Heart rate variability during sleep and the early development of posttraumatic stress disorder.

Abstract:

BACKGROUND:Noradrenergic function has been linked to posttraumatic stress disorder (PTSD) and might have a role in mediating sleep disturbances of the disorder. Our objective was to relate a peripheral manifestation of noradrenergic function, sympathetic nervous system activity as indexed by heart rate variability during sleep, to the development of PTSD in subjects with recent traumatic injuries. METHODS:Subjects who had recall of life-threatening experiences were recruited from one of two regional trauma centers. Select subjects received a polysomnographic recording within 1 month of the trauma. Digitized electrocardiogram recordings were extracted from early and late rapid-eye-movement (REM) and preceding non-REM sleep periods. Autoregression was applied to R-R interval time series to calculate the ratios of low-frequency to high-frequency spectral densities (LF/HF ratios), which index sympathetic activation. Posttraumatic stress disorder status was determined at 2 months. RESULTS:There was a significant state x group interaction: LF/HF ratios were higher during the REM sleep of the nine subjects who were positive for PTSD symptoms, compared with the 10 subjects who were PTSD negative. CONCLUSIONS:Our findings are consistent with the possibility that increased noradrenergic activity during REM sleep contributes to the development of PTSD.

journal_name

Biol Psychiatry

journal_title

Biological psychiatry

authors

Mellman TA,Knorr BR,Pigeon WR,Leiter JC,Akay M

doi

10.1016/j.biopsych.2003.12.018

subject

Has Abstract

pub_date

2004-05-01 00:00:00

pages

953-6

issue

9

eissn

0006-3223

issn

1873-2402

pii

S0006322304000587

journal_volume

55

pub_type

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