Measures of Heart Rate Variability in Individuals With Somatic Symptom Disorder

Datos Bibliográficos

ID19305083
AutoresWei‐Lieh Huang (0000-0001-5786-3366, National Yang Ming Chiao Tung University), Shih‐Cheng Liao (0000-0003-4129-0879, Bridge University), Shih-Cheng Liao, Cheryl C H Yang (0000-0002-1053-997X, Bridge University), Terry B J Kuo (0000-0002-7107-3632, Bridge University), Tzu-Ting Chen (0000-0002-7702-7100), Tzu‐Ting Chen (0000-0001-5669-9066, Bridge University), I-Ming Chen (0000-0001-7759-6648, Bridge University), Susan Shur-Fen Gau, Susan Shur‐Fen Gau (0000-0002-2718-8221, Bridge University, autor de correspondencia)
Año2017
Volumen79
Número1
Páginas34-42
Fecha de publicación2017-01-01
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaPsychosomatic Medicine (JOURNAL)
Identificadores de la revistaISSN: 0033-3174 • E-ISSN: 1534-7796
EditorialOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/psy.0000000000000362
PMID27359183
OpenAlexW2461594169
IdiomaEN
Citas recibidas1
Referencias citadas42

OBJECTIVE: Little is known about autonomic nervous system activity in individuals with somatic symptom disorder (SSD) as defined by DSM-V criteria. The aims of this study were to investigate whether individuals with SSD differ from healthy controls in heart rate variability (HRV) measures of autonomic nervous system activity and whether sex has a moderating effect on this association. METHODS: We recruited 168 individuals with SSD (35.1% men) and 106 healthy controls (27.4% men). Demographics, HRV, and psychological factors were measured using the Patient Health Questionnaire-15, Health Anxiety Questionnaire, Beck Depression Inventory-II (BDI-II), and Beck Anxiety Inventory. Multiple regression analysis was used to examine the association of SSD with HRV, adjusting for demographic and psychological measures. RESULTS: Individuals with SSD had lower levels of total-power HRV and low-frequency HRV, but no differences in high-frequency (HF)-HRV were found. HRV differences between SSD and controls varied by sex and age (triple interaction TP-HRV β = -0.222, p < .001; low-frequency HRV β = -0.332, p < .001; and HF-HRV β = -0.167, p = .006). Whole-sample multiple regression analyses revealed significant sex differences in the magnitudes of the association between BDI-II with HF-HRV (β of sex*BDI-II: 0.761, p = .005) and analyses stratified by sex indicated that HF-HRV was significantly correlated with depression in men with SSD (r = -0.491, p < .001) but not in women with SSD (r = 0.057, p = .558). CONCLUSIONS: These results suggest that patients with SSD demonstrate different patterns of HRV and the patterns of association between HRV indices and psychological factors vary between men and women

Anxiety · Autonomic nervous system · Beck Anxiety Inventory · Beck Depression Inventory · Blood pressure · Demographics · Depression (economics) · Heart rate · Heart rate variability · Psychiatry · Clinical Psychology · Demography · Fibromyalgia and Chronic Fatigue Syndrome Research · Heart Rate Variability and Autonomic Control · Internal Medicine · Medicine · Psychology · Psychosomatic Disorders and Their Treatments