Autonomic reactivity during reading of a somatic distress script in patients with somatic symptom disorder
The relationship between resting-state heart rate variability (HRV) and somatic symptom disorder (SSD) has been explored in several studies. We planned to examine HRV during the performance of psychological tasks, and assumed that it could be applied for the diagnosis of SSD. Fifty-three patients wi...
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| Veröffentlicht in: | Journal of psychosomatic research 2019-08, Vol.123, p.109729-109729, Article 109729 |
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| container_title | Journal of psychosomatic research |
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| creator | Huang, Wei-Lieh Liao, Shih-Cheng Tu, Yu-Kang Yang, Cheryl C.H. Kuo, Terry B.J. Gau, Susan Shur-Fen |
| description | The relationship between resting-state heart rate variability (HRV) and somatic symptom disorder (SSD) has been explored in several studies. We planned to examine HRV during the performance of psychological tasks, and assumed that it could be applied for the diagnosis of SSD.
Fifty-three patients with SSD and 52 healthy controls were recruited. Demographic and psychological data were collected. Subjects' HRV was measured over five 5-minute blocks during which they viewed different scripts (resting state; health anxiety; somatic distress; depression; neutral topic). After each block they completed a self-assessment manikin. Generalized estimated equation analysis was used to analyze the impact of mental scripts, SSD and sex on physiological and psychological indicators.
In men there was a script*SSD interaction concerning high-frequency power (HF) involving the neutral script; SSD men showed significantly higher HF than healthy men when viewing neutral script. In women there were script*SSD interactions with respect to low-frequency power (LF) and HF involving the somatic distress script and a script*SSD interaction with respect to LF and emotional valence involving the neutral script; SSD women revealed significantly lower LF and HF than healthy women when viewing somatic distress script, they also showed significantly lower LF and higher valence than healthy ones during neutral script. The somatic distress script*SSD interaction still influenced LF and HF in women after adjusting for potential confounders.
In women cue-specific HRV is a better method of differentiating people with SSD from healthy individuals than resting-state HRV.
The Research Ethics Committee of National Taiwan University Hospital approved this study (approval number: 201410050RINB).
•In women SSD increased vagal deactivation during a somatic distress script.•Neutral script induced vagal activation in SSD men.•Neutral script induced sympathetic deactivation in SSD women.•HRV in resting condition does not discriminate SSD patients from healthy controls.•SSD and healthy ones showed similar HRV under health anxiety, depression scripts. |
| doi_str_mv | 10.1016/j.jpsychores.2019.05.007 |
| format | Article |
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Fifty-three patients with SSD and 52 healthy controls were recruited. Demographic and psychological data were collected. Subjects' HRV was measured over five 5-minute blocks during which they viewed different scripts (resting state; health anxiety; somatic distress; depression; neutral topic). After each block they completed a self-assessment manikin. Generalized estimated equation analysis was used to analyze the impact of mental scripts, SSD and sex on physiological and psychological indicators.
In men there was a script*SSD interaction concerning high-frequency power (HF) involving the neutral script; SSD men showed significantly higher HF than healthy men when viewing neutral script. In women there were script*SSD interactions with respect to low-frequency power (LF) and HF involving the somatic distress script and a script*SSD interaction with respect to LF and emotional valence involving the neutral script; SSD women revealed significantly lower LF and HF than healthy women when viewing somatic distress script, they also showed significantly lower LF and higher valence than healthy ones during neutral script. The somatic distress script*SSD interaction still influenced LF and HF in women after adjusting for potential confounders.
In women cue-specific HRV is a better method of differentiating people with SSD from healthy individuals than resting-state HRV.
The Research Ethics Committee of National Taiwan University Hospital approved this study (approval number: 201410050RINB).
•In women SSD increased vagal deactivation during a somatic distress script.•Neutral script induced vagal activation in SSD men.•Neutral script induced sympathetic deactivation in SSD women.•HRV in resting condition does not discriminate SSD patients from healthy controls.•SSD and healthy ones showed similar HRV under health anxiety, depression scripts.</description><identifier>ISSN: 0022-3999</identifier><identifier>EISSN: 1879-1360</identifier><identifier>DOI: 10.1016/j.jpsychores.2019.05.007</identifier><identifier>PMID: 31376880</identifier><language>eng</language><publisher>England: Elsevier Inc</publisher><subject>Anxiety ; Autonomic Nervous System - physiopathology ; Autonomic reactivity ; Case-Control Studies ; Emotions - physiology ; Female ; Health anxiety ; Heart rate ; Heart Rate - physiology ; Heart rate variability ; Humans ; Male ; Medical diagnosis ; Medically Unexplained Symptoms ; Mental depression ; Middle Aged ; Power ; Psychological distress ; Reactivity ; Reading ; Resting ; Scripts ; Self evaluation ; Self-assessment ; Somatic distress ; Somatic symptom disorder ; Somatoform disorders ; Task performance ; Variability</subject><ispartof>Journal of psychosomatic research, 2019-08, Vol.123, p.109729-109729, Article 109729</ispartof><rights>2019 Elsevier Inc.</rights><rights>Copyright © 2019 Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Science Ltd. Aug 2019</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c402t-d078e491238f20a9947bbaa1e97f868602a2d950e6af6adc53a5371f8cbd85cc3</citedby><cites>FETCH-LOGICAL-c402t-d078e491238f20a9947bbaa1e97f868602a2d950e6af6adc53a5371f8cbd85cc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jpsychores.2019.05.007$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,30999,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31376880$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Huang, Wei-Lieh</creatorcontrib><creatorcontrib>Liao, Shih-Cheng</creatorcontrib><creatorcontrib>Tu, Yu-Kang</creatorcontrib><creatorcontrib>Yang, Cheryl C.H.</creatorcontrib><creatorcontrib>Kuo, Terry B.J.</creatorcontrib><creatorcontrib>Gau, Susan Shur-Fen</creatorcontrib><title>Autonomic reactivity during reading of a somatic distress script in patients with somatic symptom disorder</title><title>Journal of psychosomatic research</title><addtitle>J Psychosom Res</addtitle><description>The relationship between resting-state heart rate variability (HRV) and somatic symptom disorder (SSD) has been explored in several studies. We planned to examine HRV during the performance of psychological tasks, and assumed that it could be applied for the diagnosis of SSD.
Fifty-three patients with SSD and 52 healthy controls were recruited. Demographic and psychological data were collected. Subjects' HRV was measured over five 5-minute blocks during which they viewed different scripts (resting state; health anxiety; somatic distress; depression; neutral topic). After each block they completed a self-assessment manikin. Generalized estimated equation analysis was used to analyze the impact of mental scripts, SSD and sex on physiological and psychological indicators.
In men there was a script*SSD interaction concerning high-frequency power (HF) involving the neutral script; SSD men showed significantly higher HF than healthy men when viewing neutral script. In women there were script*SSD interactions with respect to low-frequency power (LF) and HF involving the somatic distress script and a script*SSD interaction with respect to LF and emotional valence involving the neutral script; SSD women revealed significantly lower LF and HF than healthy women when viewing somatic distress script, they also showed significantly lower LF and higher valence than healthy ones during neutral script. The somatic distress script*SSD interaction still influenced LF and HF in women after adjusting for potential confounders.
In women cue-specific HRV is a better method of differentiating people with SSD from healthy individuals than resting-state HRV.
The Research Ethics Committee of National Taiwan University Hospital approved this study (approval number: 201410050RINB).
•In women SSD increased vagal deactivation during a somatic distress script.•Neutral script induced vagal activation in SSD men.•Neutral script induced sympathetic deactivation in SSD women.•HRV in resting condition does not discriminate SSD patients from healthy controls.•SSD and healthy ones showed similar HRV under health anxiety, depression scripts.</description><subject>Anxiety</subject><subject>Autonomic Nervous System - physiopathology</subject><subject>Autonomic reactivity</subject><subject>Case-Control Studies</subject><subject>Emotions - physiology</subject><subject>Female</subject><subject>Health anxiety</subject><subject>Heart rate</subject><subject>Heart Rate - physiology</subject><subject>Heart rate variability</subject><subject>Humans</subject><subject>Male</subject><subject>Medical diagnosis</subject><subject>Medically Unexplained Symptoms</subject><subject>Mental depression</subject><subject>Middle Aged</subject><subject>Power</subject><subject>Psychological distress</subject><subject>Reactivity</subject><subject>Reading</subject><subject>Resting</subject><subject>Scripts</subject><subject>Self evaluation</subject><subject>Self-assessment</subject><subject>Somatic distress</subject><subject>Somatic symptom disorder</subject><subject>Somatoform disorders</subject><subject>Task performance</subject><subject>Variability</subject><issn>0022-3999</issn><issn>1879-1360</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkU1vFSEUhonR2NvqXzAkbtzMeIDL17I2ak2auNE14QJjmdwZRmBq7r-Xya01cePqJPC8vOQ8CGECPQEi3o_9uJSTu085lJ4C0T3wHkA-QzuipO4IE_Ac7QAo7ZjW-gJdljICgNCUv0QXjDAplIIdGq_XmuY0RYdzsK7Gh1hP2K85zj-2E7_NNGCLS5psbZiPpbbagovLcak4znhpF2GuBf-K9f4JLKdpqWnaAin7kF-hF4M9lvD6cV6h758-fru57e6-fv5yc33XuT3Q2nmQKuw1oUwNFKzWe3k4WEuCloMSSgC11GsOQdhBWO84s5xJMih38Io7x67Qu_O7S04_11CqmWJx4Xi0c0hrMZQKxSUXjDf07T_omNY8t981Su4Zo5yzRqkz5XIqJYfBLDlONp8MAbP5MKP568NsPgxw03y06JvHgvUwBf8U_COgAR_OQGgbeYghm-LaLl3wMQdXjU_x_y2_Ad5Po2Q</recordid><startdate>201908</startdate><enddate>201908</enddate><creator>Huang, Wei-Lieh</creator><creator>Liao, Shih-Cheng</creator><creator>Tu, Yu-Kang</creator><creator>Yang, Cheryl C.H.</creator><creator>Kuo, Terry B.J.</creator><creator>Gau, Susan Shur-Fen</creator><general>Elsevier Inc</general><general>Elsevier Science Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7TK</scope><scope>7X8</scope></search><sort><creationdate>201908</creationdate><title>Autonomic reactivity during reading of a somatic distress script in patients with somatic symptom disorder</title><author>Huang, Wei-Lieh ; Liao, Shih-Cheng ; Tu, Yu-Kang ; Yang, Cheryl C.H. ; Kuo, Terry B.J. ; Gau, Susan Shur-Fen</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c402t-d078e491238f20a9947bbaa1e97f868602a2d950e6af6adc53a5371f8cbd85cc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Anxiety</topic><topic>Autonomic Nervous System - physiopathology</topic><topic>Autonomic reactivity</topic><topic>Case-Control Studies</topic><topic>Emotions - physiology</topic><topic>Female</topic><topic>Health anxiety</topic><topic>Heart rate</topic><topic>Heart Rate - physiology</topic><topic>Heart rate variability</topic><topic>Humans</topic><topic>Male</topic><topic>Medical diagnosis</topic><topic>Medically Unexplained Symptoms</topic><topic>Mental depression</topic><topic>Middle Aged</topic><topic>Power</topic><topic>Psychological distress</topic><topic>Reactivity</topic><topic>Reading</topic><topic>Resting</topic><topic>Scripts</topic><topic>Self evaluation</topic><topic>Self-assessment</topic><topic>Somatic distress</topic><topic>Somatic symptom disorder</topic><topic>Somatoform disorders</topic><topic>Task performance</topic><topic>Variability</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Huang, Wei-Lieh</creatorcontrib><creatorcontrib>Liao, Shih-Cheng</creatorcontrib><creatorcontrib>Tu, Yu-Kang</creatorcontrib><creatorcontrib>Yang, Cheryl C.H.</creatorcontrib><creatorcontrib>Kuo, Terry B.J.</creatorcontrib><creatorcontrib>Gau, Susan Shur-Fen</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Neurosciences Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of psychosomatic research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Huang, Wei-Lieh</au><au>Liao, Shih-Cheng</au><au>Tu, Yu-Kang</au><au>Yang, Cheryl C.H.</au><au>Kuo, Terry B.J.</au><au>Gau, Susan Shur-Fen</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Autonomic reactivity during reading of a somatic distress script in patients with somatic symptom disorder</atitle><jtitle>Journal of psychosomatic research</jtitle><addtitle>J Psychosom Res</addtitle><date>2019-08</date><risdate>2019</risdate><volume>123</volume><spage>109729</spage><epage>109729</epage><pages>109729-109729</pages><artnum>109729</artnum><issn>0022-3999</issn><eissn>1879-1360</eissn><abstract>The relationship between resting-state heart rate variability (HRV) and somatic symptom disorder (SSD) has been explored in several studies. We planned to examine HRV during the performance of psychological tasks, and assumed that it could be applied for the diagnosis of SSD.
Fifty-three patients with SSD and 52 healthy controls were recruited. Demographic and psychological data were collected. Subjects' HRV was measured over five 5-minute blocks during which they viewed different scripts (resting state; health anxiety; somatic distress; depression; neutral topic). After each block they completed a self-assessment manikin. Generalized estimated equation analysis was used to analyze the impact of mental scripts, SSD and sex on physiological and psychological indicators.
In men there was a script*SSD interaction concerning high-frequency power (HF) involving the neutral script; SSD men showed significantly higher HF than healthy men when viewing neutral script. In women there were script*SSD interactions with respect to low-frequency power (LF) and HF involving the somatic distress script and a script*SSD interaction with respect to LF and emotional valence involving the neutral script; SSD women revealed significantly lower LF and HF than healthy women when viewing somatic distress script, they also showed significantly lower LF and higher valence than healthy ones during neutral script. The somatic distress script*SSD interaction still influenced LF and HF in women after adjusting for potential confounders.
In women cue-specific HRV is a better method of differentiating people with SSD from healthy individuals than resting-state HRV.
The Research Ethics Committee of National Taiwan University Hospital approved this study (approval number: 201410050RINB).
•In women SSD increased vagal deactivation during a somatic distress script.•Neutral script induced vagal activation in SSD men.•Neutral script induced sympathetic deactivation in SSD women.•HRV in resting condition does not discriminate SSD patients from healthy controls.•SSD and healthy ones showed similar HRV under health anxiety, depression scripts.</abstract><cop>England</cop><pub>Elsevier Inc</pub><pmid>31376880</pmid><doi>10.1016/j.jpsychores.2019.05.007</doi><tpages>1</tpages></addata></record> |
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| subjects | Anxiety Autonomic Nervous System - physiopathology Autonomic reactivity Case-Control Studies Emotions - physiology Female Health anxiety Heart rate Heart Rate - physiology Heart rate variability Humans Male Medical diagnosis Medically Unexplained Symptoms Mental depression Middle Aged Power Psychological distress Reactivity Reading Resting Scripts Self evaluation Self-assessment Somatic distress Somatic symptom disorder Somatoform disorders Task performance Variability |
| title | Autonomic reactivity during reading of a somatic distress script in patients with somatic symptom disorder |
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