심박변이도 지표에 나타난 자율신경 상태와 우울, 불안 및 분노 설문검사 척도 간의 상관성 평가
Relationship between Heart Rate Variability(HRV) and BDI, STAI and STAXI
2
조회
0
다운로드
19
인용
0
참고문헌
키워드
초록
Objectives :This study aims to evaluate the relationship between HRV indices and scores of emotional questionnaires and to find out the effective way to assess patients emotional and physical condition. Methods :We selected 144 patients who had both HRV data and BDI, STAI and STAXI scores on the chart among outpatients from July 2006 to December 2010. The relationship between the scores rated from the questionnaires and HRV indices are analyzed. And the HRV indices of patients included in the top 30 percent group and the bottom 30%group are compared. Results :1. There were no significant correlations between HRV indices and scores of BDI, STAI and trait anger of STAXI. 2. SDNN and TP of HRV significantly decreased with higher state anger scores of STAXI. The top 30 percent group of state anger had lower SDNN, TP, LF, HF and HRV-index and higher pNN50 than the bottom 30percent group. 3. RMSSD of HRV significantly decreased with higher anger-in scores of STAXI. The top 30 percent group of anger-in had lower RMSSD than the bottom 30 percent group. Conclusions :HRV can be used to evaluate emotional and physical changes related to state anger and inappropriate anger expression.
Abstract
Objectives :This study aims to evaluate the relationship between HRV indices and scores of emotional questionnaires and to find out the effective way to assess patients emotional and physical condition. Methods :We selected 144 patients who had both HRV data and BDI, STAI and STAXI scores on the chart among outpatients from July 2006 to December 2010. The relationship between the scores rated from the questionnaires and HRV indices are analyzed. And the HRV indices of patients included in the top 30 percent group and the bottom 30%group are compared. Results :1. There were no significant correlations between HRV indices and scores of BDI, STAI and trait anger of STAXI. 2. SDNN and TP of HRV significantly decreased with higher state anger scores of STAXI. The top 30 percent group of state anger had lower SDNN, TP, LF, HF and HRV-index and higher pNN50 than the bottom 30percent group. 3. RMSSD of HRV significantly decreased with higher anger-in scores of STAXI. The top 30 percent group of anger-in had lower RMSSD than the bottom 30 percent group. Conclusions :HRV can be used to evaluate emotional and physical changes related to state anger and inappropriate anger expression.
참고문헌 (27)
- Rajendra Acharya U, "Heart rate variability: a review", Med Biol Eng Comput, 44(12), pp.1031~1051 (2006)
- Cohen H, "Power spectral analysis of heart rate variability in psychiatry", Psychother Psychosom, 68(2), pp.59~66 (1999)
- Carney RM, "Depression and heart rate variability in patients with coronary heart disease", Cleve Clin J Med, 76(Suppl 2), pp.S13~S17 (2009)
- Taylor CB, "Depression, heart rate related variables and cardiovascular disease", Int J Psychophysiol, 78(1), pp.80~88 (2010)
- Cohen H, "Power spectrum analysis and cardiovascular morbidity in anxiety disorders", Auton Neurosci, 128(1), pp.1~8 (2006)
- Lane RD, "Neural correlates of heart rate variability during emotion", Neuroimage, 44(1), pp.213~222 (2009)
- Hawkins MA, "Combined effect of depressive symptoms and hostility on autonomic nervous system function", Int J Psychophysiol, 81(3), pp.317~323 (2011)
- Friedman BH, "An autonomic flexibilityneurovisceral integration model of anxiety and cardiac vagal tone", Biol Psychol, 74(2), pp.185~199 (2007)
- Nakahara H, "Performing music can induce greater modulation of emotion-related psychophysiological responses than listening to music", Int J Psychophysiol, 81(3), pp.152~158 (2011)
- Wallentin M, "Amygdala and heart rate variability responses from listening to emotionally intense parts of a story", Neuroimage, 58(3), pp.963~973 (2011)
- Kop WJ, "Autonomic nervous system reactivity to positive and negative mood induction: the role of acute psychological responses and frontal electrocortical activity", Biol Psychol, 86(3), pp.230~238 (2011)
- Hauschildt M, "Heart rate variability in response to affective scenes in posttraumatic stress disorder", Biol Psychol, 88(2), pp.215~222 (2011)
- Choi CJ, "Reactivity of heart rate variability after exposure to colored lights in healthy adults with symptoms of anxiety and depression", Int J Psychophysiol, 79(2), pp.83~88 (2011)
- Shinba T, "Decrease in heart rate variability response to task is related to anxiety and depressiveness in normal subjects", Psychiatry Clin Neurosci, 62(5), pp.603~609 (2008)
- 정선용, "구두시험스트레스 전후의 HRV변화와 설문검사점수와의 상관성", 스트레스 硏究, 16(4), pp.363~367 (2008), 대한스트레스학회
- 김창윤, "정신장애평가도구", pp.72~225 (2001), 하나의학사
- 전국한의과대학 진단생기능의학교실, "생기능의학", pp.81~101 (2008), 군자출판사
- "Task Force of the European society of Cardiology and the North American Society of Pacing and Electrophysiology. Heart Rate Variability : Standards of measurement. physiological interpretation and clinical use", Circulation, 93, pp.1043~1065 (1996)
- Berger S, "Autonomic modulation in healthy first-degree relatives of patients with major depressive disorder", Prog Neuropsychopharmacol Biol Psychiatry, 35(7), pp.1723~1728 (2011)
- 김인주, "정상성인에서 우울, 불안 정도와 심박동 변이의 연관성", 석사, pp.2006
- Piccirillo G, "Autonomic modulation and QT interval dispersion in hypertensive subjects with anxiety", Hypertension, 34(2), pp.242~246 (1999)
- Virtanen R, "Anxiety and hostility are associated with reduced baroreflex sensitivity and increased beat-to beat blood pressure variability", Psychosom. Med, 65(5), pp.751~756 (2003)
- 민성길, "최신정신의학. 제5판", pp.282~360 (2006), 일조각
- Narita K, "The association between anger-related personality trait and cardiac autonomic response abnormalities in elderly subjects", Eur Arch Psychiatry Clin Neurosci, 257(6), pp.325~329 (2007)
- 김현도, "스트레스 노출 상황에서의 분노표현 양식에 따른 심박변이도의 차이", 석사, pp.2008
- Newman JD, "Observed hostility and the risk of incident ischemic heart disease a prospective population study from the 1995 canadian nova scotia health survey", J Am Coll Cardiol, 58(12), pp.1222~1228 (2011)
- Haukkala A, "Hostility, anger control, and anger expression as predictors of cardiovascular disease", Psychosom Med, 72(6), pp.556~562 (2010)
