心率变化,这是一种潜在的评估工具,用于识别老年人的焦虑,抑郁和睡眠障碍
Wenna Liu1, Shutong Wang1, Hanyang Gu1
1Department of Geriatrics, Xijing Hospital, The Fourth Military Medical University, Xi'an, China.
Frontiers in psychiatry
|February 7, 2025
概括
焦虑,抑郁和睡眠障碍在老年人中显著降低心率变化率 (HRV). 人力资源价值观的变化为诊断这些疾病和监测认知健康提供了宝贵的见解.
科学领域:
- 老年学是一门学科.
- 心脏病学 心脏病学
- 精神病学是一个精神病学.
背景情况:
- 心率变化 (HRV) 是自主神经系统功能的一个关键指标.
- 衰老与可能影响HRV的生理变化有关.
- 精神健康状况,如焦虑和抑郁,以及睡眠障碍,在老年人群中很普遍,可能会影响心血管健康.
研究的目的:
- 研究焦虑,抑郁和睡眠障碍对老年人HRV的影响.
- 探索HRV变化的临床影响,在这个人口.
- 为了确定受这些条件影响的特定HRV参数.
主要方法:
- 研究了一组355名老年患者 (163名男性,192名女性).
- 用汉密尔顿焦虑量表 (HAMA) 和汉密尔顿抑郁量表 (HAMD) 评估情绪状态.
- 使用匹兹堡睡眠质量尺度 (PSQI) 评估睡眠质量,并使用ANOVA和后勤回归分析HRV指数.
主要成果:
- 与对照组 (组H) 相比,患有焦虑,抑郁和睡眠障碍的老年人 (G组) 的HRV参数显著下降,除了LF/HF比率外.
- 焦虑与减少的SDNN,SDANN和LF以及增加的LF/HF比率独立相关.
- 抑郁症与SDNN,RMSSD,PNN50和HF降低有关,而睡眠障碍独立预测了PNN50和SDANN的降低.
结论:
- 结合焦虑,抑郁和睡眠障碍,对老年人HRV产生叠加的负面影响.
- 特定的HRV指数 (SDNN,SDANN,RMSSD,PNN50,HF,LF) 对于诊断这一群体的情绪和睡眠障碍是有价值的.
- HRV作为一种方便和有效的工具,用于评估老年患者的情绪和睡眠障碍,特别是那些认知障碍患者.
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