İmran Gökçen Yılmaz Karaman, Cennet Yastıbaş Kaçar, Gülay Dirik, İremnur Ersan, Nazan Demir, Gurbet Özge Mert
{"title":"乳腺癌幸存者的创伤后应激、创伤后生长和心率变异性。","authors":"İmran Gökçen Yılmaz Karaman, Cennet Yastıbaş Kaçar, Gülay Dirik, İremnur Ersan, Nazan Demir, Gurbet Özge Mert","doi":"10.29399/npa.28713","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Breast cancer as a life-threatening disease is the most frequent malignant disease among women all over the world. Resulting in post-traumatic stress disorder (PTSD) symptoms, breast cancer may also be related to positive changes like post-traumatic growth (PTG). The present study aims to evaluate heart rate variability (HRV) parameters among female survivors of breast cancer regarding its relationship with PTSD and PTG.</p><p><strong>Method: </strong>Forty-three women with stage 1-2-3 breast cancer were recruited. Heart rate variability parameters were measured with a 24-hour ECG. Post-traumatic stress disorder checklist for DSM-5 (PCL-5) and Post-traumatic Growth Inventory (PTGI) were utilized to measure PTSD and PTG.</p><p><strong>Results: </strong>The mean value of PCL-5 was 49.56; the mean value of PTGI was 71.56. Correlation analysis showed that PCL-5 was associated with SDNN (r=-0.310, p=0.043), LF (r=-0.349 p=0.022), and mean heart rate (r=0.396 p=0.009). Post-traumatic growth inventory scores were associated with LF/HF ratio (r=0.310 p=0.043). Linear regression analysis demonstrated that PCL-5 and PTGI scores predicted SDNN and mean heart rate.</p><p><strong>Conclusion: </strong>PTSD and PTG symptoms are related to HRV parameters among female survivors of breast cancer. While PTSD symptoms are related to lower HRV and higher mean heart rate, PTG symptoms are associated with higher HRV and lower mean heart rate.</p>","PeriodicalId":51142,"journal":{"name":"Noropsikiyatri Arsivi-Archives of Neuropsychiatry","volume":"62 2","pages":"150-155"},"PeriodicalIF":1.1000,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12205382/pdf/","citationCount":"0","resultStr":"{\"title\":\"Posttraumatic Stress, Posttraumatic Growth, and Heart Rate Variability Among Breast Cancer Survivors.\",\"authors\":\"İmran Gökçen Yılmaz Karaman, Cennet Yastıbaş Kaçar, Gülay Dirik, İremnur Ersan, Nazan Demir, Gurbet Özge Mert\",\"doi\":\"10.29399/npa.28713\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Breast cancer as a life-threatening disease is the most frequent malignant disease among women all over the world. Resulting in post-traumatic stress disorder (PTSD) symptoms, breast cancer may also be related to positive changes like post-traumatic growth (PTG). The present study aims to evaluate heart rate variability (HRV) parameters among female survivors of breast cancer regarding its relationship with PTSD and PTG.</p><p><strong>Method: </strong>Forty-three women with stage 1-2-3 breast cancer were recruited. Heart rate variability parameters were measured with a 24-hour ECG. Post-traumatic stress disorder checklist for DSM-5 (PCL-5) and Post-traumatic Growth Inventory (PTGI) were utilized to measure PTSD and PTG.</p><p><strong>Results: </strong>The mean value of PCL-5 was 49.56; the mean value of PTGI was 71.56. Correlation analysis showed that PCL-5 was associated with SDNN (r=-0.310, p=0.043), LF (r=-0.349 p=0.022), and mean heart rate (r=0.396 p=0.009). Post-traumatic growth inventory scores were associated with LF/HF ratio (r=0.310 p=0.043). Linear regression analysis demonstrated that PCL-5 and PTGI scores predicted SDNN and mean heart rate.</p><p><strong>Conclusion: </strong>PTSD and PTG symptoms are related to HRV parameters among female survivors of breast cancer. While PTSD symptoms are related to lower HRV and higher mean heart rate, PTG symptoms are associated with higher HRV and lower mean heart rate.</p>\",\"PeriodicalId\":51142,\"journal\":{\"name\":\"Noropsikiyatri Arsivi-Archives of Neuropsychiatry\",\"volume\":\"62 2\",\"pages\":\"150-155\"},\"PeriodicalIF\":1.1000,\"publicationDate\":\"2025-06-11\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12205382/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Noropsikiyatri Arsivi-Archives of Neuropsychiatry\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.29399/npa.28713\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q4\",\"JCRName\":\"CLINICAL NEUROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Noropsikiyatri Arsivi-Archives of Neuropsychiatry","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.29399/npa.28713","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
Posttraumatic Stress, Posttraumatic Growth, and Heart Rate Variability Among Breast Cancer Survivors.
Introduction: Breast cancer as a life-threatening disease is the most frequent malignant disease among women all over the world. Resulting in post-traumatic stress disorder (PTSD) symptoms, breast cancer may also be related to positive changes like post-traumatic growth (PTG). The present study aims to evaluate heart rate variability (HRV) parameters among female survivors of breast cancer regarding its relationship with PTSD and PTG.
Method: Forty-three women with stage 1-2-3 breast cancer were recruited. Heart rate variability parameters were measured with a 24-hour ECG. Post-traumatic stress disorder checklist for DSM-5 (PCL-5) and Post-traumatic Growth Inventory (PTGI) were utilized to measure PTSD and PTG.
Results: The mean value of PCL-5 was 49.56; the mean value of PTGI was 71.56. Correlation analysis showed that PCL-5 was associated with SDNN (r=-0.310, p=0.043), LF (r=-0.349 p=0.022), and mean heart rate (r=0.396 p=0.009). Post-traumatic growth inventory scores were associated with LF/HF ratio (r=0.310 p=0.043). Linear regression analysis demonstrated that PCL-5 and PTGI scores predicted SDNN and mean heart rate.
Conclusion: PTSD and PTG symptoms are related to HRV parameters among female survivors of breast cancer. While PTSD symptoms are related to lower HRV and higher mean heart rate, PTG symptoms are associated with higher HRV and lower mean heart rate.
期刊介绍：
Archives of Neuropsychiatry (Arch Neuropsychiatry) is the official journal of the Turkish Neuropsychiatric Society. It is published quarterly, and four editions annually constitute a volume.
Archives of Neuropsychiatry is a peer reviewed scientific journal that publishes articles on psychiatry, neurology, and behavioural sciences. Both clinical and basic science contributions are welcomed. Submissions that address topics in the interface of neurology and psychiatry are encouraged. The content covers original research articles, reviews, letters to the editor, and case reports.
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