Heart rate variability and subsequent psychological distress among family members of intensive care unit patients

Objective To determine whether heart rate variability (HRV; a physiological measure of acute stress) is associated with persistent psychological distress among family members of adult intensive care unit (ICU) patients. Methods This prospective study investigated family members of patients admitted...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Benjamin RE Harris, Sarah J Beesley, Ramona O Hopkins, Eliotte L Hirshberg, Emily Wilson, Jorie Butler, Thomas A Oniki, Kathryn G Kuttler, James F Orme, Samuel M Brown
Formato:	article
Lenguaje:	EN
Publicado:	SAGE Publishing 2021
Materias:	Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/f3b90fcee4674663b430ac0886de9f31
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:f3b90fcee4674663b430ac0886de9f31
record_format	dspace
spelling	oai:doaj.org-article:f3b90fcee4674663b430ac0886de9f312021-12-02T03:03:43ZHeart rate variability and subsequent psychological distress among family members of intensive care unit patients1473-230010.1177/03000605211057829https://doaj.org/article/f3b90fcee4674663b430ac0886de9f312021-11-01T00:00:00Zhttps://doi.org/10.1177/03000605211057829https://doaj.org/toc/1473-2300Objective To determine whether heart rate variability (HRV; a physiological measure of acute stress) is associated with persistent psychological distress among family members of adult intensive care unit (ICU) patients. Methods This prospective study investigated family members of patients admitted to a study ICU. Participants’ variability in heart rate tracings were measured by low frequency (LF)/high frequency (HF) ratio and detrended fluctuation analysis (DFA). Questionnaires were completed 3 months after enrollment to ascertain outcome rates of anxiety, depression, and post-traumatic stress disorder (PTSD). Results Ninety-nine participants were enrolled (median LF/HF ratio, 0.92 [interquartile range, 0.64–1.38]). Of 92 participants who completed the 3-month follow-up, 29 (32%) had persistent anxiety. Logistic regression showed that LF/HF ratio (odds ratio [OR] 0.85, 95% confidence interval [CI] 0.43, 1.53) was not associated with 3-month outcomes. In an exploratory analysis, DFA α (OR 0.93, 95% CI 0.87, 0.99), α 1 (OR 0.97, 95% CI 0.94, 0.99), and α 2 (OR 0.94, 95% CI 0.88, 0.99) scaling components were associated with PTSD development. Conclusion Almost one-third of family members experienced anxiety at three months after enrollment. HRV, measured by LF/HF ratio, was not a predictor of psychologic distress, however, exploratory analyses indicated that DFA may be associated with PTSD outcomes.Benjamin RE HarrisSarah J BeesleyRamona O HopkinsEliotte L HirshbergEmily WilsonJorie ButlerThomas A OnikiKathryn G KuttlerJames F OrmeSamuel M BrownSAGE PublishingarticleMedicine (General)R5-920ENJournal of International Medical Research, Vol 49 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine (General) R5-920
spellingShingle	Medicine (General) R5-920 Benjamin RE Harris Sarah J Beesley Ramona O Hopkins Eliotte L Hirshberg Emily Wilson Jorie Butler Thomas A Oniki Kathryn G Kuttler James F Orme Samuel M Brown Heart rate variability and subsequent psychological distress among family members of intensive care unit patients
description	Objective To determine whether heart rate variability (HRV; a physiological measure of acute stress) is associated with persistent psychological distress among family members of adult intensive care unit (ICU) patients. Methods This prospective study investigated family members of patients admitted to a study ICU. Participants’ variability in heart rate tracings were measured by low frequency (LF)/high frequency (HF) ratio and detrended fluctuation analysis (DFA). Questionnaires were completed 3 months after enrollment to ascertain outcome rates of anxiety, depression, and post-traumatic stress disorder (PTSD). Results Ninety-nine participants were enrolled (median LF/HF ratio, 0.92 [interquartile range, 0.64–1.38]). Of 92 participants who completed the 3-month follow-up, 29 (32%) had persistent anxiety. Logistic regression showed that LF/HF ratio (odds ratio [OR] 0.85, 95% confidence interval [CI] 0.43, 1.53) was not associated with 3-month outcomes. In an exploratory analysis, DFA α (OR 0.93, 95% CI 0.87, 0.99), α 1 (OR 0.97, 95% CI 0.94, 0.99), and α 2 (OR 0.94, 95% CI 0.88, 0.99) scaling components were associated with PTSD development. Conclusion Almost one-third of family members experienced anxiety at three months after enrollment. HRV, measured by LF/HF ratio, was not a predictor of psychologic distress, however, exploratory analyses indicated that DFA may be associated with PTSD outcomes.
format	article
author	Benjamin RE Harris Sarah J Beesley Ramona O Hopkins Eliotte L Hirshberg Emily Wilson Jorie Butler Thomas A Oniki Kathryn G Kuttler James F Orme Samuel M Brown
author_facet	Benjamin RE Harris Sarah J Beesley Ramona O Hopkins Eliotte L Hirshberg Emily Wilson Jorie Butler Thomas A Oniki Kathryn G Kuttler James F Orme Samuel M Brown
author_sort	Benjamin RE Harris
title	Heart rate variability and subsequent psychological distress among family members of intensive care unit patients
title_short	Heart rate variability and subsequent psychological distress among family members of intensive care unit patients
title_full	Heart rate variability and subsequent psychological distress among family members of intensive care unit patients
title_fullStr	Heart rate variability and subsequent psychological distress among family members of intensive care unit patients
title_full_unstemmed	Heart rate variability and subsequent psychological distress among family members of intensive care unit patients
title_sort	heart rate variability and subsequent psychological distress among family members of intensive care unit patients
publisher	SAGE Publishing
publishDate	2021
url	https://doaj.org/article/f3b90fcee4674663b430ac0886de9f31
work_keys_str_mv	AT benjaminreharris heartratevariabilityandsubsequentpsychologicaldistressamongfamilymembersofintensivecareunitpatients AT sarahjbeesley heartratevariabilityandsubsequentpsychologicaldistressamongfamilymembersofintensivecareunitpatients AT ramonaohopkins heartratevariabilityandsubsequentpsychologicaldistressamongfamilymembersofintensivecareunitpatients AT eliottelhirshberg heartratevariabilityandsubsequentpsychologicaldistressamongfamilymembersofintensivecareunitpatients AT emilywilson heartratevariabilityandsubsequentpsychologicaldistressamongfamilymembersofintensivecareunitpatients AT joriebutler heartratevariabilityandsubsequentpsychologicaldistressamongfamilymembersofintensivecareunitpatients AT thomasaoniki heartratevariabilityandsubsequentpsychologicaldistressamongfamilymembersofintensivecareunitpatients AT kathryngkuttler heartratevariabilityandsubsequentpsychologicaldistressamongfamilymembersofintensivecareunitpatients AT jamesforme heartratevariabilityandsubsequentpsychologicaldistressamongfamilymembersofintensivecareunitpatients AT samuelmbrown heartratevariabilityandsubsequentpsychologicaldistressamongfamilymembersofintensivecareunitpatients
_version_	1718402016586235904

Heart rate variability and subsequent psychological distress among family members of intensive care unit patients

Ejemplares similares