rate, Humans, Schizophrenia, Vagus Nerve, Executive Function, Endophenotypes

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

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Resting vagal activity in schizophrenia: Meta-analysis of heart rate variability as a potential endophenotype

Abstract

Overview

Integrity signals

Verification

Claims the paper makes

Claims other papers make about this one

Self-check

Citations

Cites

Cited by

Related

Metadata

Record

About these checks