4.5 Article

Heart rate variability (HRV) in adolescent females with anxiety disorders and major depressive disorder

Journal

ACTA PAEDIATRICA
Volume 99, Issue 4, Pages 604-611

Publisher

WILEY-BLACKWELL PUBLISHING, INC
DOI: 10.1111/j.1651-2227.2009.01657.x

Keywords

Adolescent females; Anxiety disorders; Autonomic regulation; Heart rate variability; Major depressive disorder; Selective serotonin reuptake inhibitors

Categories

Funding

  1. Osher Center for Integrative Medicine
  2. Karolinska Institutet, Sweden
  3. Stockholm County Council
  4. Swedish Society of Medicine
  5. National Board of Health and Welfare
  6. Soderstrom-Konigska Foundation
  7. Stockholm Center for Psychiatric Research and Education

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Aim: The aim of this study was to investigate heart rate variability (HRV) in a clinical sample of female adolescents with anxiety disorders (AD) and/or major depressive disorder (MDD) compared with healthy controls and to assess the effect of selective serotonin reuptake inhibitors (SSRI) on HRV. Methods: Heart rate variability was measured in adolescent female psychiatric patients with AD and/or MDD (n = 69), mean age 16.8 years (range: 14.5-18.4), from 13 out-patient clinics and in healthy controls (n = 65), mean age 16.5 years (range: 15.9-17.7). HRV was registered in the sitting position during 4 min with no interventions. Results: Logarithmically transformed high frequency HRV (HF), low frequency HRV (LF) and standard deviation of inter beat intervals (SDNN) were lower in the clinical sample compared with the controls (Cohen's d for HF = 0.57, LF = 0.55, SDNN = 0.60). This was not explained by body mass index, blood pressure or physical activity. Medication with SSRI explained 15.5% of the total variance of HF, 3.0% of LF and 6.5% of SDNN. Conclusions: Adolescent female psychiatric patients with AD and/or MDD show reduced HRV compared with healthy controls. Medication with SSRI explained a part of this difference.

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