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应激对心率复杂性的影响——短期应激与慢性应激的比较

Effects of stress on heart rate complexity--a comparison between short-term and chronic stress.

作者信息

Schubert C, Lambertz M, Nelesen R A, Bardwell W, Choi J-B, Dimsdale J E

机构信息

Clinical Department of Medical Psychology, Innsbruck Medical University, Innsbruck, Austria.

出版信息

Biol Psychol. 2009 Mar;80(3):325-32. doi: 10.1016/j.biopsycho.2008.11.005. Epub 2008 Dec 3.

Abstract

This study examined chronic and short-term stress effects on heart rate variability (HRV), comparing time, frequency and phase domain (complexity) measures in 50 healthy adults. The hassles frequency subscale of the combined hassles and uplifts scale (CHUS) was used to measure chronic stress. Short-term stressor reactivity was assessed with a speech task. HRV measures were determined via surface electrocardiogram (ECG). Because respiration rate decreased during the speech task (p<.001), this study assessed the influence of respiration rate changes on the effects of interest. A series of repeated-measures analyses of covariance (ANCOVA) with Bonferroni adjustment revealed that short-term stress decreased HR D2 (calculated via the pointwise correlation dimension PD2) (p<.001), but increased HR mean (p<.001), standard deviation of R-R (SDRR) intervals (p<.001), low (LF) (p<.001) and high frequency band power (HF) (p=.009). Respiratory sinus arrhythmia (RSA) and LF/HF ratio did not change under short-term stress. Partial correlation adjusting for respiration rate showed that HR D2 was associated with chronic stress (r=-.35, p=.019). Differential effects of chronic and short-term stress were observed on several HRV measures. HR D2 decreased under both stress conditions reflecting lowered functionality of the cardiac pacemaker. The results confirm the importance of complexity metrics in modern stress research on HRV.

摘要

本研究调查了慢性和短期应激对心率变异性(HRV)的影响,比较了50名健康成年人在时间、频率和相位域(复杂性)方面的测量指标。使用综合烦恼与愉悦量表(CHUS)中的烦恼频率子量表来测量慢性应激。通过一项言语任务评估短期应激源反应性。HRV测量通过体表心电图(ECG)确定。由于在言语任务期间呼吸频率下降(p<0.001),本研究评估了呼吸频率变化对相关效应的影响。一系列采用Bonferroni校正的重复测量协方差分析(ANCOVA)显示,短期应激降低了HR D2(通过逐点关联维数PD2计算)(p<0.001),但增加了HR均值(p<0.001)、RR间期标准差(SDRR)(p<0.001)、低频(LF)(p<0.001)和高频带功率(HF)(p = 0.009)。短期应激下呼吸性窦性心律不齐(RSA)和LF/HF比值未发生变化。校正呼吸频率后的偏相关分析表明,HR D2与慢性应激相关(r = -0.35,p = 0.019)。在几种HRV测量指标上观察到了慢性和短期应激的不同效应。在两种应激条件下HR D2均降低,反映出心脏起搏器功能降低。结果证实了复杂性指标在现代HRV应激研究中的重要性。

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