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Article

Fatty Fish Intervention and Psychophysiological Responses to Mental Workload in Forensic Inpatients

A Randomized Control Trial

Published Online:December 14, 2018https://doi.org/10.1027/0269-8803/a000231

Abstract

Abstract. The overall aim of this randomized controlled trial was to investigate the effect of a long-term fatty fish intervention during winter time on psychophysiological responses, that is, heart rate variability (HRV), to mental workload. Forty-seven forensic inpatients were randomly assigned into a fish group (FG) or a control group (CG). HRV responses to an experimental test procedure consisting of a resting baseline, mental workload, and a resting recovery were measured pre- and post-intervention. The results revealed that the FG showed attenuated physiological responses to mental workload from pretest to posttest by a significant increase in HRV. Additionally, the FG showed a higher HRV during recovery compared to the baseline and test conditions at both pretest and posttest. The CG showed no changes in psychophysiological responses from pretest to posttest to mental workload. Importantly, the CG showed impaired recovery at posttest, indicating a sustained physiological arousal after the stressor (mental workload) ended. Thus, the results indicate that increased fatty fish intake has the potential to increase resilience to mild cognitive stress in human beings with psychiatric illnesses.

References

  • Alshurafa, M., Briel, M., Akl, M., Haines, T., Moayyedi, P., Gentles, S. J., … Guyatt, G. H. (2012). Inconsistent definitions for intention-to-treat in relation to missing outcome data: Systematic review of the methods literature. PLoS One, 7, e49163. https://doi.org/10.1371/journal.pone.0049163 First citation in articleCrossref, Google Scholar

  • Appelhans, B. M., & Luecken, L. J. (2006). Heart rate variability as an index of regulated emotional responding. Review of General Psychology, 10, 229–240. https://doi.org/10.1037/1089-2680.10.3.229 First citation in articleCrossref, Google Scholar

  • Backs, R. W. (2001). An autonomic space approach to the psychophysiological assessment of mental workload. In P. A. HancockP. A. DesmondEds., Stress, workload, and fatigue (pp. 279–289). London, UK: Erlbaum. First citation in articleGoogle Scholar

  • Backs, R. W., & Seljos, K. A. (1994). Metabolic and cardiorespiratory measures of mental effort: The effects of level of difficulty in working memory task. International Journal of Psychophysiology, 16, 57–68. https://doi.org/10.1016/0167-8760(94)90042-6 First citation in articleCrossref, Google Scholar

  • Baddeley, A. (2003). Working memory: Looking back and looking forward. Nature Reviews: Neuroscience, 4, 829–839. https://doi.org/10.1038/nrn1201 First citation in articleCrossref, Google Scholar

  • Best, J. R., Miller, P. H., & Jones, L. L. (2009). Executive functions after age 5: Changes and correlates. Developmental Review, 29, 180–200. https://doi.org/10.1016/j.dr.2009.05.002 First citation in articleCrossref, Google Scholar

  • Brage, S., Brage, N., Franks, P. W., Ekelund, U., & Wareham, N. J. (2005). Reliability and validity of the combined heart rate and movement sensor Actiheart. European Journal of Clinical Nutrition, 59, 561–570. https://doi.org/10.1038/sj.ejcn.1602118 First citation in articleCrossref, Google Scholar

  • Cohen, J. (1992). A power primer. Psychological Bulletin, 112, 155–159. https://doi.org/10.1037/0033-2909.112.1.155 First citation in articleCrossref, Google Scholar

  • Erkkilä, A., Schwab, U. S., De Mello, V. D. E., Lappalainen, T., Mussalo, H., Lehto, S., … Uustupa, M. I. J. (2008). Effects of fatty and lean fish intake on blood pressure in subjects with coronary heart disease using multiple medications. European Journal of Nutrition, 47, 319–328. https://doi.org/10.1007/s00394-008-0728-5 First citation in articleCrossref, Google Scholar

  • Forcier, K., Stroud, L. R., Papandonatos, G. D., Hitsman, B., Reiches, M., Krishnamoorthy, J., & Niaura, R. (2006). Links between physical fitness and cardiovascular reactivity and recovery to psychological stressors: A meta-analysis. Health Psychology, 25, 723–739. https://doi.org/10.1037/0278-6133.25.6.723 First citation in articleCrossref, Google Scholar

  • Grung, B., Hansen, A. L., Berg, M., Møen-Knudseth, M. P., Olson, G., Thornton, D., … Thayer, J. F. (2015). Exploratory multivariate analysis of the effect of fatty fish consumption and medicinal use on heart rate and heart rate variability data. Frontiers of Psychology, 6, 135. https://doi.org/10.3389/fpsyg.2015.00135 First citation in articleCrossref, Google Scholar

  • Hansen, A. L., Ambroziak, G., Thornton, D., Dahl, L., & Grung, B. (2018). Age and IQ explained working memory performance in a RCT with fatty fish in a group of forensic inpatients. Nutrition, Health and Aging, 22, 513–518. https://doi.org/10.1007/s12603-018-0998-4 First citation in articleCrossref, Google Scholar

  • Hansen, A. L., Dahl, L., Bakke, L., Frøyland, L., & Thayer, J. F. (2010). Fish consumption and heart rate variability. Preliminary results. Journal of Psychophysiology, 24, 41–47. https://doi.org/10.1027/0269-8803/a000005 First citation in articleLink, Google Scholar

  • Hansen, A. L., Dahl, L., Olson, G., Thornton, D., Graff, I. E., Frøyland, L., … Pallesen, S. (2014). Fish consumption, sleep, daily functioning and heart rate variability. Journal of Clinical Sleep Medicine, 10, 567–575. https://doi.org/10.5664/jcsm.3714 First citation in articleGoogle Scholar

  • Hansen, A. L., Dahl, L., Olson, G., Thornton, D., Grung, B., & Thayer, J. F. (2015). A long-term fatty fish intervention improved executive function in inpatients with antisocial traits and a history of alcohol and drug abuse. Scandinavian Journal of Psychology, 56, 467–474. https://doi.org/10.1111/sjop.12229 First citation in articleCrossref, Google Scholar

  • Hansen, A. L., Johnsen, B. H., & Thayer, J. F. (2003). Vagal influence on working memory and attention. International Journal of Psychophysiology, 48, 263–274. https://doi.org/10.1016/S0167-8760(03)00073-4 First citation in articleCrossref, Google Scholar

  • Hansen, A. L., Olson, G., Dahl, L., Thornton, D., Grung, B., Graff, I. E., … Thayer, J. F. (2014). Reduced anxiety in forensic inpatients after a long-term intervention with Atlantic salmon. Nutrients, 6, 5392–5404. https://doi.org/10.3390/nu6125405 First citation in articleCrossref, Google Scholar

  • Hare, R. D. (1991). The Hare Psychopathy Checklist-Revised. Toronto, Canada: Multi-Health Systems. First citation in articleGoogle Scholar

  • Johnsen, B. H., Thayer, J. F., Laberg, J. C., Wormnes, B., Raadal, M., Skaret, E., … Berg, E. (2003). Physiological and attentional characteristics of patients with dental anxiety. Journal of Anxiety Disorders, 40, 1–13. https://doi.org/10.1016/S0887-6185(02)00178-0 First citation in articleGoogle Scholar

  • Kemp, A. H., & Quintana, D. S. (2013). The relationship between mental and physical health: Insights from the study of heart rate variability. International Journal of Psychophysiology, 89, 288–296. https://doi.org/10.1016/j.ijpsycho.2013.06.018 First citation in articleCrossref, Google Scholar

  • Linden, W., Earle, T. L., Gerin, W., & Christenfeld, N. (1997). Physiological stress reactivity and recovery: Conceptual siblings separated at birth? Journal of Psychosomatic Research, 42, 117–135. https://doi.org/10.1016/S0022-399(96)00240-1 First citation in articleCrossref, Google Scholar

  • Lovallo, W. R. (2013). Early life adversity reduces stress reactivity and enhances impulsive behavior: Implications for health behaviors. International Journal of Psychophysiology, 90, 8–16. https://doi.org/10.1016/j.ijpsycho.2012.10.006 First citation in articleCrossref, Google Scholar

  • Malik, M. (1996). Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. Heart rate variability. Standards of measurement, physiological interpretation, and clinical use. European Heart Journal, 17, 354–381. First citation in articleCrossref, Google Scholar

  • Matsumura, K., Noguchi, H., Nishi, D., Hamazaki, K., Hamazaki, T., & Matsukuoka, Y. J. (2017). Effects of omega-3 polyunsaturated fatty acids on psychophysiological symptoms of post-traumatic stress disorder in accident survivors: A randomized, double-blind, placebo-controlled trial. Journal of Affective Disorders, 224, 27–31. https://doi.org/10.1016/j.jad.2016.05.054 First citation in articleCrossref, Google Scholar

  • McEwen, B. S., Gay, J. G., & Nasca, C. (2015). Recognizing resilience: Learning from the effects of stress on the brain. Neurobiology of Stress, 1, 1–11. https://doi.org/10.1016/j.ynstr.2014.09.001 First citation in articleCrossref, Google Scholar

  • Mozaffarian, D., Stein, P. K., Prineas, R. J., & Siscovick, D. S. (2008). Dietary fish ω-3 fatty acid consumption and heart rate variability in US adults. Circulation, 117, 1130–1137. https://doi.org/10.1161/CIRCULATIONAHA.107.732826 First citation in articleCrossref, Google Scholar

  • Nome, S., & Holsten, F. (2012). Changes in mortality after first psychiatric admission: A 20-year prospective longitudinal clinical study. Nordic Journal of Psychiatry, 66, 97–106. https://doi.org/10.3109/08039488.2011.605170 First citation in articleCrossref, Google Scholar

  • Owen, A. M., McMillan, K. M., Laird, A. R., & Bullmore, E. (2005). N-back working memory paradigm: A Meta-analysis of normative functional neuroimaging studies. Human Brain Mapping, 25, 46–59. https://doi.org/10.1002/hbm.20131 First citation in articleCrossref, Google Scholar

  • Perica, M. M., & Delas, I. (2011). Essential fatty acids and psychiatric disorders. Nutrition in Clinical Practice, 26, 409–425. https://doi.org/10.1177/0884533611411306 First citation in articleCrossref, Google Scholar

  • Porges, S. W. (1992). Autonomic regulation and attention. In B. A. CampbellH. HayneR. RichardsonEds., Attention and information processing in infants and adults (pp. 201–223). Hillside, NJ: Erlbaum. First citation in articleGoogle Scholar

  • Reul, J. M. H. M., Collins, A., Saliba, R., Mifsud, K. R., Carter, S. D., Gutierrez-Mecinas, M., … Linthorst, A. C. E. (2015). Glucocorticoids, epigenetic control and stress resilience. Neurobiology of Stress, 1, 44–59. https://doi.org/10.1016/j.ynstr.2014.10.001 First citation in articleCrossref, Google Scholar

  • Rosnow, R. L., & Rosenthal, R. (2009). Effect sizes: Why, when, and how to use them. Journal of Psychology, 217, 6–14. https://doi.org/10.1027/0044-3409.217.1.6 First citation in articleAbstract, Google Scholar

  • Thayer, J. F., Åhs, F., Fredrikson, M., Sollers, J. J., & Wager, R. D. (2012). A meta-analysis of heart rate variability and neuroimaging studies: Implications for heart rate variability as a maker of stress and health. Neuroscience & Biobehavioral Reviews, 36, 747–756. https://doi.org/10.1016/j.neubiorev.2011.11.009 First citation in articleCrossref, Google Scholar

  • Thayer, J. F., Hansen, A. L., & Johnsen, B. H. (2010). The non-invasive assessment of Autonomic influences on the heart using impedance cardiography and heart rate variability. In A. SteptoeEd., Handbook of behavioural medicine – Methods and applications (pp. 141–153). London, UK: Springer. First citation in articleGoogle Scholar

  • Thayer, J. F., Hansen, A. L., Saus, E. R., & Johnsen, B. H. (2009). Heart rate variability, prefrontal neural function, and cognitive performance: The Neurovisceral Integration Perspective. Annals of Behavioral Medicine, 37. https://doi.org/10.1007/s12160-009-9101-z First citation in articleCrossref, Google Scholar

  • Thayer, J. F., & Lane, R. D. (2000). A model of neurovisceral integration in emotion Regulation and dysregulation. Journal of Affective Disorders, 61, 201–216. https://doi.org/10.1016/S0165-0327(00)00338 First citation in articleCrossref, Google Scholar

  • Thayer, J. F., & Lane, R. D. (2007). The role of vagal function in the risk for cardiovascular disease and mortality. Biological Psychology, 74, 224–242. https://doi.org/10.1016/j.biopsycho.2005.11.013 First citation in articleCrossref, Google Scholar

  • VKM. (2014). Benefit-risk assessment of fish and fish products in the Norwegian diet – an update. Scientific Opinion of the Scientific Steering Committee. VKM Report 2014: 15. Oslo, Norway: Author. Retrieved from https://vkm.no/download/18.2994e95b15cc54507161ea1a/1498222018046/0a646edc5e.pdf First citation in articleGoogle Scholar

  • Wechsler, D. (2008). Wechsler Adult Intelligence Scale – Fourth Edition. San Antonio, TX: Pearson. First citation in articleGoogle Scholar

  • Wilcox, R. R. (1987). New designs in analysis of variance. Annual Review of Psychology, 38, 29–60. https://doi.org/10.1146/annurev.ps.38.020187.000333 First citation in articleCrossref, Google Scholar