Skip to main content
Log in

Heart Rate Variability, Prefrontal Neural Function, and Cognitive Performance: The Neurovisceral Integration Perspective on Self-regulation, Adaptation, and Health

  • Original Article
  • Published:
Annals of Behavioral Medicine

Abstract

Background

In the present paper, we describe a model of neurovisceral integration in which a set of neural structures involved in cognitive, affective, and autonomic regulation are related to heart rate variability (HRV) and cognitive performance.

Methods

We detail the pathways involved in the neural regulation of the cardiovascular system and provide pharmacological and neuroimaging data in support of the neural structures linking the central nervous system to HRV in humans. We review a number of studies from our group showing that individual differences in HRV are related to performance on tasks associated with executive function and prefrontal cortical activity. These studies include comparisons of executive- and nonexecutive-function tasks in healthy participants, in both threatening and nonthreatening conditions. In addition, we show that manipulating resting HRV levels is associated with changes in performance on executive-function tasks. We also examine the relationship between HRV and cognitive performance in ecologically valid situations using a police shooting simulation and a naval navigation simulation. Finally, we review our studies in anxiety patients, as well as studies examining psychopathy.

Conclusion

These findings in total suggest an important relationship among cognitive performance, HRV, and prefrontal neural function that has important implications for both physical and mental health. Future studies are needed to determine exactly which executive functions are associated with individual differences in HRV in a wider range of situations and populations.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. Waldstein SR, Giggey PP, Thayer JF, Zonderman AB. Nonlinear relations of blood pressure to cognitive function: The Baltimore longitudinal study of aging. Hypertension. 2005; 45(3): 374–379.

    PubMed  Google Scholar 

  2. Waldstein SR, Rice SC, Thayer JF, Najjar SS, Scuteri A, Zonderman AB. Pulse pressure and pulse wave velocity are related to cognitive decline in the Baltimore Longitudinal Study of Aging. Hypertension. 2008; 55: 99–104.

    Google Scholar 

  3. Amerena J, Julius S. The role of the autonomic nervous system in hypertension. Hypertens Res. 1995; 18(2): 99–110.

    PubMed  Google Scholar 

  4. Thayer JF, Lane RD. The role of vagal function in the risk for cardiovascular disease and mortality. Biol Psychol. 2007; 74: 224–242.

    PubMed  Google Scholar 

  5. Thayer JF, Brosschot JF. Psychosomatics and psychopathology: Looking up and down from the brain. Psychoneuroendocrinology. 2005; 30: 1050–1058.

    PubMed  Google Scholar 

  6. Thayer JF, Sternberg EM. Beyond heart rate variability: Vagal regulation of allostatic systems. Ann N Y Acad Sci. 2006; 1088: 361–372.

    PubMed  Google Scholar 

  7. Goldman-Rakic PS. The prefrontal landscape: Implications of functional architecture for understanding human mentation and the central executive. In: Roberts AC, Robbins TW, Weiskrantz L, eds. The Prefrontal Cortex: Executive and Cognitive Function. Oxford: Oxford University Press; 1998:87–102.

    Google Scholar 

  8. Compte A, Brunel N, Goldman-Rakic PS, Wang XJ. Synaptic mechanisms and network dynamics underlying spatial working memory in a cortical network model. Cereb Cortex. 2000; 10: 910–923.

    PubMed  Google Scholar 

  9. Miller EK. The prefrontal cortex and cognitive control. Nat Rev. 2000; 1: 59–65.

    Google Scholar 

  10. Ter Horst GJ. Central autonomic control of the heart, angina, and pathogenic mechanisms of post-myocardial infarction depression. Eur J Morphol. 1999; 37: 257–266.

    PubMed  Google Scholar 

  11. Ter Horst GJ, Postema F. Forebrain parasympathetic control of heart activity: retrograde transneuronal viral labeling in rats. Am J Physiol. 1997; 273: H2926–H2930.

    PubMed  Google Scholar 

  12. Mayberg HS, et al. Reciprocal limbic-cortical function and negative mood: Converging PET findings in depression and normal sadness. Am J Psychiatry. 1999; 156: 675–682.

    PubMed  Google Scholar 

  13. Benarroch EE. The central autonomic network: Functional organization, dysfunction, and perspective. Mayo Clin Proc. 1993; 68: 988–1001.

    PubMed  Google Scholar 

  14. Benarroch EE. The central autonomic network. In: Low PA, ed. Clinical Autonomic Disorders. 2nd ed. Philadelphia: Lippincott-Raven; 1997:17–23.

    Google Scholar 

  15. Masterman DL, Cummings JL. Frontal-subcortical circuits: The anatomical basis of executive, social and motivated behaviors. J Psychopharmacol. 1997; 11: 107–114.

    PubMed  Google Scholar 

  16. Spyer KM. Neural mechanisms involved in cardiovascular control during affective behavior. Trends Neurosci. 1989; 12: 506–513.

    PubMed  Google Scholar 

  17. Thayer JF, Lane RD. A model of neurovisceral integration in emotion regulation and dysregulation. J Affect Disord. 2000; 61: 201–216.

    PubMed  Google Scholar 

  18. Saul JP. Beat-to-beat variations of heart rate reflect modulation of cardiac autonomic outflow. News Physiol Sci. 1990; 5: 32–37.

    Google Scholar 

  19. Jose AD, Collison D. The normal range and determinants of the intrinsic heart rate in man. Cardiovasc Res. 1970; 4: 160–167.

    PubMed  Google Scholar 

  20. Levy MN. Autonomic interactions in cardiac control. Ann N Y Acad Sci. 1990; 601: 209–221.

    PubMed  Google Scholar 

  21. Damasio AR. Emotion in the perspective of an integrated nervous system. Brain Res Rev. 1998; 26: 83–86.

    PubMed  Google Scholar 

  22. Devinsky O, Morrell MJ, Vogt BA. Contributions of anterior cingulate cortex to behavior. Brain. 1995; 118: 279–306.

    PubMed  Google Scholar 

  23. Friedman BH, Thayer JF. Anxiety and autonomic flexibility: A cardiovascular approach. Biol Psychol. 1998a; 49: 303–323.

    Google Scholar 

  24. Friedman BH, Thayer JF. Autonomic balance revisited: Panic anxiety and heart rate variability. J Psychosom Res. 1998b; 44: 133–151.

    Google Scholar 

  25. Thayer JF, Friedman BH. The heart of anxiety: A dynamical systems approach. In: Vingerhoets A, ed. The (Non) Expression of Emotions in Health and Disease. Amsterdam: Springer; 1997.

    Google Scholar 

  26. Uijtdehagge SBH, Thayer JF. Accentuated antagonism in the control of human heart rate. Clin Auton Res. 2000; 10: 107–110.

    Google Scholar 

  27. Balaban CD, Thayer JF. Neurological bases for balance-anxiety links. J Anxiety Disord. 2001; 15: 53–79.

    PubMed  Google Scholar 

  28. Barbas H, Saha S, Rempel-Clower N, Ghashghaei T. Serial pathways from primate prefrontal cortex to autonomic areas may influence emotional expression. BMC Neurosci. 2003; 4: 25–36.

    PubMed  Google Scholar 

  29. Barbas H, Zikopoulos B. The prefrontal cortex and flexible behavior. Neurosci. 2007; 13: 532–545.

    Google Scholar 

  30. Grace AA, Rosenkranz JA. Regulation of conditioned responses of basolateral amygdala neurons. Physiol Behav . 2002; 77: 489–493.

    PubMed  Google Scholar 

  31. Rempel-Clower NL. Role of orbitofrontal cortex connections in emotion. Ann N Y Acad Sci. 2007; 1121: 72–86.

    PubMed  Google Scholar 

  32. Resstel LBM, Correa FMA. Involvement of the medial prefrontal cortex in central cardiovascular modulation in the rat. Autonomic Neuroscience: Basic and Clinical. 2006; 126–127: 130–138.

    Google Scholar 

  33. Saha S. Role of the central nucleus of the amygdala in the control of blood pressure: Descending pathways to medullary cardiovascular nuclei. Clin Exp Pharmacol Physiol. 2005; 32: 450–456.

    PubMed  Google Scholar 

  34. Saha S, Batten TFC, Henderson ZA. GABAergic projection from the central nucleus of the amygdala to the nucleus of the solitary tract: A combined anterograde tracing and electron microscopic immunohistochemical study. Neuroscience. 2000; 99: 613–626.

    PubMed  Google Scholar 

  35. Shekhar A, Sajdyk TJ, Gehlert DR, Rainnie DG. The amygdala, panic disorder, and cardiovascular responses. Ann N Y Acad Sci. 2003; 985: 308–325.

    PubMed  Google Scholar 

  36. Spyer KM. Central nervous mechanisms contributing to cardiovascular control. J Physiol. 1994; 474: 1–19.

    PubMed  Google Scholar 

  37. Wong SW, Masse N, Kimmerly DS, Menon RS, Shoemaker JK. Ventral medial prefrontal cortex and cardiovagal control in conscious humans. Neuroimage. 2007; 35: 698–708.

    PubMed  Google Scholar 

  38. Gianaros PJ. Brain–body pathways to cardiovascular disease risk. Herbert Weiner Early Career Award Lecture, 66th Annual Meeting of the American Psychosomatic Society, Baltimore, MD, March 2008.

  39. Ahern GL, Sollers JJ, Lane RD, et al. Heart rate and heart rate variability changes in the intracarotid sodium amobarbital (ISA) test. Epilepsia. 2001; 42: 912–921.

    PubMed  Google Scholar 

  40. Lane RD, Reiman EM, Ahern GL, Thayer A. Activity in medial prefrontal Cortex correlates with vagal component of heart rate variability during emotion. Brain Cogn. 2001; 47: 97–100.

    Google Scholar 

  41. Lane RD, Weidenbacher H, Fort CL, Thayer JF, Allen JJB. Subgenual anterior cingulate (BA25) activity covaries with changes in cardiac vagal tone during affective set shifting in healthy adults. Psychosom Med. 2008; 70: A-42.

    Google Scholar 

  42. Lane RD, McRae K, Reiman EM, Chen K, Ahern GL, Thayer JF. Neural correlates of heart rate variability during emotion. Neuroimage. 2009; 44: 213–222.

    PubMed  Google Scholar 

  43. Nugent AC, Bain EE, Thayer JF. Drevets WC Anatomical correlates of autonomic control during a motor task. Psychosom Med. 2007; 69: A-74.

    Google Scholar 

  44. Nugent AC, Bain EE, Sollers JJ, Thayer JF, Drevets WC. Alterations in neural correlates of autonomic control in females with major depressive disorder. Psychosom Med. 2008; 70: A-99.

    Google Scholar 

  45. Gianaros PJ, Van Der Veen FM, Jennings JR. Regional cerebral blood flow correlates with heart period and high-frequency heart period variability during working memory tasks: Implications for the cortical and subcortical regulation of cardiac autonomic activity. Psychophysiology. 2004; 41: 521–530.

    PubMed  Google Scholar 

  46. Arnsten AFT, Goldman-Rakic PS. Noise stress impairs prefrontal cortical cognitive function in monkeys: Evidence for a hyperdopaminergic mechanism. Arch Gen Psychiatry. 1998; 55: 362–368.

    PubMed  Google Scholar 

  47. Engle RW, Conway ARA, Tuholski SW, Shisler RJ. A resource account of inhibition. Psychol Sci. 1995; 6: 122–125.

    Google Scholar 

  48. James W. In: Gazzaniga MS, ed. Conversations in the Cognitive Neurosciences. Cambridge, MA: MIT Press; 1997.

    Google Scholar 

  49. McGeer PL, Eccles JC, McGeer EG. Molecular neurobiology of the mammalian brain. New York: Plenum Press; 1978.

    Google Scholar 

  50. Thayer JF, Lane RD. The importance of inhibition in dynamical systems models of emotion and neurobiology. Brain Behav Sci. 2005; 28: 218–219.

    Google Scholar 

  51. Aron AR, Robbins TW, Poldrack RA. Inhibition and the right inferior frontal cortex. Trends Cogn Sci. 2004; 8: 170–177.

    PubMed  Google Scholar 

  52. Chikazoe J, Konishi S, Asari T, Jimura K, Miyashita Y. Activation of right inferior frontal gyrus during response inhibition across response modalities. J Cogn Neurosci. 2007; 19: 69–80.

    PubMed  Google Scholar 

  53. Kalisch R, Wiech K, Critchley HD, et al. Anxiety reduction through detachment: Subjective, physiological, and neural effects. J Cogn Neurosci. 2005; 17: 874–883.

    PubMed  Google Scholar 

  54. Garavan H, Ross TJ, Stein EA. Right hemispheric dominance of inhibitory control: An event-related functional MRI study. Proc Natl Acad Sci. 1999; 96: 8301–8306.

    PubMed  Google Scholar 

  55. Konishi S, Nakajima K, Uchida I, Kikyo H, Kameyama M, Miyashita Y. Common inhibitory mechanism in human inferior prefrontal cortex revealed by event-related functional MRI. Brain. 1999; 122: 981–991.

    PubMed  Google Scholar 

  56. Chambers CD, Bellgrove MA, Stokes MG, et al. Executive “brake failure” following deactivation of human frontal lobe. J Cogn Neurosci. 2006; 18: 444–455.

    PubMed  Google Scholar 

  57. Lieberman MD, Eisenberger NI, Crockett MJ, Tom SM, Pfeifer JH, Way BM. Putting feelings into words: affect labeling disrupts amygdala activity in response to affective stimuli. Psychol Sci. 2007; 18: 421–428.

    PubMed  Google Scholar 

  58. Craig AD. Forebrain emotional asymmetry: A neuroanatomical basis? Trends Cogn Sci. 2005; 19: 566–571.

    Google Scholar 

  59. Gevins A, Smith ME, McEvoy LK, Leong H, Le J. Electroencephalographic imaging of higher brain function. Philos Trans R Soc Lond B. 1999; 354: 1125–1134.

    Google Scholar 

  60. Thayer JF. On the importance of inhibition: Central and peripheral manifestations of nonlinear inhibitory processes in neural systems. Dose Response. 2006; 4: 2–21. (formerly Nonlinearity in Biology, Toxicology, and Medicine).

    PubMed  Google Scholar 

  61. Baddeley AD, Della Sala S. Working memory and executive control. Philos Trans R Soc Lond. 1996; B351: 1397–1404.

    Google Scholar 

  62. Garavan H, Ross TJ, Li S-J, Stein EA. A parametric manipulation of central executive functioning. Cereb Cortex. 2000; 10: 585–592.

    PubMed  Google Scholar 

  63. Davidson RJ. The functional neuroanatomy of affective style. In: Lane RD, Nadel L, eds. Cognitive neuroscience of emotion. New York: Oxford University Press; 2000:106–128.

    Google Scholar 

  64. Baddeley AD, Hitch G. Working memory. In: Bower GA, ed. The psychology of learning and motivation, Vol. 8. New York: Academic Press; 1974:47–89.

    Google Scholar 

  65. Shimamura AP. The role of the prefrontal cortex in dynamic filtering. Psychophysiology. 2000; 28: 207–218.

    Google Scholar 

  66. Baker DB, Taylor CJ, Levy C. Continuous performance test: a comparison of modalities. J Clin Psychol. 1995; 51: 548–551.

    PubMed  Google Scholar 

  67. Warm JS. Vigilance and target detection. In: Huey BM, Wickens CD, eds. Workload transition: Implications for individual and team performance. Washington, DC: National Academy Press References; 1993.

    Google Scholar 

  68. Parasuraman R, Warm JS, Dember W. Vigilance: Taxonomy and development. In: Mark LS, Warm JS, Huston RL, eds. Ergonomics and human factors: Recent research. New York: Springer-Verlag; 1987:11–32.

    Google Scholar 

  69. Logie RH, Zucco GM, Baddeley AD. Interference with visual short-term memory. Acta Psychol. 1990; 75: 55–74.

    Google Scholar 

  70. Conway ARA, Engle RW. Individual differences in working memory capacity: More evidence for a general capacity theory. Memory. 1996; 4: 577–590.

    PubMed  Google Scholar 

  71. Cowan N. Evolving conceptions of memory storage, selective attention, and their mutual constraints within the human information processing system. Psychol Bull. 1988; 104: 163–191.

    PubMed  Google Scholar 

  72. Cowan N. Menchanisms of verbal short-term memory. Curr Dir Psychol Sci. 1994; 3: 185–189.

    Google Scholar 

  73. Posner MI, Raichle MI. Images of Mind. New York: Scientific American Library; 1999.

    Google Scholar 

  74. Richards JE. Infant visual sustained attention and respiratory sinus arrhythmia. Child Dev. 1987; 58: 488–496.

    PubMed  Google Scholar 

  75. Suess PE, Porges SW, Plude DJ. Cardiac vagal tone and sustained attention. In school-aged children. Psychophysiology. 1994; 31: 17–22.

    PubMed  Google Scholar 

  76. Li Z, Snieder H, Su S, Ding X, Thayer JF, Trieber FA, Wang X. A longitudinal study in youth of heart rate variability at rest and in response to stress. Int J Psychophysiol. 2009 (in press)

  77. Neumann SA, Lawrence EC, Jennings JR, Ferrell RE, Manuck SB. Heart rate variability is associated with polymorphic variation in the choline transporter gene. Psychosom Med. 2005; 67: 168–171.

    PubMed  Google Scholar 

  78. Snieder H, van Doornen LJP, Boomsma D, Thayer JF. Sex differences and heritability of two indices of heart rate dynamics: A twin study. Twin Res Human Genet. 2007; 10: 364–372.

    Google Scholar 

  79. Wang X, Thayer JF, Treiber F, Snieder H. Ethnic differences and heritability of heart rate variability in African- and European American youth. Am J Cardiol. 2005; 96: 1166–1172.

    PubMed  Google Scholar 

  80. Thayer JF, Merritt MM, Sollers JJ 3rd, et al. Effect of angiotensin-converting enzyme insertion/deletion polymorphism DD genotype on high-frequency heart rate variability in African Americans. Am J Cardiol. 2003; 92: 1487–1490.

    PubMed  Google Scholar 

  81. Gard PR. The role of angiotensin II in cognition and behaviour. Eur J Pharmacol. 2002; 43: 1–14.

    Google Scholar 

  82. Thayer JF, Lane RD. Claude Bernard and the heart-brain connection: Further elaboration of a model of Neurovisceral Integration. Neurosci Biobehav Rev. 2009; 33: 81–88.

    PubMed  Google Scholar 

  83. Melzig CA, Weike AI, Hamm AO, Thayer JF. Individual differences in fear-potentiated startle as a function of resting heart rate variability: Implications for panic disorder. Int J Psychophysiol. 2009; 71: 109–117.

    PubMed  Google Scholar 

  84. Hansen AL, Johnsen BH, Thayer JF. Vagal influence in the regulation of attention and working memory. Int J Psychophysiol. 2003; 48: 263–274.

    PubMed  Google Scholar 

  85. Hugdahl K, Thomsen T, Landrø NI, et al. Separating mental arithmetic from working memory: A fMRI-study. NeuroImage. 2000; 11: 384.

    Google Scholar 

  86. Hansen AL, Johnsen BH, Thayer JF. Relationship between heart rate variability and cognitive function during threat of shock. Anxiety Stress Coping. 2009; 22: 77–89.

    PubMed  Google Scholar 

  87. Frankenhaeuser M, Nordhenden B, Myrsten A-L, Post B. Psychophysiological reactions to understimulation and overstimulation. Acta Psychol. 1971; 35: 298–308.

    Google Scholar 

  88. Broadbent DE. Decision and stress. London: Academic Press; 1971.

    Google Scholar 

  89. Foote SL, Bloom FE, Aston-Jones G. Nucleus locus ceruleus: New evidence of anatomical and physiological specificity. Physiol Rev. 1983; 63: 845–914.

    Google Scholar 

  90. Johnsen BH, Hansen AL, Sollers JJ 3rd, Murison R, Thayer JF. Heart rate variability is inversely related to cortisol reactivity during cognitive stress. Psychosom Med. 2002; 64: 289.

    Google Scholar 

  91. Sandrone G, Mortara A, Torzillo D, La Rovere ML, Malliani A, Lombardi F. Effects of Beta-blockers (atenolol or metropolol) on heart rate variability after acute myodardional infarction. Am J Cardiol. 1994; 74: 340–345.

    PubMed  Google Scholar 

  92. Stein PK, Kleiger RE. Insights from the study of heart rate variability. Annu Rev Med. 1999; 50: 249–261.

    PubMed  Google Scholar 

  93. Stein PK, Rottman JN, Kleiger RE, Ehsanin AA. Exercise training increases heart rate variability in normal older adults. J Am Coll Cardiol. 1996; 27: 146A.

    Google Scholar 

  94. Hansen AL, Johnsen BH, Sollers JJ, Stenvik K, Thayer JF. Heart rate variability and it's relation to prefrontal cognitive function: The effects of training and detraining. Eur J Appl Physiol. 2004; 93: 263–272.

    PubMed  Google Scholar 

  95. Hillman CH, Erickson KI, Kramer AF. Be smart, exercise your heart: Exercise effects on brain and cognition. Nat Rev Neurosci. 2008; 9: 58–65.

    PubMed  Google Scholar 

  96. Endsley, M.R. (1999). Situation awareness and human error: Designing to support human performance. In Proceedings of the high consequence system surety conference, Albuquerque, NM.

  97. Klein G. Analysis of situation awareness from critical incident reports. In: Endsley MR, Garland DJ, eds. Situation awareness and measurement. Mahwah, NJ: Lawrence Erlbaum Associates; 2000.

    Google Scholar 

  98. Matthews MD, Strater LD, Endsley MR. Situation awareness requirements for infantry platoon leaders. Mil Psychol. 2004; 16(3): 149–161.

    Google Scholar 

  99. Endsley MR. Design and evaluation for situation awareness enhancement. In proceedings of the human factors society 32ned annual meeting. Santa Monica, CA: Human Factors Society; 1988:97–101.

    Google Scholar 

  100. Endsley, M.R. & Garland, D. J. (2000). Pilot situation awareness training in general aviation. In proceedings of the triennial congress of the international ergonomics association and the 44td annual meeting of the human factors and ergonomics society.

  101. Svensson EA, Wilson GF. Psychological and psychophysiological models of pilot performance for systems development and mission evaluation. Int J Aviat Psychol. 2002; 12(1): 95–110.

    Google Scholar 

  102. Garland DJ, Wise JA, Hopkin VD. Handbook of Aviation Human Factors. Mahwah, NJ: Lawrence Erlbaum Associates; 1999.

    Google Scholar 

  103. Shebilske WL, Goettl BP, Garland DJ. Situation awareness, automaticity, and training. In: Endsley MR, Garland DJ, eds. Situation Awareness and Measurement. Mahwah, NJ: Lawrence Erlbaum Associates; 2000.

    Google Scholar 

  104. Saus ER, Johnsen BH, Eid J, Riisem PK, Andersen R, Thayer J. The effect of brief situational awareness training in a police shooting simulator: An experimental study. Mil Psychol. 2006; 18: 3–21.

    Google Scholar 

  105. Thayer JF, Friedman BH, Borkovec TD. Autonomic characteristics of generalized anxiety disorder and worry. Biol Psychiatry. 1996; 39: 255–266.

    PubMed  Google Scholar 

  106. Verkuil B, Brosschot JF, Borkovec TD, Thayer JF. Acute autonomic effects of experimental worry and cognitive problem solving: Why worry about worry? Int J Clin Health Psychol 2009 (in press).

  107. Saus ER, Johnsen BH, Eid J, Thayer J. Personality factors predicting situational awareness in a navigation simulator. 2006

  108. Johnsen BH, Thayer JF, Laberg JC, et al. Physiological and attentional characteristics of patients with dental anxiety. J Anxiety Disord. 2003; 40: 1–13.

    Google Scholar 

  109. Hansen AL, Johnsen BH, Thornton D, Waage L, Thayer JF. Facets on psychopathy checklist—Revised predicts heart rate variability and cognitive function. J Pers Disord. 2007; 21: 565–579.

    Google Scholar 

  110. Fowles DC. Electrodermal hyporeactivity and antisocial behavior: does anxiety mediate the relationship? J Affect Disord. 2000; 61: 177–189.

    PubMed  Google Scholar 

  111. Morgan AB, Lilienfeld SO. A meta-analytic review of the relation between antisocial behavior and neuropsychological measures of executive function. Clin Psychol Rev. 2000; 20: 113–136.

    PubMed  Google Scholar 

  112. Gorenstein EE. Frontal lobe functions on psychopaths. J Abnorm Psychol. 1982; 91: 368–379.

    PubMed  Google Scholar 

  113. Hare RD. Performance of psychopaths on cognitive tasks related to frontal lobe function. J Abnorm Psychol. 1984; 93: 133–140.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Julian F. Thayer Ph.D..

About this article

Cite this article

Thayer, J.F., Hansen, A.L., Saus-Rose, E. et al. Heart Rate Variability, Prefrontal Neural Function, and Cognitive Performance: The Neurovisceral Integration Perspective on Self-regulation, Adaptation, and Health. ann. behav. med. 37, 141–153 (2009). https://doi.org/10.1007/s12160-009-9101-z

Download citation

  • Received:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12160-009-9101-z

Keywords

Navigation