Sleep Med Psychophysiol.  2018 Jun;25(1):15-20. 10.14401/KASMED.2018.25.1.15.

Change of Heart Rate Variability in Depressive Disorder after Physical or Psychological Stress

Affiliations
  • 1Department of Neuropsychiatry, Konkuk University Medical Center, Seoul, Korea. dhpark@kuh.ac.kr

Abstract


OBJECTIVES
This study was designed to assess the change of heart rate variability (HRV) at resting, upright, and psychological stress states in depressive disorder patients.
METHODS
HRV was measured at resting, upright, and psychological stress states in 62 depressive disorder patients. We used visual analogue scale (VAS) score to assess tension and stress severity. Beck depression inventory (BDI) and state trait anxiety inventories I and II (STAI-I and II) were used to assess depression and anxiety severity, respectively. Differences between HRV indices and VAS score were evaluated using paired t-tests. Gender difference analysis was conducted with ANCOVA.
RESULTS
SDNN (standard deviation of normal to normal intervals), LF/HF (low frequency/high frequency), and VLF (very low frequency) were significantly increased, while NN50 and pNN50 were significantly decreased in the upright position compared to resting state. SDNN, RMSSD (root mean square of the differences of successive normal to normal intervals), and VLF were significantly increased, while pNN50 was significantly decreased in the psychological stress state compared to resting state. SDNN, NN50, and pNN50 were significantly lower in an upright position compared to a state of psychological stress, and LF, HF, and LF/HF showed no significant differences
CONCLUSION
The LF/HF ratio was significantly increased after physical stress in depressive disorder. However, the LF/HF ratio was not significantly increased after psychological stress, and the change in LF/HF ratio after physical stress and psychological stress did not significantly differ from each other. Significant increase in SDNN, NN50, and pNN50 in an upright posture compared to psychological stress suggests that depressive patients react more sensitively to physical stress than psychological stress.

Keyword

Autonomic nervous system; Depressive disorder; Heart rate variability; Stress response

MeSH Terms

Anxiety
Autonomic Nervous System
Depression
Depressive Disorder*
Equipment and Supplies
Heart Rate*
Heart*
Humans
Posture
Stress, Psychological*
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