Psychiatria Danubina, Vol. 25 No. 1, 2013.
Izvorni znanstveni članak
COMPARISON OF HEART RATE VARIABILITY IN PATIENTS WITH PANIC DISORDER DURING COGNITIVE BEHAVIORAL THERAPY PROGRAM
Tomas Diveky
; Department of Psychiatry, University Hospital Trencin, Slovak Republic
Jan Prasko
; Department of Psychiatry, University Hospital Olomouc, Czech Republic
Dana Kamaradova
; Department of Psychiatry, University Hospital Olomouc, Czech Republic
Ales Grambal
; Department of Psychiatry, University Hospital Olomouc, Czech Republic
Klara Latalova
; Department of Psychiatry, University Hospital Olomouc, Czech Republic
Petr Silhan
; Department of Psychiatry, University Hospital Ostrava, Czech Republic
Radko Obereigneru
; Department of Psychology, University Hospital Olomouc, Faculty of Medicine and Dentistry, Palacky University Olomouc, Czech Republic
Jiri Salinger
; Department of Biomechanics and Technical Cyberentics, Faculty of Physical Culture, Palacky University Olomouc
Jaroslav Opavsky
; Department of Physiotherapy, Faculty of Physical Culture, Palacky University Olomouc
Ingrid Tonhajzerova
; Department of Physiology, Jessenius Medical Faculty, Comenius University Martin
Sažetak
Background: Many authors suggest that there is low reactivity of autonomic nervous system and reduced heart rate variability
in patients with panic disorder. The patients are therefore exposed to increased cardiac mortality. Power spectral analysis is a
successful tool in detecting autonomic instabilities in many disorders.
Subjects and methods: The aim of our study is to monitor the activity of the autonomic nervous system through heart rate
variability measured in the beginning and end of a therapeutic cognitive behavioral therapy (CBT) program in patients with panic
disorder. We measured 31 patients with panic disorder in the beginning (1st measurement) and end of a therapeutic CBT program
(2nd measurement). The autonomic nervous system (ANS) has been evaluated in three positions (supine – standing – supine). The
evaluated parameters of the HRV linear analysis were: RR interval, HF, LF, VLF band and VLF + LF / HF ratio.
Results: Spectral activity in the very low frequency band was significantly higher in the 2nd measurement compared to the 1st
measurement in the standing position. The ratio of the spectral activity at lower frequencies (VLF+LF) to high frequency (HF) was
significantly lower in the supine position.
Conclusion: This study demonstrated an improvement of neurocardiac control regulation after a therapeutic CBT program in
patients suffering from panic disorder.
Ključne riječi
Hrčak ID:
159846
URI
Datum izdavanja:
4.3.2013.
Posjeta: 773 *