Heart Rate Variability during Inpatient Psychosomatic Treatment - A Naturalistic Observational Study

Zimmermann-Viehoff, Frank; Thayer, Julian F.; Bergt, Juliane; Weber, Cora; Erdur, Laurence; Richter, Steffen; Deter, Hans‐Christian

doi:10.13109/zptm.2016.62.1.20

Cited by 8 publications

(5 citation statements)

References 42 publications

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“…Both the results indicate reduced parasympathetic activity in somatoform disorder patients. In a different study, Viehof Z. et al (2016) found reduced heart rate variability among somatoform disorder patients 16 . Heart rate variability means beat to beat variation in length of time and it is a measure of parasympathetic activity.…”

Section: Study Variables Of Autonomic Functionmentioning

confidence: 94%

Is Autonomic Dysfunction Intricately Associated With Somatoform Disorders? An Analytical Study in Kolkata

Laskar¹

2019

jemds

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BACKGROUND Somatoform disorder is nowadays considered as the most frequent psychiatric diagnosis in general practice and is diagnosed in 16.1% of consecutive consulting patients. Physiological disturbances are so common in somatization that it can easily maintain the body focus, and symptom misinterpretations of a person having somatoform dysfunction. The interaction between 'psyche' and "soma" happens through a complex network of feedback and modulation among the central and autonomic nervous system. We wanted to assess the status of autonomic function as per existing standard (Ewing's) test protocol among study population and evaluate the association between autonomic functions and somatoform disorders. METHODS A cross-sectional, analytical study was conducted using five non-invasive tests as per existing Ewing's test protocol among fifty newly diagnosed somatoform disorder patients of 18-40 years age group of both sexes who had been attending psychiatry outpatient department along with age and sex matched healthy subjects. RESULTS There was significant difference in 30:15 (p= 0.02), VR (p= 0.04) responses between cases & control groups indicating reduced parasympathetic activity and comparing study subjects with control subjects no significant difference in blood pressure response to standing. IHG test response was found to exist indicating no change in sympathetic activity among somatoform disorder patients compared to control subjects. CONCLUSIONS Reduced parasympathetic activity and no sympathetic dysregulation were present among patients of somatoform disorders and this should be taken care of as reduced parasympathetic activity might cause cardiovascular disturbances.

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Section: Study Variables Of Autonomic Functionmentioning

confidence: 94%

Is Autonomic Dysfunction Intricately Associated With Somatoform Disorders? An Analytical Study in Kolkata

Laskar¹

2019

jemds

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“…Regarding the clinical characteristics of the samples, anxiety conditions with anxiety disorder as the primary condition were most prevalent (Blanck et al, 2019;Garakani et al, 2009;Stratford et al, 2014;Sullivan et al, 2004). Other disorders of lower prevalence in the literature were anxiety or other mood disorders (Wheeler et al, 2014), posttraumatic stress disorder (PTSD; Doukas et al, 2014) and PTSD comorbid with substance abuse disorder (Soder et al, 2019), separation anxiety disorder (Milrod et al, 2016), depressive disorder (Blanck et al, 2019;Caldwell & Steffen, 2018;Carney et al, 2000;Kim et al, 2009;Neyer et al, 2021;Zimmermann Viehoff et al, 2016), bipolar disorder (Howells et al, 2014), somatoform disorders (Angelovski et al, 2016;ZimmermannViehoff et al, 2016), adjustment disorder (ZimmermannViehoff et al, 2016, low trait positive affect (Lü et al, 2013), and mental or psychosomatic symptoms in general (Balint et al, 2022).…”

Section: Overview Of Treatments and Sample Characteristicsmentioning

confidence: 99%

“…The most prevalent clinical orientation was cognitive behavioral therapy (CBT) and CBT variants, e.g., for substance abuse disorder (Blanck et al, 2019;Caldwell & Steffen, 2018;Soder et al, 2019), in forest environments (Kim et al, 2009), combined with biofeedback (Angelovski et al, 2016), and mindfulnessbased (Howells et al, 2013). Other orientations were a diversity of psychodynamic therapies (Angelovski et al, 2016;Milrod et al, 2016;Stratford et al, 2014;ZimmermannViehoff et al, 2016), group positive psychotherapy (Lü et al, 2013), and eclectic or miscellaneous approaches (Balint et al, 2022;Doukas et al, 2014). A total of 960 participants (excluding psychotherapists) of which 743 received psychotherapy were included in the review.…”

Section: Overview Of Treatments and Sample Characteristicsmentioning

confidence: 99%

What the heart brings to therapy: A systematic review on heart rate variability contributions to psychotherapy research

Dufey,

González,

Bravo

et al. 2023

RPPC

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Vagal tone is a psychophysiological construct indexed by heart rate variability (HRV) that is associated with emotion regulation, interpersonal abilities, and mental health in non-clinical and clinical populations. However, the evidence concerning its role in psychotherapy is still limited and no review summarizing the obtained results has been reported to date. The present study aims to fill this gap by presenting a systematic review of psychotherapy studies that evaluate patients’ vagal tone regarding process variables and therapy outcomes. The databases SSCI (WoS), EBSCO, and Psychology (ProQuest) database were searched, yielding a total of 23 studies that were qualitatively analyzed. Results showed mixed evidence regarding the predictive value of HRV for clinical outcomes (e.g., symptom level), as well as the effects of psychotherapy on HRV. The association between HRV and working alliance has shown to be consistently positive, although in a smaller number of investigations. Findings are discussed considering HRV assessment conditions and study designs, highlighting the potential value of HRV to inform about the level of psychophysiological resources and autonomic flexibility that individuals bring to therapy.

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“…Altered HRV with increased low-frequency and reduced high-frequency power has been found in various pain-related disorders [32,33], indicating an increased sympathetic and reduced vagal tone [34]. Research also suggests sympathetic over-activation and reduced HRV in psychosomatic inpatients [35] and patients with somatic symptom disorder, respectively [33].…”

Section: Introductionmentioning

confidence: 99%

Mirror Therapy in Patients with Somatoform Pain Disorders—A Pilot Study

Ruf¹,

Hetterich²,

Mazurak³

et al. 2023

Behavioral Sciences

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Patients with chronic pain report reduced quality of life and high symptom burden while often responding insufficiently to treatment options. Mirror therapy has been proven to be effective in treating phantom limb pain and other conditions such as CRPS. This study was designed to investigate the efficacy of mirror therapy in patients with somatoform pain disorders on symptom severity and associated physiological parameters. Fifteen patients with persistent somatoform pain disorder (F45.40) or chronic pain disorder with somatic and psychological factors (F45.41) participated and received four weeks of tablet-based mirror therapy. Symptom severity was measured with established questionnaires, and their thermal detection, pain thresholds, and heart rate variability (HRV) were also assessed. After mirror therapy, pain intensity was reduced (z = −2.878, p = 0.004), and pain thresholds for cold stimuli were also diminished, i.e., the subjects became more sensitive to cold stimuli (z = −2.040, p = 0.041). In addition, a reduction of absolute power in the low-frequency band of HRV (t(13) = 2.536, p = 0.025) was detected. These findings indicate that this intervention may reduce pain intensity and modulate associated physiological parameters. As these results are limited by several factors, e.g., a small sample size and no control group, they should be validated in further studies investigating this novel intervention in these patients.

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Heart Rate Variability during Inpatient Psychosomatic Treatment - A Naturalistic Observational Study

Abstract: Reductions of psychological distress may not be reflected by improved autonomic function. Studies on interventions that may improve both psychological distress and autonomic dysfunction are desirable.

Cited by 8 publications

References 42 publications

Is Autonomic Dysfunction Intricately Associated With Somatoform Disorders? An Analytical Study in Kolkata

Is Autonomic Dysfunction Intricately Associated With Somatoform Disorders? An Analytical Study in Kolkata

What the heart brings to therapy: A systematic review on heart rate variability contributions to psychotherapy research

Mirror Therapy in Patients with Somatoform Pain Disorders—A Pilot Study

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