Association between dysfunction of autonomic nervous system activity and mortality in schizophrenia
| Autor: | Toshio Moritani, Yoshio Hirayasu, Yusuke Saigusa, Masatoshi Miyauchi, Saki Hattori, Chie Ishii, Yohko Shiraishi, Norio Ishii, Ikuko Kishida, Mami Fujibayashi, Natsuki Tsujita, Akira Suda |
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| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty lcsh:RC435-571 Population Dysfunctional family Autonomic Nervous System 03 medical and health sciences 0302 clinical medicine Japan Heart Rate Predictive Value of Tests Internal medicine lcsh:Psychiatry medicine Humans Heart rate variability education Association (psychology) Aged Inpatients education.field_of_study business.industry Middle Aged medicine.disease Predictive value 030227 psychiatry Psychiatry and Mental health Clinical Psychology Autonomic nervous system Logistic Models Schizophrenia Decreased Parasympathetic Activity Female business 030217 neurology & neurosurgery Follow-Up Studies |
| Zdroj: | Comprehensive Psychiatry, Vol 86, Iss, Pp 119-122 (2018) |
| Popis: | Background Patients with schizophrenia have a higher mortality risk than the general population. Additionally, the autonomic nervous system (ANS) activity of patients with schizophrenia is lower and more dysfunctional than that of the general population. Nonetheless, the association between ANS dysfunction and mortality in schizophrenia is unclear. The aim of this study was to investigate the association between ANS activity and mortality in schizophrenia and to evaluate the predictive values of heart rate variability for long-term survival. Methods This study involves the 10-year follow-up of a sample population consisting of 59 Japanese inpatients with schizophrenia between 60 and 70 years of age from 2007 to 2016. The ANS activity of all patients was evaluated using heart rate variability in 2007. Results Fifty-three participants could be followed up because they stayed in the hospital during the follow-up period. Of these patients, 11 died during follow-up. Their mean age at death was 70.55 ± 3.45 years. The parasympathetic activity of nonsurvivors was significantly lower than that of survivors, and multiple logistic regression analysis showed a significant association between death and parasympathetic activity. Conclusion We suggest that decreased parasympathetic activity could be associated with 10-year all-cause mortality in older schizophrenic patients. |
| Databáze: | OpenAIRE |
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