The interplay of self-critical rumination and resting heart rate variability on subjective well-being and somatic symptom distress: A prospective study.

Autor: Kocsel N; Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary. Electronic address: kocsel.natalia@ppk.elte.hu., Köteles F; Institution of Health Promotion and Sport Sciences, ELTE Eötvös Loránd University, Budapest, Hungary. Electronic address: koteles.ferenc@ppk.elte.hu., Galambos A; Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary. Electronic address: galambos.attila@ppk.elte.hu., Kökönyei G; Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary; SE-NAP2 Genetic Brain Imaging Migraine Research Group, Semmelweis University, Budapest, Hungary; Department of Pharmacodynamics, Faculty of Pharmacy, Semmelweis University, Budapest, Hungary. Electronic address: kokonyei.gyongyi@ppk.elte.hu.
Jazyk: angličtina
Zdroj: Journal of psychosomatic research [J Psychosom Res] 2021 Nov 14; Vol. 152, pp. 110676. Date of Electronic Publication: 2021 Nov 14.
DOI: 10.1016/j.jpsychores.2021.110676
Abstrakt: Objective: The aim of this prospective study was to investigate the association of self-critical rumination, autonomic function (indexed by a time domain metric of resting heart rate variability-RMSSD), subjective well-being and somatic symptom distress.
Method: 84 healthy participants (73 females; mean age = 23.56, SD = 3.35 years) completed the Somatic Symptom Severity Scale of the Patient Health Questionnaire and Mental Health Continuum Short Form at two timepoints (at baseline and six months later). Resting heart rate variability (HRV) was assessed at baseline, along with content specific rumination using the Self-Critical Rumination Scale. Four moderation analyses were performed to test these associations.
Results: The interaction between resting HRV and self-critical rumination significantly explained somatic symptom distress at baseline. For those participants who had high resting HRV, somatic symptom distress was basically independent from the level of self-critical rumination. At the same time, lower resting HRV was associated with higher somatic symptom distress, especially in the presence of more ruminative thoughts. Prospectively, however, the interaction between rumination and resting HRV was not a significant predictor of somatic symptom distress. The association between resting HRV and self-critical rumination did not explain the variance on subjective well-being, but subjective well-being was negatively related to self-critical rumination.
Conclusion: Our findings potentially indicate that self-critical rumination could have a long-term negative impact on psychological functioning, even in a non-clinical sample, and highlight that a lower level of parasympathetic activation, assessed with RMSSD, might be an important factor in the relationship of self-critical rumination and somatic symptom distress.
(Copyright © 2021 The Authors. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
Externí odkaz: