Changes In Respiratory Sinus Arrhythmia Research Articles

Understanding emotion dysregulation from infancy to toddlerhood with a multilevel perspective: The buffering effect of maternal sensitivity.

Challenges with childhood emotion regulation may have origins in infancy and forecast later social and cognitive developmental delays, academic difficulties, and psychopathology. This study tested whether markers of emotion dysregulation in infancy predict emotion dysregulation in toddlerhood, and whether those associations depended on maternal sensitivity. When children (N = 111) were 7 months, baseline respiratory sinus arrhythmia (RSA), RSA withdrawal, and distress were collected during the Still Face Paradigm (SFP). Mothers' reports of infant regulation and orientation and maternal sensitivity were also collected at that time. Mothers' reports of toddlers' dysregulation were collected at 18 months. A set of hierarchical regressions indicated that low baseline RSA and less change in RSA from baseline to stressor predicted greater dysregulation at 18 months, but only for infants who experienced low maternal sensitivity. Baseline RSA and RSA withdrawal were not significantly associated with later dysregulation for infants with highly sensitive mothers. Infants who exhibited low distress during the SFP and who had lower regulatory and orienting abilities at 7 months had higher dysregulation at 18 months regardless of maternal sensitivity. Altogether, these results suggest that risk for dysregulation in toddlerhood has biobehavioral origins in infancy but may be buffered by sensitive caregiving.

Is respiratory sinus arrhythmia a modifiable index of symptom change in cognitive behavioral therapy for youth? A pooled-data analysis of a randomized trial

Objective We evaluated whether respiratory sinus arrhythmia (RSA) reactivity and resting RSA—physiological markers reflecting the increase in heart rate with inspiration and decrease during expiration related to parasympathetic influence on the heart—are modifiable and predict symptom change during youth psychotherapy. Methods: Diverse youth (N = 158; ages 7–15; 48.1% female) received the Modular Approach to Therapy for Children and completed pre-treatment (pre), post-treatment (post), and 18-months postbaseline (18Mo) assessments. We measured resting RSA, RSA reactivity during stress induction, and psychopathology symptoms. Results: Pre-to-post and pre-to-18Mo, reactivity decreased, and resting RSA increased. Changes in reactivity and resting RSA, separately, did not predict reduced psychopathology. Yet, decreased reactivity combined with increased resting RSA predicted reduced psychopathology over time, suggesting that observed RSA changes were beneficial for some. Higher dosage of a module utilizing slow-breathing, muscle-relaxation, and imagery predicted greater pre-to-18Mo changes in reactivity and resting RSA, whereas a similar module with less emphasis on slow-breathing did not. Conclusions: Findings raise the possibility that youth reactivity and resting RSA could be modifiable during cognitive behavioral therapy and contribute to the amelioration of psychopathology. More studies are needed to determine whether resting RSA and RSA reactivity are modifiable indices of symptom change in slow-breathing practices and psychotherapy. ClinicalTrials.gov Identifier NCT03153904, registered May 15, 2017.

How biology shapes the development of shyness within specific contexts: A longitudinal, cross-lagged investigation.

Shyness is a temperamental trait that refers to fear and wariness in the face of social novelty and is known to have a biological basis. One proposed physiological correlate of shyness has been the change in respiratory sinus arrhythmia (RSA) from baseline to a stressor. However, past research linking shyness and RSA change has been mixed, which may be, in part, due to a failure to carefully consider the context under which RSA change is measured and the directionality of relations. Using a longitudinal design and cross-lagged analysis (N = 103, 52 girls), we examined parent-reported shyness and RSA change during a stranger approach task (social stressor) and a locked box task (nonsocial stressor) at ages 3 (Mage at Time 1 = 3.50 years, SDage = 0.19 years) and 4 (Mage at Time 2 = 4.76 years, SDage = 0.38). Cardiac vagal withdrawal during the stranger approach task, but not during the frustration task, at age 3 positively predicted shyness at age 4. Shyness at age 3 did not predict cardiac vagal change in either context at age 4. We also found that changes in RSA measured during the frustration task were stable across time, but changes in RSA measured during the stranger approach task were not stable across time, suggesting a developmental change in physiological regulatory systems to social threat. These results suggest that, although biology may come first in shaping children's behavior, this relation depends critically on the context and the incentives in the child's environment. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Spontaneous infant crying modulates vagal activity in real time.

Porges' polyvagal theory (1991) proposes that the activity of the vagal nerve modulates moment-by-moment changes in adaptive behavior during stress. However, most work, including research with infants, has only examined vagal changes at low temporal resolutions, averaging 30+ s across phases of structured stressor paradigms. Thus, the true timescale of vagal regulation-and the extent to which it can be observed during unprompted crying-is unknown. The current study utilized a recently validated method to calculate respiratory sinus arrhythmia (RSA) dynamically at a high resolution of 5Hz (updated every 200ms) in a home-based infant study. Using an event-related analysis, we calculated the relative change in RSA around the onset of naturally occurring unprompted instances of n=41 infants' 180 crying events. As predicted, RSA significantly decreased after the onset of crying compared to non-crying chance changes in RSA. Decreasing trends in RSA were driven by infants with higher pre-cry RSA values, infants rated lower in Negative Affectivity, and those rated both high and low in Orienting by their mothers. Our results display the timescale of RSA in spontaneous and naturalistic episodes of infant crying and that these dynamic RSA patterns are aligned with real-time levels of RSA and also caregiver-reported temperament.

1.14 Gender and Conduct Problem Severity Are Associated With Physiological Arousal and Emotion Recognition in Children Exposed to Peer Distress Cues

1.14 Gender and Conduct Problem Severity Are Associated With Physiological Arousal and Emotion Recognition in Children Exposed to Peer Distress Cues

Temperamental and physiological regulatory capacity in infancy: Links with toddler behavior problems

Although correlates of temperamental regulatory processes in childhood have been well established, there is considerably less work examining correlates and moderators of rudimentary forms of temperamental regulation in infancy. We examined whether infants’ physiological regulation indexed via changes in respiratory sinus arrhythmia (RSA) across phases of the Still-Face Paradigm moderated the association between maternal-reported infant regulatory capacity at 8 months (N = 50, Mage = 8.51 months, SDage = 0.28 months, 25 girls) and behavior problems at 14 months. We found that cardiac vagal regulation from baseline to still-face moderated the relation between infant regulatory capacity at 8 months and behavior problems at 14 months. Among infants who displayed relatively high cardiac vagal regulation from baseline to still-face, regulatory capacity was negatively associated with behavior problems. There was no relation between regulatory capacity and behavior problems among infants who displayed average or relatively low cardiac vagal regulation. We speculate that high levels of regulatory capacity and cardiac vagal regulation may allow infants to focus their attention outward and cope with emotionally evocative environmental demands as they arise even in the absence of external regulation provided by their caregivers.

Development and Parasympathetic Regulation in Male and Female Adolescents with Autism Spectrum Disorder: A Two-Timepoint Longitudinal Study.

Prolonged dysregulation of the autonomic nervous system (ANS) may increase propensity for physical or psychiatric illness. The current study examined differences in respiratory sinus arrhythmia (RSA) regulation in 215 adolescents with or without autism spectrum disorder (ASD) at Time 1 (T1; 10-13years old) and 1year later (Time 2; T2). Linear mixed effects models demonstrated lower RSA regulation in ASD, and a small interaction effect, showing blunted change in RSA from T1 to T2. Developmental differences in RSA regulation were particularly notable in females with ASD and those taking psychotropic medications. Results expand previous findings of reduced parasympathetic regulation in ASD by revealing a blunted developmental slope, indicating diagnostic differences may persist or worsen over time, particularly in females.

Effects of exercise anticipation on cardiorespiratory coherence.

In this study, we explored the role of feedforward mechanisms in triggering cardiorespiratory adjustments before the onset of exercise. To isolate the feedforward aspects, we examined the effect of exercise anticipation on cardiorespiratory coherence. Twenty‐nine healthy males (age = 18.8 [0.96] years) were subjected to bicycle (BE) and handgrip exercise (H) at two different intensities, viz., low and high. Bicycle exercise was performed in a unilateral (left‐ and right‐sided) or bilateral mode, whereas handgrip was performed only in a unilateral mode. Single‐lead ECG and respiratory rhythm, measured in the 5 min of anticipation phase before the onset of exercise, were used for analysis. Coherence was computed between ECG‐derived instantaneous heart rate and respiratory signal. Average coherence in the high‐frequency band (0.15–0.4 Hz) was used to estimate respiratory sinus arrhythmia (RSA). We found that coherence decreased with the anticipation of exercise relative to baseline (baseline = 0.54 [0.16], BE = 0.41 [0.12], H = 0.39 [0.12], p < 0.001). The decrease was greater for high intensity exercise (low = 0.42 [0.11], high = 0.37 [0.1], p < 0.001). The fall of coherence with intensity was stronger for bicycle exercise (BE: low = 0.44 [0.12], high = 0.37 [0.12], H: low = 0.4 [0.12], high = 0.37 [0.12], p = 0.00433). The expectation of bilateral exercise resulted in lower coherence compared to unilateral exercise (right‐sided = 0.45 [0.16], left‐sided = 0.4 [0.16], bilateral = 0.36 [0.15], unilateral vs. bilateral: p < 0.001), and the left‐sided exercise had lower coherence compared to that of the right (left‐sided vs. right‐sided: p = 0.00925). Handgrip exercise showed similar trend (right‐sided = 0.4 [0.15], left‐sided = 0.37 [0.14], p = 0.0056). In conclusion, feedforward RSA adjustments in anticipation of exercise covaried with subsequent exercise‐related features like intensity, muscle mass (unilateral vs. bilateral), and the exercise side (left vs. right). The left versus the right difference in coherence indicates autonomic asymmetry. Feedforward changes in RSA are like those seen during actual exercise and might facilitate the rapid phase transition between rest and exercise.

PO-703-01 POLAR RESPIRATORY SINUS ARRHYTHMIA MAP FEATURES ARE POTENTIAL BIOMARKERS OF ACUTE CARDIAC AUTONOMIC DYSREGULATION DUE TO PSYCHOLOGICAL STRESSORS

Exposure to psychological stressors could trigger acute autonomic dysregulation, increasing the risk of catecholaminergic polymorphic ventricular tachycardia (CPVT) in vulnerable patients. Changes in respiratory sinus arrhythmia (RSA) could indicate autonomic dysregulation due to acute external stressors. In addition, respiration habituation with respect to average RR interval from polar RSA maps could demonstrate changes in autonomic function.

Parental Self-Efficacy and Physiological Responses to Stress among Mothers of Early Adolescents

Little research addresses how parental self-efficacy is related to stress responses, and no research does so among parents of early adolescents. To fill this research gap, the current study examined the association between maternal self-efficacy and physiological stress responses during early adolescence. Participants were 68 mother-early adolescent dyads with youth in the 6th grade (M = 11 years; 56% female). Physiological responses (i.e., skin conductance, respiratory sinus arrythmia, cortisol) were measured before and after mothers observed their children engage in a modified Trier Social Stress Test for Children. Mothers reported on parental self-efficacy. Mothers with higher parental self-efficacy exhibited a more moderate skin conductance response to the speech portion of the task, and a smaller increase in cortisol, compared to mothers with lower parental self-efficacy. Respiratory sinus arrhythmia change was not related to parental self-efficacy. The findings are consistent with a "caring but confident" physiological profile among mothers with high parental self-efficacy, suggesting that greater confidence about parental influence might reduce parents' experience of stress/anxiety as they observe children face certain challenges.

Vagal flexibility to negative emotions moderates the relations between environmental risk and adjustment problems in childhood.

Neurobiological and social-contextual influences shape children's adjustment, yet limited biopsychosocial studies have integrated temporal features when modeling physiological regulation of emotion. This study explored whether a common underlying pattern of non-linear change in respiratory sinus arrhythmia (RSA) across emotional scenarios characterized 4-6 year-old children's parasympathetic reactivity (N = 180). Additionally, we tested whether dynamic RSA reactivity was an index of neurobiological susceptibility or a diathesis in the association between socioeconomic status, authoritarian parenting, and the development of externalizing problems (EP) and internalizing problems over two years. There was a shared RSA pattern across all emotions, characterized by more initial RSA suppression and a subsequent return toward baseline, which we call vagal flexibility (VF). VF interacted with parenting to predict EP. More authoritarian parenting predicted increased EP two years later only when VF was low; conversely, when VF was very high, authoritarian mothers reported that their children had fewer EP. Altogether, children's patterns of dynamic RSA change to negative emotions can be characterized by a higher order factor, and the nature by which VF contributes to EP depends on maternal socialization practices, with low VF augmenting and high VF buffering children against the effects of authoritarian parenting.

Autonomic vulnerability to biased perception of social inclusion in borderline personality disorder

BackgroundIndividuals with Borderline Personality Disorder (BPD) feel rejected even when socially included. The pathophysiological mechanisms of this rejection bias are still unknown. Using the Cyberball paradigm, we investigated whether patients with BPD, display altered physiological responses to social inclusion and ostracism, as assessed by changes in Respiratory Sinus Arrhythmia (RSA).MethodsThe sample comprised 30 patients with BPD, 30 with remitted Major Depressive Disorder (rMDD) and 30 Healthy Controls (HC). Self-report ratings of threats toward one’s fundamental need to belong and RSA reactivity were measured immediately after each Cyberball condition.ResultsParticipants with BPD showed lower RSA at rest than HC. Only patients with BPD, reported higher threats to fundamental needs and exhibited a further decline in RSA after the Inclusion condition.ConclusionsIndividuals with BPD experience a biased appraisal of social inclusion both at the subjective and physiological level, showing higher feelings of ostracism and a breakdown of autonomic regulation to including social scenarios.

Mother-child mutually responsive orientation and real-time physiological coordination.

From a biobehavioral framework, mother-child physiological and behavioral coordination are interdependent processes that contribute to children's socioemotional development. Little is known, however, about the temporal pattern of real-time physiological coordination or its associations with global levels of mother-child behavioral coordination. We addressed these gaps using data from 110 mothers and their preschool-aged children (56 girls, Mage =53.63 months, SD=7.74) across two play tasks (i.e., puzzle, pretend play). Using indices of maternal and child parasympathetic response (i.e., changes in respiratory sinus arrhythmia [RSA]) across 15-s epochs, we tested the extent to which within-dyad physiological coordination was contingent on mutually responsive orientation (MRO; a global composite of behavioral coordination and shared positive affect assessed via observer ratings across each play task). Results from a series of two-level coupled autoregressive models indicated that MRO moderated mother-lead RSA coordination, and this pattern emerged across both play tasks. Controlling for stability of within-person RSA changes, increases in maternal RSA at time t-1 predicted increases in children's RSA at time t, but only for dyads averaging higher MRO during play. No interactions of MRO emerged for child-lead RSA coordination. Findings highlight the importance of dyadic behavioral processes for mother-child physiological coordination.

Trajectories of Heart Activity Across Infancy to Early Childhood Differentially Predict Autism and Anxiety Symptoms in Fragile X Syndrome.

Background: Fragile X syndrome (FXS) is a monogenic disorder characterized by high rates of autism spectrum disorder (ASD) and anxiety. A longstanding “hyperarousal hypothesis” in FXS has argued that ANS dysfunction underpins many symptoms of FXS. However, the developmental onset and trajectory of ANS dysfunction, as well as the consequences of ANS dysfunction on later psychiatric symptoms, remain poorly understood in FXS. Insight into the emergence, trajectory, and consequences of ANS dysfunction across early development in FXS has critical implications for prevention, intervention, and optimal outcomes in both typical and atypical development. This longitudinal study investigated whether and when males with FXS evidence atypical ANS function from infancy through early childhood, and how trajectories of ANS function across infancy and early childhood predict ASD and anxiety symptom severity later in development.Methods: Participants included 73 males with FXS and 79 age-matched typically developing (TD) males. Baseline heart activity was recorded at multiple assessments between 3 and 83 months of age, resulting in 372 observations. General arousal and parasympathetic activity were indexed via interbeat interval (IBI) and respiratory sinus arrhythmia (RSA), respectively. ASD and anxiety symptoms were assessed at 36 months of age or later in a subgroup of participants (FXS n = 28; TD n = 25).Results: Males with FXS exhibited atypical patterns of developmental change in ANS function across infancy and early childhood. As a result, ANS dysfunction became progressively more discrepant across time, with the FXS group exhibiting significantly shorter IBI and lower RSA by 29 and 24 months of age, respectively. Shorter IBI at 24 months and a flatter IBI slope across development predicted elevated anxiety symptoms, but not ASD symptoms, later in childhood in both FXS and TD males. Reduced RSA at 24 months predicted elevated ASD symptoms, but not anxiety symptoms, in both groups. Developmental change in RSA across early development did not predict later anxiety or ASD symptoms.Conclusion: This is the first longitudinal study to examine the “hyperarousal hypothesis” in infants and young children with FXS. Findings suggest that hyperarousal (i.e., shorter IBI, lower RSA) is evident in males with FXS by 24–29 months of age. Interestingly, unique aspects of early ANS function differentially relate to later ASD and anxiety symptoms. General arousal, indexed by shorter IBI that becomes progressively more discrepant from TD controls, predicts later anxiety symptoms. In contrast, parasympathetic-related factors, indexed by lower levels of RSA, predict ASD symptoms. These findings support the “hyperarousal hypothesis” in FXS, in that ANS dysfunction evident early in development predicts later-emerging symptoms of ASD and anxiety. This study also have important implications for the development of targeted treatments and interventions that could potentially mitigate the long-term effects of hyperarousal in FXS.

The development of frustration regulation over early childhood: Links between attention diversion and parasympathetic activity.

Diverting attention away from negative emotional stimuli has been associated with calmer physiological states in the moment, but little is known about the potential long-term effects of this emotion regulation strategy on physiology. Similarly, how physiological states, in turn, may contribute to the development of regulatory behaviors has seldom been examined. The current study investigated the concurrent and prospective associations between children's parasympathetic activity and attention diversion during a frustrating experience over 2.5 years. At 3.5 (n = 83) and 6 years (n = 58), children participated in age-appropriate frustration inductions. Multiphase latent growth curve models were used to model dynamic changes in respiratory sinus arrhythmia (RSA) reactivity to and recovery from frustration. At 6 years, attention diversion was associated with concurrent increases in RSA (increased parasympathetic influence). However, longitudinal path models showed the opposite association. Attention diversion at 3.5 years predicted heightened autonomic arousal at 6 years in the form of greater decreases in RSA throughout the reactivity phase. Additionally, RSA recovery at 3.5 years predicted less use of attention diversion at 6 years. These findings suggest a developmental process by which earlier emotion regulation behaviors shape later physiological responses, with different short- versus long-term correlates of attention diversion. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Autonomic Nervous System Inflexibility During Parent-child Interactions is Related to Callous-unemotional Traits in Youth Aged 10-14 Years Old.

Youth with callous-unemotional (CU) traits are at high risk for aggression and antisocial behavior. Extant literature suggests that CU traits are related to abnormal autonomic responses to negatively-valenced emotional stimuli, although few studies have tested autonomic responding specifically during social interactions. To address this knowledge gap, the current study tested whether CU traits were related to autonomic activity, assessed via respiratory sinus arrhythmia (RSA), during several parent-child interaction tasks designed to provoke negative emotion. The sample was 162 clinically referred youth (M age = 12.03, SD = .92; 47% female). Using piecewise latent growth models, we estimated individual differences in RSA during three semi-structured social interaction tasks (reading aloud to a parent and research assistant; a recovery period from the reading task; and a parent-child conflict discussion) and tested whether CU traits were related to patterns of RSA responding across tasks. Overall, youth showed expected RSA decreases during the reading period, increases in RSA during recovery, and further decreases during the conflict discussion. However, youth with clinically-elevated CU traits had a different pattern of RSA change across tasks, such that CU traits were related to significantly less RSA change during reading and recovery. Findings suggest that less RSA engagement during social interactions and less RSA recovery may be a biomarker of CU traits. Future research is needed to examine whether this inflexibility contributes to the development of CU traits beginning early in childhood.

Parasympathetic response to challenge in infancy moderates the effects of sociodemographic risk on academic achievement at school entry.

Exposure to higher levels of sociodemographic risk is associated with lower levels of academic achievement among young children. However, there is variability in the strength of this association, which may be traced to individual differences in physiological processes underlying self-regulation. In the current study, we examined whether the response of the parasympathetic nervous system to challenge, indexed by change in respiratory sinus arrhythmia (RSA), moderated the association between risk and school readiness at 5 years of age in a diverse sample of young children. We found that parasympathetic response to the Still-Face Paradigm moderated the effects of risk on a measure of school readiness, such that there was no association between risk and school readiness among children who exhibited RSA decreases during challenge at 6 months of age, a purported index of self-regulation at this age. For those infants who did not exhibit RSA withdrawal during this challenge, exposure to early cumulative risk was associated with lower scores on achievement assessment. These results speak to the possibility that certain patterns of parasympathetic response can serve as a protective factor for young children growing up in disadvantaged environments.

Association Between Dynamic Parasympathetic Reactivity to Frustration and Children's Social Success with Peers in Kindergarten.

The inability to regulate affective arousal in the context of frustration may jeopardize children's ability to form successful friendships, especially as new peer groups are formed during the transition to kindergarten. While substantial research has utilized teacher reports of children's socioemotional behavior, there is less empirical evidence on the peer perspective. The present study utilized data from n = 235 kindergarteners (54% high in disruptive behavior) recruited for a multicomponent intervention. We examined whether physiological reactivity to frustration was associated with children's social success. Peer nominations of liking or disliking to play with the child were used to compute a social preference score, where negative values reflect greater rejection than acceptance. Multilevel growth modeling was employed to capture changes in respiratory sinus arrhythmia (RSA) reactivity across a manipulated inhibitory control task administered in 3 blocks, with differing algorithms embedded to induce affect: points were earned in the 1stand 3rdblocks (reward) and lost during the 2ndblock (frustration). Groups did not differ in RSA reactivity during the 1stblock, but children who experience greater peer rejection showed significant decreases in RSA (increases in arousal) across frustration. This increased arousal persisted across the 3rdblock despite the reinstatement of reward, indicating a greater degree of reactivity and a lack of recovery relative to peer-accepted children. Teacher screenings of disruptive behavior only partially aligned with peer ratings of acceptance, highlighting the benefits of leveraging peer report to capture regulatory functioning and identify children for intervention recruitment.

Individual differences in parent and child average RSA and parent psychological distress influence parent-child RSA synchrony

Parent-child synchrony of respiratory sinus arrhythmia (RSA) varies by risk, but novel approaches are needed to capture individual contributions to synchrony. Multilevel state-trait modeling was applied to examine how parental psychological distress and parent and child average RSA during challenge (reflecting individual regulatory capacities) shaped RSA synchrony in mother-child (n = 71) and father-child (n = 47) interactions. RSA synchrony was curvilinear such that greater in-the-moment RSA reactivity in one partner prompted greater reactivity in the other. Higher risk (lower average RSA; higher distress) predicted in-the-moment RSA withdrawal to partner RSA changes, whereas lower risk (higher average RSA; lower distress) predicted in-the-moment RSA augmentation. In some models, one’s higher average RSA prompted the partner’s greater reactivity and thus synchrony when parental distress was higher. However, the presence and direction of synchrony was not consistently adaptive nor maladaptive across models, suggesting its meaning relies on theory and the parent and risk factors in question.

Maternal dynamic respiratory sinus arrhythmia during toddlers' interactions with novelty.

Maternal psychophysiological responses to toddlers' distress to novelty may have important implications for parenting during early childhood that are relevant to children's eventual development of social withdrawal and anxiety. Likely, these responses depend on intrapersonal, interpersonal, and contextual factors. The current study investigated the time course of respiratory sinus arrhythmia (RSA) across two laboratory novelty episodes, one low threat and one moderate threat, in 120 mothers of 2-year-old toddlers. Growth models tested context differences in and correlates of dynamic patterns of RSA. Dynamic patterns differed between tasks and according to mothers' perceptions of and distress about toddler shyness. Thus, changes in mothers' RSA across toddlers' interactions with novelty seem to depend on the context as well as how mothers perceive and respond to their toddlers' shyness.