A systematic review on heart rate variability in Bulimia Nervosa

Peschel, Stephanie K.V.; Feeling, Nicole R.; Vögele, Claus; Kaess, Michael; Thayer, Julian F.; Koenig, Julian

doi:10.1016/j.neubiorev.2016.01.012

Cited by 35 publications

(29 citation statements)

References 77 publications

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“…In this regard, we found no significant in-task HRV differences when conducting the Playmancer-ER task. Although most previous studies have reported increased in-task HRV (Mazurak et al, 2011), our findings are in line with other studies reporting no differences in HRV reactivity in ED (Peschel et al, 2016b). Also, we explored in-task HRV differences between the ED with and without NSSI.…”

Section: Discussionsupporting

confidence: 93%

“…Finally, EDs have been associated with alterations in the autonomic nervous system (Mazurak et al, 2011; Peschel et al, 2016a,b). In this regard, we found no significant in-task HRV differences when conducting the Playmancer-ER task.…”

Section: Discussionmentioning

confidence: 99%

“…It has been suggested that both higher and lower HRV are mainly determined by the parasympathetic system (Malik et al, 1996; Houle and Billman, 1999; Goldstein et al, 2011; Reyes del Paso et al, 2013; Ramírez et al, 2015). EDs have been associated with alterations in the autonomic nervous system, however, results are still inconclusive with most studies accounting increased HRV to parasympathetic nervous system dominance, whereas others describe decreased HRV conveying dominance of the sympathetic nervous system, or no differences comparing HRV in ED patients to controls (Mazurak et al, 2011; Peschel et al, 2016a,b). Additionally, HRV is an objective measure that has been considered as an index of ER capacity in a large number of studies (Di Simplicio et al, 2012; Thayer et al, 2012; Tuck et al, 2016; Visted et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

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Non-suicidal Self-Injury in Eating Disordered Patients: Associations with Heart Rate Variability and State-Trait Anxiety

et al. 2017

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Background: Non-suicidal self-injury (NSSI) is commonly present in individuals with eating disorders (EDs) and is often employed as a maladaptive emotion regulation strategy to avoid or abate negative emotions. One of the most prevalent negative emotions experienced by self-injurers is anxiety; however, this emotion has not been extensively studied in this population. Thus, the aim of our study was to investigate the influence of anxiety on NSSI in patients with ED from two different dimensions: state anxiety and trait anxiety.Methods: The study comprised a total of 66 females: 12 ED patients with NSSI, 32 ED patients without a history of NSSI, and 22 healthy controls. State and trait anxiety were assessed by means of State-Trait Anxiety Inventory (STAI-S-T) and physiological data [i.e., heart rate variability (HRV)] were collected.Results: STAI-trait scores were significantly higher in ED patients with NSSI than ED patients without NSSI. Furthermore, when conducting logistic regression analyses higher STAI-trait scores were associated with NSSI in ED patients. However, no differences in STAI-state scores and HRV were found between ED patients with and without NSSI.Discussion: The present findings suggest that anxiety as a trait is associated with the use of maladaptive strategies (i.e., NSSI) in ED patients. These results uphold the need to target trait anxiety in ED treatment in order to prevent possible NSSI behaviors.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Non-suicidal Self-Injury in Eating Disordered Patients: Associations with Heart Rate Variability and State-Trait Anxiety

et al. 2017

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“…A more detailed description of all these studies and their respective results, including results from experimental tests that are not elaborated on in the present meta‐analysis, is provided in a recent qualitative review (Peschel et al, ).…”

Section: Resultsmentioning

confidence: 99%

A Meta‐analysis on Resting State High‐frequency Heart Rate Variability in Bulimia Nervosa

Peschel

Feeling

Vögele

et al. 2016

Euro Eating Disorders Rev

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“…Heart rate and HRV constitute measures of autonomic function. They are reliable and easily accessed, for example in cardiovascular and stress research [10,[33][34][35][36]. Heart rate variability describes the beat-to-beat changes of beat-tobeat (RR) intervals that provide more information on the dynamic modulation between the sympathetic and parasympathetic branches of the ANS [9].…”

Section: Introduction Backgroundmentioning

confidence: 99%

Effects of cold stimulation on cardiac-vagal activation: Randomized controlled trial with healthy participants (Preprint)

Jungmann¹,

Vencatachellum²,

Ryckeghem³

et al. 2018

Preprint

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Background:The global stress epidemic has not yet been adequately tackled with digital technology by catering to healthy individuals who desire to reduce their acute stress levels. There is a need to investigate physiological mechanisms in the body that can be addressed to induce relaxation through technology. Research has shown that physiological mechanisms embodied in the facial and neck regions are effective for diminishing stress related symptoms. The study described in this paper expands on these areas with the design for a wearable in mind. As this study charts new territory in research, it also represents a first evaluation of the viability for a wearables concept to reduce stress. We inquire into the effects of cold stimulation on heart rate (HR) and heart rate variability (HRV) in the neck region using a Thermode device. Objective:The objectives of this study were to assess whether (a) HRV is increased and (b) HR is decreased during a cold stimulation compared to a (non-stimulated) control condition. Effects were in particular expected in the neck and cheek regions and less in the forearm area (c). Methods:Participants were seated in a lab chair and tested with cold stimulation on the right side of the body. The Thermode was placed on the neck, cheek and forearm. Participants' electrocardiogram was recorded and subsequently analyzed. The study was a fully randomized, within subject design. The cold stimulation was applied in 16 s intervals over 4 trials per body location. The control condition proceeded exactly like the cold condition, except the thermal variable was manipulated to remain on the baseline temperature. HR was expressed in terms of IBIs per msec, and rMSSD was used to index HRV. Data were analyzed using a repeated measurements analysis of variance approach with two repeated measurements factors, i.e. Body Location (neck, cheek, forearm) and Condition (cold, control) Results:The analyses of data of 61 participants (on exclusion of outliers) showed a main effect for body location for HR and HRV, a main effect for condition for HR and HRV and an interaction effect for condition and body location for HR and HRV. The results obtained demonstrate a pattern of cardiovascular reactivity to cold stimulation, suggesting an increase in cardiac-vagal activation. The effect was found to be significant for cold stimulation in the lateral neck area. Conclusion:The results confirmed our main hypothesis, which completes only the first step in the evaluation procedure of the wearables concept for stress reduction. Future studies should focus on a stress condition and collect self-report data on perceived stress levels.

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A systematic review on heart rate variability in Bulimia Nervosa

Cited by 35 publications

References 77 publications

Non-suicidal Self-Injury in Eating Disordered Patients: Associations with Heart Rate Variability and State-Trait Anxiety

Non-suicidal Self-Injury in Eating Disordered Patients: Associations with Heart Rate Variability and State-Trait Anxiety

A Meta‐analysis on Resting State High‐frequency Heart Rate Variability in Bulimia Nervosa

Effects of cold stimulation on cardiac-vagal activation: Randomized controlled trial with healthy participants (Preprint)

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