From psychological moments to mortality: A multidisciplinary synthesis on heart rate variability spanning the continuum of time

NEUROSCIENCE AND BIOBEHAVIORAL REVIEWS

卷:83

Review

Kemp, Andrew H.^1,2,3  Koenig, Julian⁴  Thayer, Julian F.⁵ 

[1] Swansea Univ, Dept Psychol, Swansea, W Glam, Wales

[2] Univ Sydney, Discipline Psychiat, Sydney, NSW, Australia

[3] Univ Sydney, Sch Psychol, Sydney, NSW, Australia

[4] Heidelberg Univ, Ctr Psychosocial Med, Dept Child & Adolescent Psychiat, Sect Translat Psychobiol Child & Adolescent Psych, Heidelberg, Germany

[5] Ohio State Univ, Dept Psychol, 1835 Neil Ave, Columbus, OH 43210 USA

关键词: Health psychology;    Psychiatry;    Epidemiology;    Public health;    Psychophysiology;    Autonomic nervous system;    Heart rate variability;    Psychophysiological flexibility;    Resilience;    Emotion;    Mood;    Inflammation;    Biomarkers;    Atherosclerosis;    Morbidity;    Mortality;    Polyvagal theory;    Neurovisceral integration model;    Mental health;    Physical health;   

DOI  :  10.1016/j.neubiorev.2017.09.006

来源: Elsevier

【 摘 要 】

Heart rate variability (HRV) indexes functioning of the vagus nerve, arguably the most important nerve in the human body. The Neurovisceral Integration Model has provided a structural framework for understanding brain body integration, highlighting the role of the vagus in adaptation to the environment. In the present paper, we emphasise a temporal framework in which HRV may be considered a missing, structural link between psychological moments and mortality, a proposal we label as Neurovisceral Integration Across a Continuum of Time (or NIACT). This new framework places neurovisceral integration on a dimension of time, highlighting implications for lifespan development and healthy aging, and helping to bridge the gap between clearly demarcated disciplines such as psychology and epidemiology. The NIACT provides a novel framework, which conceptualizes how everyday psychological moments both affect and are affected by the vagus in ways that have long-term effects on mortality risk. We further emphasize that a longitudinal approach to understanding change in vagal function over time may yield novel scientific insights and important public health outcomes.

【 授权许可】

Free