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Pathological baroreceptor sensitivity in patients suffering from somatization disorders: do they correlate with symptoms?

Identifieur interne : 000608 ( PubMed/Corpus ); précédent : 000607; suivant : 000609

Pathological baroreceptor sensitivity in patients suffering from somatization disorders: do they correlate with symptoms?

Auteurs : Kurt Laederach-Hofmann ; Heinz Rüddel ; Lutz Mussgay

Source :

RBID : pubmed:18611426

English descriptors

Abstract

We conducted a study to investigate whether patients with somatization disorders (ICD-10, F45.0) show abnormal values in autonomic testing.

DOI: 10.1016/j.biopsycho.2008.06.003
PubMed: 18611426

Links to Exploration step

pubmed:18611426

Le document en format XML

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<title xml:lang="en">Pathological baroreceptor sensitivity in patients suffering from somatization disorders: do they correlate with symptoms?</title>
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<name sortKey="Laederach Hofmann, Kurt" sort="Laederach Hofmann, Kurt" uniqKey="Laederach Hofmann K" first="Kurt" last="Laederach-Hofmann">Kurt Laederach-Hofmann</name>
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<nlm:affiliation>Psychobiology and Psychosomatic Center, Department of Behavioural Medicine and Rehabilitation, University of Trier, St-Franziska-Stift Psychosomatic Hospital, Bad Kreuznach, Germany. laederach@insel.ch</nlm:affiliation>
</affiliation>
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<name sortKey="Ruddel, Heinz" sort="Ruddel, Heinz" uniqKey="Ruddel H" first="Heinz" last="Rüddel">Heinz Rüddel</name>
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<name sortKey="Mussgay, Lutz" sort="Mussgay, Lutz" uniqKey="Mussgay L" first="Lutz" last="Mussgay">Lutz Mussgay</name>
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<title xml:lang="en">Pathological baroreceptor sensitivity in patients suffering from somatization disorders: do they correlate with symptoms?</title>
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<name sortKey="Laederach Hofmann, Kurt" sort="Laederach Hofmann, Kurt" uniqKey="Laederach Hofmann K" first="Kurt" last="Laederach-Hofmann">Kurt Laederach-Hofmann</name>
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<nlm:affiliation>Psychobiology and Psychosomatic Center, Department of Behavioural Medicine and Rehabilitation, University of Trier, St-Franziska-Stift Psychosomatic Hospital, Bad Kreuznach, Germany. laederach@insel.ch</nlm:affiliation>
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<name sortKey="Ruddel, Heinz" sort="Ruddel, Heinz" uniqKey="Ruddel H" first="Heinz" last="Rüddel">Heinz Rüddel</name>
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<name sortKey="Mussgay, Lutz" sort="Mussgay, Lutz" uniqKey="Mussgay L" first="Lutz" last="Mussgay">Lutz Mussgay</name>
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<title level="j">Biological psychology</title>
<idno type="eISSN">1873-6246</idno>
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<term>Adult</term>
<term>Autonomic Nervous System (physiopathology)</term>
<term>Case-Control Studies</term>
<term>Female</term>
<term>Heart Rate (physiology)</term>
<term>Humans</term>
<term>Male</term>
<term>Pressoreceptors (physiopathology)</term>
<term>Psychometrics</term>
<term>Somatoform Disorders (physiopathology)</term>
<term>Somatoform Disorders (psychology)</term>
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<keywords scheme="MESH" qualifier="physiology" xml:lang="en">
<term>Heart Rate</term>
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<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en">
<term>Autonomic Nervous System</term>
<term>Pressoreceptors</term>
<term>Somatoform Disorders</term>
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<keywords scheme="MESH" qualifier="psychology" xml:lang="en">
<term>Somatoform Disorders</term>
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<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Case-Control Studies</term>
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<div type="abstract" xml:lang="en">We conducted a study to investigate whether patients with somatization disorders (ICD-10, F45.0) show abnormal values in autonomic testing.</div>
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<Month>09</Month>
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<Month>07</Month>
<Day>21</Day>
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<ISSN IssnType="Electronic">1873-6246</ISSN>
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<Volume>79</Volume>
<Issue>2</Issue>
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<Year>2008</Year>
<Month>Oct</Month>
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<Title>Biological psychology</Title>
<ISOAbbreviation>Biol Psychol</ISOAbbreviation>
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<ArticleTitle>Pathological baroreceptor sensitivity in patients suffering from somatization disorders: do they correlate with symptoms?</ArticleTitle>
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<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.biopsycho.2008.06.003</ELocationID>
<Abstract>
<AbstractText Label="AIM" NlmCategory="OBJECTIVE">We conducted a study to investigate whether patients with somatization disorders (ICD-10, F45.0) show abnormal values in autonomic testing.</AbstractText>
<AbstractText Label="METHOD" NlmCategory="METHODS">35 patients with a diagnosis of somatization disorder (SP) were matched to 35 healthy volunteers (HV). International standardized autonomic testing based on heart rate variation and continuously measured blood pressure signals was used to assess autonomic activity and establish baroreceptor sensitivity (BRS). Three different statistical procedures were used to confirm the reliability of the findings.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">There were no statistical differences between the 2 groups in age, BMI, systolic and diastolic blood pressures, and spectral values (total power, low, and high frequency power). However, heart rate was higher (p=0.044) and baroreceptor sensitivity was lower (p=0.002) in the patients compared to the healthy volunteers. Median BRS (+/-S.E.M.) of patients was 9.09+/-0.65 compared to 12.04+/-0.94 ms/mmHg in healthy volunteers. Twenty-two of the 35 patients had a BRS of -1.0S.D. below the mean of HV. SP with lower values differed from SP with normal BRS in values of total power, low-, mid-, and high-frequency bands (p<0.01 to <0.0001). No differences in psychometric testing were found between patients with lower or higher BRS. In addition, no correlation whatsoever was found in relation to autonomic variables between HV and SP, except for a higher LF/HF quotient in the latter (p<0.05).</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Autonomic regulation was impaired in 62% of patients with a somatization disorder. Severity of clinical symptoms measured by psychometric instruments did not preclude autonomic function impairment. Accordingly, autonomic dysfunction may constitute an independent somatic factor in this patient group.</AbstractText>
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<Affiliation>Psychobiology and Psychosomatic Center, Department of Behavioural Medicine and Rehabilitation, University of Trier, St-Franziska-Stift Psychosomatic Hospital, Bad Kreuznach, Germany. laederach@insel.ch</Affiliation>
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<RefSource>Biol Psychol. 2009 Sep;82(1):97-8; author reply 99-100</RefSource>
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<DescriptorName UI="D011594" MajorTopicYN="N">Psychometrics</DescriptorName>
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<DescriptorName UI="D013001" MajorTopicYN="N">Somatoform Disorders</DescriptorName>
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