Effect of emotion regulation training in patients with panic disorder: Evidenced by heart rate variability measures

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• 作者：Sheng-Min Wang ; M.D.^a ; ^b ; Hae-Kook Lee ; M.D. ; Ph.D.^c ; Yong-Sil Kweon ; M.D. ; Ph.D.^c ; Chung Tai Lee ; M.D. ; Ph.D.^c ; Jeong-Ho Chae ; M.D. ; Ph.D.^b ; Jung-Jin Kim ; M.D. ; Ph.D.^b ; ¹ ; ^{jjean@catholic.ac.kr" class="auth_mail" title="E-mail the corresponding author} ; Kyoung-Uk Lee ; M.D. ; Ph.D.^c ; ¹ ; ^{mindcure@catholic.ac.kr" class="auth_mail" title="E-mail the corresponding author}
• 关键词：Panic disorder ; Acceptance training ; Treatment ; Heart rate variability ; Autonomic hyperactivity
• 刊名：General Hospital Psychiatry
• 出版年：2016
• 出版时间：May-June 2016
• 年：2016
• 卷：40
• 期：Complete
• 页码：68-73
• 全文大小：438 K

文摘

We aimed to examine the effect of emotion regulation training in patients with panic disorder (PD) by measuring heart rate variability (HRV).

Methods

Forty-eight patients with PD were randomly divided into emotion regulation group (n = 25) and no-regulation group (n = 23). Three five-minute ECG recordings were taken in the following states: 1) baseline, 2) while subjects viewed 15 aversive pictures (active stimulus), 3) resting state after aversive pictures (post-stimulus). The emotion regulation group briefly received acceptance technique training for five minutes before performing the experimental task. Spectral analysis measures included a high-frequency (HF; 0.15–0.4 HZ) component, a low-frequency (LF; 0.04–0.15 Hz) component, and an LF/HF ratio.

Results

The mean change in LF/HF ratio from baseline to active stimulus was significantly lower in the emotion regulation group than in the no-regulation group (emotion regulation group, 0.13; no-regulation group, 2.31; t =− 2.67; P < .05).

Conclusion

This suggests that brief emotion acceptance training could decrease aversive stimulus-induced sympathetic hyperactivity in patients with PD.