Heart rate variability in unstably housed Veterans with mental health conditions.

IF 1.7 4区心理学 Q3 CLINICAL NEUROLOGY

Journal of clinical and experimental neuropsychology Pub Date : 2025-07-01 Epub Date: 2025-08-19 DOI:10.1080/13803395.2025.2547738

Tara A Austin, Amber V Keller, Arpi Minassian, Jessica J Zakrzewski, Delaney Pickell, Jillian M R Clark, Jacqueline E Maye, Mark L Ettenhofer, Elizabeth W Twamley

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引用次数: 0

Abstract

Objective: Almost 10% of Veterans have experienced homelessness, which is associated with complex healthcare needs and high levels of physical and mental health comorbidities. Measures of autonomic nervous system dysregulation, including higher resting heart rate (HR) and lower time domain and higher frequency domain measures of heart rate variability (HRV), are associated with worse physical and mental health in Veteran and civilian populations. However, these associations have not been explored in unstably housed Veterans with mental health conditions.

Method: 43 male Veterans who were homeless/at-risk and receiving residential mental health treatment completed measures of HRV, neuropsychological performance, neuropsychiatric symptoms, and functioning. Time-domain and frequency-domain measures of HRV were calculated. Correlations between neuropsychological performance, symptoms, and HRV measures were computed. Multiple regression was used to examine predictors of variance in HRV variables.

Results: Higher HR and worse HRV metrics were significantly (p < .05) associated with worse physical health (r = 0.37-0.39), neuropsychological performance (r = 0.35-0.40), neuropsychiatric symptoms (r = 0.33-0.38), and functioning/disability (r = 0.39-0.50). Multiple linear regression revealed that symptom and neuropsychological variables explained 22-50% of the variance in HR and HRV.

Conclusions: HRV in Veterans may serve as a noninvasive biomarker correlate of healthcare needs in unstably housed Veterans.

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心理健康状况不稳定的退伍军人的心率变异性

目的：近10%的退伍军人经历过无家可归，这与复杂的医疗保健需求和高水平的身心健康合并症有关。自主神经系统失调的测量，包括较高的静息心率（HR）和较低的时域和较高的频域心率变异性（HRV）测量，与退伍军人和平民人群较差的身心健康有关。然而，这些关联尚未在有精神健康状况的居住不稳定的退伍军人中进行探讨。方法：43名无家可归/有风险并接受住院心理健康治疗的男性退伍军人完成了HRV、神经心理表现、神经精神症状和功能的测量。计算了HRV的时域和频域测度。计算神经心理表现、症状和HRV测量之间的相关性。采用多元回归检验HRV变量的方差预测因子。结果：较高的HR和较差的HRV指标显著（p r = 0.37-0.39）、神经心理表现（r = 0.35-0.40）、神经精神症状（r = 0.33-0.38）和功能/残疾（r = 0.39-0.50）。多元线性回归显示，症状和神经心理变量解释了22-50%的HR和HRV方差。结论：退伍军人HRV可能是一种非侵入性的生物标志物，与居住不稳定的退伍军人的医疗需求相关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of clinical and experimental neuropsychology 医学-临床神经学

CiteScore

3.20

自引率

4.50%

发文量

审稿时长

6-12 weeks

期刊介绍： Journal of Clinical and Experimental Neuropsychology ( JCEN) publishes research on the neuropsychological consequences of brain disease, disorders, and dysfunction, and aims to promote the integration of theories, methods, and research findings in clinical and experimental neuropsychology. The primary emphasis of JCEN is to publish original empirical research pertaining to brain-behavior relationships and neuropsychological manifestations of brain disease. Theoretical and methodological papers, critical reviews of content areas, and theoretically-relevant case studies are also welcome.