每日创伤后应激障碍症状对心率变化的影响
Danica C Slavish1, Camilo J Ruggero, Keke Schuler
1From the Department of Psychology (Slavish, Ruggero), University of North Texas, Denton, Texas; Department of Behavioral Health (Schuler), Reliant Medical Group, OptumCare, Worcester, Massachusetts; Department of Psychiatry (Schwartz, Kotov), Stony Brook University, Stony Brook, New York; and Department of Medicine (Luft), Stony Brook University, Stony Brook, New York.
Psychosomatic medicine
|November 20, 2023
概括
每日创伤后应激障碍 (PTSD) 症状可能会对自主功能产生负面影响,通过心率变化 (HRV) 来衡量. 这表明短期的PTSD波动可能会随着时间的推移影响心血管健康.
科学领域:
- 心脏病学 心脏病学
- 精神病学是一个精神病学.
- 自主神经科学 自主神经科学
背景情况:
- 创伤后应激障碍 (PTSD) 是一种普遍的疾病,与心血管疾病 (CVD) 风险有关.
- 减少心率变化 (HRV),这是自主功能差的指标,与PTSD有关.
- 关于PTSD与自主功能关系的时间动态和方向性的研究有限.
研究的目的:
- 调查日常PTSD症状与自主功能 (HRV) 之间的短期,定向关联.
- 为了检查PTSD症状的波动如何预测世界贸易中心响应者中HRV的变化.
主要方法:
- 研究了169名世界贸易中心的应急人员,他们患有过度抽样PTSD.
- 参与者完成了PTSD症状调查,每天三次,持续4天.
- 门诊心电图监测被用来推导HRV (平均绝对连续差异).
主要成果:
- HRV没有预测随后的PTSD症状严重程度.
- 在5小时间隔内增加的PTSD症状预测在随后的5小时间隔内降低HRV.
- 这些发现在调整年龄,心脏问题和PTSD诊断后仍然具有意义.
结论:
- 创伤后应激障碍症状表现出短期波动,影响心血管功能.
- 累积的短期干扰可能会导致长期的心血管风险.
- 需要对管理PTSD症状及其心血管影响的瞬间干预措施进行进一步研究.
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