“…This is especially true in the case of SUDs, wherein individuals with SUDs have been shown to have lower resting HRV than individuals without substance use problems (Ingjaldsson, Laberg, & Thayer, 2003; Weise, Müller, Krell, Kielstein, & Koch, 1986). While this association could potentially be a factor of the direct pharmacological actions of alcohol and other drugs, or a sequela of lifestyles attendant with chronic heavy substance use, some suggest this is not the case (Peterson, Pihl, Seguin, Finn, & Stewart, 1993; Zhang, Abdel-Rahman, & Wooles, 1988). The fact that individuals with a variety of mental disorders also exhibit lower resting HRV in the absence of neurotoxic substances, speaks to this postulate.…”