Key result
Resting vagally mediated heart rate variability demonstrated a significant U-shaped relationship with depression and an inverted-U relationship with positive affect in women, but not in men.
Why the study?
Recent work suggested quadratic relationships between vmHRV and emotional outcomes, but research had not investigated gender differences in these nonlinear functions.
Cross-Sectional (n=305)
No
Effect estimate: β = 0.35 (95% CI 0.03-0.67)
p-value: p=0.038
Resting vagally mediated heart rate variability exhibits a nonlinear, quadratic relationship with depression and positive affect in women but not men, suggesting gender-specific psychophysiological mechanisms.
Gender-specific HRV-depression links are hypothesis-generating; prospective studies needed before clinical or mechanistic conclusions.
Vagally mediated heart rate variability (vmHRV), a measure of the parasympathetic nervous system's control over the heart, is often negatively related to maladaptive emotional outcomes. Recent work suggests that quadratic relationships involving these factors may be present; however, research has not investigated gender differences in these nonlinear functions. To address this gap, the current study tested for quadratic relationships between resting vmHRV and depression and positive affect while investigating gender differences in these relationships. Significant quadratic effects were found between resting vmHRV and reports of both depression symptoms and positive affect in women but not men. Specifically, the lowest levels of depression and the highest levels of positive affect were found at moderate vmHRV in women. These results suggest that examinations of vmHRV's nonlinear associations require the consideration of gender. Our findings are interpreted based on proposed differential neuropsychological mechanisms of vmHRV in men versus women.
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Spangler et al. (2021) conducted a cross-sectional in Healthy (assessing depression symptoms and positive affect) (n=305). Resting vagally mediated heart rate variability (vmHRV) vs. Low or high vmHRV (nonlinear comparison) was evaluated on Interaction of gender with the quadratic effect of lnRMSSD on depression symptoms (β = 0.35, 95% CI 0.03-0.67, p=0.038). Resting vagally mediated heart rate variability demonstrated a significant U-shaped relationship with depression and an inverted-U relationship with positive affect in women, but not in men.
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