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Cardiovascular Correlates of Motor Vehicle Accident Related Posttraumatic Stress Disorder and its Successful Treatment

Persons with posttraumatic stress disorder (PTSD) have been shown to display elevated baseline cardiovascular activity and a heightened physiological reactivity to trauma-related stimuli. Study 1 examined differences in baseline heart rate (HR) and HR reactivity in 68 survivors of motor vehicle acci...

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Detalles Bibliográficos
Autores principales: Rabe, Sirko, Dörfel, Denise, Zöllner, Tanja, Maercker, Andreas, Karl, Anke
Formato: Texto
Lenguaje:English
Publicado: Kluwer Academic Publishers-Plenum Publishers 2006
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1705541/
https://www.ncbi.nlm.nih.gov/pubmed/17094031
http://dx.doi.org/10.1007/s10484-006-9027-1
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author Rabe, Sirko
Dörfel, Denise
Zöllner, Tanja
Maercker, Andreas
Karl, Anke
author_facet Rabe, Sirko
Dörfel, Denise
Zöllner, Tanja
Maercker, Andreas
Karl, Anke
author_sort Rabe, Sirko
collection PubMed
description Persons with posttraumatic stress disorder (PTSD) have been shown to display elevated baseline cardiovascular activity and a heightened physiological reactivity to trauma-related stimuli. Study 1 examined differences in baseline heart rate (HR) and HR reactivity in 68 survivors of motor vehicle accidents (MVAs) and healthy controls without MVA. MVA survivors with PTSD (n=26), subsyndromal PTSD (n=22), traumatized controls without PTSD (non-PTSD with MVA, n=20) and healthy controls without MVA (HC, n=27) underwent measurement of HR during baseline and exposure to a neutral, positive, negative, and trauma-related picture. PTSD patients showed elevated baseline HR and increased HR reactivity only during exposure to the trauma-related picture. Study 2 investigated whether the elevated physiological responses observed in Study 1 normalized after cognitive behavioral therapy (CBT). We conducted a randomized, controlled treatment trial comparing CBT (n=17) to a Wait-list condition (WLC, n=18). Results showed a greater decrease in HR reactivity for CBT than for WLC. The change in HR reactivity was associated with clinical improvement.
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spelling pubmed-17055412006-12-18 Cardiovascular Correlates of Motor Vehicle Accident Related Posttraumatic Stress Disorder and its Successful Treatment Rabe, Sirko Dörfel, Denise Zöllner, Tanja Maercker, Andreas Karl, Anke Appl Psychophysiol Biofeedback Original Paper Persons with posttraumatic stress disorder (PTSD) have been shown to display elevated baseline cardiovascular activity and a heightened physiological reactivity to trauma-related stimuli. Study 1 examined differences in baseline heart rate (HR) and HR reactivity in 68 survivors of motor vehicle accidents (MVAs) and healthy controls without MVA. MVA survivors with PTSD (n=26), subsyndromal PTSD (n=22), traumatized controls without PTSD (non-PTSD with MVA, n=20) and healthy controls without MVA (HC, n=27) underwent measurement of HR during baseline and exposure to a neutral, positive, negative, and trauma-related picture. PTSD patients showed elevated baseline HR and increased HR reactivity only during exposure to the trauma-related picture. Study 2 investigated whether the elevated physiological responses observed in Study 1 normalized after cognitive behavioral therapy (CBT). We conducted a randomized, controlled treatment trial comparing CBT (n=17) to a Wait-list condition (WLC, n=18). Results showed a greater decrease in HR reactivity for CBT than for WLC. The change in HR reactivity was associated with clinical improvement. Kluwer Academic Publishers-Plenum Publishers 2006-11-09 2006-12 /pmc/articles/PMC1705541/ /pubmed/17094031 http://dx.doi.org/10.1007/s10484-006-9027-1 Text en © Springer Science+Business Media, LLC 2006
spellingShingle Original Paper
Rabe, Sirko
Dörfel, Denise
Zöllner, Tanja
Maercker, Andreas
Karl, Anke
Cardiovascular Correlates of Motor Vehicle Accident Related Posttraumatic Stress Disorder and its Successful Treatment
title Cardiovascular Correlates of Motor Vehicle Accident Related Posttraumatic Stress Disorder and its Successful Treatment
title_full Cardiovascular Correlates of Motor Vehicle Accident Related Posttraumatic Stress Disorder and its Successful Treatment
title_fullStr Cardiovascular Correlates of Motor Vehicle Accident Related Posttraumatic Stress Disorder and its Successful Treatment
title_full_unstemmed Cardiovascular Correlates of Motor Vehicle Accident Related Posttraumatic Stress Disorder and its Successful Treatment
title_short Cardiovascular Correlates of Motor Vehicle Accident Related Posttraumatic Stress Disorder and its Successful Treatment
title_sort cardiovascular correlates of motor vehicle accident related posttraumatic stress disorder and its successful treatment
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1705541/
https://www.ncbi.nlm.nih.gov/pubmed/17094031
http://dx.doi.org/10.1007/s10484-006-9027-1
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