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

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2017
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Winzeler, Katja
Voellmin, Annette
Hug, Evelin
Helmig, Simone
Princip, Mary
Cajochen, Christian
Bader, Klaus
Wilhelm, Frank H.
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Anxiety, Stress, & Coping. 2017, 30(2), pp. 145-154. ISSN 1061-5806. eISSN 1477-2205. Available under: doi: 10.1080/10615806.2016.1238076
Zusammenfassung

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.

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.

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.

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.

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ISO 690WINZELER, 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. 2017, 30(2), pp. 145-154. ISSN 1061-5806. eISSN 1477-2205. Available under: doi: 10.1080/10615806.2016.1238076
BibTex
@article{Winzeler2017-03-04Adver-39123,
  year={2017},
  doi={10.1080/10615806.2016.1238076},
  title={Adverse childhood experiences and autonomic regulation in response to acute stress : the role of the sympathetic and parasympathetic nervous systems},
  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.}
}
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    <dcterms:abstract xml:lang="eng">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.&lt;br /&gt;&lt;br /&gt;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.&lt;br /&gt;&lt;br /&gt;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.&lt;br /&gt;&lt;br /&gt;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.</dcterms:abstract>
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