Emotional Awareness Is Correlated With Ambulatory Heart Rate Variability: A Replication and Extension.

IF 2.9 3区 医学 Q2 PSYCHIATRY Psychosomatic Medicine Pub Date : 2024-11-01 Epub Date: 2024-07-02 DOI:10.1097/PSY.0000000000001329
Derek P Spangler, Harry T Reis, Chiu-Hsieh Hsu, Wojciech Zareba, Richard D Lane
{"title":"Emotional Awareness Is Correlated With Ambulatory Heart Rate Variability: A Replication and Extension.","authors":"Derek P Spangler, Harry T Reis, Chiu-Hsieh Hsu, Wojciech Zareba, Richard D Lane","doi":"10.1097/PSY.0000000000001329","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>In healthy volunteers, a positive association has previously been observed between emotional awareness (EA), the ability to identify and describe emotional experiences in oneself and others, and resting heart rate variability (HRV), which is dominated by vagus nerve activity. The current study aimed to investigate the EA-HRV association across multiple assessments in a \"real-world\" ambulatory context in patients with long QT syndrome (LQTS) who are at genetic risk for sudden cardiac death.</p><p><strong>Methods: </strong>Participants (157 LQTS patients; Mean Age = 35.1, SD Age = 10.4; 115 women) completed the levels of emotional awareness scale (LEAS) on one occasion, which served as our measure of EA. In an ecological momentary assessment study involving 10 assessments per day over 3 days, multiple 5-minute ECG assessments (mean = 24.6, SD = 5.1) were obtained in each patient using a Holter monitor, from which high-frequency HRV (HF-HRV) was computed on each occasion.</p><p><strong>Results: </strong>There was a significant positive association between LEAS scores and HF-HRV controlling for biobehavioral covariates. We also detected a similar inverse relation between EA and mean heart rate.</p><p><strong>Conclusion: </strong>These findings suggest that, in patients with a well-defined genetic risk for ventricular arrhythmia and sudden death, the ability to experience emotions in a complex and differentiated way covaries with greater parasympathetic influences on the heart. These findings are consistent with the overlapping neural substrates of EA and HRV and their common contribution to adaptive emotional responding, consistent with the Neurovisceral Integration Model.</p>","PeriodicalId":20918,"journal":{"name":"Psychosomatic Medicine","volume":null,"pages":null},"PeriodicalIF":2.9000,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psychosomatic Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/PSY.0000000000001329","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/7/2 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"PSYCHIATRY","Score":null,"Total":0}
引用次数: 0

Abstract

Objective: In healthy volunteers, a positive association has previously been observed between emotional awareness (EA), the ability to identify and describe emotional experiences in oneself and others, and resting heart rate variability (HRV), which is dominated by vagus nerve activity. The current study aimed to investigate the EA-HRV association across multiple assessments in a "real-world" ambulatory context in patients with long QT syndrome (LQTS) who are at genetic risk for sudden cardiac death.

Methods: Participants (157 LQTS patients; Mean Age = 35.1, SD Age = 10.4; 115 women) completed the levels of emotional awareness scale (LEAS) on one occasion, which served as our measure of EA. In an ecological momentary assessment study involving 10 assessments per day over 3 days, multiple 5-minute ECG assessments (mean = 24.6, SD = 5.1) were obtained in each patient using a Holter monitor, from which high-frequency HRV (HF-HRV) was computed on each occasion.

Results: There was a significant positive association between LEAS scores and HF-HRV controlling for biobehavioral covariates. We also detected a similar inverse relation between EA and mean heart rate.

Conclusion: These findings suggest that, in patients with a well-defined genetic risk for ventricular arrhythmia and sudden death, the ability to experience emotions in a complex and differentiated way covaries with greater parasympathetic influences on the heart. These findings are consistent with the overlapping neural substrates of EA and HRV and their common contribution to adaptive emotional responding, consistent with the Neurovisceral Integration Model.

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
情绪意识与动态心率变异性相关:重复和扩展。
研究目的以前曾在健康志愿者中观察到情绪意识(EA)与静息心率变异性(HRV)之间存在正相关,情绪意识是指识别和描述自己和他人情绪体验的能力,而静息心率变异性则由迷走神经活动主导。本研究旨在调查长 QT 综合征(LQTS)患者在 "真实世界 "的非卧床环境中进行多次评估时的 EA-HRV 关联性,这些患者具有心脏性猝死的遗传风险:参与者(157 名 LQTS 患者;平均年龄 = 35.1 岁,平均年龄 = 10.4 岁;115 名女性)一次性完成情绪意识水平量表(LEAS),该量表是我们对情绪意识的测量。在一项为期三天、每天进行 10 次评估的生态瞬间评估研究中,我们使用 Holter 监测器对每位患者进行了多次 5 分钟心电图评估(平均值 = 24.6,标准差 = 5.1),并根据每次评估计算了高频心率变异(HF-HRV):结果:在控制生物行为协变量的情况下,LEAS评分与HF-HRV之间存在明显的正相关。我们还发现 EA 与平均心率之间存在类似的反比关系:这些研究结果表明,在具有明确室性心律失常和猝死遗传风险的患者中,以复杂和有区别的方式体验情绪的能力与副交感神经对心脏的更大影响有关。这些发现与情绪体验和心率变异的神经基底重叠以及它们对适应性情绪反应的共同贡献是一致的,这与神经内脏整合模型是一致的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
Psychosomatic Medicine
Psychosomatic Medicine 医学-精神病学
CiteScore
5.10
自引率
0.00%
发文量
258
审稿时长
4-8 weeks
期刊介绍: Psychosomatic Medicine is the official peer-reviewed journal of the American Psychosomatic Society. The journal publishes experimental, clinical, and epidemiological studies on the role of psychological and social factors in the biological and behavioral processes relevant to health and disease. Psychosomatic Medicine is an interdisciplinary peer-reviewed journal devoted to high-quality science on biobehavioral mechanisms, brain-behavior interactions relevant to physical and mental disorders, as well as interventions in clinical and public health settings. Psychosomatic Medicine was founded in 1939 and publishes interdisciplinary research articles relevant to medicine, psychiatry, psychology, and other health-related disciplines. The print journal is published nine times a year; most articles are published online ahead of print. Supplementary issues may contain reports of conferences at which original research was presented in areas relevant to the psychosomatic and behavioral medicine.
期刊最新文献
Emotional Awareness Is Correlated With Ambulatory Heart Rate Variability: A Replication and Extension. Ecologically Assessed Sleep Duration and Arterial Stiffness in Healthy Men and Women. Psychological Factors Modulate Quantitative Sensory Testing Measures in Fibromyalgia Patients: A Systematic Review and Meta-Regression Analysis. Learned Symptom-Specific Fear Toward a Visceral Sensation and Its Impact on Perceptual Habituation. Associations Between Sexual Orientation Dimensions and Cardiometabolic Diseases: Data From the National Epidemiologic Survey on Alcohol and Related Conditions-III (NESARC-III).
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1