본문 바로가기
KERD
논문KCI 등재

정신과에서 심박 변이도(Heart Rate Variability)의 이용

Heart Rate Variability in Psychiatry

채정호|우종민|김원
대한신경정신의학회 (Korean Neuropsychiatric Association)|2005.03|신경정신의학 (JOURNAL OF THE KOREAN NEUROPSYCHIATRIC ASSOCIATION)|제44권 제2호|pp. 176-184

1

조회

0

다운로드

57

인용

0

참고문헌

주제분류정신과학

초록

Abstract

The analysis of heart rate variability is a useful tool to investigate the physiologic phenomena related with autonomic functions.At first, it was developed to evaluate the relation between cardiovascular disease and autonomic balance. Nowadays, the application of it’s use has been considered in psychiatric practice. And its convenient usage and non-invasiveness gathered more interest of clinicians and investigators. However, no systematic review of the studies on the heart rate variability in psychiatric field is tound. Thus we reviewed the literatures on the usage and it’s limitations of the heart rate variability in terms of the spplication in psychiaric practice and research. Interviews with experts on autonomic functions were also included to supplement the review. Studies found that patients with schizophrenia showed reduced heart rate variability while taking clozapine, and severely depressed patients showed more reduced heart rate variability than normal control. Patients with various anxiety disorders including panic disorder and posttraumatic stress disorder showed eleated sympathetic autonomic tone compared with normal control subjects. However these findings remained controversial because of many confounding factors including drug effects and individual and situational factors affecting heart rate variability. With further studies after successful control of confounding variables, the analysis of heart rate variability would be a useful physiologic parameter of asessing psychiatric patients in clinical practice and research.

참고문헌 (59)

  1. "Electronic evaluations of the fetal heart ratepatterns preceding fetal death,further observations", 87, pp.814~826 (1963)
  2. "The value of cardiovascularautonomic function tests:10 years experience in diabetes", 8, pp.491~498 (1985)
  3. "Sinus arrhythmia inacute myocardial infarction", 2, pp.52~53 (1978)
  4. "Sequential spectral analysis of 24-hour blood pressure andpulse interval in humans", 16, pp.414~421 (1990)
  5. "Circadianvariation in the frequency of onset of acute myocardial infarction", 313, pp.1315~1322 (1985)
  6. "Assessmentof autonomic regulation in chronic congestive heart failureby HR spectral analysis", 61, pp.1292~1299 (1988)
  7. "The effectsof emotions on short-term power spectrum analysis of heart-ratevariability", 76, pp.1089~1093 (1996)
  8. "Analysis of neural mechanisms accompanying different intensitiesof dynamic exercise", 101 (1992)
  9. "Task Force of The European Society of Cardiology and The NorthAmerican Society of Pacing and Electrophysiology Membership ofthe Task Force listed in the Appendix", 17, pp.354~381 (1996)
  10. "Analysis of long term heartrate variability", pp.419~422 (1988), Computers inCardiology 1987
  11. "Spectrum analysis:A modern perspective", 69, pp.1380~1419 (1981)
  12. "Analysis of heart rate variability", 16, pp.17~32 (1973)
  13. "Power spectrum analysis of heart rate variability toassess the changes in sympathovagal balance during graded orthostatictilt", 90, pp.1826~1831 (1994)
  14. "Beat to beatvariability in cardiovascular variables:Noise or music", 14, pp.1139~1148 (1989)
  15. "Effect of mental stress throughout the day on cardiac autonomiccontrol", pp.89~99
  16. "Type A behavior and elevated physiological and neuroendocrineresponses to cognitive tasks", 218, pp.483~485 (1982)
  17. "Mental stress-induced myocardial ischemia and cardiacevents", 275, pp.1651~1656 (1996)
  18. "Cardiacdenervation and cardiovascular reactivity to psychological stress", 151, pp.1140~1147 (1994)
  19. "Acute stress affects heart rate variability during sleep", 66, pp.56~62 (2004)
  20. "Autonomic effects of clozapine in schizophrenia:comparison with placebo and fluphenazine", 34, pp.3~12 (1993)
  21. "The significance of HR analysis in psychiatric questions", 63, pp.106~120 (1995)
  22. "Correlation between plasmaclozapine concentration and heart rate variability in schizophrenicpatients", 135, pp.338~341 (1998)
  23. "Effects of newer atypical antipsychotics on autonomic neurocardiacfunction a comparison between amisulpride", 21, pp.8~13 (2001)
  24. "Heartrate dynamics and their relationship to psychotic symptom severityin clozapine-treated schizophrenic patients", 28, pp.371~378 (2004)
  25. "Diminished cardiac vagal tone in schizophrenia:associations to brain laterality and age of onset", 41, pp.612~617 (1997)
  26. "Depression and 18-monthprognosis after myocardial infarction:determine predictive variables", 279, pp.1819~1861 (1993)
  27. "Decreased parameters of HR variation in amitriptylinetreated patients:Low parameters in melancholic depression than inneurotic depression - a biological marker", 36, pp.705~707 (1994)
  28. "Heart rate variability in patients with major depression", 37, pp.35~46 (1991)
  29. "The effect of amitriptyline,doxepin,fluvoxamine and paroxetinetreatment on HR variability", 13, pp.392~395 (1994)
  30. "Effects of psychopharmacologic therapy on HR variation", 66, pp.678~685 (1995)
  31. "Major depression withischemic heart disease:effects of paroxetine and nortriptyline onlong-term heart rate variability measures", 52, pp.418~429 (2002)
  32. "Heart rate variability in patients with major depression", 45, pp.129~134 (2004)
  33. "Heart rate variability increases in elderly depressed patientswho respond to electroconvulsive therapy", 56, pp.89~94 (2004)
  34. "Relationship betweenmajor depression and heart rate variability.Clinical consequencesand implications for antidepressive treatment", 113, pp.139~149 (2002)
  35. "Change in heart rate and heart rate variability during treatmentfor depression in patients with coronary heart disease", 62, pp.639~647 (2000)
  36. "우울증 환자에서의 심박변이도 감소", pp.160~ (2003)
  37. "Prospective study of phobic anxiety and risk ofcoronary heart disease in men", 89, pp.1992~1997 (1994)
  38. "Decreased HR variability in panic disorder patients:A study ofpower spectral analysis of HR", 46, pp.89~103 (1993)
  39. "Effects of isoproterenol infusions on HR variability in patientswith panic disorder", 56, pp.289~293 (1995)
  40. "Altered HR variabilityin panic disorder patients", 37, pp.18~24 (1995)
  41. "Clinical recovery from panic diosrder isassociated with evidence of changes in cardiovascular regulation", 91, pp.108~113 (1995)
  42. "Decreased chaos ofheart rate time series in children of patients with panic disorder", 15, pp.159~167 (2002), Depress Anxiety
  43. "Nonlinearmeasures of heart period variability:decreased measures of symbolicdynamics in patients with panic disorder", 12, pp.67~77 (2000), Depress Anxiety
  44. "Analysis oftwenty-four hour heart rate variability in patients with panic disorder", 56, pp.131~150 (2001)
  45. "Five-minute recordings of heart rate variability in obsessivecompulsivedisorder,panic disorder and healthy volunteers", 78, pp.141~148 (2004)
  46. "Effect of nortriptyline and paroxetine on measuresof chaos of heart rate time series in patients with panic disorder", 55, pp.507~513 (2003)
  47. "Heart ratevariability as predictor of nonresponse to mirtazapine in panic disorder:a preliminary study", 17, pp.69~74 (2002)
  48. "Correlates of therapeutic response in panic disorder presenting withpalpitations:heart rate variability,sleep,and placebo effect", 48, pp.381~387 (2003)
  49. "Power spectral analysis of HR variability in post-traumaticstress disorder patients", 41, pp.627~629 (1997)
  50. "Analysis of HRtrauma-related reminder", 44, pp.1054~1059 (1998)
  51. "Psychopathologic assessment oftraumatic imagery in Israeli civilian patients with posttraumaticstress disorder", 150, pp.620~624 (1993)
  52. "Heart ratevariability during sleep and the early development of posttraumaticstress disorder.Biol Psychiatry", 55, pp.953~956 (2004)
  53. "Decreased HR variabilityin men with phobic anxiety", 75, pp.882~885 (1995)
  54. "Abnormal passive head-up tilt test in subjects with symptoms ofanxiety power spectral analysis study of HR and blood pressure", 25(60), pp.121~131 (1997)
  55. "심박동수 변이 측정치의 규준에 영향을미치는 결정인자 탐색", pp.239~ (2003)
  56. "Differences in Heart Rate Variabilitybetween patients with panic disorder and normal control" (2003)
  57. "공황장애의 유병 기간에 따른심박동수 변이의 차이" (2003)
  58. "심박변이도에 대한 저빈도 경두개 자기 자극술의 영향", pp.240~ (2003)
  59. "심박 변이도 장비의 정신과적 응용", pp.18~29 (2004)

관련 논문AI추천

심박변이도에 대한 이해와 불안장애의 평가 및 치료에서의 활용강지인대한불안의학회 · 대한불안의학회지2025 · 제21권 제1호주요우울장애 환자에서 24시간 심박변이도 분석강은호, 강중근, 우종민, 이선미대한불안의학회 · 대한불안의학회지2013 · 제9권 제2호한국 범불안장애 환자의 자율신경심장기능김현, 남민, 이강준, 이승환, 정영조, 추정숙대한생물정신의학회 · 생물정신의학2005 · 제12권 제1호공황장애 환자에서 약물 치료와 심박동수 변이 (Heart Rate Variability)의 관련성김응석, 우종민, 윤혜영, 최영희대한신경정신의학회 · 신경정신의학2005 · 제44권 제3호정신과 외래환자의 약물치료 반응과 심박동 변이의 변화 양상김도훈, 김인주, 김형태, 손봉기, 이상규, 이홍석대한신경정신의학회 · 신경정신의학2006 · 제45권 제6호Comparative Study of Heart Rate Variability in Patients with Schizophrenia,Bipolar Disorder, Post-traumatic Stress Disorder, or Major Depressive Disorder김도형, 문은옥, 이승환, 황보람대한정신약물학회 · Clinical Psychopharmacology and Neuroscience2013 · 제11권 제3호

이 간행물의 다른 논문 (17건)

외상후 스트레스 장애의 치료정문용pp. 145-146외상후 스트레스 장애에 대한 안구운동 민감소실 및 재처리 요법김대호pp. 147-151외상후 스트레스 장애의 수면김린, 임세원pp. 152-157외상후 스트레스 장애의 경두개자기자극치료채정호, 송정민pp. 158-164외상후 스트레스 장애 환자에서 Mirtazapine과 Sertraline의 치료효과 및 안정성정문용, 김완철, 전은미, 민경호, 김성수, 전용주pp. 165-175
원문 보기