Manipulation of heart rate variability can modify response to anger-inducing stimuli

ABSTRACT Research suggests that heart rate variability (HRV) is a physiological indicator of the flexibility of the autonomic nervous system and can provide an objective measure of an individual’s ability to appropriately match emotional responses to environmental demands. The present study investigated whether angry response to emotional stimuli was related to HRV, and whether manipulation of HRV using biofeedback could change the anger response in a healthy adult population. Fifty-eight participants received HRV biofeedback (n = 29) or an active control condition (n = 29). HRV measures included standard deviation of normal-to-normal intervals (SDNN), low-frequency (LF) and high-frequency (HF) power, and was recorded across three sessions: baseline, training, and anger induction. The anger induction procedure resulted in increased subjective experience of anger, as well as physiological changes. The biofeedback group had higher HRV than active controls both during the training session (SDNN and LF HRV) and during anger induction (LF HRV). HRV during anger induction was significantly associated with self-reported emotional response for participants receiving biofeedback but not for active controls. Results provide support for HRV as an index of emotion regulation, specifically anger. Further research is needed to determine whether long-term HRV biofeedback can have a lasting effect on managing anger.

[1]  Igor Malinovsky,et al.  Preliminary Results of an Open Label Study of Heart Rate Variability Biofeedback for the Treatment of Major Depression , 2007, Applied psychophysiology and biofeedback.

[2]  James J. Gross,et al.  Emotion Regulation in Adulthood: Timing Is Everything , 2001 .

[3]  A. Sherwood,et al.  Effects of daily stress on autonomic cardiac control in patients with coronary artery disease. , 2004, The American journal of cardiology.

[4]  C. Boake,et al.  Characteristics of impaired awareness after traumatic brain injury , 1998, Journal of the International Neuropsychological Society.

[5]  D. Brodie,et al.  Effects of Short-Term Psychological Stress on the Time and Frequency Domains of Heart-Rate Variability , 2000, Perceptual and motor skills.

[6]  W. Zareba,et al.  Heart rate variability. , 2013, Handbook of clinical neurology.

[7]  P. Picton,et al.  Heart rate variability biofeedback as a behavioral neurocardiac intervention to enhance vagal heart rate control. , 2005, American heart journal.

[8]  J. Vila,et al.  When head is tempered by heart: Heart rate variability modulates perception of other-blame reducing anger , 2009 .

[9]  D. Nunan,et al.  A Quantitative Systematic Review of Normal Values for Short‐Term Heart Rate Variability in Healthy Adults , 2010, Pacing and clinical electrophysiology : PACE.

[10]  Gregg Henriques,et al.  Exploring the Effectiveness of a Computer-Based Heart Rate Variability Biofeedback Program in Reducing Anxiety in College Students , 2011, Applied psychophysiology and biofeedback.

[11]  J. Gross,et al.  Emotion elicitation using films , 1995 .

[12]  T. Denson,et al.  Cognitive reappraisal increases heart rate variability in response to an anger provocation , 2011 .

[13]  Reinout W. Wiers,et al.  How to push someone's buttons: A comparison of four anger-induction methods , 2008 .

[14]  Regulatory control and adults' stress-related responses to daily life events. , 1997, Journal of personality and social psychology.

[15]  B. Appelhans,et al.  Heart Rate Variability as an Index of Regulated Emotional Responding , 2006 .

[16]  J. Thayer,et al.  Facets of psychopathy, heart rate variability and cognitive function. , 2007, Journal of personality disorders.

[17]  Richard Gevirtz,et al.  Heart Rate Variability (HRV) and Posttraumatic Stress Disorder (PTSD): A Pilot Study , 2011, Applied psychophysiology and biofeedback.

[18]  M. Greenberg,et al.  The Effects of Respiratory Sinus Arrhythmia Biofeedback on Heart Rate Variability and Posttraumatic Stress Disorder Symptoms: A Pilot Study , 2009, Applied psychophysiology and biofeedback.

[19]  Naphtali Rishe,et al.  Heart Rate Variability Biofeedback as a Method for Assessing Baroreflex Function: A Preliminary Study of Resonance in the Cardiovascular System , 2002, Applied psychophysiology and biofeedback.

[20]  U. Ekelund,et al.  Criterion-related validity of the last 7-day, short form of the International Physical Activity Questionnaire in Swedish adults , 2006, Public Health Nutrition.

[21]  Kate Gavrysh.  How to push , 2016 .

[22]  Yuru Zhong,et al.  Limbic dysregulation is associated with lowered heart rate variability and increased trait anxiety in healthy adults , 2009, Human brain mapping.

[23]  Richard A. Brown,et al.  A modified computer version of the Paced Auditory Serial Addition Task (PASAT) as a laboratory-based stressor. , 2003 .

[24]  Matthew S Stanford,et al.  The physiological experience of the Paced Auditory Serial Addition Task (PASAT): does the PASAT induce autonomic arousal? , 2004, Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists.

[25]  M Ericson,et al.  Psychosocial factors and heart rate variability in healthy women. , 1999, Psychosomatic medicine.

[26]  L. Diamond,et al.  Individual Differences in Vagal Regulation Moderate Associations Between Daily Affect and Daily Couple Interactions , 2011, Personality & social psychology bulletin.

[27]  V. Nowlis.  Research with the mood adjective checklist , 1965 .

[28]  F. Pouwer,et al.  Psychophysiological biomarkers explaining the association between depression and prognosis in coronary artery patients: A critical review of the literature , 2010, Neuroscience & Biobehavioral Reviews.

[29]  Weichung Joe Shih,et al.  Heart Rate Variability Biofeedback Increases Baroreflex Gain and Peak Expiratory Flow , 2003, Psychosomatic medicine.

[30]  Rollin McCraty,et al.  Heart rate variability biofeedback, executive functioning and chronic brain injury , 2013, Brain injury.

[31]  Shou-En Lu,et al.  Heart rate variability biofeedback: effects of age on heart rate variability, baroreflex gain, and asthma. , 2006, Chest.

[32]  J. Thayer,et al.  Psychosomatics and psychopathology: looking up and down from the brain , 2005, Psychoneuroendocrinology.

[33]  G. Breithardt,et al.  Heart rate variability: standards of measurement, physiological interpretation and clinical use. Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. , 1996 .

[34]  Johannes Hewig,et al.  A revised film set for the induction of basic emotions. , 2005 .

[35]  L. Diamond,et al.  Links between adolescent sympathetic and parasympathetic nervous system functioning and interpersonal behavior over time. , 2013, International journal of psychophysiology : official journal of the International Organization of Psychophysiology.

[36]  M. Atkinson,et al.  The impact of an emotional self-management skills course on psychosocial functioning and autonomic recovery to stress in middle school children , 1999, Integrative physiological and behavioral science : the official journal of the Pavlovian Society.

[37]  K. Davidson,et al.  The Clinical Impact of Negative Psychological States: Expanding the Spectrum of Risk for Coronary Artery Disease , 2005, Psychosomatic medicine.

[38]  Rollin McCraty,et al.  The impact of a new emotional self-management program on stress, emotions, heart rate variability, DHEA and cortisol , 1998, Integrative physiological and behavioral science : the official journal of the Pavlovian Society.

[39]  M. Zvolensky,et al.  Examining the association between rumination, negative affectivity, and negative affect induced by a paced auditory serial addition task. , 2006, Journal of behavior therapy and experimental psychiatry.