ArticleFrontiers in psychiatry2017
Changes in Heart Rate Variability Recorded in Natural Situation with T-Shirt Integrated Sensors and Level of Observed Behavioral Excitation: A Pilot Study of Patients with Intellectual Disabilities and Psychiatric Disorders.
Article in Frontiers in psychiatry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 21 citations in OpenAlex.
- A Digital System to Assess Mental Health in People With Intellectual Disability (MENTALSED): Protocol for a Development and Pilot Study.JMIR research protocols · 2026Article
- Collecting Real-Life Psychophysiological Data via Wearables to Better Understand Child Behavior in a Children's Psychiatric Center: Mixed Methods Study on Feasibility and Implementation.JMIR formative research · 2025Article
- Exploring the effects of a wearable biocueing app (Sense-IT) as an addition to aggression regulation therapy in forensic psychiatric outpatients.Frontiers in psychology · 2023Article
- A Forest Bathing Intervention in Adults with Intellectual Disabilities: A Feasibility Study Protocol.International journal of environmental research and public health · 2022Article
- Dynamics of parasympathetic activity in violent incarcerated offenders before, during, and in recovery from an emotional inhibition task.Scientific reports · 2022Article
- The Utility of Physiological Measures in Assessing the Empathic Skills of Incarcerated Violent Offenders.International journal of offender therapy and comparative criminology · 2022Article
- Development of a Wearable Biocueing App (Sense-IT) Among Forensic Psychiatric Outpatients With Aggressive Behavior: Design and Evaluation Study.JMIR formative research · 2021Article
- Smart Shirts for Monitoring Physiological Parameters: Scoping Review.JMIR mHealth and uHealth · 2020Article
- New Technologies for the Understanding, Assessment, and Intervention of Emotion Regulation.Frontiers in psychology · 2019Article
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe present study investigates the possibilities of using heart rate variability (HRV) parameters as physiological markers that precede increase in observed behavioral excitation of intellectually disabled individuals. The ability to recognize or predict such patterns, especially in patients showing unpredictable reactions and language deficiencies, might be a major step forward in clinical research.
methodThirteen volunteers with intellectual disabilities, who had suffered of at least one event of overt aggression in the preceding 3 months, participated to the study. The protocol consists in the acquisition of continuous electrocardiogram (ECG) throughout approximately two times of 8 h in natural situation, using a T-shirt integrated with sensors. Simultaneously, an observer evaluates the patient's level of overt excitation from calm (level 1) to extremely tense (level 5) and send online
resultsSeven individuals have sufficient reliable data for analysis. They have reached at least a level 3 of behavioral excitation (moderately tense) or more (very to extremely tense, level 4 and 5) and have been retained for further analysis. In sum, a total of 197 periods of tension were kept, made up of 46 periods of slight excitation (level 2), 18 of moderate excitation (level 3), 10 of high excitation (level 4), and 5 of extreme agitation (level 5). Variations in the HRV as a function of degree of excitation are observed for RMSSD index only (inhibitory parasympathetic activity). The changes from calm to increasing levels of excitation are characterized by a significant downfall in RMSSD index when patients were evaluated to be in a very high level of tension (level 4).
conclusionThe presence of precursors to agitation, reflected in the falling-off of parasympathetic activity, offers potentially interesting prospects for therapeutic development.
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