Jarczok Marc N, Buckley Thomas, Guendel Harald O, Boeckelmann Irina, Mauss Daniel, Thayer Julian F, Balint Elisabeth M
Clinic for Psychosomatic Medicine and Psychotherapy, University Hospital Ulm, Ulm, Germany.
Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.
Front Neurosci. 2021 Feb 11;15:600865. doi: 10.3389/fnins.2021.600865. eCollection 2021.
New tools for non-specific primary prevention strategies covering somatic and mental health in occupational medicine are urgently needed. Heart rate variability (HRV) reflects the capacity of the body to adapt to environmental challenges and of the mind to regulate emotions. Hence, a 24 h-measurement of HRV offers a unique possibility to quantify the interaction between situation-specific emotional regulation within a specific psychosocial environment and physiological state, thereby increasing self-perception and inducing motivation to change behavior. The focus of the present study represents such a 24 h-measurement of HRV and its presentation as a comprehensive graph including protocol situations of the client. A special training program for occupational health physicians and questionnaires for clients were developed and administered. The article reports the first data of the study "", an investigator-initiated, interventional, single-arm, open (non-blinded), multicenter, national trial with 168 participants. They reported a significantly improved perception of their bodily needs after the consultation (from Median = 7, interquartile range 5-8 to Median = 8, interquartile range 7-9; scale range from 1 to 10; < 0.001, Wilcoxon rank test; effect size 0.49). The 16 occupational health physicians stated that the measurement of HRV was very well suited to enter into dialog with the managers and was feasible to show interactions between situations, thoughts, feelings, and bodily reactions. Taken together, we show that a 24 h-HRV-measurement can be a feasible and effective approach for holistic, psychosomatic primary prevention in occupational medicine. We discuss possible mechanisms for improving the individual health via the consultation, containing mindset and improved ANS activity.
迫切需要用于职业医学中涵盖躯体和心理健康的非特异性一级预防策略的新工具。心率变异性（HRV）反映了身体适应环境挑战以及大脑调节情绪的能力。因此，24小时测量HRV提供了一种独特的可能性，可量化特定社会心理环境中特定情境下的情绪调节与生理状态之间的相互作用，从而增强自我认知并激发改变行为的动机。本研究的重点是这样一种24小时HRV测量及其以包含客户协议情况的综合图表形式呈现。为职业健康医生制定并实施了一项特殊培训计划以及针对客户的问卷。本文报告了“ ”研究的首批数据，这是一项由研究者发起的、干预性、单臂、开放（非盲法）、多中心、全国性试验，有168名参与者。他们报告称，咨询后对身体需求的感知有显著改善（从中位数 = 7，四分位间距5 - 8到中位数 = 8，四分位间距7 - 9；量表范围为1至10；< 0.001，Wilcoxon秩和检验；效应大小0.49）。16名职业健康医生表示，HRV测量非常适合与管理人员展开对话，并且展示情境、思想、情感和身体反应之间的相互作用是可行的。综上所述，我们表明24小时HRV测量可以成为职业医学中整体身心一级预防的一种可行且有效的方法。我们讨论了通过咨询改善个体健康的可能机制，包括思维模式和自主神经系统活动的改善。
