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학술지 Heart Rate Variability for Treatment Response between Patients with Major Depressive Disorder Versus Panic Disorder: A 12-week Follow-up Study
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저자
최관우, 장은혜, 김아영, Maurizio Fava, David Mischoulon, George I. Papakostas, 김동준, 김기원, 유한영, 전홍진
발행일
201903
출처
Journal of Affective Disorders, v.246, pp.157-165
ISSN
0165-0327
출판사
Elsevier
DOI
https://dx.doi.org/10.1016/j.jad.2018.12.048
협약과제
17HS5600, 정신 질환의 모니터링 및 징후 예측을 위한 피부 부착형 센서 모듈 개발, 김승환
초록
Background: Heart Rate Variability (HRV) parameters have been used to evaluate the autonomic nervous system. We hypothesized that patients with major depressive disorder (MDD) and panic disorder (PD) showed different HRV profiles compared to healthy controls. We also hypothesized that we could predict the responder groups in the MDD and PD patients, using differences in HRV indices between the stress and rest phases. Methods: 28 MDD patients and 29 PD patients were followed for 12 weeks, and we also followed 39 healthy control subjects. We measured HRV parameters at the rest, stress, and recovery phases. Results: Patients with MDD and PD demonstrated lower pNN50 than controls during the stress (F = 7.49, p = 0.001), and recovery phases (F = 9.43, p = 0.0001). Patients with MDD and PD also showed higher LF/HF ratio than controls during the stress phase (F = 6.15, p = 0.002). Responders in the PD group presented a lower level of LF/HF ratio during the stress phase compared to non-responders (F = 10.14, p = 0.002), while responders in the MDD group showed a lower level of heart rate during all three phases, compared to non-responders. Additionally, we could predict treatment response in patients with MDD using ?봍F/HF ratio (OR: 1.33, 95% CI = 1.07??1.65, p = 0.011) and ?봯NN50 (OR: 1.49, 95% CI 1.09??1.77, p = 0.014). Conclusion: The changes of HRV parameters of pNN50 and LF/HF ratio between the stress and recovery phase may be clinical markers of predictors of treatment responsiveness in MDD and PD patients.
KSP 제안 키워드
Autonomic nervous system(ANS), Follow-up study, HRV parameters, Healthy controls, Heart rate variability, Major depressive disorder(MDD), Recovery phase, Three-Phase, treatment response