ReviewFrontiers in integrative neuroscience2022
Polyvagal Theory: A Science of Safety.
Review in Frontiers in integrative neuroscience, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07783516 (Grappling With Trauma), which is not on this map. Cited by 98 papers, 3 of them syntheses that pooled 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.
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.
Grappling With Trauma: Evaluating Brazilian Jiu-Jitsu for Trauma Symptom Reduction Among First Responders
Who cites it
98 citing papers in PubMed, 3 syntheses or guidelines pooled it, 300 citations in OpenAlex.
- Physiological attunement and flourishing: understanding the influence of relationships on health.Frontiers in psychiatry · 2025Pooled it
- The convergent neuroscience of Christian prayer and attachment relationships in the context of mental health: a systematic review.Frontiers in psychology · 2025Pooled it
- Clinical Practice Guideline for Best Practice Management of Pediatric Patients by Chiropractors: Results of a Delphi Consensus Process.Journal of integrative and complementary medicine · 2024Guideline
- Examining the Effectiveness of Breathwork to Improve Resilience and Psychological Wellbeing While Reducing Anxiety, Depression, Stress, and Insomnia in Paramedicine Students: A Single-Blind Randomised Controlled Trial.Stress and health : journal of the International Society for the Investigation of Stress · 2026Trial
- Feasibility study examining the short-term effects of Sonic Augmentation Technology™.Frontiers in psychiatry · 2026Trial
- Autonomic nervous system activity correlates with peak experiences induced by DMT and predicts increases in well-being.Journal of psychopharmacology (Oxford, England) · 2024Trial
- Feeling safe: an empirical-ethical analysis of vulnerability in (es)ketamine treatment.BMC medical ethics · 2026Article
- Cardiac Autonomic Dynamics Differentially Shape Cognitive and Affective Theory of Mind: Evidence From Respiratory Manipulation.Psychophysiology · 2026Article
- Gun and Other Weapon-Involved Intimate Partner Violence and Psychiatric Symptoms.JAMA network open · 2026Article
- Experience-dependent development of vagal circuitry in rodents and humans.Neuroscience and biobehavioral reviews · 2026Review
- A Protocol to Acquire Infant Heart Rate Variability in the Rohingya Camps and Surrounding Communities in Cox's Bazar, Bangladesh.Psychophysiology · 2026Article
- The Role of Self-Compassion and Body Perception in Predicting Psychological Safety.Journal of clinical medicine · 2026Article
- Somatic yoga therapy for functional neurological disorder: feasibility randomised controlled trial.BJPsych open · 2026Article
- Mechanisms of risk and resilience among war-affected adolescents in Gaza: the mediating role of posttraumatic stress and the moderating role of prosocial behavior.European child & adolescent psychiatry · 2026Article
- Feasibility of forecasting self-injurious behavior among autistic youth using wearable sensors and machine learning models.Scientific reports · 2026Article
- From Molecules to Meaning: Integrating Neuropeptides, Sociostasis, and Hormesis in the Brain-Heart Axis.Current issues in molecular biology · 2026Review
- Baseline vagal tone and pain reactivity: linking autonomic function to endogenous pain inhibition in women.Pain reports · 2026Article
- Attachment based priming reduces anxiety during the exam period in female university students when adjusting for baseline perceived stress and anxiety.Discover mental health · 2026Article
- The Development and Protocol for Testing a Co-Created Digital Intervention (Sentinel) to Improve Mental Well-Being and Help Manage and Prevent Trauma in First Responders.JMIR research protocols · 2026Article
- Understanding Mind-Body Experience from the Perspective of Interoceptive Awareness: A 21-Day Embodied Practice Intervention.Behavioral sciences (Basel, Switzerland) · 2026Article
38 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Contemporary strategies for health and wellbeing fail our biological needs by not acknowledging that feelings of safety emerge from internal physiological states regulated by the autonomic nervous system. The study of feelings of safety has been an elusive construct that has historically been dependent upon subjectivity. Acknowledging that feelings of safety have a measurable underlying neurophysiological substrate would shift investigations of feelings of safety from a subjective to an objective science. Polyvagal Theory provides an innovative scientific perspective to study feelings of safety that incorporates an understanding of neuroanatomy and neurophysiology. This perspective identifies neural circuits that downregulate neural regulation of threat reactions and functionally neutralize defensive strategies via neural circuits communicating cues of safety that enable feelings of safety to support interpersonal accessibility and homeostatic functions. Basically, when humans feel safe, their nervous systems support the homeostatic functions of health, growth, and restoration, while they simultaneously become accessible to others without feeling or expressing threat and vulnerability. Feelings of safety reflect a core fundamental process that has enabled humans to survive through the opportunistic features of trusting social engagements that have co-regulatory capacities to mitigate metabolically costly defense reactions. Through the study of neural development and phylogeny, we can extract foundational principles and their underlying mechanisms through which the autonomic nervous system leads to feelings of safety and opportunities to co-regulate. Several principles highlight the validity of a science of safety that when implemented in societal institutions, ranging from healthcare to education, would enhance health, sociality, and lead to greater productivity, creativity, and a sense of wellbeing. By respecting our need to feel safe as a biological imperative linked to survival, we respect our phylogenetic heritage and elevate sociality as a neuromodulator that functionally provides the scientific validation for a societal focus on promoting opportunities to experience feelings of safety and co-regulation.
Indexed as
Identifiers
What OpenQuestion holds
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.