Heart rate variability: Pre-deployment predictor of post-deployment PTSD symptoms

被引：48

作者：

Pyne, Jeffrey M. ^{[1
,2
,3
]}

Constans, Joseph I. ^{[2
,4
,5
]}

Wiederhold, Mark D. ^{[6
]}

Gibson, Douglas P. ^{[7
]}

Kimbrell, Timothy ^{[1
,2
]}

Kramer, Teresa L. ^{[3
]}

Pitcock, Jeffery A. ^{[1
]}

Han, Xiaotong ^{[1
,2
,3
]}

Williams, D. Keith ^{[8
]}

Chartrand, Don ^{[9
]}

Gevirtz, Richard N. ^{[10
]}

Spira, James ^{[11
,12
]}

Wiederhold, Brenda K. ^{[6
]}

McCraty, Rollin ^{[13
]}

McCune, Thomas R.

机构：

[1] Cent Arkansas Vet Healthcare Syst, Ctr Mental Hlth Outcomes Res, North Little Rock, AR 72114 USA

[2] Cent Arkansas Vet Healthcare Syst, South Cent Mental Illness Educ & Clin Ctr, North Little Rock, AR 72114 USA

[3] Univ Arkansas Med Sci, Coll Med, Dept Psychiat, Div Hlth Serv Res, Little Rock, AR 72205 USA

[4] Southeastern Louisiana Vet Hlth Care Syst 629 11F, POB 61011, New Orleans, LA 70161 USA

[5] Tulane Univ, New Orleans, LA 70118 USA

[6] Virtual Real Med Ctr, 9565 Waples St,Suite 200, San Diego, CA 92121 USA

[7] Virginia Army Natl Guard, Off State Surgeon, BLDG 1310,Ft Pickett, Blackstone, VA 23824 USA

[8] Univ Arkansas Med Sci, Dept Biostat, Little Rock, AR 72205 USA

[9] Ease Interactive Inc, San Diego, CA USA

[10] Alliant Int Univ, 10455 Pomerado Rd, San Diego, CA 92131 USA

[11] Univ Hawaii, Sch Med, US Dept Vet Affairs, Natl Ctr PTSD, Honolulu, HI 96819 USA

[12] Univ Hawaii, Sch Med, Dept Psychiat, Honolulu, HI 96819 USA

[13] Inst HeartMath, 14700 West Pk Ave, Boulder Creek, CA 95006 USA

来源：

BIOLOGICAL PSYCHOLOGY | 2016年 / 121卷

基金：

美国国家卫生研究院;

关键词：

Post traumatic stress disorder (PTSD); military; risk factors; combat stress; prediction; longitudinal; heart rate variability; POSTTRAUMATIC-STRESS-DISORDER; CARDIAC VAGAL TONE; PSYCHOPHYSIOLOGICAL REACTIVITY; RISK-FACTORS; RESILIENCE; VETERANS; US; ASSOCIATION; DEPRESSION; IRAQ;

D O I：

10.1016/j.biopsycho.2016.10.008

中图分类号：

B84 [心理学];

学科分类号：

04 ; 0402 ;

摘要：

Heart rate variability is a physiological measure associated with autonomic nervous system activity. This study hypothesized that lower pre-deployment HRV would be associated with higher post-deployment post-traumatic stress disorder (PTSD) symptoms. Three-hundred-forty-three Army National Guard soldiers enrolled in the Warriors Achieving Resilience (WAR) study were analyzed. The primary outcome was PTSD symptom severity using the PTSD Checklist Military version (PCL) measured at baseline, 3- and 12-month post-deployment. Heart rate variability predictor variables included: high frequency power (HF) and standard deviation of the normal cardiac inter-beat interval (SDNN). Generalized linear mixed models revealed that the pre-deployment PCL*ln(HF) interaction term was significant (p < 0.0001). Pre-deployment SDNN was not a significant predictor of post-deployment PCL. Covariates included age, pre-deployment PCL, race/ethnicity, marital status, tobacco use, childhood abuse, pre-deployment traumatic brain injury, and previous combat zone deployment. Pre-deployment heart rate variability predicts post-deployment PTSD symptoms in the context of higher pre-deployment PCL scores. Published by Elsevier B.V.

引用

页码：91 / 98

页数：8

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