Evidence map›Paper›PMID 25821435›Full record

ArticleFrontiers in physiology2015

Nonlinear digital signal processing in mental health: characterization of major depression using instantaneous entropy measures of heartbeat dynamics.

Gaetano Valenza, Ronald G Garcia, Luca Citi, Enzo P Scilingo, Carlos A Tomaz, Riccardo Barbieri

Registry-linked trialAbstract read
In one paragraph

Article in Frontiers in physiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02990793 (A Prospective, Double Blind, Randomized, Sham-Controlled, Clinical Trial to Evaluate The Safety And Efficacy Of Biometrics-Guided Magnetic EEG Resonance Therapy), which is not on this map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02990793 nacompletednot on this mapstarted 2022, after this paper: background citation

A Prospective, Double Blind, Randomized, Sham-Controlled, Clinical Trial to Evaluate The Safety And Efficacy Of Biometrics-Guided Magnetic EEG Resonance Therapy (MeRT) Treatment Of Post-Traumatic Stress Disorder

TypeinterventionalSponsorWave NeuroscienceRan2022 to 2025Enrolled158ConditionsPostTraumatic Stress Disorder, Traumatic Brain Injury, Postconcussive SymptomsArmsActive MeRT Treatment, Sham MeRT Treatment
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Neurophysiological Markers of Regulation Success in Everyday Life in Depression.Biological psychiatry. Cognitive neuroscience and neuroimaging · 2026
    Article
  4. Review
  5. Article
  6. Article
  7. Autonomic complexity dynamically indexes affect regulation in everyday life.Journal of psychopathology and clinical science · 2023
    Article
  8. Article
  9. Article
  10. Article
  11. Entropy analysis of heart rate variability and its application to recognize major depressive disorder: A pilot study.Technology and health care : official journal of the European Society for Engineering and Medicine · 2019
    Article
  12. Article
  13. Article
  14. Delay-correlation landscape reveals characteristic time delays of brain rhythms and heart interactions.Philosophical transactions. Series A, Mathematical, physical, and engineering sciences · 2016
    Article
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Gaetano ValenzaDepartment of Anesthesia, Critical Care & Pain Medicine, Massachusetts General Hospital, Harvard Medical School Boston, MA, USA ; Massachusetts Institute of Technology Cambridge, MA, USA ; Department of Information Engineering, Research Center E. Piaggio, University of Pisa Pisa, Italy.
Ronald G GarciaMartinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital Charlestown, MA, USA ; Department of Psychiatry, Masira Research Institute, Medical School, Universidad de Santander Bucaramanga, Colombia.
Luca CitiSchool of Computer Science and Electronic Engineering, University of Essex Colchester, UK.
Enzo P ScilingoDepartment of Information Engineering, Research Center E. Piaggio, University of Pisa Pisa, Italy.
Carlos A TomazLaboratory of Neuroscience and Behavior, Universidade de Brasilia Brasilia, Brazil.
Riccardo BarbieriDepartment of Anesthesia, Critical Care & Pain Medicine, Massachusetts General Hospital, Harvard Medical School Boston, MA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Nonlinear digital signal processing methods that address system complexity have provided useful computational tools for helping in the diagnosis and treatment of a wide range of pathologies. More specifically, nonlinear measures have been successful in characterizing patients with mental disorders such as Major Depression (MD). In this study, we propose the use of instantaneous measures of entropy, namely the inhomogeneous point-process approximate entropy (ipApEn) and the inhomogeneous point-process sample entropy (ipSampEn), to describe a novel characterization of MD patients undergoing affective elicitation. Because these measures are built within a nonlinear point-process model, they allow for the assessment of complexity in cardiovascular dynamics at each moment in time. Heartbeat dynamics were characterized from 48 healthy controls and 48 patients with MD while emotionally elicited through either neutral or arousing audiovisual stimuli. Experimental results coming from the arousing tasks show that ipApEn measures are able to instantaneously track heartbeat complexity as well as discern between healthy subjects and MD patients. Conversely, standard heart rate variability (HRV) analysis performed in both time and frequency domains did not show any statistical significance. We conclude that measures of entropy based on nonlinear point-process models might contribute to devising useful computational tools for care in mental health.

Indexed as

heart rate variabilityinstantaneous entropyLaguerre expansionnonlinearpoint processWiener-Volterra series

Identifiers

PMID25821435
PMCPMC4358071

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.