The relationships among heart rate variability, executive functions, and clinical variables in patients with panic disorder

被引:84
作者
Hovland, Anders [1 ,2 ]
Pallesen, Stale [3 ]
Hammar, Asa [4 ]
Hansen, Anita Lill [3 ]
Thayer, Julian F. [5 ]
Tarvainen, Mika P. [6 ]
Nordhus, Inger Hilde [2 ]
机构
[1] Solli Dist Psychiat Ctr DPS, N-5227 Nesttun, Norway
[2] Univ Bergen, Dept Clin Psychol, N-5020 Bergen, Norway
[3] Univ Bergen, Dept Psychosocial Sci, N-5020 Bergen, Norway
[4] Univ Bergen, Dept Biol & Med Psychol, N-5020 Bergen, Norway
[5] Ohio State Univ, Dept Psychol, Columbus, OH 43210 USA
[6] Univ Eastern Finland, Dept Appl Phys, Kuopio, Finland
基金
芬兰科学院;
关键词
Panic disorder; Anxiety; Heart rate variability; Executive functions; Attention; Inhibition; RESPIRATORY SINUS ARRHYTHMIA; NATIONAL COMORBIDITY SURVEY; POWER-SPECTRAL-ANALYSIS; CARDIAC VAGAL TONE; COGNITIVE PERFORMANCE; ANXIETY; ATTENTION; STRESS; AGORAPHOBIA; MECHANISMS;
D O I
10.1016/j.ijpsycho.2012.10.004
中图分类号
B84 [心理学];
学科分类号
010107 [宗教学];
摘要
Heart rate variability (HRV) is reduced in patients who suffer from panic disorder (PD). Reduced HRV is related to hypoactivity in the prefrontal cortex (PFC), which negatively affects executive functioning. The present study assessed the relationships between vagally mediated HRV at baseline and measures of executive functioning in 36 patients with PD. Associations between these physiological and cognitive measures and panic-related variables were also investigated. HRV was measured using HF-power (ms(2)), and executive functions were assessed with the Wisconsin Card Sorting Test (WCST) and the Color-Word Interference Test (CWIT) from the Delis-Kaplan Executive Function System (D-KEFS). Panic-related variables comprised panic frequency, panic-related distress, and duration of PD. Performance on the neuropsychological measures correlated significantly with HRV. Both panic-related distress and duration of PD were inversely related with measures of HRV and cognitive inhibition. The current findings support the purported relationship between HRV and executive functions involving the PFC. (C) 2012 Elsevier B.V. All rights reserved.
引用
收藏
页码:269 / 275
页数:7
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