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负面情绪对健康受试者心率复杂度测量和压力感受性反射敏感性的影响。

The influence of negative mood on heart rate complexity measures and baroreflex sensitivity in healthy subjects.

机构信息

Department of Psychiatry, Friedrich-Schiller-University, Jena, Germany.

出版信息

Indian J Psychiatry. 2010 Jan;52(1):42-7. doi: 10.4103/0019-5545.58894.

Abstract

BACKGROUND

Decreased cardiac vagal function is linked with increased cardiac mortality and depression is associated with decreased heart rate variability. We have previously shown that the Mood Induction Procedure (MIP) in healthy subjects alters pain perception and thalamic activity during pain perception.

AIM

To study the effect of negative emotion on heart rate variability and complexity measures as well as on baroreceptor sensitivity, as these parameters reflect cardiac autonomic function.

PATIENTS AND METHODS

We studied 20 healthy female controls before and after neutral MIP and 20 healthy female subjects before and after negative MIP. We investigated measures of valence of mood, heart rate variability and complexity and the baroreceptor sensitivity index.

RESULTS

While there was a significant difference in the valence of mood between the neutral and the negative effect condition, there were no significant differences in any of the heart rate or baroreceptor sensitivity measures between the two groups.

CONCLUSIONS

Our findings did not show any significant influence of acute negative MIP on heart rate variability and complexity measures and baroreceptor sensitivity, even though depressive disorder and stress are associated with decreased heart rate variability. These findings are discussed in the context of clinical depression and anxiety and the increased risk for cardiac mortality. In contrast to the presented results here, we have previously shown that MIP in healthy subjects alters pain perception and thalamic activity.

摘要

背景

心脏迷走神经功能下降与心脏死亡率增加有关,而抑郁与心率变异性降低有关。我们之前已经表明,健康受试者的情绪诱导程序(MIP)会在疼痛感知过程中改变疼痛感知和丘脑活动。

目的

研究负面情绪对心率变异性和复杂性指标以及压力感受器敏感性的影响,因为这些参数反映了心脏自主功能。

患者和方法

我们在中性 MIP 前后研究了 20 名健康女性对照者和 20 名健康女性在负性 MIP 前后,研究了情绪效价、心率变异性和复杂性以及压力感受器敏感性指数的测量。

结果

虽然在中性和负效价条件之间,情绪效价存在显著差异,但两组之间的心率或压力感受器敏感性测量均无显著差异。

结论

尽管抑郁障碍和压力与心率变异性降低有关,但我们的研究结果并未显示急性负性 MIP 对心率变异性和复杂性指标以及压力感受器敏感性有任何显著影响。这些发现与临床抑郁症和焦虑症以及增加的心脏死亡率风险有关。与这里提出的结果相反,我们之前已经表明,健康受试者的 MIP 会改变疼痛感知和丘脑活动。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b71/2824980/4ff3899902e0/IJPsy-52-42-g001.jpg

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