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迷走神经介导的心率变异性作为健康个体特质反刍的标志物?一项大型横断面分析。

Vagally-mediated HRV as a marker of trait rumination in healthy individuals? A large cross-sectional analysis.

机构信息

Department of Head and Skin, Ghent Experimental Psychiatry Lab, Ghent University, Ghent, Belgium.

Department of Experimental Clinical and Health Psychology, Ghent University, Ghent, Belgium.

出版信息

Psychophysiology. 2024 Feb;61(2):e14448. doi: 10.1111/psyp.14448. Epub 2023 Oct 1.

Abstract

The tendency to ruminate (i.e., repetitive, self-referential, negative thoughts) is a maladaptive form of emotional regulation and represents a transdiagnostic vulnerability factor for stress-related psychopathology. Vagally-mediated heart rate variability (vmHRV) provides a non-invasive, surrogate measure of vagal modulation of the heart, and higher HRV is considered an indicator of susceptibility, or ability to respond to stress. Past research has suggested a link between trait rumination and vmHRV; however, inconsistent results exist in healthy individuals. In this study, we investigated the association between the tendency to ruminate, brooding, and reflection (using the Ruminative Response Scale) with vmHRV measured at baseline in a healthy population using a large cross-sectional dataset (N = 1189, 88% female; mean age = 21.55, ranging from 17 to 48 years old), which was obtained by combining samples of healthy individuals from different studies from our laboratory. The results showed no cross-sectional correlation between vmHRV and trait rumination (confirmed by Bayesian analysis), even after controlling for important confounders such as gender, age, and depressive symptoms. Also, a non-linear relationship was rejected. In summary, based on our results in a large sample of healthy individuals, vmHRV is not a marker of trait rumination (as measured by the Ruminative Response Scale).

摘要

反刍倾向(即重复的、自我参照的、消极的想法)是一种适应不良的情绪调节形式,代表了与压力相关的精神病理学的一种跨诊断脆弱因素。迷走神经介导的心率变异性(vmHRV)提供了迷走神经调节心脏的非侵入性替代测量,较高的 HRV 被认为是易感性或对压力做出反应的能力的指标。过去的研究表明特质反刍与 vmHRV 之间存在联系;然而,在健康个体中存在不一致的结果。在这项研究中,我们使用来自我们实验室的不同研究中健康个体的样本组合,通过一个大型的横断面数据集(N=1189,88%为女性;平均年龄为 21.55 岁,年龄范围为 17 至 48 岁),调查了健康人群中反刍倾向、沉思和反思(使用反刍反应量表)与基线时 vmHRV 之间的关联。结果显示,vmHRV 与特质反刍之间没有横断面相关性(贝叶斯分析证实),即使在控制了性别、年龄和抑郁症状等重要混杂因素后也是如此。此外,拒绝了非线性关系。总之,基于我们在大量健康个体中的结果,vmHRV 不是特质反刍(如反刍反应量表所测量的)的标志物。

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