A systematic review on heart rate variability in Bulimia Nervosa

被引：30
作者：
Peschel, Stephanie K. V. [1 ]
Feeling, Nicole R. [1 ]
Voegele, Claus [2 ]
Kaess, Michael [3 ]
Thayer, Julian F. [1 ]
Koenig, Julian [1 ,3 ]
机构：
[1] Ohio State Univ, Dept Psychol, 1835 Neil Ave, Columbus, OH 43210 USA
[2] Univ Luxembourg, Inst Hlth & Behav, Res Unit INSIDE, Belval Campus,11 Porte Sci, L-4366 Esch Sur Alzette, Luxembourg
[3] Heidelberg Univ, Sect Translat Psychobiol Child & Adolescent Psych, Dept Child & Adolescent Psychiat, Ctr Psychosocial Med, Blumenstr 8, D-69115 Heidelberg, Germany
来源：
NEUROSCIENCE AND BIOBEHAVIORAL REVIEWS | 2016年 / 63卷
关键词：
Bulimia Nervosa; Eating disorders; Heart rate variability; Autonomic nervous system; Vagal activity; BORDERLINE PERSONALITY-DISORDER; ECOLOGICAL MOMENTARY ASSESSMENT; LOW-FREQUENCY POWER; CARDIAC VAGAL TONE; EATING-DISORDERS; MEDICAL COMPLICATIONS; DEPRESSIVE SYMPTOMS; DIETARY RESTRICTION; STRESS REACTIVITY; ANXIETY DISORDERS;
D O I：
10.1016/j.neubiorev.2016.01.012
中图分类号：
B84 [心理学]; C [社会科学总论]; Q98 [人类学];
学科分类号：
03 ; 0303 ; 030303 ; 04 ; 0402 ;
摘要：
Eating disorders are associated with alterations of the autonomic nervous system (ANS). Among other indices, heart rate variability (HRV) provides a readily available index of ANS function. While ANS dysfunction indexed by HRV in Anorexia Nervosa has been addressed in previous reviews, here we aimed to review the current evidence on HRV in Bulimia Nervosa (BN). A systematic literature search in Web of Science, Psyclnfo, Scopus, and PubMed identified 17 studies reporting HRV in patients with BN. Studies described (i) differences in resting state HRV in patients compared to controls, (ii) alterations in the stress response in BN indexed by HRV, and (iii) treatment effects on HRV in patients with BN. Despite a number of conflicting results, we conclude that BN is characterized by increased resting state vagally-mediated HRV and an impaired stress-response. Intervention -studies suggest that altered ANS-activity in BN is at least partially reversible. Future studies on the complex relation between BN and HRV should investigate the effect of comorbid disorders, subtypes of BN, and mechanisms affecting treatment outcome. (C) 2016 Elsevier Ltd. All rights reserved.
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页码：78 / 97
页数：20
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