Heart rate variability as a biomarker for autonomic nervous system response differences between children with chronic pain and healthy control children

Autor: Evans, Subhadra; Seidman, Laura C; Tsao, Jennie CI; Lung, Kirsten C; Zeltzer, Lonnie K; Naliboff, Bruce D
Sprache: Englisch
Veröffentlicht: 2013
Quelle: PubMed Central (PMC)
Online Zugang: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3684221
http://www.ncbi.nlm.nih.gov/pubmed/23788839
http://dx.doi.org/10.2147/JPR.S43849
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3684221
https://doi.org/10.2147/JPR.S43849
Erfassungsnummer: ftpubmed:oai:pubmedcentral.nih.gov:3684221
id ftpubmed:oai:pubmedcentral.nih.gov:3684221
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url http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3684221
http://www.ncbi.nlm.nih.gov/pubmed/23788839
http://dx.doi.org/10.2147/JPR.S43849
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3684221
https://doi.org/10.2147/JPR.S43849
url-type primary
primary
primary
pmc
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spelling Original Research
Heart rate variability as a biomarker for autonomic nervous system response differences between children with chronic pain and healthy control children
publishDate 2013
publishDate_facet 2013
baseCollectionName PubMed Central (PMC)
baseCountry us
title Heart rate variability as a biomarker for autonomic nervous system response differences between children with chronic pain and healthy control children
spellingShingle Heart rate variability as a biomarker for autonomic nervous system response differences between children with chronic pain and healthy control children
title_short Heart rate variability as a biomarker for autonomic nervous system response differences between children with chronic pain and healthy control children
title_sort Heart rate variability as a biomarker for autonomic nervous system response differences between children with chronic pain and healthy control children
author2 Evans, Subhadra
Seidman, Laura C
Tsao, Jennie CI
Lung, Kirsten C
Zeltzer, Lonnie K
Naliboff, Bruce D
author_facet Evans, Subhadra
Seidman, Laura C
Tsao, Jennie CI
Lung, Kirsten C
Zeltzer, Lonnie K
Naliboff, Bruce D
author2-role Autor
Autor
Autor
Autor
Autor
Autor
abstract Studies in adults have demonstrated a relationship between lowered heart rate variability (HRV) and poor health. However, less is known about the role of autonomic arousal in children’s well-being. The aim of the current study was to examine resting HRV in children with chronic pain compared to healthy control children and, further, to examine children’s HRV following a series of acute experimental pain tasks in both groups. Participants included 104 healthy control children and 48 children with chronic pain aged 8–17 years. The laboratory session involved a 5-minute baseline electrocardiogram followed by four pain induction tasks: evoked pressure, cold pressor, focal pressure, and a conditioned pain modulation task. After the tasks were complete, a 5-minute post-task electrocardiogram recording was taken. Spectral analysis was used to capture high-frequency normalized power and the ratio of low-to-high frequency band power, signifying cardiac vagal tone and sympathetic balance, respectively. Results revealed that children with chronic pain had significantly lower resting HRV (signified by low high-frequency normalized power and high ratio of low-to-high frequency band power) compared to healthy children; moreover, a significant interaction between groups and time revealed that children with chronic pain displayed a static HRV response to the pain session compared to healthy children, whose HRV was reduced concomitant with the pain session. These findings suggest that children with chronic pain may have a sustained stress response with minimal variability in response to new acute pain stressors.
abstract_type general
abstract_lang eng
language eng
publisher Dove Medical Press
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