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Adverse childhood experiences and autonomic regulation in response to acute stress : the role of the sympathetic and parasympathetic nervous systems

Adverse childhood experiences and autonomic regulation in response to acute stress : the role of the sympathetic and parasympathetic nervous systems

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WINZELER, Katja, Annette VOELLMIN, Evelin HUG, Ursula KIRMSE, Simone HELMIG, Mary PRINCIP, Christian CAJOCHEN, Klaus BADER, Frank H. WILHELM, 2017. Adverse childhood experiences and autonomic regulation in response to acute stress : the role of the sympathetic and parasympathetic nervous systems. In: Anxiety, Stress, & Coping. 30(2), pp. 145-154. ISSN 1061-5806. eISSN 1477-2205. Available under: doi: 10.1080/10615806.2016.1238076

@article{Winzeler2017-03-04Adver-39123, title={Adverse childhood experiences and autonomic regulation in response to acute stress : the role of the sympathetic and parasympathetic nervous systems}, year={2017}, doi={10.1080/10615806.2016.1238076}, number={2}, volume={30}, issn={1061-5806}, journal={Anxiety, Stress, & Coping}, pages={145--154}, author={Winzeler, Katja and Voellmin, Annette and Hug, Evelin and Kirmse, Ursula and Helmig, Simone and Princip, Mary and Cajochen, Christian and Bader, Klaus and Wilhelm, Frank H.} }

Winzeler, Katja Princip, Mary Adverse childhood experiences and autonomic regulation in response to acute stress : the role of the sympathetic and parasympathetic nervous systems eng Wilhelm, Frank H. Hug, Evelin Voellmin, Annette Background and objectives: After a previous report demonstrated blunted heart rate (HR) reactivity in association with adverse childhood experiences (ACEs) [Voellmin, A., Winzeler, K., Hug, E., Wilhelm, F. H., Schaefer, V., Gaab, J., … Bader, K. (2015). Blunted endocrine and cardiovascular reactivity in young healthy women reporting a history of childhood adversity. Psychoneuroendocrinology, 51, 58–67. doi:10.1016/j.psyneuen.2014.09.008], the present analysis aimed at clarifying the role of the sympathetic and parasympathetic branches of the autonomic nervous system in this relationship.<br /><br />Design and Methods: One hundred eighteen healthy young women provided data on ACEs and underwent psychosocial stress testing. Systolic blood pressure (SBP) and respiratory sinus arrhythmia (RSA, quantified by high-frequency HR variability) were assessed as measures of sympathetic and parasympathetic cardiovascular activity, respectively. A mediation model was calculated to test the indirect effects of ACEs on HR via SBP and RSA.<br /><br />Results: The effect of ACEs on HR reactivity was mediated by SBP reactivity but not by RSA reactivity. ACEs were associated with reduced SBP at rest.<br /><br />Conclusions: ACEs were associated with down-regulation in a measure of sympathetic but no alteration in a measure of parasympathetic cardiovascular stress reactivity in adulthood. Future research will need to clarify whether this indicates risk or resilience. Bader, Klaus Helmig, Simone Winzeler, Katja Cajochen, Christian Hug, Evelin Cajochen, Christian 2017-06-06T09:09:35Z Wilhelm, Frank H. 2017-06-06T09:09:35Z Bader, Klaus Kirmse, Ursula Voellmin, Annette Princip, Mary Helmig, Simone 2017-03-04 Kirmse, Ursula

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