Evidence map›Paper›PMID 37904022›Full record

ArticleNature human behaviour2024

Self-regulating arousal via pupil-based biofeedback.

Sarah Nadine Meissner, Marc Bächinger, Sanne Kikkert, Jenny Imhof, Silvia Missura, Manuel Carro Dominguez, Nicole Wenderoth

Abstract read
In one paragraph

Article in Nature human behaviour, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
–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.

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

25 citing papers in PubMed.

  1. Trial
  2. Neural and autonomic predictors of future listening errors.bioRxiv : the preprint server for biology · 2026
    Article
  3. Article
  4. Article
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  6. Review
  7. Article
  8. Article
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  11. Dissociable Pupil and Oculomotor Markers of Attention Allocation and Distractor Suppression during Listening.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2026
    Article
  12. Review
  13. Article
  14. Article
  15. Locus coeruleus-related insula activation supports implicit learning.bioRxiv : the preprint server for biology · 2025
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

7 authors.

Sarah Nadine MeissnerNeural Control of Movement Laboratory, Department of Health Sciences and Technology, ETH Zurich, Zurich, Switzerland. sarah.meissner@hest.ethz.ch.ORCID 0000-0002-5957-7897
Marc BächingerNeural Control of Movement Laboratory, Department of Health Sciences and Technology, ETH Zurich, Zurich, Switzerland.
Sanne KikkertNeural Control of Movement Laboratory, Department of Health Sciences and Technology, ETH Zurich, Zurich, Switzerland.ORCID 0000-0001-9952-4864
Jenny ImhofNeural Control of Movement Laboratory, Department of Health Sciences and Technology, ETH Zurich, Zurich, Switzerland.ORCID 0009-0004-5856-0155
Silvia MissuraNeural Control of Movement Laboratory, Department of Health Sciences and Technology, ETH Zurich, Zurich, Switzerland.ORCID 0000-0001-7698-0875
Manuel Carro DominguezNeural Control of Movement Laboratory, Department of Health Sciences and Technology, ETH Zurich, Zurich, Switzerland.ORCID 0000-0003-2644-8594
Nicole WenderothNeural Control of Movement Laboratory, Department of Health Sciences and Technology, ETH Zurich, Zurich, Switzerland. nicole.wenderoth@hest.ethz.ch.ORCID 0000-0002-3246-9386

Funding

Eidgenössische Technische Hochschule Zürich (Federal Institute of Technology Zurich) Postdoctoral Fellowship ProgramNational Research Foundation Singapore (National Research Foundation-Prime Minister's office, Republic of Singapore) CREATE programmeSchweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung (Swiss National Science Foundation) 32003B_207719Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung (Swiss National Science Foundation) Bridge Discovery (SNF/Innosuisse); 40B2-0_203606Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung (Swiss National Science Foundation) CRSK-1_190836
6 · The paper itself

Abstract

The brain's arousal state is controlled by several neuromodulatory nuclei known to substantially influence cognition and mental well-being. Here we investigate whether human participants can gain volitional control of their arousal state using a pupil-based biofeedback approach. Our approach inverts a mechanism suggested by previous literature that links activity of the locus coeruleus, one of the key regulators of central arousal and pupil dynamics. We show that pupil-based biofeedback enables participants to acquire volitional control of pupil size. Applying pupil self-regulation systematically modulates activity of the locus coeruleus and other brainstem structures involved in arousal control. Furthermore, it modulates cardiovascular measures such as heart rate, and behavioural and psychophysiological responses during an oddball task. We provide evidence that pupil-based biofeedback makes the brain's arousal system accessible to volitional control, a finding that has tremendous potential for translation to behavioural and clinical applications across various domains, including stress-related and anxiety disorders.

Indexed as

ArousalPupilBiofeedback, PsychologyCognitionHumansLocus Coeruleus

Identifiers

PMID37904022
PMCPMC10810759

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.