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Cardiac Autonomic Control in Patients with Metabolic Syndrome
Title
Cardiac Autonomic Control in Patients with Metabolic Syndrome.
Creator
Mitchell, Jonathan, Cassisi, Jeffrey, Bedwell, Jeffrey, Beidel, Deborah, University of Central Florida
Abstract / Description
Metabolic syndrome (MetS) encompasses metabolic abnormalities that substantially increase risk for chronic illnesses. MetS and stress are closely related; the pathophysiology of MetS involves dysregulated stress response in both the physiological and psychological domains. In an effort to further clarify the relationship between metabolic abnormalities and autonomic dysregulation, we used ambulatory impedance cardiography to examine indicators of cardiac autonomic control (CAC) in a sample of...
Show moreMetabolic syndrome (MetS) encompasses metabolic abnormalities that substantially increase risk for chronic illnesses. MetS and stress are closely related; the pathophysiology of MetS involves dysregulated stress response in both the physiological and psychological domains. In an effort to further clarify the relationship between metabolic abnormalities and autonomic dysregulation, we used ambulatory impedance cardiography to examine indicators of cardiac autonomic control (CAC) in a sample of 50 adult primary care patients with and without MetS. Indices of sympathetic and parasympathetic influences on cardiovascular functioning were assessed in the context of psychological stressors and compared across experimental groups and examined in relation to self-reported health measures. Primary results suggest that while our experimental groups did not differ significantly on baseline measures, patterns of responses to experimentally induced stressors were largely consistent with our predictions, and demonstrate that individuals with MetS responded to stress cues with more maladaptive CAC scores. Moreover, in line with previous work, we found that elements of CAC in our sample were predictive of both cardiovascular disease and self-reported environmental quality of life. Overall, our results suggest that maladaptive physiological manifestations of the stress response are evident among individuals with MetS and may also be related to long-term health outcomes. The present study carries implications for both evaluation and assessment as well as treatment delivery and monitoring. In addition, the ambulatory nature of data collection demonstrated here supports trends toward mHealth and related initiatives in emerging modes of healthcare delivery.
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Date Issued
2016
Identifier
CFE0006359, ucf:51519
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0006359
Measurement Of Negative Affectivity In Psychometrically Defined Schizotypy Using Facial Electromyography
Title
Measurement Of Negative Affectivity In Psychometrically Defined Schizotypy Using Facial Electromyography.
Creator
Mitchell, Jonathan, Cassisi, Jeffrey, Bedwell, Jeffrey, Beidel, Deborah, University of Central Florida
Abstract / Description
Schizotypy is a sub-threshold syndrome associated with schizophrenia. Much of the research on schizotypy concerns its component features, one of which being blunted or constricted affect. While several investigations have addressed this common (")negative(") symptom within the context of schizophrenia, few have focused on schizotypy directly, and none have utilized psychophysiological measurement to examine affective constriction. The present investigation uses facial electromyography (EMG)...
Show moreSchizotypy is a sub-threshold syndrome associated with schizophrenia. Much of the research on schizotypy concerns its component features, one of which being blunted or constricted affect. While several investigations have addressed this common (")negative(") symptom within the context of schizophrenia, few have focused on schizotypy directly, and none have utilized psychophysiological measurement to examine affective constriction. The present investigation uses facial electromyography (EMG) to measure patterns of affective expression within a psychometrically defined schizotypal population when presented threatening and distressing pictures from the IAPS. Twenty-eight individuals with elevated schizotypal features and 20 healthy controls were recruited for this investigation. The participants observed the series of pictures and provided self-report ratings of affective valance and arousal while their physiological responses were recorded. The protocol used here closely matched that used by Bradley and Lang (2007) and produced a similar pattern of results across all participants on self-reported ratings and physiological measures. Results further suggest that those with schizotypal features did not differ from control participants in self-reported ratings of negative affect or autonomic arousal. A three-way interaction in facial EMG measurement revealed that while schizotypic males demonstrated the expected pattern of blunted facial affective expression, schizotypic females displayed the opposite pattern. That is, females with psychometrically schizotypy demonstrated significant elevations in negative facial affective expression while viewing distressing pictures. We argue that these findings reflect unidentified sex differences in affective expression in schizotypy, and we discuss implications for assessment and diagnostic procedures among individuals with personality disorders.
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Date Issued
2013
Identifier
CFE0004721, ucf:49808
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0004721