Brain-Heart Interactions and Optimizing Psychotherapy.

IF 2.2 3区心理学 Q2 PSYCHOLOGY, CLINICAL

Applied Psychophysiology and Biofeedback Pub Date : 2025-02-19 DOI:10.1007/s10484-025-09692-3

Donald Moss

引用次数: 0

Abstract

The present article examines how physiological systems impact on affect regulation, social engagement, and cognitive flexibility, three critical factors in psychotherapeutic success. The vagal system, associated with parasympathetic nervous activity and heart rate variability, provides an integration of brain, heart, gut, affective systems, cognitive performance, and social engagement. The author presents Stephen Porges' polyvagal theory, Julian Thayer's neurovisceral integration model, Kerstin Uvnas-Moberg's oxytocin/hormonal model, and Paul Gilbert's compassion focused therapy, as models for understanding the impact of vagal function and parasympathetic nervous activation on affect, social behavior, and cognition. The article proposes that direct heart rate variability training, along with other practices that increase vagal activity, can prepare patients for psychotherapy, and contribute to progress in psychotherapy. The emphasis is on the reciprocal influences among vagal activity, prefrontal cortical circuits, affect regulation, caring, and thinking.

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脑-心相互作用和优化心理治疗。

本文探讨了生理系统如何影响调节、社会参与和认知灵活性，这是心理治疗成功的三个关键因素。迷走神经系统与副交感神经活动和心率变异性有关，提供了大脑、心脏、肠道、情感系统、认知表现和社会参与的整合。作者提出了Stephen Porges的多迷走神经理论、Julian Thayer的神经内脏整合模型、Kerstin Uvnas-Moberg的催产素/激素模型和Paul Gilbert的同情聚焦疗法，作为理解迷走神经功能和副交感神经激活对情感、社会行为和认知的影响的模型。这篇文章提出，直接心率变异性训练，以及其他增加迷走神经活动的练习，可以让患者为心理治疗做好准备，并有助于心理治疗的进步。重点是迷走神经活动、前额皮质回路、影响调节、关怀和思维之间的相互影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Applied Psychophysiology and Biofeedback PSYCHOLOGY, CLINICAL-

CiteScore

5.30

自引率

13.30%

发文量

期刊介绍： Applied Psychophysiology and Biofeedback is an international, interdisciplinary journal devoted to study of the interrelationship of physiological systems, cognition, social and environmental parameters, and health. Priority is given to original research, basic and applied, which contributes to the theory, practice, and evaluation of applied psychophysiology and biofeedback. Submissions are also welcomed for consideration in several additional sections that appear in the journal. They consist of conceptual and theoretical articles; evaluative reviews; the Clinical Forum, which includes separate categories for innovative case studies, clinical replication series, extended treatment protocols, and clinical notes and observations; the Discussion Forum, which includes a series of papers centered around a topic of importance to the field; Innovations in Instrumentation; Letters to the Editor, commenting on issues raised in articles previously published in the journal; and select book reviews. Applied Psychophysiology and Biofeedback is the official publication of the Association for Applied Psychophysiology and Biofeedback.