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Updated: Sep 17, 2025

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Posttraumatic Stress, Posttraumatic Growth, and Heart Rate Variability Among Breast Cancer Survivors
İmran Gökçen Yılmaz Karaman1, Cennet Yastıbaş Kaçar2, Gülay Dirik3
1Department of Psychiatry, Faculty of Medicine, Eskişehir Osmangazi University, Eskişehir, Türkiye.
Noro Psikiyatri Arsivi
|June 30, 2025
Summary
Breast cancer survivors
Area of Science:
- Oncology
- Cardiology
- Psychology
Background:
- Breast cancer is a leading cause of mortality in women worldwide.
- Survivors may experience post-traumatic stress disorder (PTSD) symptoms or post-traumatic growth (PTG).
- Understanding the physiological impact of these psychological states is crucial for comprehensive care.
Purpose of the Study:
- To investigate the relationship between heart rate variability (HRV) parameters and psychological outcomes in breast cancer survivors.
- To explore correlations between PTSD symptoms, PTG, and specific HRV metrics.
Main Methods:
- Forty-three female breast cancer survivors (Stage 1-3) participated.
- 24-hour ECG was used to measure HRV parameters.
- PTSD and PTG were assessed using the PCL-5 and PTGI, respectively.
Main Results:
- PTSD symptoms (PCL-5) correlated with reduced HRV (SDNN, LF) and increased mean heart rate.
- PTG symptoms (PTGI) were associated with the LF/HF ratio.
- Both PTSD and PTG scores predicted HRV parameters and mean heart rate via regression analysis.
Conclusions:
- PTSD and PTG symptoms are significantly associated with HRV parameters in breast cancer survivors.
- PTSD relates to lower HRV and higher heart rate, while PTG is linked to higher HRV and lower heart rate.
- These findings highlight the complex interplay between psychological well-being and cardiovascular health post-cancer treatment.
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