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Cardiac stability at differing levels of temporal analysis in panic disorder, post‐traumatic stress disorder, and healthy controls
Author(s) -
Fisher Aaron J.,
Woodward Steven H.
Publication year - 2014
Publication title -
psychophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.661
H-Index - 156
eISSN - 1469-8986
pISSN - 0048-5772
DOI - 10.1111/psyp.12148
Subject(s) - panic disorder , psychology , traumatic stress , cardiology , heart rate , audiology , heart rate variability , medicine , clinical psychology , psychiatry , anxiety , blood pressure
Abstract The panic disorder ( PD ) literature provides evidence for both physiologic rigidity and instability as pathognomonic features of this disorder. This ambiguity may be a result of viewing PD at differential levels of temporal analysis. We assessed cardiac variability across three levels of temporal scale in PD patients, post‐traumatic stress disorder ( PTSD ) patients, and healthy controls. Sixteen healthy controls, 14 PD patients, 23 PTSD patients, and 16 PTSD + PD patients presented for a polysomnogram. Differences were assessed in respiratory sinus arrhythmia ( RSA ), autoregressive stability of heart rate ( HR ), and the number of nonspecific accelerations in HR over the night. No differences in RSA were found between groups; however, PD patients exhibited significantly lower autoregressive HR stability, and all patients had significantly more HR accelerations than controls. These data reinforce prior findings demonstrating physiologic instability in PD and indicate that prior equivocalities regarding physiologic variability in PD may be due to limited temporal scaling of measurements.