Evidence map›Paper›PMID 40165438›Full record

ArticleAnnals of behavioral medicine : a publication of the Society of Behavioral Medicine2025

Neuroception of safety is associated with elevated heart rate variability in the laboratory and more frequent heart rate variability increases in everyday life.

Andreas R Schwerdtfeger, Magdalena Wekenborg, Josef M Tatschl, Christian Rominger

Abstract read
In one paragraph

Article in Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

4 authors.

Andreas R SchwerdtfegerInstitute of Psychology, University of Graz, 8010 Graz, Austria.ORCID 0000-0002-0371-3730
Magdalena WekenborgElse Kröner Fresenius Center for Digital Health, University Hospital and Medical Faculty Carl Gustav Carus, TU Dresden, 01307 Dresden, Germany.ORCID 0000-0002-4498-107X
Josef M TatschlInstitute of Psychology, University of Graz, 8010 Graz, Austria.ORCID 0000-0003-1594-1770
Christian RomingerInstitute of Psychology, University of Graz, 8010 Graz, Austria.ORCID 0000-0003-3195-4555

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveFeeling comfortable and safe has been discussed to foster health and well-being. However, the pathways to better health are complex, involving both behavioral and physiological routes.

methodsIn this study, we examined the role of safety perception for cardiac health by (1) examining associations with baseline heart rate variability (HRV; Study 1) and (2) evaluating a novel measure of autonomic cardiac flexibility in daily life, namely increases in HRV independent of metabolic demands (ImdHRVi; Study 2).

resultsStudy 1 (N = 76) found evidence for a positive association between vagally mediated HRV and the Neuroception of Psychological Safety scale (Morton L, Cogan N, Kolacz J, et al. "A new measure of feeling safe: developing psychometric properties of the Neuroception of Psychological Safety Scale (NPSS)": Correction. Psychol Trauma. 2022; https://doi.org/10.1037/tra0001374), thus suggesting a link between safety and cardiac vagal regulation. In Study 2, a sample of N = 245 adult volunteers participated in a four-day-ambulatory assessment measuring HRV and bodily movement. A regression was calculated between HRV and bodily movement for 12 h of the first recording day, which was then used to calculate minute-by-minute ImdHRVi (beyond those predicted by bodily movement) in the following days. It turned out that safety perception predicted more episodes of ImdHRVi in everyday life, even after controlling for several confounds.

conclusionsFindings suggest that feeling safe and everyday life cardiac autonomic regulation are interrelated, thus possibly contributing to adaptive adjustment and health.

Indexed as

Autonomic Nervous SystemHeart RateSafetyAdultFemaleHumansMaleMiddle AgedVagus NerveYoung Adultautonomic nervous systemcardiac regulationneuroceptionpsychological safetyvagus nerve

Identifiers

PMID40165438
PMCPMC12169331

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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.