Frontiers in Psychiatry (Jun 2022)

Cardiac Autonomic and Cardiac Vagal Control During and After Depressive and Happiness Autobiographical Memories in Patients With Major Depressive Disorder

  • I-Mei Lin,
  • I-Mei Lin,
  • Yin-Chen Wu,
  • Wen-So Su,
  • Chiao-Li Khale Ke,
  • Chiao-Li Khale Ke,
  • Pei-Yun Lin,
  • Pei-Yun Lin,
  • Pei-Yun Lin,
  • Mei-Feng Huang,
  • Mei-Feng Huang,
  • Mei-Feng Huang,
  • Yi-Chun Yeh,
  • Yi-Chun Yeh,
  • Kuan-Ta Wu,
  • Cheng-Fang Yen,
  • Cheng-Fang Yen,
  • Cheng-Fang Yen,
  • Chih-Hung Ko,
  • Chih-Hung Ko,
  • Sheng-Yu Fan

DOI
https://doi.org/10.3389/fpsyt.2022.878285
Journal volume & issue
Vol. 13

Abstract

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BackgroundHeart rate variability (HRV) and respiratory sinus arrhythmia (RSA) are indices of cardiac autonomic and cardiac vagal control (CVC), both of which are markers of emotional regulation and physical health. This study examined (1) the differences in cardiac autonomic regulation and CVC during baseline, depressive, and happiness autobiographical memory tasks between participants with major depressive disorder (MDD group) and healthy controls (HC group); (2) the associations between depressive symptoms and cardiac autonomic and CVC; and (3) the reactivity and recovery of cardiac autonomic and CVC between the MDD and HC groups.MethodsA total of 168 and 178 participants were included in the MDD and HC groups, respectively. Demographic data and the Beck Depression Inventory-II were collected before the experimental procedure. Lead II electrocardiograph (ECG) was measured during baseline, depressive, and happiness autobiographical memory tasks, and then interbeat intervals from ECG were converted to the time and frequency domains of HRV and RSA.ResultsThe participants in the MDD group showed lower HRV (including standard deviation of normal to normal intervals, low frequency, the natural logarithm of low frequency, and the natural logarithm of high frequency) and CVC (RSA and lnRSA) than those in the HC group. Depressive symptoms were positively correlated with heart rate and negatively correlated with the indices of cardiac autonomic and CVC. There was significantly increased reactivity and recovery of cardiac autonomic and CVC during and after depressive and happiness autobiographical memory tasks in the HC group, but not in the MDD group.DiscussionParticipants with MDD had cardiac autonomic and CVC dysregulation, decreased reactivity, and did not recover to baseline after emotional provocations. These results can be the theoretical basis for clinical intervention by using HRV biofeedback to restore cardiac autonomic regulation and CVC during and after emotional events in the future.

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