Einfluss einer posttraumatischen Belastungsstörung auf die Herzfrequenzvariabilität als Marker des autonomen Nervensystems – eine systematische Literaturübersicht

Sammito, Stefan; Thielmann, Beatrice; Zimmermann, P.; Böckelmann, Irina

doi:10.1055/s-0034-1398779

Cited by 21 publications

(10 citation statements)

References 21 publications

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“…When excluding medicated patients, this pattern remained significant. Extending previous research (Meyer et al ., 2016), our findings indicate a significant impact of comorbid PTSD on HF-HRV, not only under baseline conditions but also during an ER task in BPD, pointing to complex interactions between (post)traumatic stress and autonomic nervous system functioning (Pechtel and Pizzagalli, 2011; Sammito et al ., 2015). Other variables that may affect HF-HRV, such as depressive symptoms, BPD symptom severity, and comorbidities other than PTSD did not differ between the patient groups, rendering it unlikely that they accounted for the observed group differences in HF-HRV.…”

Section: Discussionmentioning

confidence: 99%

“…Reduced HRV has been linked to detrimental long-term effects on physical and mental health, including increased risk for immune dysfunction, inflammation, cardiovascular diseases (Liao et al ., 2002; Kemp and Quintana, 2013), major depression, anxiety (Kemp et al ., 2012; Chalmers et al ., 2014; Koenig et al ., 2016 a ), and PTSD (Pechtel and Pizzagalli, 2011; Sammito et al ., 2015; Meyer et al ., 2016).…”

Section: Introductionmentioning

confidence: 99%

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Heart rate variability during a cognitive reappraisal task in female patients with borderline personality disorder: the role of comorbid posttraumatic stress disorder and dissociation

et al. 2018

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Heart rate variability during a cognitive reappraisal task in female patients with borderline personality disorder: the role of comorbid posttraumatic stress disorder and dissociation

et al. 2018

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“…People suffering from a series of psychiatric symptoms such as anxiety disorder 39 , panic attacks 39,40 , posttraumatic stress disorders 41 , epilepsy42, anorexia 43 , borderline personality disorder 44 and depressions 39,45,46 have been found to have lower HRV parameters.…”

Section: Psychiatric Diseasesmentioning

confidence: 99%

Factors influencing heart rate variability

Sammito¹,

Böckelmann²

2016

ICFJ

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The measurement and analysis of heart rate variability (HRV), which is based on the variation between consecutive NN intervals, has become an established procedure over the past two decades. A decrease in HRV has been shown to correlate with an increase in mortality. HRV is influenced by a number of physiological factors such as various diseases. Awareness of these mediators or confounders is of great importance in the analysis and assessment of HRV both in scientific studies and in clinical practice. This document, which is based on a selective survey of references and supplemented by information from national and international guidelines, presents the main endogenous, exogenous and constitutional factors. A decrease in HRV has been observed not only in connection with non-influenceable physiological factors such as age, gender and ethnic origin, but also in conjunction with a large number of acute and chronic diseases. Numerous lifestyle factors have both a positive and a negative influence on HRV. There are also physical influences that affect HRV. They must on no account be disregarded. Although the list of the factors is long and not all of them have yet been fully studied, awareness of them is of crucial importance in the measurement of HRV (both under laboratory conditions and during medical practice), its analysis and its assessment. More research also needs to be carried out to close knowledge gaps.

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“…Consistent with this, low HF-HRV has been shown to be associated with both SUDs and post-traumatic stress. For example, a recent meta-analysis found that alcohol dependence was associated with lower HRV (Quintana, McGregor, Guastella, Malhi, & Kemp, 2013), and a meta-analysis of seven studies found lower resting HF-HRV in individuals with PTSD as compared to healthy controls (Chalmers, Quintana, Abbott, & Kemp, 2014; Sammito, Thielmann, Zimmermann, & Böckelmann, 2015). There are several plausible pathways linking HF-HRV to SUD and PTSD.…”

Section: Introductionmentioning

confidence: 99%

Resting Heart Rate Variability: Exploring Associations With Symptom Severity in Adults With Substance Use Disorders and Posttraumatic Stress

D’Souza

Wardle

Green

et al. 2018

Journal of Dual Diagnosis

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Objective: Substance use disorders (SUDs) and post-traumatic stress symptoms are commonly comorbid. Previous studies have established that those with SUD or post-traumatic stress disorder (PTSD) have lower high frequency-heart rate variability (HF-HRV) compared to controls, suggesting low HF-HRV may be a biomarker of a common physiological mechanism underlying both disorders. We evaluated HF-HRV as a potential biomarker of a common underlying process by testing whether lower HF-HRV related to greater severity of substance use and PTSD symptoms in individuals with both substance use disorders and at least four symptoms of PTSD. Methods: HF-HRV was measured in 49 adults with SUD and at least four symptoms of PTSD. We performed a series of regressions controlling for age to test whether low HF-HRV was associated with greater SUD and PTSD symptom severity. SUD symptoms were measured by the Addiction Severity Index and PTSD symptoms were measured by the Clinician-Administered PTSD Scale and the PTSD Checklist. Results: After controlling for age, low resting HF-HRV was significantly associated with drug and alcohol symptom severity but not PTSD symptom severity. Conclusions: HF-HRV may be more sensitive to the severity of drug and alcohol use rather than PTSD. Findings may suggest that in PTSD populations, HF-HRV may primarily index comorbid SUD symptoms. HF-HRV could serve as an objective measure of substance use severity and should be further investigated as a predictor of outcomes in treatment for SUD.

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Einfluss einer posttraumatischen Belastungsstörung auf die Herzfrequenzvariabilität als Marker des autonomen Nervensystems – eine systematische Literaturübersicht

Cited by 21 publications

References 21 publications

Heart rate variability during a cognitive reappraisal task in female patients with borderline personality disorder: the role of comorbid posttraumatic stress disorder and dissociation

Heart rate variability during a cognitive reappraisal task in female patients with borderline personality disorder: the role of comorbid posttraumatic stress disorder and dissociation

Factors influencing heart rate variability

Resting Heart Rate Variability: Exploring Associations With Symptom Severity in Adults With Substance Use Disorders and Posttraumatic Stress

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