Sympathetic and parasympathetic cardiac responses to phobia‐relevant and disgust‐specific emotion provocation in blood‐injection‐injury phobia with and without fainting history

Simon Erica; Meuret Alicia E.; Ritz Thomas

摘要

Abstract >The autonomic regulation in blood‐injection‐injury (BII) phobia has received particular attention due to the unique link between fear and fainting in this anxiety disorder. However, systematic exploration of sympathetic and parasympathetic cardiac activity during exposure to phobia‐relevant emotional stimuli has remained rare and inconclusive, including with regard to disgust, a frequent response to BII stimuli. Existing studies using respiratory sinus arrhythmia (RSA) as a noninvasive index of parasympathetic cardiac activity also have not accounted sufficiently for effects of respiration. We compared 60 participants with BII phobia (27 with and 33 without history of loss of consciousness) and 20 healthy controls during emotion induction with films, including a disgust and a BII‐relevant surgery film. Cardiorespiratory activity was measured continuously, with RSA (controlled for respiration) and T‐wave amplitude (TWA; as a noninvasive index of sympathetic cardiac activity) extracted. Significant increases in RSA during the surgery film were observed for participants with a history of loss of consciousness compared to others, but controlling for respiration eliminated these differences. Sympathetic effects with heart rate accelerations, which were most pronounced for the disgust film, did not differentiate groups. However, substantial increases in RSA and TWA, suggesting parasympathetic excitation and sympathetic withdrawal, were observed in five participants that became presyncopal during the surgery film. Thus, parasympathetic excitation and sympathetic withdrawal appear to be cardinal autonomic features in BII phobia, but larger studies of participants reaching presyncopal states in BII‐relevant stimulus exposure are needed to consolidate these findings. </abstract> </span> <span class="z_kbtn z_kbtnclass hoverxs" style="display: none;">展开▼</span> </div> <div class="translation abstracttxt"> <span class="zhankaihshouqi fivelineshidden" id="abstract"> <span>机译：</span><Abstract Type =“main”> <标题类型=“main”>摘要</ title> >由于恐惧和昏厥之间的独特联系，血液注射损伤（BII）恐惧的自主调节在这种焦虑症。然而，在暴露于恐惧症相关的情感刺激期间对同情和副交感神经心脏活动的系统性探索仍然是稀有和不确定的，包括厌恶，频繁反应BII刺激。使用呼吸道心律失常的现有研究（RSA）作为副交感神经心动活性的非侵入性指数也没有足够占呼吸的影响。我们将60名参与者与BII恐惧症（27例和33次没有意识丧失的历史）进行了比较，与薄膜情绪诱导期间的20个健康对照，包括厌恶和生物相关的外科薄膜。 CardioSepiration活性连续测量，RSA（对呼吸控制）和T波振幅（TWA;作为同情心脏活性的非侵入性指数）。与其他人相比，观察到历史记录的参与者在外科薄膜中的巨大增加，但控制呼吸的控制消除了这些差异。对心率加速的交感效应，这对厌恶电影最为明显，并没有区分群体。然而，在手术薄膜中成为预先发生的五个参与者观察到RSA和TWA的大量增加，表明副交感神经激发和交感脱扣。因此，副交感神经激发和交感神经脱扣似乎是BII恐惧症中的基本自主主义特征，但需要在巩固这些发现的BII相关刺激暴露中达到预先存在的参与者的大型研究。</ p> </摘要> </span> <span class="z_kbtn z_kbtnclass hoverxs" style="display: none;">展开▼</span> </div> </div> <div class="record"> <h2 class="all_title" id="enpatent33" >著录项</h2> <ul> <li> <span class="lefttit">来源</span> <div style="width: 86%;vertical-align: text-top;display: inline-block;"> <a href='/journal-foreign-30019/'>《Psychophysiology》</a> <b style="margin: 0 2px;">|</b><span>2017年第10期</span><b style="margin: 0 2px;">|</b><span>共16页</span> </div> </li> <li> <div class="author"> <span class="lefttit">作者</span> <p id="fAuthorthree" class="threelineshidden zhankaihshouqi"> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Simon Erica&option=202" target="_blank" rel="nofollow">Simon Erica;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Meuret Alicia E.&option=202" target="_blank" rel="nofollow">Meuret Alicia E.;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Ritz Thomas&option=202" target="_blank" rel="nofollow">Ritz Thomas;</a> </p> <span class="z_kbtnclass z_kbtnclassall hoverxs" id="zkzz" style="display: none;">展开▼</span> </div> </li> <li> <div style="display: flex;"> <span class="lefttit">作者单位</span> <div style="position: relative;margin-left: 3px;max-width: 639px;"> <div class="threelineshidden zhankaihshouqi" id="fOrgthree"> <p>Palo Alto Veterans Institute for ResearchPalo Alto California USA;</p> <p>Department of PsychologySouthern Methodist UniversityDallas Texas USA;</p> <p>Department of PsychologySouthern Methodist UniversityDallas Texas USA;</p> </div> <span class="z_kbtnclass z_kbtnclassall hoverxs" id="zhdw" style="display: none;">展开▼</span> </div> </div> </li> <li > <span class="lefttit">收录信息</span> <span style="width: 86%;vertical-align: text-top;display: inline-block;"></span> </li> <li> <span class="lefttit">原文格式</span> <span>PDF</span> </li> <li> <span class="lefttit">正文语种</span> <span>eng</span> </li> <li> <span class="lefttit">中图分类</span> <span><a href="https://www.zhangqiaokeyan.com/clc/1466.html" title="人体生理学">人体生理学;</a><a href="https://www.zhangqiaokeyan.com/clc/44.html" title="心理学">心理学;</a></span> </li> <li class="antistop"> <span class="lefttit">关键词</span> <p style="width: 86%;vertical-align: text-top;"> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=blood‐injection‐injury phobia&option=203" rel="nofollow">blood‐injection‐injury phobia;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=cardiac activity&option=203" rel="nofollow">cardiac activity;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=disgust&option=203" rel="nofollow">disgust;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=parasympathetic activity&option=203" rel="nofollow">parasympathetic activity;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=respiration&option=203" rel="nofollow">respiration;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=respiratory sinus arrhythmia&option=203" rel="nofollow">respiratory sinus arrhythmia;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=sympathetic activity&option=203" rel="nofollow">sympathetic activity;</a> </p> <div class="translation"> 机译：血液注射损伤恐惧症;心脏活性;厌恶;副交感神经活动;呼吸;呼吸鼻窦心律失常;交感神经活动; 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