Evidence map›Paper›PMID 29910218›Full record

SynthesisIndustrial health2018

Heart rate variability and occupational stress-systematic review.

Susanna Järvelin-Pasanen, Sanna Sinikallio, Mika P Tarvainen

3 registry-linked trialsAbstract readSystematic Review
In one paragraph

Synthesis in Industrial health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 104 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
104citing papers in PubMed, 5 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.

NCT05019131 nacompletednot on this mapstarted 2021, after this paper: background citation

Addressing Provider Stress and Unconscious Bias to Improve Quality of Maternal Health Care

TypeinterventionalSponsorUniversity of California, San FranciscoRan2021 to 2023Enrolled83ConditionsMaternal Health, Mental Health, Healthcare Provider, Adverse OutcomesArmsTraining, Peer support and mentorship, Leadership engagement, Embedded champions
NCT06813495 narecruitingnot on this mapstarted 2023, after this paper: background citation

Prevention of Injuries Among Nurses and Nursing Aides Using Eastern Principles Acceptance and Commitment Therapy: Clinical Trial and Dissemination Research

TypeinterventionalSponsorBowling Green State UniversityRan2023 to 2026Enrolled255ConditionsWell-Being, Psychological, Work Injury, Musculoskeletal Pain, High Frequency Heart Rate VariabilityArmsEastern Principles Acceptance and Commitment Therapy for Nurses and Nursing Aids (EPACT NNA), Acceptance and Commitment Therapy for Nurses and Nursing Aids (ACT NNA)
NCT06821035 narecruitingnot on this mapstarted 2025, after this paper: background citation

Teaching Youth & Families Self-Regulation Skills to Disrupt the Impact of Adverse Childhood Experiences: Preventing Substance Use in Adversity- Impacted Youth

TypeinterventionalSponsorUniversity of California, IrvineRan2025 to 2028Enrolled210ConditionsAdverse Childhood Experiences, Family FunctioningArmsGarnering Resilience in Traumatized youth and families (GRIT), Digital Citizenship Curriculum (DCC)
3 · Its place in the literature

Who cites it

104 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
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  5. Heart rate variability as a measure of mental stress in surgery: a systematic review.International archives of occupational and environmental health · 2020
    Pooled it
  6. Trial
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  14. Review
  15. From incision to implantation: holter-based stress profiling in ophthalmology residents during cataract surgery.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Article
  16. Article
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44 more citing papers are in PubMed but not listed here.

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

3 authors.

Susanna Järvelin-PasanenInstitution of Public Health and Clinical Nutrition, Ergonomics, Faculty of Health Sciences, School of Medicine, University of Eastern Finland, Finland.
Sanna SinikallioPhilosophical Faculty, School of Educational Sciences and Psychology, University of Eastern Finland, Finland.
Mika P TarvainenDepartment of Applied Physics, Faculty of Science and Forestry, University of Eastern Finland, Finland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of this systematic review was to explore studies regarding association between occupational stress and heart rate variability (HRV) during work. We searched PubMed, Web of Science, Scopus, Cinahl and PsycINFO for peer-reviewed articles published in English between January 2005 and September 2017. A total of 10 articles met the inclusion criteria. The included articles were analyzed in terms of study design, study population, assessment of occupational stress and HRV, and the study limitations. Among the studies there were cross-sectional (n=9) studies and one longitudinal study design. Sample size varied from 19 to 653 participants and both females and males were included. The most common assessment methods of occupational stress were the Job Content Questionnaire (JCQ) and the Effort-Reward Imbalance (ERI) questionnaire. HRV was assessed using 24 h or longer Holter ECG or HR monitoring and analyzed mostly using standard time-domain and frequency-domain parameters. The main finding was that heightened occupational stress was found associated with lowered HRV, specifically with reduced parasympathetic activation. Reduced parasympathetic activation was seen as decreases in RMSSD and HF power, and increase in LF/HF ratio. The assessment and analysis methods of occupational stress and HRV were diverse.

Indexed as

Autonomic Nervous SystemElectrocardiographyHeart RateHumansOccupational HealthOccupational StressSurveys and QuestionnairesWorkplaceAutonomic nervous systemHeart rate variabilityOccupational healthOccupational stressWork

Identifiers

PMID29910218
PMCPMC6258751

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.