ADAPTIVE POSSIBILITIES OF HEART ACTIVITY IN DEPRESSIVE DISORDERS
DOI:
https://doi.org/10.11603/1681-2786.2024.2.14794Keywords:
vegetative imbalance, depressive disorders, civilian population, military personnel, stress factors, adaptive capabilitiesAbstract
Purpose: the purpose of our research is to identify changes in autonomic balance in depressed patients among the civilian population and military personnel with depressive disorders.
Materials and Methods. The examination program included a clinical and psychological study (clinical interview, psychological interview, collection of psychological anamnesis). The degree of mental and psychotic disorders was assessed using the Hospital Depression Rating Scale (HDRS) and the DASS-21 Depression, Anxiety, and Stress Scale. The main spectrum of disorders included depressive disorders without psychotic inclusions with a depressive syndrome of varying degrees of severity. The type of autonomic regulation disorders was established on the basis of cardiointervalography.
Results. As the body of the civilian population is involved in psycho-emotional stress, there is a gradual but steady involvement of the central mechanisms of heart rhythm regulation and establishment of their superiority over autonomous ones. Indicators indicate such a level of harmful effects of stress-realizing systems that can cause functional disorders.
The lack of centralization of control of autonomic regulation and activation of the sympathetic link of the autonomic nervous system is characteristic of military personnel. In this category of patients, the adaptive mechanisms is not associated with emergency reactions.
Conclusions. In most patients suffering from mental disorders of the depressive spectrum, there is a change in the activity of the autonomic system, which under certain conditions can reach the level of imbalance, creating prerequisites for threatening disasters. In military personnel, adaptive mechanisms have demonstrated more constructive and less exhausting ways of adaptation. In this category of subjects, the level of vegetative imbalance practically does not reach the debilitating level.
References
Fiskum, C., Andersen, T.G., Bornas, X., Aslaksen, P.M., Flaten, M.A., & Jacobsen K. (2018). Non-linear heart rate variability as a discriminator of internalizing psychopathology and negative affect in children with internalizing problems and healthy controls. Front. Physiol., 9. DOI 10.3389/fphys.2018.00561.
Koenig, J., Kemp, A.H., Beauchaine, T.P., Thayer, J.F., & Kaess, M. (2016). Depression and resting state heart rate variability in children and adolescents – a systematic review and meta-analysis. Clin. Psychol. Rev., 46, 136-150. DOI 10.1016/j.cpr.2016.04.013.
Balle, M., Morillas, A., Tortella-Feliu, M., & Bornas, X. (2015). Heart rate complexity and attentional orienting: a new look at the role of vagal tone. Nonlinear Dyn. Psy. Life Sci., 19, 101-110.
De la Torre-Luque, A., Fiol-Veny, A., Balle, M., & Bornas, X. (2016). Heartbeat scaling in early adolescents: Its association with anxiety symptoms and sensitivity to punishment. Int. J. Clin. Health Psychol., 16(3), 287-294. DOI 10.1016/j.ijchp.2016.04.002.
Garfinkel, S.N., & Critchley, H.D. (2016). Threat and the body: How the heart supports fear processing. Trends Cogn. Sci., 20, 34-46. DOI 10.1016/j.tics.2015.10.005.
Krohova, J., Czippelova, B., Turianikova, Z., Lazarova, Z., Tonhajzerova, I., & Javorka, M. (2017). Preejection period as a sympathetic activity index: a role of confounding factors. Physiol. Res., 66, 265-275.
Fiskum, C., Andersen, T.G., Aslaksen, P.M., Svendsen, B., Flaten, M.A., & Jacobsen, K. (2017). Cardiac complexity and emotional dysregulation in children. Int. J. Psychophysiol., 121, 38-45. DOI 10.1016/j.ijpsycho.2017.08.005.
Paniccia, M., Paniccia, D., Thomas, S., Taha, T., & Reed, N. (2017). Clinical and non-clinical depression and anxiety in young people: A scoping review on heart rate variability. Auton. Neurosci., 208, 1-14. DOI 10.1016/j.autneu.2017.08.008.
Young, H., & Benton, D. (2015). We should be using nonlinear indices when relating heart-rate dynamics to cognition and mood. Sci. Rep., 5. DOI 10.1038/srep16619.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Bulletin of Social Hygiene and Health Protection Organization of Ukraine
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish in this journal agree to the following terms:
1. The authors reserve the right to authorship of the work and pass the journal right of first publication of this work is licensed under a Creative Commons Attribution License, which allows others to freely distribute the work published with reference to the authors of the original work and the first publication of this magazine.
2. Authors are entitled to enter into a separate agreement on additional non-exclusive distribution of work in the form in which it was published in the magazine (eg work place in the electronic repository institution or publish monographs in part), provided that the reference to the first publication of this magazine.
3. Policy magazine allows and encourages authors placement on the Internet (eg, in storage facilities or on personal websites) manuscript of how to submit the manuscript to the editor and during his editorial processing, since it contributes to productive scientific discussion and positive impact on the efficiency and dynamics of citing published work (see. The Effect of Open Access).
