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Vol. 19, Art. 38 (pp. 518-542)    |    2018       

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Features of mechanisms of regulation of vegetative functions of the military personnel with boundary mental disorders and suicidal behavior

Seregin D.A.1, Dnov K.V.2

1 Military Medical Academy. S.M. Kirov, Saint Petersburg
Department of Psychiatry

2 St. Petersburg Postgraduate Institute of Medical experts,
Department of medico-social and psychological assistance

Brief summary

The article deals with the features of manifestations and mechanisms of regulation of vegetative functions of soldiers with borderline mental disorders and suicidal behavior. The study included 162 healthy male soldiers aged 20.3+/-0.8 years and 37 soldiers with borderline mental disorders and suicidal behavior at the age of 19.3+/-2.5 years. According to the results of the examination it was found that the majority of the examined patients had a high tension index (IN), or stress index (SI), reflecting the degree of tension of regulatory systems (SI =240,6+/-98,2; n=37). In healthy soldiers it was (SI=61,7+/-22,9; n=114). This indicator, together with other HRV parameters, can be used for monitoring, predicting borderline functional States, mental disorders and suicidal behavior.


Key words

Key words: suicide, heart rate variability, mental illness, depression, psychopathological symptomatology.

Reference list

1. Ambrymova A. G. Diagnostika syicidalnogo povedeniya: metodicheskie rekomendacii / A. G. Ambrymova, V. A. Tihonenko. - M., 1980. - 48 s.


2. Baevskii, R.M. Prognozirovanie sostoyanii na grani normi i patologii / R.M. Baevskii. - M.: «Medicina», 1979. - 298 s. 15.


3. Baevskii, R.M. Ispolzovanie principov donozologicheskoi diagnostiki dlya ocenki fynkcionalnogo sostoyaniya organizma pri stressornih vozdeistviyah (na primere voditelei avtobysov) / R.M. Baevskii, A.P. Berseneva, E.U. Bersenev, A.K. Eshmanova // Fiziologiya cheloveka - 2009. - T.35. - N1. - S. 41.


4. Baevskii, R.M. Variabelnost serdechnogo ritma: teoreticheskie aspekti i vozmojnost klinicheskogo primeneniya / R.M. Baevskii, G.G. Ivanov // Yltrazvykovaya i fynkcionalnaya diagnostika - 2001. - N3. - S. 108.


5. Baevskii, R.M. Analiz variabelnosti serdechnogo ritma pri ispolzovanii razlichnih elektrokardiograficheskih sistem (metodicheskie rekomendacii) / R.M. Baevskii, L.V. Chireikin, G.G. Ivanov // Vestnik aritmologii - 2001. - T.24. - S. 69.


6. Boldyeva S.A.. Vzaimosvyaz naryshenii psihiki s sostoyaniem vegetativnoi regylyacii serdechnogo ritma i vnezapnoi smertu bolnih, perenesshih infarkt miokarda / Boldyeva S.A., Trofimova O.V., Gimgina A.A. // Rossiiskii kardiologicheskii jyrnal - 2008. - N 1 (69). - C.26-31.


7. Grigorev A.I., Baevskii R.M. / Koncepciya zdorovya i problema normi v kosmicheskoi medicine. - M.: Firma "Slovo", 2001. - 96 s.,17 il., 7 tabl.


8. Jmyrov V.A. Bolshaya enciklopediya po psihiatrii, 2-e izd., 2012. - S.


9. Kaznacheev V.P., Baevskii R.M., Berseneva A.P. Donozologicheskaya diagnostika v praktike massovih obsledovanii naseleniya.-L.: Medicina,1980.- 225 s.


10. Mihailov, V.M. Variabelnost ritma serdca: opit prakticheskogo primeneniya metoda / V.M. Mihailov. - Ivanovo, 2002. - 288 s.


11. Nechiporenko, V. V. Syicidologiya: voprosi kliniki, diagnostiki i profilaktiki / V. V. Nechiporenko, V. K. Shamrei. -- SPb.: VMedA, 2007. -- 527, [1] s.


12. Semenov U.N., Baevskii R.M. Apparatno-programmnii kompleks "Varikard" dlya ocenki fynkcionalnogo sostoyaniya organizma po rezyltatam matematicheskogo analiza ritma serdca. Variabelnost serdechnogo ritma. - Ijevsk, 1996. S. 160-162.


13. Tryhacheva N.V. Medicinskaya statistika: ychebnoe posobie / N.V. Tryhacheva. - Rostov-na-Dony: Feniks, 2017. - 324 s. : il.


14. Haritonov S.V. Rezyltati klinicheskih ispitanii oprosnika «shkali dinamicheskogo kontrolya syicidalnogo riska» / Haritonov S.V., Chybina S.A., Rizova S.V., Sobolev V.A., Kyshnarev V.M. // Syicidologiya. - 2014. - T. 5. - N 2. (15). S. 20-25.


15. Cykarzi E.E. Syicid: ocenka riskov i pervaya pomosh. Opredelenie yrovnya syicidalnogo riska c pomoshu Kolymbiiskoi Shkali Ocenki Tyajesti Syicida (C-SSRS) / Cykarzi E.E. // Sovremennaya terapiya psihicheskih rasstroistv - 2011. -N2. S. 30-39.


16. Chyrkin A.A. Kratkoe rykovodstvo po ispolzovaniu MKB-10 v psihiatrii i narkologii / A.A.Chyrkin, A.N. Martushov. - M.: Medicina, 1999. - 232 s.


17. Shahmatova, K.I. Sytochnaya variabelnost serdechnogo ritma y rabotnikov «stressovih» professii / K.I. Shahmatova, I.V. Osipova, O.N. Antropova, T.V. Perevozchikova, N.A. Lobanova // Fyndamentalnie issledovaniya. - 2007. - N2. - S. 92.


18. Aubert, A.E., Beckers F., Ramaekers D // Short-team heart rate variability in young athletes // J Cardiol. 2001; 37 Suppl. 1:85-88.


19. Beauchaine T.P., Thayer J.F. Heart rate variability as a transdiagnostic biomarker of psychopathology // International Journal of Psychophysiology. 2015. Vol. 98 338-350


20. Carney R. M., Freedland K. E., Veith R. C. Depression, the autonomic nervous system, and coronary heart disease // Psychosom. Med. 2005. Vol. 67 (Suppl. 1). P. S29-33.


21. Chambers A.S., Allen J.J.B. Vagal tone as an indicator of treatment response in major depression // Psychophysiology. 2002. Vol. 39, N 6. P. 861-864.


22. Chang H.A., Current Suicidal Ideation and its Relationships with Heart Rate Variability and Inflammatory Markers among Depressed Patients. JSM Anxiety Depress. 2016. 1(3): 1014.


23. Gorman J.M, Sloan R.P. Heart rate variability in depressive and anxiety disorders// Am Heart J. 2000 Oct;140(4 Suppl):77-83.


24. Grunhaus, L., Schreiber S., Dolger O.T., Polak D., Dannon P.N. A randomized controlled comparison of electroconvulsive therapy and repetitive transcranial magnetic stimulation in severe and resistant nonpsychotic major depression. Biol. Psychiatry 2003; 53(4): 324-331.


25. Horowitz M.J., Winer N., Kaltreider N., Alvarez W. Signs and Symptoms of PTSD // Arch. Gen. Psychiat, 1980, vol. 37, N 1, pr. 85-92.


26. Ehlers A., Mayou R. A., Sprigings D. C., Birkhead J. Psychological and perceptual factors associated with arrhythmias and benign palpitations // Psychosom. Med. 2000. Vol. 62. P. 693-702.


27. Kemp A., Quintana D., Quinn C., Hopkinson P., Harris A. Major depressive disorder with melancholia displays robust alterations in resting state heart rate and its variability: implications for future morbidity and mortality // Frontiers in Psychology. Vol. 5. 2014.


28. Monitoring Metabolic Status: Predicting Decrements in Physiological and Cognitive Performance. Washington, DC: The National Academies Press. Institute of Medicine. 2004. https://doi.org/10.17226/10981.


29. Lett HS, Blumenthal JA, Babyak MA. et al. Depression as a risk factor for coronary artery disease: evidence, mechanisms, and treatment// Psychosom Med. 2004; 66: 305-315.


30. Linden W., Lenz J. W., Stossel C. Alexithymia, defensiveness and cardiovascular reactivity to stress // J. Psychosom. Res. 1996. Vol. 41, N 6. P. 575-583.


31. Malliani, A., Montano N., Pagani M. Physiological background of heart rate variability // Cardiac Electrophysiology Review. 1997; 3: 345-348.


32. Mourot, L., Bouhaddi M., Perrey S., Cappelle S., Henriet MT., Wolf JR., Rouillon JD., Regnard J. Decrease in heart rate variability with overtraining: assessment by the Poincare plot analysis // Clin Physiol Funct Imaging. 2004 Jan; 24(1): 10-8.


33. Rottenberg J., Wilhelm F.H., Gross J.J. Vagal rebound during resolution of tearful crying among depressed and nondepressed individuals // Psychophysiology. 2003. Vol. 40. P. 1-6.


34. Sikander D., Arvaneh M., Amico F., Healy G., Ward T., Kearney D., Mohedano E., Fagan J., Yek J., Smeaton A. F., Brophy J. Predicting Risk of Suicide Using Resting State Heart Rate


35. Takase, B., Akima T., Satomura K., Ohsuzu F., Mastui T., Ishihara M., Kurita A. Effects of chronic sleep deprivation on autonomic activity by examining heart rate variability, plasma catecholamine, and intracellular magnesium levels // Biomed Pharmacother. 2004. V. 58. N 1. P. 35-39.


36. Tsypes A, James KM, Woody ML, Feurer C, Kudinova AY, Gibb BE. Resting respiratory sinus arrhythmia in suicide attempters. Psychophysiology. 2017; 00:1-7.


37. Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. Heart Rate Variability. Standards of Measurements, Physiological Interpretation, and Clinical Use. Circulation 1996; 93:1043-1065.


38. Hage B., Sinacore J., Heilman K., Porges S. W., Halaris A. Heart Rate Variability Predicts Treatment Outcome in Major Depression // JPBS 2017. 2(6) P. 1-13.


39. Van Melle JP, de Jonge P, Spijkerman TA. et al. Prognostic association of depression following myocardial infarction with mortality and cardiovascular events: a metaDanalysis// Psychosom Med 2004; 66:814-822.


40. Verrier R.L., Lown B. Experimental studies of psychophysiological factors in sudden cardial death// Acta Med Scand. 1982; 660: 57-68.


41. Watkins L.L., Blumenthal A, Carney R.M. Association of anxiety with reduced baroreflex cardiac control in patients after acute myocardial infarction// Am Heart Journal. 2002; 143: 461- 466.


42. Zigmond A. S., Snaith R. P. The Hospital Anxiety and Depression scale. // Ada Psychiatr. Scand. 1983 - Vol.67 -P.361-370.

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