https://scholars.lib.ntu.edu.tw/handle/123456789/504847
標題: | Autonomic reactivity during reading of a somatic distress script in patients with somatic symptom disorder | 作者: | Huang W.-L. Shih-Cheng Liao YU-KANG TU Yang C.C.H. Kuo T.B.J. SUSAN SHUR-FEN GAU |
公開日期: | 2019 | 出版社: | Elsevier Inc. | 卷: | 123 | 起(迄)頁: | 109729 | 來源出版物: | Journal of Psychosomatic Research | 摘要: | Objective: The relationship between resting-state heart rate variability (HRV) and somatic symptom disorder (SSD) has been explored in several studies. We planned to examine HRV during the performance of psychological tasks, and assumed that it could be applied for the diagnosis of SSD. Methods: Fifty-three patients with SSD and 52 healthy controls were recruited. Demographic and psychological data were collected. Subjects' HRV was measured over five 5-minute blocks during which they viewed different scripts (resting state; health anxiety; somatic distress; depression; neutral topic). After each block they completed a self-assessment manikin. Generalized estimated equation analysis was used to analyze the impact of mental scripts, SSD and sex on physiological and psychological indicators. Results: In men there was a script*SSD interaction concerning high-frequency power (HF) involving the neutral script; SSD men showed significantly higher HF than healthy men when viewing neutral script. In women there were script*SSD interactions with respect to low-frequency power (LF) and HF involving the somatic distress script and a script*SSD interaction with respect to LF and emotional valence involving the neutral script; SSD women revealed significantly lower LF and HF than healthy women when viewing somatic distress script, they also showed significantly lower LF and higher valence than healthy ones during neutral script. The somatic distress script*SSD interaction still influenced LF and HF in women after adjusting for potential confounders. Conclusion: In women cue-specific HRV is a better method of differentiating people with SSD from healthy individuals than resting-state HRV. Trial registration information: The Research Ethics Committee of National Taiwan University Hospital approved this study (approval number: 201410050RINB). ? 2019 |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85066065546&doi=10.1016%2fj.jpsychores.2019.05.007&partnerID=40&md5=9374db6e5dd774b8489bd6182b99fa2f https://scholars.lib.ntu.edu.tw/handle/123456789/504847 |
ISSN: | 0022-3999 | DOI: | 10.1016/j.jpsychores.2019.05.007 | SDG/關鍵字: | adult; Article; autonomic nervous system function; autonomic reactivity; Beck Depression Inventory; comparative study; controlled study; diastolic blood pressure; distress syndrome; DSM-5; female; Fourier transformation; Health Assessment Questionnaire; heart rate variability; human; major clinical study; male; middle aged; parasympathetic tone; Patient Health Questionnaire 15; psychosomatic disorder; QRS complex; self evaluation; somatic distress; sympathetic tone; treatment outcome; autonomic nervous system; case control study; emotion; heart rate; medically unexplained symptom; pathophysiology; physiology; reading; Autonomic Nervous System; Case-Control Studies; Emotions; Female; Heart Rate; Humans; Male; Medically Unexplained Symptoms; Middle Aged; Reading |
顯示於: | 醫學系 |
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