Affective Instability in Daily Life Is Predicted by Resting Heart Rate Variability

Koval, Peter; Ogrinz, Barbara; Kuppens, Peter; Bergh, Omer Van den; Tuerlinckx, Francis; Sütterlin, Stefan

doi:10.1371/journal.pone.0081536

Cited by 125 publications

(126 citation statements)

References 80 publications

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“…This pattern of results is not unusual. Previous research has shown a similar relationship between instability measures of PA and NA [28,32]. These findings may be explained by shared method variance between instability measures of NA and PA: They are based on similar mathematical algorithms.…”

Section: Discussionsupporting

confidence: 53%

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Affective instability in patients with chronic pain: a diary approach

Rost

Ryckeghem

Koval

et al. 2016

Pain

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Affective instability, conceptualized as fluctuations in mood over time, has been related to ill-health and psychopathology. In this study we examined the role of affective instability upon daily pain outcomes in 70 chronic pain patients (M age = 49.7 years; 46 females) using an end-of-day diary. During a baseline phase, patients completed self-reported questionnaires of pain severity, pain duration, disability, depression and anxiety. During a subsequent diary phase, patients filled out an electronic end-of-day diary over 14 consecutive days assessing daily levels of pain severity, disability, cognitive complaints, negative affect (NA) and positive affect (PA). Affective instability was operationalized as the mean square of successive differences (MSSD) in daily mood (separately for NA and PA), which takes into account the size of affective changes over consecutive days. Results indicated that NA instability was positively associated with daily disability, beyond the effects of daily pain severity. Furthermore, NA instability moderated the relationship between daily pain severity and daily disability and the relationship between daily pain severity and daily cognitive complaints. PA instability, however showed to be unrelated to all outcomes. Current findings extend previous results and reveal the putative role of affective instability upon pain-related outcomes and may yield important clinical implications. Indeed, they suggest that targeting NA instability by improving emotion regulation skills may be a strategy to diminish disability and cognitive complaints in patients with chronic pain.3

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Section: Discussionsupporting

confidence: 53%

“…Recently, the examination of the dynamics of affect has increased in order to improve our understanding of psychological maladjustment and psychopathology [15,25,28,55,56]. Within this emerging field, emotional responding reflects a dynamic process that takes place in response to changing contextual demands.…”

Section: Discussionmentioning

confidence: 99%

Affective instability in patients with chronic pain: a diary approach

Rost

Ryckeghem

Koval

et al. 2016

Pain

Self Cite

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“…Increases in HR relative to baseline (i.e., HR reactivity) can be interpreted as a physiological correlate of emotional reactivity toward a salient stimulus. High vagally mediated baseline HRV is commonly interpreted as corresponding to high emotion regulation capacity, appropriate emotional responding [6,73], and emotional stability in everyday life [51]. Vagally mediated HRV during exposure to an emotionally salient stimulus relative to baseline under resting conditions can indicate ongoing emotion regulation processes such as effortful adaptive coping or acute stress [2,16].…”

Section: Parent Emotion Regulationmentioning

confidence: 99%

Emotion regulatory function of parent attention to child pain and associated implications for parental pain control behaviour

Vervoort

Trost

Sütterlin

et al. 2014

Pain

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We investigated the function of parental attention to child pain in regulating parental distress and pain control behaviour when observing their child performing a painful (cold pressor) task (CPT); we also studied the moderating role of parental state anxiety. Participants were 62 schoolchildren and one of their parents. Parental attention towards or away from child pain (ie, attend to pain vs avoid pain) was experimentally manipulated during a viewing task pairing unfamiliar children's neutral and pain faces. Before and after the viewing task, parental distress regulation was assessed by heart rate (HR) and heart rate variability (HRV). In a subsequent phase, parents observed their own child perform a CPT task, allowing assessment of parental pain control behaviour (indexed by latency to stop their child's CPT performance) and parental distress, which was assessed via self-report before and after observation of child CPT performance. Eye tracking during the viewing task and self-reported attention to own child's pain confirmed successful attention manipulation. Further, findings indicated that the effect of attentional strategy on parental emotion regulation (indexed by HR, self-report) and pain control behaviour depended on parents' state anxiety. Specifically, whereas low anxious parents reported more distress and demonstrated more pain control behaviour in the Attend to Pain condition, high anxious parents reported more distress and showed more pain control behaviour in the Avoid Pain condition. This inverse pattern was likewise apparent in physiological distress indices (HR) in response to the initial viewing task. Theoretical/clinical implications and further research directions are discussed

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“…When HRV is lower, it suggests that control mechanisms are not functioning correctly (van Ravenswaaij-Arts et al 1993). Low HRV is of specific interest to psychologists, since it has been linked with poorer self-regulatory mechanisms, due to the connection of the vagal nerve (a key component that determines HRV) to the same neural network involved in emotional regulation (Appelhans and Luecken 2006;Koval et al 2013).…”

Section: Introductionmentioning

confidence: 99%

Ambulatory Assessment of Psychophysiological Stress among Police Officers: a Proof-of-Concept Study

et al. 2017

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Occupational stress has been widely recognized as a global challenge and has received increased attention by the academic community. Ambulatory Assessment methodologies, combining psychophysiological measures of stress, offer a promising avenue for future prevention and/or rehabilitation stress research. Considering that policing is well known for being a particularly stressful occupation, Emergency Responders Officers (EROs) stress levels were investigated. Particularly, this study analyzed: (i) physiological stress data obtained during shifts and compared these data with baseline levels (days off), as well as (ii) with normative values for healthy populations; (iii) stress symptoms differences from beginning to end of shift; (iv) stress events and events intensity and (v) the acceptability and feasibility of this proof-ofconcept study in a highly stressful occupation. A Geo-location event system was used to help retrospective accounts of psychological stress, combined with electrocardiogram (ECG) data and mobile self-reports, that include stress symptoms, event types and event intensity. Results suggest that EROs experience high levels of stress (both onduty and off duty) when compared to healthy populations. Stress symptoms increase from the beginning to end of the shift. However, the mean events intensity was very low. It can be concluded that stress may not always be diagnosed when using merely

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Affective Instability in Daily Life Is Predicted by Resting Heart Rate Variability

Cited by 125 publications

References 80 publications

Affective instability in patients with chronic pain: a diary approach

Affective instability in patients with chronic pain: a diary approach

Emotion regulatory function of parent attention to child pain and associated implications for parental pain control behaviour

Ambulatory Assessment of Psychophysiological Stress among Police Officers: a Proof-of-Concept Study

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