Related Experiment Video
Updated: May 28, 2026

Measuring Cardiac Autonomic Nervous System (ANS) Activity in Toddlers - Resting and Developmental Challenges
Published on: February 25, 2016
Atypical development of resting respiratory sinus arrhythmia in children at high risk for depression
Amy L Gentzler1, Jonathan Rottenberg, Maria Kovacs
1Department of Psychology, West Virginia University, 53 Campus Drive, Morgantown, WV 26506, USA. amy.gentzler@mail.wvu.edu
Insights
Children at high risk for depression show atypical development of respiratory sinus arrhythmia (RSA), indicating altered cardiac vagal control. Low-risk children
Area of Science:
- Developmental psychology
- Cardiovascular psychophysiology
- Pediatric mental health
Background:
- Compromised respiratory sinus arrhythmia (RSA), a measure of cardiac vagal control, is linked to depression in adults and infants.
- Previous research has not established RSA developmental patterns in older children at risk for depression.
Purpose of the Study:
- To investigate developmental trajectories of resting RSA in children aged 5-14.
- To compare RSA development between children at high risk for depression and low-risk controls.
Main Methods:
- Longitudinal assessment of RSA in 163 children over multiple years.
- Utilized linear growth modeling to analyze group-by-age interactions.
- High-risk group comprised children with a parent diagnosed with a childhood-onset mood disorder.
Main Results:
- A significant group-by-age interaction was observed in resting RSA.
- Low-risk children demonstrated a significant increase in RSA with age.
- High-risk children did not exhibit this developmental increase in RSA.
Conclusions:
- Children at high risk for depression exhibit an atypical developmental trajectory of RSA.
- This finding suggests altered cardiac vagal control development in at-risk youth.
- RSA may serve as an early indicator of depression risk in children.
Abstract:
Compromised respiratory sinus arrhythmia (RSA, i.e., low cardiac vagal control) frequently characterizes clinically depressed adults and also has been detected in infants of depressed mothers; however, its existence has not been established in older at-risk offspring. We investigated developmental patterns of RSA in a sample of 163 5- to 14-year-old children, who were either at high risk for depression (due to having a parent with a childhood-onset mood disorder) or low-risk for depression. We hypothesized that high-risk children have lower resting RSA than do low-risk children, which could reflect atypical developmental trajectories. Children's RSA was assessed during resting baseline periods on multiple occasions, typically 1-year apart. Linear growth modeling indicated a group by age interaction. Low-risk children (but not the high-risk children) exhibited a significantly increasing trajectory in resting RSA with age. Mood disorders in offspring did not account for the Group X Age interaction effect. Our study provides new evidence that children at high risk for depression have an atypical developmental trajectory of RSA across late childhood.
Related Concept Videos
ECG Interpretation of Arrhythmias I: Sinus Arrhythmias
Types of Arrhythmias
Sinus Node Arrhythmias
Sinus Bradycardia: Originating from the sinoatrial (SA) node, sinus bradycardia involves slower impulses, resulting in a heart rate of less than 60 beats per minute (bpm). Causes include sleep, vagal stimulation, beta-blockers, hypothyroidism, and...
Dysrhythmias IV: Characteristics of Bradyarrhythmias
Respiratory Volumes and Capacities I
Decreased pulse rate
There are specific risk factors that can elevate the likelihood of developing bradycardia. Advanced age is a significant factor, with bradycardia...
Dysrhythmias II: Classification of Tachyarrhythmias
Dysrhythmias III: Characteristics of Dysrhythmias

