Evidence map›Paper›PMID 37441149›Full record

ArticleFrontiers in psychiatry2023

Linking heart rate variability to psychological health and brain structure in adolescents with and without conduct disorder.

Ana Cubillo, Antonia Tkalcec, Helena Oldenhof, Eva Unternaehrer, Nora Raschle, Gregor Kohls, Lucres Nauta-Jansen, Amaia Hervas, Aranzazu Fernandez-Rivas, Kerstin Konrad and 5 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in psychiatry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 20% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. 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

15 authors at 11 institutions in 5 countries.

Ana CubilloDepartment of Child and Adolescent Psychiatry (research section), University Psychiatric Clinics, Basel, Switzerland.
Antonia TkalcecDepartment of Child and Adolescent Psychiatry (research section), University Psychiatric Clinics, Basel, Switzerland.
Helena OldenhofAmsterdam UMC, Vrije Universiteit Amsterdam, Department of Child and Adolescent Psychiatry, Amsterdam Public Health, Amsterdam, Netherlands.
Eva UnternaehrerDepartment of Child and Adolescent Psychiatry (research section), University Psychiatric Clinics, Basel, Switzerland.
Nora RaschleJacobs Center for Productive Youth Development, University of Zurich, Zurich, Switzerland.
Gregor KohlsDepartment of Child and Adolescent Psychiatry, Faculty of Medicine, TU Dresden, Dresden, Germany.
Lucres Nauta-JansenAmsterdam UMC, Vrije Universiteit Amsterdam, Department of Child and Adolescent Psychiatry, Amsterdam Public Health, Amsterdam, Netherlands.
Amaia HervasHospital Universitario Mutua Terrassa, IGAIN, Barcelona, Spain.
Aranzazu Fernandez-RivasBiocruces Bizkaia Health Research Institute, Basurto University Hospital, University of the Basque Country, Bilbao, Spain.
Kerstin KonradRWTH Aachen University & JARA-Brain Institute, Aachen, Germany.
Arne PopmaChild and Adolescent Psychiatry Amsterdam University Medical Centers, Amsterdam, Netherlands.
Christine FreitagChild and Adolescent Psychiatry, Goethe University, Frankfurt, Germany.
Stephane de BritoUniversity of Birmingham, Birmingham, United Kingdom.
Graeme FairchildDevelopmental Psychopathology, University of Bath, Bath, United Kingdom.
Christina StadlerDepartment of Child and Adolescent Psychiatry (research section), University Psychiatric Clinics, Basel, Switzerland.
Amsterdam University Medical Centers · NLPsychiatry Baselland · CHUniversity of Zurich · CHGoethe University Frankfurt · DEMútua Terrassa · ESRWTH Aachen University · DETU Dresden · DEUniversitäre Psychiatrische Kliniken Basel · CHUniversity of Bath · GBUniversity of Birmingham · GBUniversity of the Basque Country · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aims: Heart rate variability (HRV) measures have been suggested in healthy individuals as a potential index of self-regulation skills, which include both cognitive and emotion regulation aspects. Studies in patients with a range of psychiatric disorders have however mostly focused on the potential association between abnormally low HRV at rest and specifically emotion regulation difficulties. Emotion regulation deficits have been reported in patients with Conduct Disorder (CD) however, the association between these emotion regulation deficits and HRV measures has yet to be fully understood. This study investigates (i) the specificity of the association between HRV and emotion regulation skills in adolescents with and without CD and (ii) the association between HRV and grey matter brain volumes in key areas of the central autonomic network which are involved in self-regulation processes, such as insula, lateral/medial prefrontal cortices or amygdala. Methods: Respiratory sinus arrhythmia (RSA) measures of HRV were collected from adolescents aged between 9-18 years (693 CD (427F)/753 typically developing youth (TD) (500F)), as part of a European multi-site project (FemNAT-CD). The Inverse Efficiency Score, a speed-accuracy trade-off measure, was calculated to assess emotion and cognitive regulation abilities during an Emotional Go/NoGo task. The association between RSA and task performance was tested using multilevel regression models. T1-weighted structural MRI data were included for a subset of 577 participants (257 CD (125F); 320 TD (186F)). The CerebroMatic toolbox was used to create customised Tissue Probability Maps and DARTEL templates, and CAT12 to segment brain images, followed by a 2 × 2 (sex × group) full factorial ANOVA with RSA as regressor of interest. Results: There were no significant associations between RSA and task performance, neither during emotion regulation nor during cognitive regulation trials. RSA was however positively correlated with regional grey matter volume in the left insula (pFWE = 0.011) across all subjects. Conclusion: RSA was related to increased grey matter volume in the left insula across all subjects. Our results thus suggest that low RSA at rest might be a contributing or predisposing factor for potential self-regulation difficulties. Given the insula's role in both emotional and cognitive regulation processes, these brain structural differences might impact either of those.

Indexed as

brain structurecentral autonomic networkconduct disorderemotion regualtionheart rate variabiityself-regulation

Identifiers

PMID37441149
PMCPMC10333527
OpenAlexW4382464553

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.