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The impact of an emotional self-management skills course on psychosocial functioning and autonomic recovery to stress in middle school children

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Abstract

Unmanaged emotional reactions to stress not only lead to behavior problems in young people but also create physiological conditions that inhibit learning and potentially increase the risk of disease later in life. For these reasons, the integration of emotional self-management skills training programs has become an increased priority in some schools. In this study, middle school students enrolled in a course in emotional competence skills learned techniques designed to intercept stressful responses during emotionally challenging situations. Behavioral outcomes were assessed using the Achievement Inventory Measure and autonomic function was measured by heart rate variability (HRV) analysis during and after a stressful interview. Following the program, students exhibited significant improvements in areas including stress and anger management, risky behavior, work management and focus, and relationships with family, peers and teachers. These improvements were sustained over the following six months. Students using the skills taught in the course to recover from acute emotional stress were also able to positively modulate their physiological stress responses. As compared to a control group, trained students demonstrated significantly increased HRV and more rhythmic, sine wave-like heart rhythm patterns during recovery. This response pattern reflects increased parasympathetic activity, heart rhythm coherence, and entrainment of other biological oscillatory systems to the primary heart rhythm frequency. Increased physiological coherence is associated with improved cognitive performance, emotional balance, mental clarity and health outcomes. These physiological shifts could promote the sustained psychological and behavioral improvements associated with the use of emotional management skills. It is suggested that learning emotional competence skills in childhood establishes healthier physiological response patterns which can benefit learning and long-term health. Results provide support for the integration in school curricula of courses designed to teach effective self-management skills to children.

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References

  • Arnsten, A. (1998). The biology of being frazzled.Science, 280: 1711–1712.

    Article  PubMed  Google Scholar 

  • Bar-On, R. (1996). The Era of the “EQ”: Defining and assessing emotional intelligence.Proceedings of the Annual Convention of the American Psychological Association, Toronto.

  • Barrios-Choplin, B., McCraty, R., and Cryer, B. (1997). A new approach to reducing stress and improving physical and emotional well being at work.Stress Medicine, 13: 193–201.

    Article  Google Scholar 

  • Baselli, G., Cerutti, S., Badilim, F., Blancardi, L., Porta, A., Pagani, M., Lombardi, F., Rimoldi, O., Furlan, R., and Malliani, A. (1994). Model for the assessment of heart period and arterial pressure variability interactions and of respiration influences.Medical and Biological Engineering and Computing, 32(2): 143–152.

    Article  PubMed  Google Scholar 

  • Berenson, G., Frank, G., Hunter, S., Srinivasan, S., Voors, A., and Webber, L. (1982). Cardiovascular risk factors in children. Should they concern the pediatrician?American Journal of Diseases of Children, 136(9): 855–862.

    PubMed  Google Scholar 

  • Childre, D. (1991).Heart Zones. Boulder Creek, CA: Planetary Publications.

    Google Scholar 

  • Childre, D. (1995).Speed of Balance—A Musical Adventure for Emotional and Mental Regeneration. Boulder Creek, CA: Planetary Publications.

    Google Scholar 

  • Childre, D. (1996).Teaching Children to Love: 80 Games and Activities for Raising Balanced Children in Unbalanced Times. Boulder Creek, CA: Planetary Publications.

    Google Scholar 

  • Childre, D. (1998).Freeze-Frame: A Scientifically Proven Technique for Clear Decision Making and Improved Health. Boulder Creek, CA: Planetary Publications.

    Google Scholar 

  • Childre, D., and Martin, H. (1999).The HeartMath Solution. San Francisco: HarperSanFrancisco.

    Google Scholar 

  • Clark, K., Naritoku, D., Smith, D., Browning, R., and Jensen, R. (1999). Enhanced recognition memory following vagus nerve stimulation in human subjects.Nature Neuroscience, 2(1): 94–98.

    Article  PubMed  Google Scholar 

  • Costello, E., Costello, A., Edelbrock, C., Burns, B., Dulcan, M., Brent, D., and Janiszewski, S. (1988). Psychiatric disorders in pediatric primary care. Prevalence and risk factors.Archives of General Psychiatry, 45(12): 1107–1116.

    PubMed  Google Scholar 

  • Dekker, J., Schouten, E., Klootwijk, P., Pool, J., Swenne, C., and Kromhout, D. (1997). Heart rate variability from short electrocardiographic recordings predicts mortality from all causes in middle-aged and elderly men. The Zutphen Study.American Journal of Epidemiology, 145(10): 899–908.

    PubMed  Google Scholar 

  • Dellinger, J., Taylor, H., and Porges, S. (1987). Atropine sulfate effects on aviator performance and on respiratory-heart period interactions.Aviation, Space and Environmental Medicine, 58(4): 333–338.

    Google Scholar 

  • Dobkin, P., Tremblay, R., and Treiber, F. (1998). Cardiovascular reactivity and adolescent boys' physical health.Pediatrics, 101(3): E11.

    Article  PubMed  Google Scholar 

  • Elias, M., Zins, J., Weissberg, R., Frey, K., Greenberg, M., Haynes, N., Kessler, R., Schwab-Stone, M., and Shriver, T. (1997).Promoting Social and Emotional Learning: Guidelines for Educators. Alexandria, VA: Association for Supervision and Curriculum Development.

    Google Scholar 

  • Ewart, C., Jorgensen, R., and Kolodner, K. (1998). Sociotropic cognition moderates blood pressure response to interpersonal stress in high-risk adolescent girls.International Journal of Psychophysiology, 28(2): 131–142.

    Article  PubMed  Google Scholar 

  • Ewart, C., and Kolodner, K. (1991). Social competence interview for assessing physiological reactivity in adolescents.Psychosomatic Medicine, 53(3): 289–304.

    PubMed  Google Scholar 

  • Ewart, C., and Kolodner, K. (1993). Predicting ambulatory blood pressure during school: effectiveness of social and nonsocial reactivity tasks in black and white adolescents.Psychophysiology, 30(1): 30–38.

    Article  PubMed  Google Scholar 

  • Ewart, C., and Kolodner, K. (1994). Negative affect, gender, and expressive style predict elevated ambulatory blood pressure in adolescents.Journal of Personality and Social Psychology, 66(3): 596–605.

    Article  PubMed  Google Scholar 

  • Falkner, B., Kushner, H., Onesti, G., and Angelakos, E. (1981). Cardiovascular characteristics in adolescents who develop essential hypertension.Hypertension, 3(5): 521–527.

    PubMed  Google Scholar 

  • Frysinger, R., and Harper, R. (1990). Cardiac and respiratory correlations with unit discharge in epileptic human temporal lobe.Epilepsia, 31(2): 162–171.

    PubMed  Google Scholar 

  • Goleman, D. (1995).Emotional Intelligence. NY: Bantam Books.

    Google Scholar 

  • Jemerin, J., and Boyce, W. (1990). Psychobiological differences in childhood stress response. II. Cardiovascular markers of vulnerability.Journal of Developmental Behavioral Pediatrics, 11(3):140–150.

    Google Scholar 

  • Kashani, J., Beck, N., Hoeper, E., Fallahi, C., Corcoran, C., McAllister, J., Rosenberg, T., and Reid, J. (1987). Psychiatric disorders in a community sample of adolescents.American Journal of Psychiatry, 144(5): 584–589.

    PubMed  Google Scholar 

  • Kashani, J., Suarez, L., Allan, W., and Reid, J. (1997). Hopelessness in inpatient youths: a closer look at behavior, emotional expression, and social support.Journal of the American Academy of Child and Adolescent Psychiatry, 36(11): 1625–1631.

    PubMed  Google Scholar 

  • Kirschbaum, C., Wolf, O., May, M., Wippich, W., and Hellhammer, D. (1996). Stress- and treatment-induced elevations of cortisol levels associated with impaired declarative memory in healthy adults.Life Sciences, 58(17): 1475–1483.

    Article  PubMed  Google Scholar 

  • Ko, D., Heck, C., Grafton, S., Apuzzo, M., Couldwell, W., Chen, T., Day, J., Zelman, V., Smith, T., and DeGiorgio, C. (1996). Vagus nerve stimulation activates central nervous system structures in epileptic patients during PET H2(15)O blood flow imaging.Neurosurgery, 39(2): 426–431.

    Article  PubMed  Google Scholar 

  • Koriath, J., and Lindholm, E. (1986). Cardiac-related cortical inhibition during a fixed foreperiod reaction time task.International Journal of Psychophysiology, 4: 183–195.

    Article  PubMed  Google Scholar 

  • Krantz, D., and Manuck, S. (1984). Acute psychophysiologic reactivity and risk of cardiovascular disease: a review and methodologic critique.Psychological Bulletin, 96(3): 435–464.

    Article  PubMed  Google Scholar 

  • Leaseburg, M. (1991). Validity and reliability study of an instrument for identifying educationally at-risk junior high school students.Dissertations Abstracts International, 51/07: 2268A.

    Google Scholar 

  • Leaseburg, M., and Martin, M. (1996). Achievement Inventory Measure, AIM, Test of significance between academic achievers, normal, and at-risk students ages 10 through 16.Proceedings of the Annual Meeting of the Southewst Educational Research Association, New Orleans, Louisiana.

  • Malliani, A. (1995). Association of heart rate variability components with physiological regulatory mechanisms. In M. Malik and A. Camm (Eds.),Heart Rate Variability. Armonk, NY: Futura Publishing Company.

    Google Scholar 

  • Matthews, K., Gump, B., Block, D., and Allen, M. (1997). Does background stress heighten or dampen children's cardiovascular responses to acute stress?.Psychosomatic Medicine, 59(5): 488–496.

    PubMed  Google Scholar 

  • Matthews, K., Woodall, K., and Allen, M. (1993). Cardiovascular reactivity to stress predicts future blood pressure status.Hypertension, 22(4): 479–485.

    PubMed  Google Scholar 

  • Mayer, J., and Salovey, P. (1995). Emotional intelligence.Applied and Preventive Psychology, 4(3): 197–208.

    Article  Google Scholar 

  • Mayrovitz, H., and Larsen, P. (1996). Pulsatile blood flow indices in lower extremity arterial disease: leg only compared with leg and cardiac parameters.Vascular Surgery, 30: 337–344.

    Google Scholar 

  • McCraty, R., and Atkinson, M. (1999). Influence of afferent cardiovascular input on cognitive performance and alpha activity.Proceedings of the Annual Meeting of the Pavlovian Society, Tarrytown, New York.

  • McCraty, R., and Atkinson, M. (2000, In preparation). Psychophysiological coherence. In A. Watkins, & D. Childre (Eds.),Heart Math: Interventions for Increasing Mental, Emotional and Physiological Coherence. Amsterdam: Harwood Academic Publishers.

    Google Scholar 

  • McCraty, R., Atkinson, M., Rein, G., and Watkins, A. (1996a). Music enhances the effect of positive emotional states on salivary IgA.Stress Medicine, 12: 167–175.

    Article  Google Scholar 

  • McCraty, R., Atkinson, M., Tiller, W., Rein, G., and Watkins, A. (1995). The effects of emotions on short term heart rate variability using power spectrum analysis.American Journal of Cardiology, 76: 1089–1093.

    Article  PubMed  Google Scholar 

  • McCraty, R., Barrios-Choplin, B., Atkinson, M., and Tomasino, D. (1998a). The effects of different music on mood, tension, and mental clarity.Alternative Therapies in Health and Medicine, 4(1): 75–84.

    PubMed  Google Scholar 

  • McCraty, R., Barrios-Choplin, B., Rozman, D., Atkinson, M., and Watkins, A. (1998b). The impact of a new emotional self-management program on stress, emotions, heart rate variability, DHEA and cortisol.Integrative Physiological and Behavioral Science, 33(2): 151–170.

    Article  PubMed  Google Scholar 

  • McCraty, R., Tiller, W., and Atkinson, M. (1996b). Head-heart entrainment: A preliminary survey.Proceedings of the Brain-Mind Applied Neurophysiology EEG Neurofeedback Meeting, Key West, Florida.

  • Meaney, M., Tannenbaum, B., Francis, D., et al. (1994). Early environmental programming; hypothalamic-pituitary-adrenal responses to stress.Seminars in Neuroscience, 6: 247–259.

    Article  Google Scholar 

  • Naritoku, D., Terry, W., and Helfert, R. (1995). Regional induction of fos immunoreactivity in the brain by anticonvulsant stimulation of the vagus nerve.Epilepsy Research, 22(1): 53–62.

    Article  PubMed  Google Scholar 

  • O'Dougherty, M., Berntson, G., Boysen, S., Wright, F., and Teske, D. (1988). Psychophysiological predictors of attentional dysfunction in children with congenital heart defects.Psychophysiology, 25(3): 305–315.

    Article  PubMed  Google Scholar 

  • Öri, Z., Monir, G., Weiss, J., Sayhouni, X., and Singer, D. (1992). Heart rate variability: frequency domain analysis.Ambulatory Electrocardiography, 10(3): 499–537.

    Google Scholar 

  • Parker, F., Croft, J., Cresanta, J., Freedman, D., Burke, G., Webber, L., and Berenson, G. (1987). The association between cardiovascular response tasks and future blood pressure levels in children: Bogalusa Heart Study.American Heart Journal, 113(5): 1174–1179.

    Article  PubMed  Google Scholar 

  • Porges, S. (1984). Physiologic correlates of attention: a core process underlying learning disorders.Pediatric Clinics of North America, 31(2): 371–385.

    PubMed  Google Scholar 

  • Porges, S. (1992). Vagal tone: a physiologic marker of stress vulnerability.Pediatrics, 90(3, Pt 2):498–504.

    PubMed  Google Scholar 

  • Porges, S., Doussard-Roosevelt, J., and Maiti, A. (1994). Vagal tone and the physiological regulation of emotion. In N. Fox (Ed.),Emotion Regulation: Behavioral and Biological Considerations. Monograph of the Society for Research in Child Development, 59 (2–3, Serial No. 240): 167–186.

  • Porges, S., and Humphrey, M. (1977). Cardiac and respiratory responses during visual search in nonretarded children and retarded adolescents.American Journal of Mental Deficiency, 82(2): 162–169.

    PubMed  Google Scholar 

  • Porges, S., Walter, G., Korb, R., and Sprague, R. (1975). The influences of methylphenidate on heart rate and behavioral measures of attention in hyperactive children.Child Development, 46(3): 725–733.

    Article  PubMed  Google Scholar 

  • Rechlin, T., Weis, M., Spitzer, A., and Kaschka, W. (1994). Are affective disorders associated with alterations of heart rate variability?.Journal of Affective Disorders, 32(4): 271–275.

    Article  PubMed  Google Scholar 

  • Rein, G., Atkinson, M., and McCraty, R. (1995). The physiological and psychological effects of compassion and anger.Journal of Advancement in Medicine, 8(2): 87–105.

    Google Scholar 

  • Resnick, M., Bearman, P., Blum, R., Bauman, K., Harris, K., Jones, J., Tabor, J., Beuhring, T., Sieving, R., Shew, M., Ireland, M., Bearinger, L., and Udry, J. (1997). Protecting adolescents from harm. Findings from the National Longitudinal Study on Adolescent Health.Journal of the American Medical Association, 278(10): 823–832.

    Article  PubMed  Google Scholar 

  • Richards, J. (1987). Infant visual sustained attention and respiratory sinus arrhythmia.Child Development, 58(2): 488–496.

    Article  PubMed  Google Scholar 

  • Russek, L., and Schwartz, G. (1997). Perceptions of parental caring predict health status in midlife: a 35-year follow-up of the Harvard Mastery of Stress Study.Psychosomatic Medicine, 59(2): 144–149.

    PubMed  Google Scholar 

  • Sandman, C., Walker, B., and Berka, C. (1982). Influence of afferent cardiovascular feedback on behavior and the cortical evoked potential. In J. Cacioppo and R. Petty (Eds.),Perspectives in Cardiovascular Psychophysiology. New York: The Guilford Press.

    Google Scholar 

  • Seifer, R., Sameroff, A., Baldwin, C., and Baldwin, A. (1992). Child and family factors that ameliorate risk between 4 and 13 years of age.Journal of the American Academy of Child and Adolescent Psychiatry, 31(5): 893–903.

    Article  PubMed  Google Scholar 

  • Shibagaki, M., and Furuya, T. (1997). Baseline respiratory sinus arrhythmia and heart-rate responses during auditory stimulation of children with attention-deficit hyperactivity disorder.Perceptual and Motor Skills, 84(3, Pt 1): 967–975.

    PubMed  Google Scholar 

  • Sloan, R., Shapiro, P., Bagiella, E., Boni, S., Paik, M., Bigger, J., Jr., Steinman, R., and Gorman, J. (1994). Effect of mental stress throughout the day on cardiac autonomic control.Biological Psychology, 37(2): 89–99.

    Article  PubMed  Google Scholar 

  • Sroufe, L., Sonies, B., West, W., and Wright, F. (1973). Anticipatory heart rate deceleration and reaction time in children with and without referral for learning disability.Child Development, 44(2): 267–273.

    Article  PubMed  Google Scholar 

  • Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology (1996). Heart rate variability standards of measurement, physiological interpretation, and clinical use.Circulation, 93: 1043–1065.

    Article  Google Scholar 

  • Thayer, J., Friedman, B., and Borkovec, T. (1996). Autonomic characteristics of generalized anxiety disorder and worry.Society of Biological Psychiatry, 39: 255–266.

    Article  Google Scholar 

  • Tiller, W., McCraty, R., and Atkinson, M. (1996). Cardiac coherence: A new, noninvasive measure of autonomic nervous system order.Alternative Therapies in Health and Medicine, 2(1): 52–65.

    PubMed  Google Scholar 

  • Treiber, F., Turner, J., Davis, H., Thompson, W., Levy, M., and Strong, W. (1996). Young children's cardiovascular stress responses predict resting cardiovascular functioning 2 1/2 years later.Journal of Cardiovascular Risk, 3(1): 95–100.

    Article  PubMed  Google Scholar 

  • Tsuji, H., Venditti, F., Jr., Manders, E., Evans, J., Larson, M., Feldman, C., and Levy, D. (1994). Reduced heart rate variability and mortality risk in an elderly cohort. The Framingham Heart Study.Circulation, 90(2): 878–883.

    PubMed  Google Scholar 

  • Wood, D., Sheps, S., Elveback, L., and Schirger, A. (1984). Cold pressor test as a predictor of hypertension.Hypertension, 6(3): 301–306.

    PubMed  Google Scholar 

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McCraty, R., Atkinson, M., Tomasino, D. et al. The impact of an emotional self-management skills course on psychosocial functioning and autonomic recovery to stress in middle school children. Integrative Physiological and Behavioral Science 34, 246–268 (1999). https://doi.org/10.1007/BF02688693

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