Unno Taeko, Okayama Hisayo
Graduate Course of Midwifery, Kyoto Koka Women's University, Kyoto, Japan.
Institute of Medicine, University of Tsukuba, Ibaraki, Japan.
Jpn J Nurs Sci. 2025 Jan;22(1):e12650. doi: 10.1111/jjns.12650.
This study aims to review research on heart rate variability and psychiatric symptoms in perinatal women and explains how heart rate variability can be useful in preventing depressive symptoms in perinatal women.
Data were collected from PubMed, CINAHL, PsycINFO, and Google Scholar. The literature search encompassed articles published until July 2024, with the inclusion criteria targeting studies on women within 1 year postpartum, starting from the gestation period. Further, articles exploring this population that discussed the relationship between anxiety, depression, stress, and heart rate variability were selected. The exclusion criterion was studies that confirmed a correlation between stressors and heart rate variability.
We identified 36 relevant articles. The results demonstrated that, since 2022, research has been conducted using smartwatches, smartphones, and so on. The effectiveness of using heart rate variability has been confirmed, particularly in studies linking it to depression. However, some studies lacked controls during measurements. Intervention studies demonstrated the effectiveness of heart rate variability biofeedback.
This is the first review to investigate the relationship between psychiatric symptoms and heart rate variability in perinatal women. Understanding and using the characteristics of heart rate variability may lead to the detection of psychiatric symptoms in perinatal women and to self-care among women.
本研究旨在回顾围产期妇女心率变异性与精神症状的相关研究，并解释心率变异性如何有助于预防围产期妇女的抑郁症状。
数据收集自PubMed、CINAHL、PsycINFO和谷歌学术。文献检索涵盖截至2024年7月发表的文章，纳入标准为针对产后1年内女性（从妊娠期开始）的研究。此外，还选择了探讨该人群中焦虑、抑郁、压力与心率变异性之间关系的文章。排除标准为证实应激源与心率变异性之间存在相关性的研究。
我们共识别出36篇相关文章。结果表明，自2022年以来，已使用智能手表、智能手机等开展了相关研究。心率变异性的有效性已得到证实，尤其是在将其与抑郁症相关联的研究中。然而，一些研究在测量过程中缺乏对照。干预研究证实了心率变异性生物反馈的有效性。
这是首篇调查围产期妇女精神症状与心率变异性之间关系的综述。了解并利用心率变异性的特征可能有助于发现围产期妇女的精神症状，并促进女性的自我保健。
