Psychophysiology 2024 Evidence: Doesn't Work

Anxiety Disorders Consistently Associated with Reduced HRV

Summary

Meta-analyses confirm that anxiety disorders (GAD, panic, social anxiety, PTSD) are associated with reduced HRV, with small-to-moderate effect sizes. This has implications for long-term cardiovascular health.

Methods

Meta-analysis of 36 articles, 2086 patients, 2294 controls

Key Findings

  • Anxiety disorders show lower HF-HRV (g = -0.29)
  • Time domain HRV also reduced (g = -0.45)
  • Panic disorder, GAD, PTSD, social anxiety all affected
  • OCD did not show significant HRV reduction
  • Effects independent of medication and comorbidities

Limitations

Heterogeneous anxiety presentations and measures

What This Means for You

If you have an anxiety disorder, low HRV is common and may indicate increased cardiovascular risk. Treatments that improve HRV (biofeedback, CBT, exercise) may benefit both anxiety and heart health.

Source

Read the original paper in Psychophysiology ↗

Added to HRV Zone: 2025-01-10

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