Evidence map›Paper›PMID 42821201›Full record

ArticleCognitive processing2026

Impact of multilingualism on cardiac autonomic activity, working memory and trait anxiety: a pilot study.

Tonantzin Itzel Cabrera-Ontiveros, Diana Estefanía García-Cárdenas, Claudia Ivette Ledesma-Ramírez, Eric Alonso Abarca-Castro, Ana Karen Talavera-Peña, José Javier Reyes-Lagos

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Article in Cognitive processing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Tonantzin Itzel Cabrera-Ontiveros *Departamento de Ciencias de la Salud, División de Ciencias Biológicas y de la Salud, Universidad Autónoma Metropolitana (UAM-L), Lerma de Villada, Mexico.
Diana Estefanía García-Cárdenas *Facultad de Medicina, Universidad Autónoma del Estado de México (UAEMéx), Toluca de Lerdo, Mexico.ORCID https://orcid.org/0009-0009-3972-6486
Claudia Ivette Ledesma-RamírezFacultad de Medicina, Universidad Autónoma del Estado de México (UAEMéx), Toluca de Lerdo, Mexico. ciledesmar@uaemex.mx.ORCID http://orcid.org/0000-0001-8290-0800
Eric Alonso Abarca-CastroDepartamento de Ciencias de la Salud, División de Ciencias Biológicas y de la Salud, Universidad Autónoma Metropolitana (UAM-L), Lerma de Villada, Mexico. e.abarca@correo.ler.uam.mx.ORCID http://orcid.org/0000-0002-2029-3790
Ana Karen Talavera-PeñaDepartamento de Ciencias de la Salud, División de Ciencias Biológicas y de la Salud, Universidad Autónoma Metropolitana (UAM-L), Lerma de Villada, Mexico.ORCID http://orcid.org/0009-0003-3256-4388
José Javier Reyes-LagosSección de Bioelectrónica, Departamento de Ingeniería Eléctrica, Centro de Investigación y de Estudios Avanzados del Instituto Politécnico Nacional (Cinvestav Unidad Zacatenco), Mexico City, Mexico.ORCID https://orcid.org/0000-0001-5361-5007

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Recent years have witnessed a growing interest in how multilingualism modifies executive functions. Heart rate variability (HRV), a noninvasive and innocuous indicator of cardiac autonomic function, can also capture individual differences that link cognitive performance with physiological and emotional profiles. This pilot study aimed to analyze the association of multilingualism with cognitive, autonomic, and emotional regulation during working memory (WM) tasks, while also considering trait anxiety (Trait-A). Nineteen young adults were classified as a monolingual group (MON, N = 9) or a multilingual group (MUL, N = 10). Participants completed the State‑Trait Anxiety Inventory (STAI) and the Neuropsychological Battery of Executive Functions and Frontal Lobes (BANFE‑3). They then performed an N-back task at three difficulty levels while HRV linear and nonlinear indices were computed. MON exhibited high Trait‑A, whereas MUL showed moderate Trait‑A. No significant differences were observed in the BANFE-3 subtests, but MUL achieved greater accuracy at the 2-back level of the N-back task. HRV indices showed a load-dependent decline in both groups; within-group analyses, however, revealed that MON and MUL participants showed different within-group autonomic response patterns to cope with the rising cognitive load. These findings suggest that sustained multilingual experience may be associated with differences in autonomic-cognitive responses and attenuated anxiety-related disruptions, underscoring the value of HRV in characterizing individual variability in physiological and behavioral responses.

Indexed as

AnxietyHeart rate variabilityMultilingualismWorking memory

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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.