Psychiatry investigation

  • 제15권12호
  • /
  • Pages.1168-1173
  • /
  • 2018
  • /
  • 1738-3684(pISSN)
  • /
  • 1976-3026(eISSN)
대한신경정신의학회 (Korean Neuropsychiatric Association)
권호 표지
DOI QR코드

DOI QR Code

Frontal Alpha Asymmetry, Heart Rate Variability, and Positive Resources in Bereaved Family Members with Suicidal Ideation after the Sewol Ferry Disaster

  • Jang, Kuk-In (Department of Biomedicine and Health Sciences, College of Medicine, The Catholic University of Korea) ;
  • Lee, Sangmin (Department of Biomedicine and Health Sciences, College of Medicine, The Catholic University of Korea) ;
  • Lee, Seung-Hwan (Clinical Emotion and Cognition Research Laboratory, Inje University) ;
  • Chae, Jeong-Ho (Department of Biomedicine and Health Sciences, College of Medicine, The Catholic University of Korea)
  • 투고 : 2018.07.30
  • 심사 : 2018.09.16
  • 발행 : 2018.12.31
⟨ 이전 논문 다음 논문 ⟩

초록

Objective After the Sewol ferry disaster, bereavement with suicidal ideation was a critical mental health problem that was accompanied by various neuropsychological symptoms. This study examined the frontal alpha asymmetry (FAA), heart rate variability (HRV), and several psychological symptoms in bereaved family members (BFM) after the Sewol ferry disaster. Methods Eighty-three BFM after the Sewol ferry disaster were recruited. We assessed FAA, HRV, and psychological symptoms, including depression, post-traumatic stress, post-traumatic growth factor, anxiety, grief, and positive resources, between BFM with the presence and absence of current suicidal ideation. Results Compared to BFM without suicidal ideation, BFM with suicidal ideation showed a higher FAA with right dominance. Significant differences in psychological symptoms were observed between the groups. In BFM with suicidal ideation, the low: high frequency (LF:HF) ratio correlated with social resources and support. Conclusion The FAA and LF:HF ratio may be biomarkers that represent the pathological conditions of BFM with suicidal ideation. If researched further, they may shed light on the interaction between bereavement with suicidal ideation and social resources for therapeutic intervention.

키워드

과제정보

연구 과제 주관 기관 : Korea Health Industry Development Institute

참고문헌

  1. Parkes CM. Bereavement Following Disasters. In: Stroebe M, Hansson M, Schut H, Stroebe W, Editors. Handbook of Bereavement Research and Practice. Washington DC: American Psychological Association, 2008, p.463-484.
  2. Kolves K, Kolves KE, De Leo D. Natural disasters and suicidal behaviours: a systematic literature review. J Affect Disord 2013;146:1-14. https://doi.org/10.1016/j.jad.2012.07.037
  3. Stroebe M, Stroebe W, Abakoumkin G. The broken heart: suicidal ideation in bereavement. Am J Psychiatry 2005;162:2178-2180. https://doi.org/10.1176/appi.ajp.162.11.2178
  4. Reifels L, Spittal MJ, Duckers ML, Mills K, Pirkis J. Suicidality risk and (repeat) disaster exposure: findings from a nationally representative population survey. Psychiatry 2018;81:158-172. https://doi.org/10.1080/00332747.2017.1385049
  5. Dharmadhikari AS, Tandle AL, Jaiswal SV, Sawant VA, Vahia VN, Jog N. Frontal theta asymmetry as a biomarker of depression. East Asian Arch Psychiatry 2018;28:17-22.
  6. Meyer T, Smeets T, Giesbrecht T, Quaedflieg CW, Smulders FT, Meijer EH, et al. The role of frontal EEG asymmetry in post-traumatic stress disorder. Biol Psychol 2015;108:62-77. https://doi.org/10.1016/j.biopsycho.2015.03.018
  7. Thompson C, Ong ELC. The association between suicidal behavior, attentional control, and frontal asymmetry. Front Psychiatry 2018;9:79.
  8. Graae F, Tenke C, Bruder G, Rotheram MJ, Piacentini J, Castro-Blanco D, et al. Abnormality of EEG alpha asymmetry in female adolescent suicide attempters. Biol Psychiatry 1996;40:706-713. https://doi.org/10.1016/0006-3223(95)00493-9
  9. Davidson RJ, Ekman P, Saron CD, Senulis JA, Friesen WV. Approachwithdrawal and cerebral asymmetry: emotional expression and brain physiology. I. J Pers Soc Psychol 1990;58:330-341. https://doi.org/10.1037/0022-3514.58.2.330
  10. Pernet C, Wilcox R, Rousselet G. Robust correlation analyses: false positive and power validation using a new open source matlab tool box. Front Psychology 2013;3:606.
  11. Reznik SJ, Allen JJB. Frontal asymmetry as a mediator and moderator of emotion: An updated review. Psychophysiology 2018;55.
  12. Jesulola E, Sharpley CF, Bitsika V, Agnew LL, Wilson P. Frontal alpha asymmetry as a pathway to behavioural withdrawal in depression: Research findings and issues. Behav Brain Res 2015;292:56-67. https://doi.org/10.1016/j.bbr.2015.05.058
  13. Park JE, Lee JY, Kang SH, Choi JH, Kim TY, So HS, et al. Heart rate variability of chronic posttraumatic stress disorder in the Korean veterans. Psychiatry Res 2017;255:72-77. https://doi.org/10.1016/j.psychres.2017.05.011
  14. Alvares GA, Quintana DS, Hickie IB, Guastella AJ. Autonomic nervous system dysfunction in psychiatric disorders and the impact of psychotropic medications: a systematic review and meta-analysis. J Psychiatry Neurosci 2016;41:89-104. https://doi.org/10.1503/jpn.140217
  15. Shaffer F, Ginsberg JP. An overview of heart rate variability metrics and norms. Front Public Health 2017;5:258. https://doi.org/10.3389/fpubh.2017.00258
  16. Rissling MB, Dennis PA, Watkins LL, Calhoun PS, Dennis MF, Beckham JC, et al. Circadian contrasts in heart rate variability associated with posttraumatic stress disorder symptoms in a young adult cohort. J Trauma Stress 2016;29:415-421. https://doi.org/10.1002/jts.22125
  17. LeBlanc NJ, Unger LD, McNally RJ. Emotional and physiological reactivity in complicated grief. J Affect Disord 2016;194:98-104. https://doi.org/10.1016/j.jad.2016.01.024
  18. Sim CS, Sung JH, Cheon SH, Lee JM, Lee JW, Lee J. The effects of different noise types on heart rate variability in men. Yonsei Med J 2015;56:235-243. https://doi.org/10.3349/ymj.2015.56.1.235
  19. Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. Heart rate variability: standards of measurement, physiological interpretation and clinical use. Circulation 1996;93:1043-1065. https://doi.org/10.1161/01.CIR.93.5.1043
  20. Dube P, Kurt K, Bair MJ, Theobald D, Williams LS. The p4 screener: evaluation of a brief measure for assessing potential suicide risk in 2 randomized effectiveness trials of primary care and oncology patients. Prim Care Companion J Clin Psychiatry 2010;12.
  21. Han C, Jo SA, Kwak JH, Pae CU, Steffens D, Jo I, et al. Validation of the Patient Health Questionnaire-9 Korean version in the elderly population: the Ansan Geriatric study. Compr Psychiatry 2008;49:218-223. https://doi.org/10.1016/j.comppsych.2007.08.006
  22. Blevins CA, Weathers FW, Davis MT, Witte TK, Domino JL. The posttraumatic stress disorder checklist for DSM-5 (PCL-5): development and initial psychometric evaluation. J Trauma Stress 2015;28:489-498. https://doi.org/10.1002/jts.22059
  23. Kim J , Chung H, Choi J, So H, Kang S, Kim D, et al. Psychometric properties of the Korean version of the PTSD Checklist-5 in elderly Korean veterans of the Vietnam war. Anxiety Mood 2017;13:123-131.
  24. Cann A, Calhoun LG, Tedeschi RG, Taku K, Vishnevsky T, Triplett KN, et al. A short form of the Posttraumatic Growth Inventory. Anxiety Stress Coping 2010;23:127-137. https://doi.org/10.1080/10615800903094273
  25. Prigerson HG, Maciejewski PK, Reynolds CF 3rd, Bierhals AJ, Newsom JT, Fasiczka A, et al. Inventory of Complicated Grief: a scale to measure maladaptive symptoms of loss. Psychiatry Res 1995;59:65-79. https://doi.org/10.1016/0165-1781(95)02757-2
  26. Han DH, Lee JJ, Moon DS, Cha MJ, Kim MA, Min S, et al. Korean version of inventory of complicated grief scale: psychometric properties in Korean adolescents. J Korean Med Sci 2016;31:114-119. https://doi.org/10.3346/jkms.2016.31.1.114
  27. Spitzer RL, Kroenke K, Williams JBW, L?we B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med 2006;166:1092-1097. https://doi.org/10.1001/archinte.166.10.1092
  28. Seo JG, Park SP. Validation of the Generalized Anxiety Disorder-7 (GAD-7) and GAD-2 in patients with migraine. J Headache Pain 2015;16:97. https://doi.org/10.1186/s10194-015-0583-8
  29. Chae JH, Huh HJ, Choi WJ. Embitterment and bereavement: the Sewol ferry accident example. Psychol Trauma 2018;10:46-50. https://doi.org/10.1037/tra0000308
  30. Kim S, Min J, Chae JH, Kim M, H KJ. Development and validation of the Positive Resources Test (POREST). Paper presented at the annual conference of the Korean Psychological Association; 2013.
  31. Huh HJ, Kim SY, Min JA, Chae JH, et al. Development of the clinical short-form positive resources test. Korean J Stress Res 2018;26:77-87. https://doi.org/10.17547/kjsr.2018.26.2.77
  32. Gordon E, Palmer DM, Cooper N. EEG alpha asymmetry in schizophrenia, depression, PTSD, panic disorder, ADHD and conduct disorder. Clin EEG Neurosci 2010;41:178-183. https://doi.org/10.1177/155005941004100404
  33. Kemp AH, Griffiths K, Felmingham KL, Shankman SA, Drinkenburg W, Arns M, et al. Disorder specificity despite comorbidity: resting EEG alpha asymmetry in major depressive disorder and post-traumatic stress disorder. Biol Psychol 2010;85:350-354. https://doi.org/10.1016/j.biopsycho.2010.08.001
  34. van der Vinne N, Vollebregt MA, van Putten MJAM, Arns M. Frontal alpha asymmetry as a diagnostic marker in depression: fact or fiction? A meta-analysis. NeuroImage Clin 2017;16:79-87. https://doi.org/10.1016/j.nicl.2017.07.006
  35. Jang KI, Shim M, Lee SM, Huh HJ, Huh S, Joo JY, et al. Increased beta power in the bereaved families of the Sewol ferry disaster: A paradoxical compensatory phenomenon? A two-channel electroencephalography study. Psychiatry Clin Neurosci 2017;71:759-768. https://doi.org/10.1111/pcn.12546
  36. Batterham PJ, Calear AL, Mackinnon AJ, Christensen H. The association between suicidal ideation and increased mortality from natural causes. J Affect Disord 2013;150:855-860. https://doi.org/10.1016/j.jad.2013.03.018
  37. Szanto K, Prigerson H, Houck P, Ehrenpreis L, Reynolds CF 3rd. Suicidal ideation in elderly bereaved: the role of complicated grief. Suicide Life Threat Behav 1997;27:194-207.
  38. Krysinska K, Lester D, Martin G. Suicidal behavior after a traumatic event. J Trauma Nurs 2009;16:103-110. https://doi.org/10.1097/JTN.0b013e3181ac921f
  39. Neria Y, Olfson M, Gameroff MJ, Wickramaratne P, Gross R, Pilowsky DJ, et al. The mental health consequences of disaster-related loss: findings from primary care one year after the 9/11 terrorist attacks. Psychiatry 2008;71:339-348. https://doi.org/10.1521/psyc.2008.71.4.339
  40. Dennis PA, Watkins LL, Calhoun PS, Oddone A, Sherwood A, Dennis MF, et al. Posttraumatic stress, heart rate variability, and the mediating role of behavioral health risks. Psychosom Med 2014;76:629-637. https://doi.org/10.1097/PSY.0000000000000110

피인용 문헌

  1. Real-Time Stress Assessment Using Sliding Window Based Convolutional Neural Network vol.20, pp.16, 2018, https://doi.org/10.3390/s20164400