Evidence map›Paper›PMID 37290411›Full record

ArticleNeuropsychobiology2023

Heart Rate Variability for Evaluating Psychological Stress Changes in Healthy Adults: A Scoping Review.

Sarah Immanuel, Meseret N Teferra, Mathias Baumert, Niranjan Bidargaddi

Registry-linked trialAbstract readScoping Review
In one paragraph

Article in Neuropsychobiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07591935 (Artificial Intelligence and Mindfulness Meditation), which is not on this map. Cited by 81 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
81citing papers in PubMed, 3 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.

NCT07591935 nacompletednot on this mapstarted 2024, after this paper: background citation

Artificial Intelligence and Mindfulness Meditation: Innovative Methods to Reduce Stress Amongst Medical School Students

TypeinterventionalSponsorSaint James School of MedicineRan2024 to 2024Enrolled20ConditionsStressArmsMindfulness-Based Stress Reduction Course, Apollo Neuro Wearable
3 · Its place in the literature

Who cites it

81 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Biological Markers of Burnout Severity: A Systematic Review.Stress and health : journal of the International Society for the Investigation of Stress · 2026
    Pooled it
  2. The physiological cost of coping: a systematic review and meta-analysis on discrimination and heart rate variability.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2026
    Pooled it
  3. Pooled it
  4. Trial
  5. Effects of heat-treatedFrontiers in nutrition · 2026
    Trial
  6. Article
  7. A reporting checklist for human and animal heart rate variability research.Pflugers Archiv : European journal of physiology · 2026
    Review
  8. Article
  9. Article
  10. Effects of a Smartphone-Based Mindfulness Intervention on Momentary Stress Among First Responders: a Micro-Randomized Trial.Prevention science : the official journal of the Society for Prevention Research · 2026
    Article
  11. Article
  12. Article
  13. Observational
  14. Article
  15. Article
  16. Review
  17. Article
  18. Elevated blood pressure variability links cardiac autonomic dysfunction to complex arrhythmias in hypertension.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2026
    Article
  19. Review
  20. Article

21 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

4 authors.

Sarah ImmanuelCollege of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia.
Meseret N TeferraCollege of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia.
Mathias BaumertSchool of Electrical and Mechanical Engineering, University of Adelaide, Adelaide, South Australia, Australia.
Niranjan BidargaddiCollege of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The utility of heart rate variability (HRV) for characterizing psychological stress is primarily impacted by methodological considerations such as study populations, experienced versus induced stress, and method of stress assessment. Here, we review studies on the associations between HRV and psychological stress, examining the nature of stress, ways stress was assessed, and HRV metrics used. The review was performed according to the PRISMA guidelines on select databases. Studies that examined the HRV-stress relationship via repeated measurements and validated psychometric instruments were included (n = 15). Participant numbers and ages ranged between 10 and 403 subjects and 18 and 60 years, respectively. Both experimental (n = 9) and real-life stress (n = 6) have been explored. While RMSSD was the most reported HRV metric (n = 10) significantly associated with stress, other metrics, including LF/HF (n = 7) and HF power (n = 6) were also reported. Various linear and nonlinear HRV metrics have been utilized, with nonlinear metrics used less often. The most frequently used psychometric instrument was the State-Trait Anxiety Inventory (n = 10), though various other instruments have been reported. In conclusion, HRV is a valid measure of the psychological stress response. Standard stress induction and assessment protocols combined with validated HRV measures in different domains will improve the validity of findings.

Indexed as

Stress, PsychologicalAdultHeart RateHumansAcute stressAutonomic controlChronic stressHeart rateHeart rate variabilityPsychological stressRR-intervalSympathetic and parasympathetic activity

Identifiers

PMID37290411
PMCPMC10614455

What OpenQuestion holds

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LicenceCC BY-NC
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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.