Men who misuse alcohol tend to experience negative affect, which may entail difficulties in regulating emotions to cope effectively with stressful or anxiety-provoking situations, thus increasing the risk of alcohol relapse. This dysphoric state has been associated with alexithymia, which compromises an individual’s abilities to acknowledge, recognize, and regulate emotional states. A physiological correlate of emotional regulation is autonomic flexibility, as shown by emotional dysregulation in men who misuse alcohol being correlated with reduced parasympathetic activation to control heart rate variability during stress and/or conflict situations. Hence, the main aim of this study was to investigate whether long-term abstinent alcoholic (LTAA) men exhibit higher levels of negative affect and sympathetic activation (cardiovascular and electrodermal) in response to acute standardized laboratory stress than non-alcoholic controls. In addition, we hypothesized that the higher the alexithymic traits, the greater would be the increase in negative affect and sympathetic activation in response to stress, especially in LTAAs. Our data demonstrated that LTAAs experienced slightly greater increases in anxiety, states of anger, and worsening of mood than controls. Moreover, they exhibited lower high-frequency heart rate variability, respiratory sinus arrhythmia values, shorter pre-ejection periods, and higher respiratory rates than controls. Finally, alexithymic traits imply greater worsening of mood and sympathetic predominance (shorter pre-ejection periods and smaller magnitude of response), with the associations being stronger in LTAAs. These findings indicate a different emotional and cardiovascular response to psychosocial stress in LTAA than non-alcoholic men. Improving our knowledge of the way this population reacts to stress may help identify risk factors for alcohol relapse.

Proactively aggressive individuals have been shown to present a different pattern of autonomic nervous system (ANS) dysregulation from that of individuals characterized by reactive violence. Although attempts have been made to classify intimate partner violence (IPV) perpetrators based on ANS reactivity to acute stress, subsequent studies have failed to replicate this classification. Notably, the proposed classification neglected the role of chronic alcohol abuse in ANS dysregulation and the fact that this dysregulation entails an abnormal stress response. The aim of the present study was to analyze the response profile (psychological state and ANS response) of groups of IPV perpetrators with high (n = 27) and low (n = 33)-risk alcohol use to an acute stressor, compared to controls (n = 35). All IPV perpetrators scored higher on executive dysfunctions and impulsivity and showed larger decreases in positive affect, less satisfaction, and a higher external locus of control after the stressor than controls. IPV perpetrators with low-risk alcohol use had higher skin conductance levels and breathing reactivity than controls, especially during preparatory, task, and recovery periods. This information could help to develop methods for increasing batterers’ behavioral self-regulation, thus decreasing IPV recidivism risk.

Empirical research has stated that Attention Deficit Hyperactivity Disorder (ADHD) might underlie intimate partner violence against women (IPVAW) perpetration. Even though there is a clear relationship between these two variables, it is still unknown how ADHD facilitates violence proneness. In this regard, psychophysiological variables such as skin conductance levels (SCL) might offer information about emotional regulation when individuals cope with stress. Furthermore, alexithymia traits might be a strong candidate in explaining the above-mentioned emotional dysregulations. Hence, we compared the SCL response to acute cognitive stress in IPVAW perpetrators with and without ADHD symptoms to that of controls (non-violent and unaffected), and we also assessed the presence of alexithymia traits and their role in emotional regulation. Our data point out that ADHD IPVAW perpetrators presented higher SCL and negative affect than controls, particularly during the recovery period. Moreover, ADHD IPVAW perpetrators showed higher self-reported alexithymia, and this variable was a good predictor of autonomic and psychological state dysregulations, even after controlling for the effects of alcohol and drug misuse. Therefore, our study reinforces the need to consider psychophysiological measurements when screening the therapeutic needs of IPVAW perpetrators, due to their relatively low cost and the significant contents of their results. Finally, we also highlight the key role of alexithymia in this violent population, which should be considered when designing cognitive intervention training coadjutant to current psychotherapies for IPVAW perpetrators.

Polyvagal theory proposed that an autonomous nervous system imbalance might be characteristic of violent individuals, especially reduced parasympathetic or vagal tone. Accordingly, some studies concluded that when intimate partner violence (IPV) perpetrators deal with acute stress, they tend to present a sympathetic predominance over the parasympathetic nervous system once the stress has ended. However, less is known about cognitive mechanisms that explain this phenomenon. In fact, this functioning might be explained by inner speech and/or angry thoughts (anger rumination) in reactive aggressors. Nonetheless, there is a gap in the scientific literature assessing whether this psychophysiological functioning in IPV perpetrators is explained by anger rumination. For this reason, the first aim of this study was to assess the cardiorespiratory (heart rate (HR), pre-ejection period (PEP), and respiratory sinus arrhythmia (RSA)) and electrodermal (skin conductance level (SCL)) changes, as well as the anger state, when coping with an acute laboratory stressor, comparing a group of reactive IPV perpetrators (n = 47) and a group of non-violent men (n = 36). The second aim was two-fold. After checking whether the groups differed on their anger rumination and manifestation of aggression (reactive and/or proactive) scores, we studied whether these variables explained psychophysiological and psychological responses to a laboratory task (changes and levels during the recovery period) in each group. Our results demonstrated that, compared to the control group, IPV perpetrators presented lower RSA levels (vagal tone). Even though the groups did not differ on their anger rumination or manifestation of aggression scores (except for proactive aggression), only in the IPV perpetrators, high anger rumination and reactive aggression partly explained the lower vagal tone (RSA levels) and high levels of anger state at post-task. Consequently, this study contributes to understanding the psychobiological basis for violence proneness in IPV perpetrators, making it possible to explore new therapeutic strategies.

Purpose
Recent research has identified different psychobiological mechanisms underlying Intimate Partner Violence (IPV). However, vagally mediated heart rate variability (vmHRV), a measure of parasympathetic activity, has been scarcely studied in IPV perpetrators. Low vmHRV activity has been found to be associated with maladaptive emotion regulation strategies and negative affect, whereas high vmHRV functioning has been related to higher social engagement, positive affect, prosocial behavior and compassion.
Methods
The present study examined vmHRV, mood state and prosocial behavior in a Compassion-eliciting Task, through a virtual reality paradigm, in 39 IPV offenders, compared to 42 general offenders (GO) and 43 non-forensic control participants. Additionally, it explored whether phasic vmHRV could explain the mood change in response to the Compassion Task.
Results
IPV offenders showed lower vmHRV activity during the task when compared to non-forensic participants. No significant differences were obtained between IPV and GO. Furthermore, higher vmHRV partially explained lower negative affect after the Compassion Task for the entire sample.
Conclusions
Findings suggest that IPV offenders experience difficulties connecting with others’ suffering. It also highlights that the use of biomarkers, such as vmHRV, in the study of criminogenic factors may provide a broader understanding that could promote more effective interventions.

Many authors have suggested that intimate partner violence (IPV) perpetrators present an imbalance between both branches of the autonomous nervous system when coping with acute stress. Concretely, there is a predominance of the sympathetic branches over the parasympathetic ones when recovering from stress. This imbalance can be explained by their tendency toward anger rumination, and more concretely, by their focus on thoughts of revenge during this period. Unfortunately, there is a gap in the scientific literature in terms of using magnetic resonance imaging (MRI) techniques to assess which brain structures would explain this tendency of IPV perpetrators when coping with acute stress.

The importance of psychopathy for perpetration and maintenance of intimate partner violence (IPV) has been speculated. However, less is known about whether psychopathy would explain a psychophysiological response (cardiorespiratory and electrodermal) of IPV perpetrators dealing with acute stressors. Therefore, we first aimed to assess whether IPV perpetrators (n = 58) showed differences in psychopathic traits and their psychophysiological response to acute stress compared to nonviolent men (n = 53). Second, we examined in both groups whether psychopathic traits would explain a psychophysiological response when dealing with acute laboratory stress. Our results revealed that IPV perpetrators differed from controls in all the psychopathic traits, scoring higher on all psychopathy scales. Moreover, IPV perpetrators showed lower total respiratory sinus arrhythmia (RSA) levels than controls. Finally, regarding high total psychopathy scores, factor 1 and affective facet entailed low RSA levels in both groups and scoring high in lifestyle facet of factor 2 explained reduced heart rate (HR) changes in response to acute stress in both groups. All these results highlighted that a reduced vagal tone could be characteristic of psychopathic traits, especially for the affective facet of psychopathy. Therefore, it would be important to incorporate biological markers in combination with psychological measurements to clearly diagnose IPV perpetrators before starting intervention programs. This would increase our ability to improve IPV intervention therapeutic targets and reduce risk of recidivism.

The autonomic nervous system (ANS) functioning has been proposed as a relevant method to characterize the therapeutic needs of intimate partner violence (IPV) perpetrators. Nevertheless, research has neglected the influence of the ANS on socio-affective functions in this population. The aim of the present study was to analyze the psychophysiological activity of IPV perpetrators (n = 52) compared to controls (n = 46) following an empathic induction task, performed through negative emotion-eliciting videos. We employed two general ANS markers (heart rate [HR] and respiratory rate [RR]), two sympathetic-related indexes (pre-ejection period [PEP] and skin conductance level [SCL]) and a parasympathetic biomarker (respiratory sinus arrhythmia [RSA]). Additionally, we explored the impact of psychophysiological activity on prosocial behavior using Hare’s donation procedure. Compared to controls, IPV perpetrators reported lower HR and SCL following the task, as well as longer PEP, suggesting an attenuated sympathetic response to others’ distress. No differences in the RSA response pattern were found, however, IPV perpetrators displayed lower overall RSA levels throughout the protocol, indicative of reduced parasympathetic activity. Besides, while no differences in prosocial performance were observed, greater sympathetic responses and overall parasympathetic activity predicted increased donations across the sample. Thus, a high sympathetic and parasympathetic activity might influence the occurrence of prosocial behavior. The present study provides further evidence supporting that IPV perpetrators cope differently with others’ negative emotions. In line with this biopsychosocial perspective, insights are gained on the emotional processing of IPV perpetrators which, in turn, could contribute to improve IPV psychotherapeutic programs.

Research on female offenders’ emotional sphere remains limited, with fewer studies being conducted compared to male offenders. However, investigations have identified psychobiological mechanisms in non-forensic women underlying emotional processing. One such mechanism is the activity of the autonomic nervous system. Increased parasympathetic activity has been associated with higher emotional self-regulation, social engagement, and compassion. Therefore, the present study examined heart rate (HR), vagally mediated heart rate variability (vmHRV), mood correlations, and prosocial behavior during a compassion-eliciting task using a virtual reality paradigm in female offenders (n = 31) compared to non-forensic individuals (n = 35). The primary findings showed that offenders exhibited reduced vmHRV when engaging with others’ suffering. Additionally, during the period of compassionate motivation (prosocial task), offenders revealed lower HR levels. In contrast, non-forensic individuals showed the opposite pattern. However, there were no significant mood differences observed. Finally, lower vmHRV was associated with higher donation rates only within the non-forensic group. The results suggest that offenders may encounter challenges experiencing compassion, particularly when connecting with others’ suffering and when facing compassionate motivation, as reflected by diminished parasympathetic flexibility. Furthermore, this study highlights the potential for using biomarkers when examining criminogenic needs, offering a multidisciplinary understanding of socio-affective functions, paving the way for more effective interventions.