Heart Rate Variability and Fatigue in Patients With Chronic Fatigue Syndrome After a Comprehensive Cognitive Behavior Group Therapy Program

被引:5
|
作者
Hansen, Anita L. [1 ,2 ]
Kvale, Gerd [3 ,4 ]
Stubhaug, Bjarte [5 ]
Thayer, Julian F. [6 ]
机构
[1] Univ Bergen, Dept Psychosocial Sci, N-5020 Bergen, Norway
[2] Haukeland Hosp, Ctr Res & Educ Forens Psychiat, Skanevik, Norway
[3] Univ Bergen, Dept Clin Psychol, Skanevik, Norway
[4] Haukeland Hosp, OCD Unit, Frihamnsenteret Clin, Skanevik, Norway
[5] Univ Bergen, Sect Mental Hlth Res, Inst Clin Med, Helse Fonna HF,Frihamnsenteret Clin, Skanevik, Norway
[6] Ohio State Univ, Dept Psychol, Columbus, OH 43210 USA
关键词
heart rate variability; chronic fatigue syndrome; therapy; MINDFULNESS MEDITATION; DIAGNOSTIC-CRITERIA; STRESS; ENCEPHALOMYELITIS; DISEASE; PAIN; NEURASTHENIA; GUIDELINES; MANAGEMENT; EXERCISE;
D O I
10.1027/0269-8803/a000088
中图分类号
B84 [心理学];
学科分类号
04 ; 0402 ;
摘要
In psychotherapy research, there is a general lack of studies that include objective measurements that provide information about the basic underlying mechanisms involved in behavioral and psychiatric conditions. In this pilot study, we investigated cardiovascular activity and self-reported fatigue in patients with Chronic Fatigue Syndrome (CFS) compared to normal healthy controls who served as a reference group. Furthermore, based on a one-group pre-post design, we investigated whether exposure to a Comprehensive Cognitive Behavior Therapy (CCBT) program resulted in any changes in cardiovascular activity and self-reported fatigue in CFS patients. Overall, 19 female CFS patients and 21 normal healthy controls were included in the study. Cardiovascular activity measurements were heart rate (HR), low frequency/high frequency (LF/HF ratio), and heart rate variability (the root mean of the squared successive differences; rMSSD). Fatigue was measured using the Chalder Fatigue Questionnaire. Analyses of the results indicated that, compared to normal healthy controls, CFS patients were characterized by higher HR and self-reported fatigue prior to exposure to the CCBT. Interestingly, CFS patients showed a significant decrease in LF/HF ratio indicating a shift in sympathovagal balance toward greater vagal activation, and levels of experienced fatigue subsequent to CCBT.
引用
收藏
页码:67 / 75
页数:9
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