Depression and reduced heart rate variability after cardiac surgery: The mediating role of emotion regulation

Patron, Elisabetta; Benvenuti, Simone Messerotti; Favretto, Giuseppe; Gasparotto, Renata; Palomba, Daniela

doi:10.1016/j.autneu.2013.11.004

Cited by 30 publications

(22 citation statements)

References 49 publications

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“…Psychosocial factors, such as stressful life events (Pieper et al, 2010; van Ockenburg et al, 2015), general stress (Kang et al, 2004; Brosschot et al, 2006; Chandola et al, 2010; Chida and Steptoe, 2010), hostility (Virtanen et al, 2003; Chida and Steptoe, 2009), depression (Stein et al, 2000; Gehi et al, 2005; Ha et al, 2015; Sgoifo et al, 2015) and anxiety (Friedman and Thayer, 1998; Alvares et al, 2013) have all been found to be associated with lowered HRV. In addition, individuals with stronger emotion regulation (Thayer et al, 2009; Patron et al, 2014; Gillie et al, 2015) and adaptive coping strategies have been shown to have higher levels of HRV (Appelhans and Luecken, 2008; Thayer and Lane, 2009). Moreover, low cardiac vagal tone, as reflected in the square root of the mean of the squared differences between adjacent normal RR intervals (rMSSD), is associated with poor self-regulation and lack of behavioral flexibility (Porges, 1992).…”

Section: Introductionmentioning

confidence: 99%

Can Illness Perceptions Predict Lower Heart Rate Variability following Acute Myocardial Infarction?

et al. 2016

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Objective: Decreased heart rate variability (HRV) has been reported to be a predictor of mortality after myocardial infarction (MI). Patients' beliefs and perceptions concerning their illness may play a role in decreased HRV. This study investigated if illness perceptions predict HRV at 3 months following acute MI.Methods: 130 patients referred to a tertiary cardiology center, were examined within 48 h and 3 months following acute MI. At admission, patients' cognitive representations of their MI were assessed using the German version of the self-rated Brief Illness Perception Questionnaire (Brief IPQ). At admission and after 3 months (follow-up), frequency and time domain measures of HRV were obtained from 5-min electrocardiogram (ECG) recordings during stable supine resting.Results: Linear hierarchical regression showed that the Brief IPQ dimensions timeline (β coefficient = 0.29; p = 0.044), personal control (β = 0.47; p = 0.008) and illness understanding (β = 0.43; p = 0.014) were significant predictors of HRV, adjusted for age, gender, baseline HRV, diabetes, beta-blockers, left ventricular ejection fraction (LVEF), attendance of cardiac rehabilitation, and depressive symptoms.Conclusions: As patients' negative perceptions of their illness are associated with lower HRV following acute MI, a brief illness perception questionnaire may help to identify patients who might benefit from a specific illness perceptions intervention.

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Section: Introductionmentioning

confidence: 99%

Can Illness Perceptions Predict Lower Heart Rate Variability following Acute Myocardial Infarction?

et al. 2016

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“…Importantly, there is even more evidence that depressed patients with CAD or after MI have reduced HRV compared to non-depressed individuals ( Carney et al, 1995 , 2001 ; for reviews, see Carney et al, 2002 , 2005 ; Shaffer et al, 2014 ). It has been recently shown that an association between depression and reduced HRV extends also to patients who underwent cardiac surgery ( Patron et al, 2012 , 2014 , 2015 ). Based on these findings, reduced HRV has been suggested as one possible pathophysiological marker of depression-related ANS dysregulation that has been implicated as a risk factor for cardiac morbidity and/or mortality in CAD, post-MI, or post-surgical patients ( Carney et al, 2002 , 2005 ; Patron et al, 2012 , 2014 , 2015 ).…”

Section: Introductionmentioning

confidence: 99%

Somatic, but not cognitive–affective, symptoms are associated with reduced heart rate variability in individuals with dysphoria

et al. 2015

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Background: Somatic, but not cognitive–affective, symptoms of depression have been associated with reduced heart rate variability (HRV), and with poor prognosis in cardiovascular patients. However, factors concomitant with cardiovascular diseases may confound the relationship between somatic symptoms of depression and reduced HRV. Therefore, this study examined whether reduced HRV was differentially associated with cognitive–affective and somatic symptoms of depression in medically healthy individuals with and without dysphoria.Methods: Self-reported cognitive–affective and somatic symptoms as measured with the Beck Depression Inventory-II questionnaire and time and frequency domain parameters of HRV were collected in 62 medically healthy individuals, of whom 25 with and 37 without dysphoria.Results: Somatic, but not cognitive–affective, symptoms of depression were inversely associated with SD of NN intervals (β = -0.476, p < 0.05), number of interval differences of successive NN intervals greater than 50 ms (NN50; β = -0.498, p < 0.03), and HRV total power (β = -0.494, p < 0.04) in the group with dysphoria, after controlling for sex, anxiety, and lifestyle factors. Cognitive–affective and somatic symptoms were not related to any of the HRV parameters in the group without dysphoria (all ps > 0.24).Conclusion: By showing that the relationship between somatic depressive symptoms and reduced HRV extends to medically healthy individuals with dysphoria, the present findings suggest that this association is independent of factors concomitant with cardiovascular diseases. The present study also suggests that individuals with somatic rather than cognitive–affective subsets of depressive symptoms may be at greater risk for developing cardiovascular diseases.

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“…There are studies that show a significant relationship between cardiovascular diseases and depression 4,7 . Some authors contextualize this debate with the objective of seeking ways to highlight and interconnect methods to evaluate how is the operation of physiological systems.…”

Section: Discussionmentioning

confidence: 99%

“…Thus, it appears that the depression that is a phenomenon which causes physiological changes in the system of the individual can be easily associated with alterations in the cardiac autonomic modulation 7 .…”

Section: Hf Lf Hf/lfmentioning

confidence: 99%

Efeitos Da Depressão Na Modulação Autonômica Cardíaca

et al. 2018

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Características psicológicas como a depressão podem ser fatores de risco para doenças cardiovasculares. Devido à influência que o sistema nervoso autônomo (SNA) exerce sobre a frequência cardíaca, a Variabilidade da Frequência Cardíaca (VFC) tem sido amplamente utilizada para análise do controle autonômico sobre a frequência cardíaca. Objetivouse verificar a influência da depressão na VFC. Trata-se de uma revisão integrativa, cuja busca foi delineada nas bases de dados Literatura Latino-Americana e do Caribe (LILACS) e Medical Literature Analysis and Retrieval System On-line (MedLine) via Biblioteca Virtual de Saúde (BVS) que tivessem sido publicados nos últimos 5 anos (2012-2017), durante os meses de setembro a novembro do ano de 2017. Neste processo, utilizou-se o operador booleano AND, na associação dos seguintes descritores: Depressão; Frequência Cardíaca; Sistema Nervoso Autônomo. Identifica-se o aumento da modulação simpática em indivíduos depressivos apresentando influência negativa sobre os índices de análise da VFC.

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Depression and reduced heart rate variability after cardiac surgery: The mediating role of emotion regulation

Cited by 30 publications

References 49 publications

Can Illness Perceptions Predict Lower Heart Rate Variability following Acute Myocardial Infarction?

Can Illness Perceptions Predict Lower Heart Rate Variability following Acute Myocardial Infarction?

Somatic, but not cognitive–affective, symptoms are associated with reduced heart rate variability in individuals with dysphoria

Efeitos Da Depressão Na Modulação Autonômica Cardíaca

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