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Messerotti Benvenuti S, Buodo G, Mennella R, et al. Somatic, but not cognitive-affective, symptoms are associated with reduced heart rate variability in individuals with dysphoria. Front Psychol. 2015;6:599doi: 10.3389/fpsyg.2015.00599.
Messerotti Benvenuti, S., Buodo, G., Mennella, R., & Palomba, D. (2015). Somatic, but not cognitive-affective, symptoms are associated with reduced heart rate variability in individuals with dysphoria. Frontiers in psychology, 6599. https://doi.org/10.3389/fpsyg.2015.00599
Messerotti Benvenuti, Simone, et al. "Somatic, but not cognitive-affective, symptoms are associated with reduced heart rate variability in individuals with dysphoria." Frontiers in psychology vol. 6 (2015): 599. doi: https://doi.org/10.3389/fpsyg.2015.00599
Messerotti Benvenuti S, Buodo G, Mennella R, Palomba D. Somatic, but not cognitive-affective, symptoms are associated with reduced heart rate variability in individuals with dysphoria. Front Psychol. 2015 May 07;6:599. doi: 10.3389/fpsyg.2015.00599. eCollection 2015. PMID: 25999905; PMCID: PMC4423301.
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Front Psychol. 2015 May 07;6:599. doi: 10.3389/fpsyg.2015.00599. eCollection 2015.

Somatic, but not cognitive-affective, symptoms are associated with reduced heart rate variability in individuals with dysphoria.

Frontiers in psychology

Simone Messerotti Benvenuti, Giulia Buodo, Rocco Mennella, Daniela Palomba

Affiliations

  1. Department of General Psychology, University of Padova Padova, Italy.
  2. Department of General Psychology, University of Padova Padova, Italy ; Center for Cognitive Neuroscience, University of Padova Padova, Italy.

PMID: 25999905 PMCID: PMC4423301 DOI: 10.3389/fpsyg.2015.00599

Abstract

BACKGROUND: Somatic, but not cognitive-affective, symptoms of depression have been associated with reduced heart rate variability (HRV), and with poor prognosis in cardiovascular patients. However, factors concomitant with cardiovascular diseases may confound the relationship between somatic symptoms of depression and reduced HRV. Therefore, this study examined whether reduced HRV was differentially associated with cognitive-affective and somatic symptoms of depression in medically healthy individuals with and without dysphoria.

METHODS: Self-reported cognitive-affective and somatic symptoms as measured with the Beck Depression Inventory-II questionnaire and time and frequency domain parameters of HRV were collected in 62 medically healthy individuals, of whom 25 with and 37 without dysphoria.

RESULTS: Somatic, but not cognitive-affective, symptoms of depression were inversely associated with SD of NN intervals (β = -0.476, p < 0.05), number of interval differences of successive NN intervals greater than 50 ms (NN50; β = -0.498, p < 0.03), and HRV total power (β = -0.494, p < 0.04) in the group with dysphoria, after controlling for sex, anxiety, and lifestyle factors. Cognitive-affective and somatic symptoms were not related to any of the HRV parameters in the group without dysphoria (all ps > 0.24).

CONCLUSION: By showing that the relationship between somatic depressive symptoms and reduced HRV extends to medically healthy individuals with dysphoria, the present findings suggest that this association is independent of factors concomitant with cardiovascular diseases. The present study also suggests that individuals with somatic rather than cognitive-affective subsets of depressive symptoms may be at greater risk for developing cardiovascular diseases.

Keywords: autonomic nervous system; cardiovascular risk; cognitive–affective symptoms; dysphoria; heart rate variability; somatic symptoms

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