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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Arnsten, A. (1998). The biology of being frazzled.Science, 280: 1711–1712.
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.
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.
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.
Childre, D. (1991).Heart Zones. Boulder Creek, CA: Planetary Publications.
Childre, D. (1995).Speed of Balance—A Musical Adventure for Emotional and Mental Regeneration. Boulder Creek, CA: Planetary Publications.
Childre, D. (1996).Teaching Children to Love: 80 Games and Activities for Raising Balanced Children in Unbalanced Times. Boulder Creek, CA: Planetary Publications.
Childre, D. (1998).Freeze-Frame: A Scientifically Proven Technique for Clear Decision Making and Improved Health. Boulder Creek, CA: Planetary Publications.
Childre, D., and Martin, H. (1999).The HeartMath Solution. San Francisco: HarperSanFrancisco.
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.
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.
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.
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.
Dobkin, P., Tremblay, R., and Treiber, F. (1998). Cardiovascular reactivity and adolescent boys' physical health.Pediatrics, 101(3): E11.
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.
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.
Ewart, C., and Kolodner, K. (1991). Social competence interview for assessing physiological reactivity in adolescents.Psychosomatic Medicine, 53(3): 289–304.
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.
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.
Falkner, B., Kushner, H., Onesti, G., and Angelakos, E. (1981). Cardiovascular characteristics in adolescents who develop essential hypertension.Hypertension, 3(5): 521–527.
Frysinger, R., and Harper, R. (1990). Cardiac and respiratory correlations with unit discharge in epileptic human temporal lobe.Epilepsia, 31(2): 162–171.
Goleman, D. (1995).Emotional Intelligence. NY: Bantam Books.
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.
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.
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.
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.
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.
Koriath, J., and Lindholm, E. (1986). Cardiac-related cortical inhibition during a fixed foreperiod reaction time task.International Journal of Psychophysiology, 4: 183–195.
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.
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.
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.
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.
Matthews, K., Woodall, K., and Allen, M. (1993). Cardiovascular reactivity to stress predicts future blood pressure status.Hypertension, 22(4): 479–485.
Mayer, J., and Salovey, P. (1995). Emotional intelligence.Applied and Preventive Psychology, 4(3): 197–208.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Öri, Z., Monir, G., Weiss, J., Sayhouni, X., and Singer, D. (1992). Heart rate variability: frequency domain analysis.Ambulatory Electrocardiography, 10(3): 499–537.
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.
Porges, S. (1984). Physiologic correlates of attention: a core process underlying learning disorders.Pediatric Clinics of North America, 31(2): 371–385.
Porges, S. (1992). Vagal tone: a physiologic marker of stress vulnerability.Pediatrics, 90(3, Pt 2):498–504.
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.
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.
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.
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.
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.
Richards, J. (1987). Infant visual sustained attention and respiratory sinus arrhythmia.Child Development, 58(2): 488–496.
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.
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.
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.
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.
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.
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.
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.
Thayer, J., Friedman, B., and Borkovec, T. (1996). Autonomic characteristics of generalized anxiety disorder and worry.Society of Biological Psychiatry, 39: 255–266.
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.
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.
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.
Wood, D., Sheps, S., Elveback, L., and Schirger, A. (1984). Cold pressor test as a predictor of hypertension.Hypertension, 6(3): 301–306.
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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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DOI: https://doi.org/10.1007/BF02688693