TY - JOUR
T1 - Peak high-frequency HRV and peak alpha frequency higher in PTSD
AU - Wahbeh, Helané
AU - Oken, Barry S.
N1 - Funding Information:
Acknowledgments This work was supported in part by National Institute of Health grants T32AT002688, K01AT004951, U19AT002656, UL1RR024140, K24AT005121, and a Tartar Trust Grant. Special thanks to Roger Ellingson, Irina Fonareva, Jennifer Bishop and Elena Goodrich for their assistance with this study.
PY - 2013/3
Y1 - 2013/3
N2 - Posttraumatic stress disorder (PTSD) is difficult to treat and current PTSD treatments are not effective for all people. Despite limited evidence for its efficacy, some clinicians have implemented biofeedback for PTSD treatment. As a first step in constructing an effective biofeedback treatment program, we assessed respiration, electroencephalography (EEG) and heart rate variability (HRV) as potential biofeedback parameters for a future clinical trial. This cross-sectional study included 86 veterans; 59 with and 27 without PTSD. Data were collected on EEG measures, HRV, and respiration rate during an attentive resting state. Measures were analyzed to assess sensitivity to PTSD status and the relationship to PTSD symptoms. Peak alpha frequency was higher in the PTSD group (F(1,84) = 6.14, p = 0.01). Peak high-frequency HRV was lower in the PTSD group (F(2,78) = 26.5, p < 0.00005) when adjusting for respiration rate. All other EEG and HRV measures and respiration were not different between groups. Peak high-frequency HRV and peak alpha frequency are sensitive to PTSD status and may be potential biofeedback parameters for future PTSD clinical trials.
AB - Posttraumatic stress disorder (PTSD) is difficult to treat and current PTSD treatments are not effective for all people. Despite limited evidence for its efficacy, some clinicians have implemented biofeedback for PTSD treatment. As a first step in constructing an effective biofeedback treatment program, we assessed respiration, electroencephalography (EEG) and heart rate variability (HRV) as potential biofeedback parameters for a future clinical trial. This cross-sectional study included 86 veterans; 59 with and 27 without PTSD. Data were collected on EEG measures, HRV, and respiration rate during an attentive resting state. Measures were analyzed to assess sensitivity to PTSD status and the relationship to PTSD symptoms. Peak alpha frequency was higher in the PTSD group (F(1,84) = 6.14, p = 0.01). Peak high-frequency HRV was lower in the PTSD group (F(2,78) = 26.5, p < 0.00005) when adjusting for respiration rate. All other EEG and HRV measures and respiration were not different between groups. Peak high-frequency HRV and peak alpha frequency are sensitive to PTSD status and may be potential biofeedback parameters for future PTSD clinical trials.
KW - Biofeedback
KW - Combat veterans
KW - Heart rate variability
KW - Peak alpha frequency
KW - Posttraumatic stress disorder
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U2 - 10.1007/s10484-012-9208-z
DO - 10.1007/s10484-012-9208-z
M3 - Article
C2 - 23178990
AN - SCOPUS:84874118218
SN - 1090-0586
VL - 38
SP - 57
EP - 69
JO - Biofeedback and Self-Regulation
JF - Biofeedback and Self-Regulation
IS - 1
ER -