Ramaekers D, Ector H, Demyttenaere K, Rubens A, Van de Werf F
Department of Cardiology, Gasthuisberg University Hospital, Catholic University of Leuven, Belgium.
Pacing Clin Electrophysiol. 1998 Aug;21(8):1546-52. doi: 10.1111/j.1540-8159.1998.tb00241.x.
The link between personality and cardiac function is insufficiently characterized. We postulated that in a healthy population, cardiac autonomic function is linked to coping style. In 276 healthy volunteers, between the ages of 18 and 71, the Utrecht Coping List was used to evaluate different coping strategies. Trait anxiety was scored by the Spielberger State Trait Anxiety Inventory. A 24-hour Holter recording was used to calculate heart rate variability (HRV). For HRV parameters and coping mechanisms this study demonstrated gender-specific differences and correlations with age. In men (n = 141) higher active coping was associated with less global autonomic activity or SDANN (rs = -0.27, P < 0.001). This relationship was most prevalent in young (18-30 years) men (rs = -0.45, P < 0.005). Higher expression of negative emotions or anger was related to both higher vagal (rs = 0.23 for rMSSD, P < 0.01) tone and higher LF power (rs = 0.23, P < 0.01). In young men expression of negative emotions or anger was associated with LF power (rs = 0.37, P < 0.01) and in middle-aged (31-50 years) men with vagal tone (rs = 0.43 for rMSSD, P < 0.005) and heart rate (rs = -0.41, P < 0.005). Higher comforting ideas was related to higher LF power (rs = 0.23 for LF power, P < 0.005), and this especially in middle-aged men (rs = 0.37, P < 0.01). In women (n = 135), no significant correlations between coping style and HRV indices were found. We conclude that in normal individuals, at least in men, our findings suggest a relationship between coping style and cardiac autonomic function.
人格与心脏功能之间的联系尚未得到充分阐明。我们推测，在健康人群中，心脏自主神经功能与应对方式有关。在276名年龄在18至71岁之间的健康志愿者中，使用乌得勒支应对清单来评估不同的应对策略。特质焦虑通过斯皮尔伯格状态-特质焦虑量表进行评分。使用24小时动态心电图记录来计算心率变异性（HRV）。对于HRV参数和应对机制，本研究显示了性别差异以及与年龄的相关性。在男性（n = 141）中，较高的积极应对与较低的整体自主神经活动或SDANN相关（rs = -0.27，P < 0.001）。这种关系在年轻（18 - 30岁）男性中最为明显（rs = -0.45，P < 0.005）。较高的负面情绪或愤怒表达与较高的迷走神经张力（rMSSD的rs = 0.23，P < 0.01）和较高的低频功率（rs = 0.23，P < 0.01）有关。在年轻男性中，负面情绪或愤怒表达与低频功率相关（rs = 0.37，P < 0.01），而在中年（31 - 50岁）男性中与迷走神经张力（rMSSD的rs = 0.43，P < 0.005）和心率（rs = -0.41，P < 0.005）相关。较高的安慰性想法与较高的低频功率相关（低频功率的rs = 0.23，P < 0.005），这在中年男性中尤为明显（rs = 0.37，P < 0.01）。在女性（n = 135）中，未发现应对方式与HRV指标之间存在显著相关性。我们得出结论，在正常个体中，至少在男性中，我们的研究结果表明应对方式与心脏自主神经功能之间存在关联。
