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A Systematic Review of a Polyvagal Perspective on Embodied Contemplative Practices as Promoters of Cardiorespiratory Coupling and Traumatic Stress Recovery for PTSD and OCD: Research Methodologies and State of the Art

Author

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  • Andrea Poli

    (Department of Clinical and Experimental Medicine, University of Pisa, 56126 Pisa, Italy)

  • Angelo Gemignani

    (Department of Surgical, Medical and Molecular Pathology and of Critical Care Medicine, University of Pisa, 56126 Pisa, Italy)

  • Federico Soldani

    (U.K. National Health Service, Aberdeen AB25 2ZH, UK)

  • Mario Miccoli

    (Department of Clinical and Experimental Medicine, University of Pisa, 56126 Pisa, Italy)

Abstract

Baseline respiratory sinus arrhythmia (RSA) has been proposed as a transdiagnostic biomarker of stress vulnerability across psychopathologies, and a reliable association between PTSD, OCD and lower resting RSA was found. Contemplative practices have been linked to the activation of the vagus as well as to an increased RSA that, according to the polyvagal theory, reflects the activation of the ventral vagal complex (VVC) and may promote PTSD and OCD recovery. PubMed and Scopus databases were selected to conduct a search following the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) 2020 guidelines, and A MeaSurement Tool to Assess systematic Reviews-2 (AMSTAR-2) was used to appraise the methodological quality for this systematic review. Six articles met the inclusion criteria (one cross-sectional study, one study with pre-post measurements, two cohort studies and two RCT studies). Mindfulness-related interventions promoted parasympathetic activity, an increased vagal tone and improvements in PTSD and OCD symptoms. According to the polyvagal theory, mindfulness-related and compassion-related meditations would be conceptualized as neural exercises expanding the capacity of the ventral vagal complex to regulate the present state and to promote resilience. Clinical and methodological issues are discussed.

Suggested Citation

  • Andrea Poli & Angelo Gemignani & Federico Soldani & Mario Miccoli, 2021. "A Systematic Review of a Polyvagal Perspective on Embodied Contemplative Practices as Promoters of Cardiorespiratory Coupling and Traumatic Stress Recovery for PTSD and OCD: Research Methodologies and," IJERPH, MDPI, vol. 18(22), pages 1-17, November.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:22:p:11778-:d:675715
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    References listed on IDEAS

    as
    1. Marino A. Bruce & Kia Skrine Jeffers & Jan King Robinson & Keith C. Norris, 2018. "Contemplative Practices: A Strategy to Improve Health and Reduce Disparities," IJERPH, MDPI, vol. 15(10), pages 1-9, October.
    2. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
    3. Andrea Poli & Angelo Giovanni Icro Maremmani & Carlo Chiorri & Gian-Paolo Mazzoni & Graziella Orrù & Jacek Kolacz & Stephen W. Porges & Ciro Conversano & Angelo Gemignani & Mario Miccoli, 2021. "Item Reduction, Psychometric and Biometric Properties of the Italian Version of the Body Perception Questionnaire—Short Form (BPQ-SF): The BPQ-22," IJERPH, MDPI, vol. 18(7), pages 1-22, April.
    4. Alessandro Liberati & Douglas G Altman & Jennifer Tetzlaff & Cynthia Mulrow & Peter C Gøtzsche & John P A Ioannidis & Mike Clarke & P J Devereaux & Jos Kleijnen & David Moher, 2009. "The PRISMA Statement for Reporting Systematic Reviews and Meta-Analyses of Studies That Evaluate Health Care Interventions: Explanation and Elaboration," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-28, July.
    5. Ciro Conversano & Graziella Orrù & Andrea Pozza & Mario Miccoli & Rebecca Ciacchini & Laura Marchi & Angelo Gemignani, 2021. "Is Mindfulness-Based Stress Reduction Effective for People with Hypertension? A Systematic Review and Meta-Analysis of 30 Years of Evidence," IJERPH, MDPI, vol. 18(6), pages 1-20, March.
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    Cited by:

    1. Andrea Poli & Angelo Gemignani & Mario Miccoli, 2022. "Randomized Trial on the Effects of a Group EMDR Intervention on Narrative Complexity and Specificity of Autobiographical Memories: A Path Analytic and Supervised Machine-Learning Study," IJERPH, MDPI, vol. 19(13), pages 1-18, June.
    2. Andrea Poli & Mario Miccoli, 2023. "Validation and Psychometric Properties of the Italian Version of the Unconditional Self-Kindness Scale (USKS)," IJERPH, MDPI, vol. 20(10), pages 1-14, May.

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