https://scholars.lib.ntu.edu.tw/handle/123456789/504839
標題: | Application of heart rate variability during blood pressure measurement in patients with somatic symptom disorder | 作者: | Huang W.-L. HORNG-HUEI LIOU Ouyang H. Shih-Cheng Liao |
公開日期: | 2020 | 出版社: | Churchill Livingstone | 卷: | 74 | 起(迄)頁: | 25-31 | 來源出版物: | Journal of Clinical Neuroscience | 摘要: | Objective: This study wants to test whether the heart rate variability (HRV) analysis using sphygmomanometers can effectively reflect the physical and emotional distress of somatic symptom disorder (SSD) cases and assist in further health management. Methods: This study includes 66 female SSD cases and 32 male SSD cases. All cases received a 200-second blood pressure (BP) measurement, after which the numerical figure for the heart rate was obtained from the BP signal for HRV analysis. All cases also filled out Patient Health Questionnaire-15 (PHQ-15), Beck Depression Inventory-II (BDI-II), Beck Anxiety Inventory (BAI) to understand the extent of their somatic distress, depression, and anxiety. The relationship between psychological conditions and HRV indicators are examined statistically. Receiver operating characteristic (ROC) curve analysis was used to understand whether HRV indicators can assist in the determination of psychosomatic problems. Results: Considering all and female SSD cases, low-frequency power (LF) and PHQ-15 in the HRV index have the most significant correlations. In male SSD cases, root mean square of successive NN interval differences (RMSSD) and BDI-II have the highest correlations. The results of ROC curve analysis indicate that LF is useful to judge the severity of female SSD cases, while RMSSD has reference value in determining whether male patients of SSD cases have depression or not. In addition, physical stress index (PSI) can also help determine the degree of depression in male SSD cases. Conclusion: The use of BP in HRV analysis can help in the monitoring of somatic distress and depression issues in SSD cases. LF, RMSSD, PSI are potential physiological indicators. ? 2020 Elsevier Ltd |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85078146541&doi=10.1016%2fj.jocn.2020.01.064&partnerID=40&md5=b4d17a7cd48a37a215056bd1d0062446 https://scholars.lib.ntu.edu.tw/handle/123456789/504839 |
ISSN: | 0967-5868 | DOI: | 10.1016/j.jocn.2020.01.064 | SDG/關鍵字: | adult; aged; anxiety disorder; Article; Beck Anxiety Inventory; Beck Depression Inventory; blood pressure; blood pressure measurement; controlled study; cross-sectional study; depression; disease association; disease severity; emotional stress; female; frequency analysis; heart rate; heart rate variability; human; major clinical study; male; mental disease assessment; patient care; Patient Health Questionnaire 15; patient monitoring; physical disability; physical stress; priority journal; psychosomatic disorder; receiver operating characteristic; reference value; autonomic nervous system; emotion; medically unexplained symptom; middle aged; pathophysiology; physiology; Adult; Anxiety Disorders; Autonomic Nervous System; Blood Pressure Determination; Depressive Disorder; Emotions; Female; Heart Rate; Humans; Male; Medically Unexplained Symptoms; Middle Aged |
顯示於: | 醫學系 |
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