Heart Rate and Heart Rate Variability in Parents at Risk for Child Physical Abuse

2015 ◽  
Vol 33 (10) ◽  
pp. 1629-1652 ◽  
Author(s):  
Julie L. Crouch ◽  
Regina Hiraoka ◽  
Thomas R. McCanne ◽  
Gim Reo ◽  
Michael F. Wagner ◽  
...  

The present study examined heart rate and heart rate variability (i.e., respiratory sinus arrhythmia [RSA]) in a sample of 48 general population parents (41.7% fathers), who were either at high risk ( n = 24) or low risk ( n = 24) for child physical abuse. During baseline assessments of heart rate and RSA, parents sat quietly for 3 min. Afterward, parents were presented with a series of anagrams (either easy or difficult) and were instructed to solve as many anagrams as possible in 3 min. As expected, high-risk (compared with low-risk) parents evinced significantly higher resting heart rate and significantly lower resting RSA. During the anagram task, high-risk parents did not evince significant changes in heart rate or RSA relative to baseline levels. In contrast, low-risk parents evinced significant increases in heart rate and significant decreases in RSA during the anagram task. Contrary to expectations, the anagram task difficulty did not moderate the study findings. Collectively, this pattern of results is consistent with the notion that high-risk parents have chronically higher levels of physiological arousal relative to low-risk parents and exhibit less physiological flexibility in response to environmental demands. High-risk parents may benefit from interventions that include components that reduce physiological arousal and increase the capacity to regulate arousal effectively.

2020 ◽  
pp. 088626052096924
Author(s):  
Julie L. Crouch ◽  
John J. Skowronski ◽  
America L. Davila ◽  
Joel S. Milner

The present study examined the extent to which the aggressive tendencies of parents at risk for perpetrating child physical abuse (CPA) generalize to situations other than discipline-related encounters (e.g., a competitive gaming interaction). Participants included parents who were either low ( n = 90) or high ( n = 75) risk for CPA. Parents were led to believe that they were playing a game against a child opponent with whom they exchanged sound blasts of varying intensities. Parental sound blast selections served as a proxy for aggressive behavior. Parents were randomly assigned to high or low loss conditions. The fictitious child opponent’s responses were pre-programed so that sound blasts received by parents became louder (i.e., more provocative) over time. As predicted, high CPA risk parents exhibited higher levels of aggression than low CPA risk parents. Moreover, high-risk parents reported having higher levels of aggressive motives during the game than low-risk parents; and aggressive motives explained the link between parental CPA risk and parents’ aggressive behavior. With one exception, higher levels of child provocation during the game prompted parents to send higher levels of sound blasts. The exception to this pattern occurred among low-risk parents who experienced high rates of loss during the game. Specifically, low-risk parents in the high loss condition continued to send low levels of sound blasts even as their child opponent became more provocative. Aggressive motives (and the ability to change motives as situations change) may help explain differences in aggressive tendencies evinced by parents with varying levels of CPA risk.


2011 ◽  
Author(s):  
Brett Wells ◽  
Lauren Irwin ◽  
Christopher Shelton ◽  
Julie Crouch ◽  
John Skowronski ◽  
...  

1995 ◽  
Vol 269 (2) ◽  
pp. H480-H486 ◽  
Author(s):  
Y. Yamamoto ◽  
J. O. Fortrat ◽  
R. L. Hughson

The purpose of the present study was to investigate the basic fractal nature of the variability in resting heart rate (HRV), relative to that in breathing frequency (BFV) and tidal volume (TVV), and to test the hypothesis that fractal HRV is due to the fractal BFV and/or TVV in humans. In addition, the possible fractal nature of respiratory volume curves (RVC) and HRV was observed. In the first study, eight subjects were tested while they sat quietly in a comfortable chair for 60 min. Beat-to-beat R-R intervals, i.e., HRV, and breath-by-breath BFV and TVV were measured. In the second study, six subjects were tested while they were in the supine position for 20-30 min. The RVC was monitored continuously together with HRV. Coarse-graining spectral analysis (Yamamoto, Y., and R. L. Hughson, Physica D 68: 250-264, 1993) was applied to these signals to evaluate the percentage of random fractal components in the time series (%Fractal) and the spectral exponent (beta), which characterizes irregularity of the signals. The estimates of beta were determined for each variable only over the range normally used to evaluate HRV. Values for %Fractal and beta of both BFV and TVV were significantly (P < 0.05) greater than those for HRV. In addition, there was no significant (P > 0.05) correlation between the beta values of HRV relative to either BFV (r = 0.14) or TVV (r = 0.34). RVC showed a smooth oscillation as compared with HRV; %Fractal for RVC (42.3 +/- 21.7%, mean +/- SD) was significantly (P < 0.05) lower than that for HRV (78.5 +/- 4.2%).(ABSTRACT TRUNCATED AT 250 WORDS)


Author(s):  
Maria Meier ◽  
Eva Unternaehrer ◽  
Sabine M. Schorpp ◽  
Maya Wenzel ◽  
Annika Benz ◽  
...  

Abstract. Cognition is affected by psychophysiological states. While the influence of stress on cognition has been investigated intensively, less studies have addressed how the opposite of stress, a state of relaxation, affects cognition. We investigated whether the extent of parasympathetic activation is positively related to divergent thinking. Sixty healthy female participants were randomly allocated to a standardized vagus nerve massage ( n = 19), a standardized soft shoulder massage ( n = 22), or a resting control group ( n = 19). Subsequently, participants completed the Alternative Uses Test (AUT), a measure of divergent thinking. Respiratory sinus arrhythmia (RSA), a vagally mediated heart rate variability component, was monitored throughout the experiment. The area under the curve with respect to the increase was calculated for RSA trajectories as an indicator of vagal tone during the relaxing intervention. Regressions tested the effect of vagal tone on AUT outcomes. We found an association between vagal tone and subsequent AUT outcomes. Yet, this association was no longer significant when controlling for the effect of the creative potential of an individual, which was strongly related to AUT outcomes. Being exploratory, we found a positive association between creative potential and vagal tone. These results imply that creative potential might be related to the capacity to relax.


2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
A Sammani ◽  
E Kayvanpour ◽  
L P Bosman ◽  
F Sedaghat-Hamedani ◽  
T Proctor ◽  
...  

Abstract Background Patients with non-ischemic dilated cardiomyopathy (NIDCM) are at increased risk of ventricular arrhythmias and sudden cardiac death (SCD). However, identifying patients at high risk for life-threatening ventricular arrhythmia (LTVA) who may benefit from an implantable cardioverter defibrillator (ICD) remains challenging. Methods We searched MEDLINE and EMBASE for prognostic studies describing predictors of LTVA (defined as sustained ventricular tachycardia (VT), haemodynamically unstable VT, ventricular fibrillation, (aborted) SCD or appropriate ICD intervention) in patients with NIDCM. We excluded articles with composite heart failure and arrhythmic endpoints but lacking (subgroup) analysis for LTVA. Study quality and risk of bias was assessed using the QUIPS-tool, and articles with high risk of bias in ≥2 areas were excluded from analysis. Univariable hazard ratios of reported predictors were pooled from the remaining studies in a meta-analysis using a random-effects model and presented with 95% confidence interval (CI). Results Out of 1996 unique citations, 51 studies were included comprising 9798 patients with 1493 arrhythmic events. 28 studies were pooled for meta-analysis (mean age 55±4.1 years, 72% male) with a mean follow-up of 3.7±1.9 years. Crude event rate was 4.3% (95% CI 4.02–4.57) per year. From our meta-analysis, hypertension (HR 1.95; CI [1.26–3.00]), history of out of hospital cardiac arrest or sustained VT (HR 4.15; CI [1.32–13.02]), T-wave alternans (HR 6.50; CI [2.46–17.14]), LVEDV per 10ml/m2 increase (HR 1.10; CI [1.10–1.10]), LVESV per 10ml/m2 increase (HR 1.10; CI [1.00–1.22]) and delayed gadolinium enhancement (HR 5.55; CI [4.02–7.67]) were significantly associated with LTVA (figure). The quality of evidence was moderate and there was significant heterogeneity (median i2 57%; IQR 76%) among studies. Additionally from data that could not be pooled, decreased LVEF, history of nsVT and decreased heart rate variability were significantly associated with LTVA. Summary of meta-analysis results Conclusion The risk of LTVA in NIDCM is 4.3% per year and is considerably higher in patients with hypertension, history of LTVA, decreased LVEF, high LVEDV, high LVESV, T-wave alternans, history of nsVT, decreased heart rate variability and delayed gadolinium enhancement. These results may help determine appropriate candidates for ICD implantation. The high heterogeneity in reported results indicate the need for future multicentre studies to further improve risk stratification in NIDCM. Acknowledgement/Funding ERA-CVD JTC2016: DETECTIN-HF, 680969 & Dutch Heart Foundation (2016T096)


Heliyon ◽  
2020 ◽  
Vol 6 (3) ◽  
pp. e03485 ◽  
Author(s):  
Cristian Iván Montalvo-Jaramillo ◽  
Adriana Cristina Pliego-Carrillo ◽  
Miguel Ángel Peña-Castillo ◽  
Juan Carlos Echeverría ◽  
Enrique Becerril-Villanueva ◽  
...  

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