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哮喘患者和非哮喘患者的实验诱发情绪、面部肌肉活动及呼吸阻力

Experimentally induced emotions, facial muscle activity, and respiratory resistance in asthmatic and non-asthmatic individuals.

作者信息

Ritz T, Claussen C, Dahme B

机构信息

Department of Psychiatry, Stanford University and VA Palo Alto Health Care System, 94304, USA.

出版信息

Br J Med Psychol. 2001 Jun;74(Pt 2):167-82.

Abstract

We studied the effects of emotion induction on total respiratory resistance, and their relationship with cardiac vagal activity and facial muscle activity in asthma. Groups of 20 asthmatic and 20 non-asthmatic participants were exposed to series of happy and depressing pictures or self-referent Velten statements. Facial electromyographic activity over corrugator supercilii, orbicularis oculi, and zygomaticus major regions was recorded during periods of presentation and imagery of each stimulus. Following each stimulus series, mood, respiratory resistance, ventilation, and cardiac activity including respiratory sinus arrhythmia (RSA) were recorded. Significant increases of respiratory resistance were observed in asthmatic patients following depressing stimulation. Resistance increases were positively correlated with RSA and heart period. No substantial group differences were found in facial response to emotional stimuli. Changes in facial target muscle sites during positive stimulation were inversely correlated with RSA following stimulation. We conclude that respiratory resistance increases in asthmatics following depressing stimulation are dependent on vagal activity. Greater facial muscle activation during emotional stimulation can reduce vagal activation, which is consistent with claims in the clinical literature of the benefits of emotional expression in asthma.

摘要

我们研究了情绪诱导对总呼吸阻力的影响,以及它们与哮喘患者心脏迷走神经活动和面部肌肉活动的关系。将20名哮喘患者和20名非哮喘参与者分为不同组,让他们观看一系列快乐和抑郁的图片或进行自我参照的韦尔滕陈述。在每种刺激呈现和想象期间,记录皱眉肌、眼轮匝肌和颧大肌区域的面部肌电图活动。在每个刺激系列之后,记录情绪、呼吸阻力、通气以及包括呼吸性窦性心律不齐(RSA)在内的心脏活动。在抑郁刺激后,哮喘患者的呼吸阻力显著增加。阻力增加与RSA和心动周期呈正相关。在对情绪刺激的面部反应方面未发现实质性的组间差异。积极刺激期间面部目标肌肉部位的变化与刺激后的RSA呈负相关。我们得出结论,抑郁刺激后哮喘患者呼吸阻力增加依赖于迷走神经活动。情绪刺激期间更大的面部肌肉激活可降低迷走神经激活,这与临床文献中关于哮喘患者情绪表达有益的观点一致。

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