Autonomic correlates of lifetime suicidal thoughts and behaviors among adolescents with a history of depression

Yang, Xiushi; Daches, Shimrit; George, Charles J.; Kiss, Enikő; Kapornai, Krisztina; Baji, Ildikό; Kovács, Mária

doi:10.1111/psyp.13378

Cited by 14 publications

(8 citation statements)

References 77 publications

(114 reference statements)

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“…An experimenter stood next to the participants to ensure that they completed the task correctly and were instructed to complete as many of the puzzles as possible within the 6-minutes. Unsolvable puzzle tasks have the fundamental principles of stress, including novelty, unpredictability and negative feedback are frequently used in stress literature (Perry, Calkins, Nelson, Leerkes, & Marcovitch, 2012;Yang et al, 2019). For a full description including diagrams of puzzles used, see Bibbey (2015).…”

Section: Puzzle Taskmentioning

confidence: 99%

Associations between heart rate, perceived heart rate, and anxiety during acute psychological stress

Trotman

Zanten

Davies

et al. 2019

Anxiety, Stress, & Coping

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Background: Acute psychological stress elicits increases in heart rate (HR) and anxiety. Theories propose associations between HR, perceived HR, and anxiety during stress. However, anxiety is often measured as a unidimensional construct which limits a comprehensive understanding of these relationships. Objectives: This research explored whether HR reactivity or perceived HR change was more closely associated with cognitive and somatic anxiety during acute psychological stress. Design: Two laboratory-based studies were conducted. Methods: In a single laboratory session, healthy male (N = 71; study 1) and female (N = 70; study 2) university students completed three laboratory psychological stress tasks (counterbalanced), each with a preceding baseline. Heart rate, perceived HR change, and cognitive and somatic anxiety intensity and interpretation of anxiety symptoms were assessed immediately following each task. Data were aggregated across tasks. Results: Actual HR change was unrelated to anxiety intensity, but was associated with more debilitative interpretations of anxiety (study 2). Perceptions of HR change were consistently associated with greater intensity of cognitive (study 1) and somatic (study 1 and 2) anxiety. Conclusions: Perceived HR rather than actual HR is more closely associated with anxiety intensity during psychological stress. The findings have implications for stress management and the clinical treatment of anxiety symptoms.

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Section: Puzzle Taskmentioning

confidence: 99%

Associations between heart rate, perceived heart rate, and anxiety during acute psychological stress

Trotman

Zanten

Davies

et al. 2019

Anxiety, Stress, & Coping

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“…Consistent with these findings, one of the two studies only included in the qualitative synthesis found that adolescents who displayed a decrease in suicidality over time displayed an increase in HRV at rest during night-time, but not during the day (Sheridan et al, 2021), whereas the other study found no group differences on RSA or PEP (Yang et al, 2019).…”

Section: Cardiac Measuresmentioning

confidence: 56%

Autonomic dysregulation and self-injurious thoughts and behaviours in children and young people: a systematic review and meta-analysis

Bellato¹,

Shephard²,

Michelini³

2022

Preprint

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Background. Self-injurious thoughts and behaviours (SITBs) have been associated with dysfunction of the Autonomic Nervous System (ANS) in children and young people, suggesting that objective ANS measures may aid assessment of suicide risk, but a systematic synthesis of this literature is currently lacking. Methods. Following a pre-registered protocol (PROSPERO CRD42022327605), we conducted a systematic search of PubMed, Medline, Embase, PsycINFO, and Web of Science, for empirical studies published until 10th May 2022 that compared indices of ANS functioning in individuals aged 0-25 years with versus without SITBs, or reported continuous associations between ANS measures and SITBs. Study quality was assessed with the Newcastle-Ottawa Scales. Pooled effect sizes (Hedge’s g) were estimated with random-effects meta-analytic models.Results. Twenty studies (1979 participants) were included in systematic review, with 17 included in meta-analyses. Results suggested that SITBs were associated with altered cardiac indices of arousal (g = -0.308, p < 0.001), which was driven by lower heart rate variability in individuals with SITBs (g = -0.367, p < 0.001). Overall results for electrodermal activity were not significant (g = 0.026, p = 0.857), but moderator analyses showed increased activity in individuals who engaged specifically in non-suicidal self-harm (g = 0.249, p = 0.014) but decreased activity in the remaining studies (g = -0.567, p = 0.004).Conclusions. Our systematic review and meta-analysis found evidence of reduced parasympathetic regulation as well as more tentative evidence of altered electrodermal activity in children and young people displaying SITBs. Future longitudinal studies should test the clinical utility of these markers for detecting and monitoring suicide risk.

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“…Cross-study heterogeneity was significant (Q = 39.638; p = 0.023), while funnel plot asymmetry was not detected (Kendall's tau = −0.1510, p = 0.2927; Figure S1). Consistent with these findings, one of the three studies included in the qualitative synthesis found that adolescents who displayed a decrease in suicidality over time showed an increase in HRV at rest during night-time, but not during the day (Sheridan et al, 2021), whereas the other study found no group differences on RSA or PEP (Yang et al, 2019). Koenig et al (2018) reported results of a 1-year follow-up assessment of a sample of adolescent girls, for which they reported baseline data in Koenig, Rinnewitz, Parzer, et al (2017).…”

Section: Cardiac Measuresmentioning

confidence: 71%

Autonomic dysregulation and self‐injurious thoughts and behaviours in children and young people: A systematic review and meta‐analysis

et al. 2023

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BackgroundSelf‐injurious thoughts and behaviours (SITBs) have been associated with dysfunction of the Autonomic Nervous System (ANS) in children and young people, suggesting that objective ANS measures may aid assessment of suicide risk, but a systematic synthesis of this literature is currently lacking.MethodsFollowing a pre‐registered protocol (PROSPERO CRD42022327605), we conducted a systematic search of PubMed, Medline, Embase, PsycINFO, and Web of Science, for empirical studies published until 10th May 2022 that compared indices of ANS functioning in individuals aged 0–25 years with versus without SITBs, or reported continuous associations between ANS measures and SITBs. Study quality was assessed with the Newcastle‐Ottawa Scales. Pooled effect sizes (Hedge's g) were estimated with random‐effects meta‐analytic models.ResultsTwenty studies (1979 participants) were included in our systematic review, with 16 included in meta‐analyses. Results suggested that SITBs were associated with altered cardiac indices of arousal (g = −0.328, p < 0.001), which was driven by lower heart rate variability in individuals with SITBs (g = −0.375, p = 0.025). Overall results for electrodermal activity were not significant (g = 0.026, p = 0.857), but subgroup analyses showed increased activity in studies of individuals who engaged specifically in non‐suicidal self‐harm (g = 0.249, p = 0.014) but decreased activity in the remaining studies (g = −0.567, p = 0.004).ConclusionsOur systematic review and meta‐analysis found evidence of reduced parasympathetic regulation as well as more tentative evidence of altered electrodermal activity in children and young people displaying SITBs. Future longitudinal studies should test the clinical utility of these markers for detecting and monitoring suicide risk.

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Autonomic correlates of lifetime suicidal thoughts and behaviors among adolescents with a history of depression

Cited by 14 publications

References 77 publications

Associations between heart rate, perceived heart rate, and anxiety during acute psychological stress

Associations between heart rate, perceived heart rate, and anxiety during acute psychological stress

Autonomic dysregulation and self-injurious thoughts and behaviours in children and young people: a systematic review and meta-analysis

Autonomic dysregulation and self‐injurious thoughts and behaviours in children and young people: A systematic review and meta‐analysis

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