What is it about?
People at risk for psychosis often have thinking and social difficulties that are hard to treat but strongly affect daily life. This study found that lower heart rate variability (HRV), which reflects poor stress response, was linked to trouble recognizing emotions and problems with social and role functioning. HRV and role performance could help identify at-risk individuals early, which may help prevent further decline.
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Why is it important?
This research suggests that measuring heart rate variability could help identify people at risk for psychosis early—before more serious problems develop—allowing for earlier support to improve daily functioning. HRV and role functioning identified people at risk with about 71% accuracy. These findings suggest that changes in how the body responds to stress may be an early warning sign of problems with social thinking and everyday life in those at risk for psychosis. Early detection could help prevent further decline.
Perspectives
As someone interested in mental health and early intervention, this research highlights how something as simple and non-invasive as heart rate variability could offer a window into a person's mental well-being—especially for those who might be silently struggling with early signs of psychosis. The idea that we might detect risk before life is seriously disrupted is both hopeful and empowering. It shifts the focus from reacting to symptoms to proactively supporting people in maintaining their everyday relationships, roles, and sense of self. In a way, it's a reminder that mental health is deeply connected to the body, and by listening closely to both, we can catch important signals early.
Veronica Perez
Alliant International University
This study’s findings contribute to an exciting frontier in early detection of psychosis risk by bridging biological markers and psychosocial functioning. HRV, as a non-invasive measure of autonomic flexibility and stress regulation, offers a window into the subtle physiological changes that may precede overt psychological symptoms. This approach aligns with a growing appreciation for the bidirectional interplay between stress physiology and social-cognitive processes. By detecting early disruptions in a healthy stress response, interventions could be tailored to bolster both autonomic regulation (e.g., biofeedback, mindfulness) and psychosocial skills, potentially delaying or preventing symptom progression. This integration of physiological markers with psychological functioning represents a promising step toward more holistic, personalized care. Future work should refine these predictive models and explore how they might guide early interventions that are both biologically and psychologically informed.
Rachel Raver
Veterans Medical Research Foundation
Read the Original
This page is a summary of: Heart rate variability (HRV) and social cognitive predictors of functional outcomes in individuals with psychotic-like experiences., Behavioral Neuroscience, April 2025, American Psychological Association (APA),
DOI: 10.1037/bne0000623.
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