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Changes in Medial Prefrontal Cortex Mediate Effects of Heart Rate Variability Biofeedback on Positive Emotional
Christine Cho1, Hyun Joo Yoo1, Jungwon Min1
1University of Southern California, 3715 McClintock Ave., Los Angeles, CA, 90089, USA.
Applied Psychophysiology and Biofeedback
|January 19, 2023
Summary
Increasing heart rate variability (HRV) through biofeedback enhances medial prefrontal cortex (mPFC) coordination, improving implicit emotion regulation and reducing emotional memory biases.
Area of Science:
- Neuroscience
- Psychology
- Cognitive Science
Background:
- Implicit emotion regulation is linked to medial prefrontal cortex (mPFC) activity.
- Previous evidence is largely correlational, necessitating causal investigation.
Purpose of the Study:
- To investigate the causal relationship between mPFC-amygdala functional connectivity and emotional memory biases.
- To examine the impact of heart rate variability (HRV) biofeedback on brain mechanisms of emotion regulation.
Main Methods:
- A randomized clinical trial involving participants assigned to increase (Osc+) or decrease (Osc-) heart rate oscillations via biofeedback.
- Assessment of emotional memory biases using encoding, recall, and recognition tasks post-intervention.
- Measurement of resting-state functional connectivity between the mPFC and left amygdala.
Main Results:
- Participants increasing HRV (Osc+) exhibited a greater positive emotional memory bias compared to those decreasing HRV (Osc-).
- The Osc+ manipulation significantly increased left amygdala-mPFC resting-state functional connectivity.
- This enhanced functional connectivity mediated the observed effects of the intervention on emotional bias.
Conclusions:
- Daily practice of increasing heart rate oscillations via biofeedback can enhance implicit emotion regulation.
- This enhancement is achieved by increasing mPFC coordination of emotion-related neural circuits.
- Findings provide causal evidence for the role of mPFC-amygdala connectivity in emotion regulation and memory.

