心脏迷走神经控制与儿童适应功能：荟萃分析。
Cardiac vagal control and children's adaptive functioning: a meta-analysis.
机构信息
Florida International University, Center for Children and Families and Department of Psychology, Miami 33199, USA.
出版信息
Biol Psychol. 2013 Sep;94(1):22-37. doi: 10.1016/j.biopsycho.2013.04.011. Epub 2013 May 4.
Abstract
Polyvagal theory has influenced research on the role of cardiac vagal control, indexed by respiratory sinus arrhythmia withdrawal (RSA-W) during challenging states, in children's self-regulation. However, it remains unclear how well RSA-W predicts adaptive functioning (AF) outcomes and whether certain caveats of measuring RSA (e.g., respiration) significantly impact these associations. A meta-analysis of 44 studies (n=4996 children) revealed small effect sizes such that greater levels of RSA-W were related to fewer externalizing, internalizing, and cognitive/academic problems. In contrast, RSA-W was differentially related to children's social problems according to sample type (community vs. clinical/at-risk). The relations between RSA-W and children's AF outcomes were stronger among studies that co-varied baseline RSA and in Caucasian children (no effect was found for respiration). Children from clinical/at-risk samples displayed lower levels of baseline RSA and RSA-W compared to children from community samples. Theoretical/practical implications for the study of cardiac vagal control are discussed.
摘要
躯体自主神经理论影响了对心脏迷走神经控制作用的研究，该作用通过在挑战性状态下的呼吸窦性心律失常退缩（RSA-W）来评估，这与儿童的自我调节有关。然而，目前尚不清楚 RSA-W 对适应性功能（AF）结果的预测能力如何，以及测量 RSA 时的某些注意事项（例如呼吸）是否会显著影响这些关联。对 44 项研究（n=4996 名儿童）的荟萃分析显示，RSA-W 水平与较少的外化、内化和认知/学术问题相关，这表明其效应较小。相比之下，根据样本类型（社区与临床/高危），RSA-W 与儿童社交问题的关系存在差异。在共同变基线 RSA 的研究中，以及在白种人儿童中，RSA-W 与儿童的 AF 结果之间的关系更强（呼吸则没有发现效果）。与来自社区样本的儿童相比，来自临床/高危样本的儿童的基线 RSA 和 RSA-W 水平较低。讨论了躯体自主神经控制研究的理论/实践意义。
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本文引用的文献
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Infancy. 2002 Apr;3(2):175-197. doi: 10.1207/S15327078IN0302_4. Epub 2002 Apr 1.
2
The Diagnostic Utility of Executive Function Assessments in the Identification of ADHD in Children.执行功能评估在儿童注意力缺陷多动障碍识别中的诊断效用
Child Adolesc Ment Health. 2010 Feb;15(1):37-43. doi: 10.1111/j.1475-3588.2009.00536.x. Epub 2009 Aug 20.
3
Evidence-based intervention for young children born premature: preliminary evidence for associated changes in physiological regulation.基于证据的早产儿干预：生理调节相关变化的初步证据。
Infant Behav Dev. 2012 Jun;35(3):417-28. doi: 10.1016/j.infbeh.2012.04.001. Epub 2012 Jun 19.
4
Physiological Regulation and Fearfulness as Predictors of Young Children's Empathy-related Reactions.生理调节与恐惧作为幼儿共情相关反应的预测因素
Soc Dev. 2011 Feb;20(1):111-13. doi: 10.1111/j.1467-9507.2010.00575.x. Epub 2010 Mar 19.
5
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Dev Psychopathol. 2012 May;24(2):677-89. doi: 10.1017/S0954579412000247.
6
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J Abnorm Child Psychol. 2012 Jul;40(5):837-48. doi: 10.1007/s10802-011-9600-9.
10
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