Evidence map›Paper›PMID 40821019›Full record

SynthesisFrontiers in psychiatry2025

Physiological attunement and flourishing: understanding the influence of relationships on health.

Marco A Vinhosa Bastos, Danilo Faria Braz, Ana Laura Manzan Porto, Khadija S da Silva Cordeiro, Renata Boschi Portella, Douglas Alan Granger

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in psychiatry, 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. Review
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

6 authors.

Marco A Vinhosa BastosSchool of Medicine, Federal University of Mato Grosso do Sul, Campo Grande, Brazil.
Danilo Faria BrazSchool of Medicine, Federal University of Mato Grosso do Sul, Campo Grande, Brazil.
Ana Laura Manzan PortoSchool of Medicine, Federal University of Mato Grosso do Sul, Campo Grande, Brazil.
Khadija S da Silva CordeiroSchool of Medicine, Federal University of Mato Grosso do Sul, Campo Grande, Brazil.
Renata Boschi PortellaSchool of Medicine, Federal University of Mato Grosso do Sul, Campo Grande, Brazil.
Douglas Alan GrangerInstitute for Interdisciplinary Salivary Bioscience Research, University of California, Irvine, CA, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Flourishing can be defined as the experience of life going well, a combination of feeling good and functioning effectively. High-quality relationships are essential to flourishing and long-term health. Physiological interdependence-such as synchronization of autonomic and endocrine systems-has been proposed as a mechanism supporting emotion regulation and social bonding. Methods: This scoping review maps the existing literature on physiological attunement in adult dyadic relationships. The review protocol was registered on the Open Science Framework (https://osf.io/295ge/) and followed JBI methodology for scoping reviews. PubMed and Scopus databases were searched. Eligible studies were original, quantitative, peer-reviewed articles published in English that examined physiological attunement in adult human dyads. Two reviewers independently screened and selected the studies. Results: A total of 62 studies were included. Attunement was observed in romantic partners, friends, strangers, and groups, involving heart rate, heart rate variability, skin conductance, respiration, cortisol, and alpha-amylase. Physiological attunement was shaped by relational context, emotional tone, individual traits (e.g., empathy, attachment style), and interaction features (e.g., touch, conflict, cooperation). While often linked to satisfaction, intimacy, and co-regulation, synchrony also appeared in distress contexts, sometimes reflecting stress contagion or co-dysregulation. Conclusion: Physiological attunement appears to be a context-sensitive process that may support or hinder wellbeing. It may represent a key biobehavioral pathway linking relationships to flourishing.

Indexed as

adultcortisolflourishmentphysiologic interdependencerelationshipwellbeing

Identifiers

PMID40821019
PMCPMC12354601

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.