在不稳定的住房中心率变化 退伍军人有心理健康状况
Tara A Austin1,2, Amber V Keller2,3, Arpi Minassian1,4
1Center of Excellence for Stress and Mental Health, VA San Diego Healthcare System, San Diego, USA.
Journal of clinical and experimental neuropsychology
|August 19, 2025
概括
无家可归退伍军人的心率变化 (HRV) 和休息心率 (HR) 与身体健康,神经心理表现和心理健康症状相关. 这些自主神经系统的测量可能表明这个人群的复杂医疗保健需求.
科学领域:
- 自主神经系统研究 自主神经系统研究
- 退伍军人健康研究研究
- 心理健康和生理学
背景情况:
- 无家可归影响近10%的退伍军人,往往导致复杂的健康问题和并发症.
- 自主神经系统 (ANS) 失调,以心率 (HR) 和心率变化 (HRV) 表示,与一般人群的健康状况较差有关.
- 在不稳定的住房中,ANS功能和健康状况之间的关系 精神健康状况的退伍军人仍然未被充分探索.
研究的目的:
- 调查心率变化 (HRV) 和心率 (HR) 与接受心理健康治疗的不稳定住房退伍军人的身体健康,神经心理表现,神经精神症状和功能状态之间的联系.
- 探索HRV作为评估这一弱势群体医疗需求的非侵入性生物标志物的潜力.
主要方法:
- 一组43名男性退伍军人正在经历或面临无家可归的风险,并正在接受住院心理健康治疗.
- 测量包括通过时间域和频率域分析的心率变化 (HRV),神经心理测试以及神经心理症状和日常功能评估.
- 使用相关性和多重回归分析来检查HRV/HR指标和其他健康/功能结果之间的关系.
主要成果:
- 较高的静止心率 (HR) 和较差的心率可变性 (HRV) 度量与较差的身体健康,认知表现和增加的神经精神症状有显著的相关性.
- 这些ANS测量还显示了与功能状况较差和残疾水平较高的重要关联.
- 神经心理和症状变量总体解释了HR和HRV差异的很大一部分 (22-50%).
结论:
- 心率变化 (HRV) 和静止心率 (HR) 与不稳定住房的退伍军人精神健康状况的多个健康和功能领域有显著联系.
- 这些生理标志物可以作为这个人群中复杂的医疗保健需求的有价值的非侵入性指标.
- 对HRV作为生物标志物的进一步研究可以为针对性干预和对无家可归退伍军人的支持提供信息.
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