Respiratory sinus arrhythmia as a potential measure in substance use treatment--outcome studies.
Respiratory sinus arrhythmia as a potential measure in substance use treatment--outcome studies.
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DOI：
10.1111/add.13232
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发表时间：
2016-04
期刊：
影响因子：
--
通讯作者：
Crowell SE
中科院分区：
文献类型：
--
作者：
Price CJ;Crowell SE
生理调节系统的功能障碍可能是物质使用障碍（SUD）患者情绪和自我调节过程中断的基础。本文回顾了呼吸性窦性心律失常（RSA）作为情绪调节的心理生理指标，是否可以在治疗结果研究中提供有用的信息，以深入了解恢复过程的证据。我们回顾了RSA在临床研究和SUD治疗研究中的应用。临床研究中RSA综述的检索词包括呼吸性窦性心律失常、心率变异性、迷走神经、心脏迷走神经控制、心理生理学、干预、治疗、正念、身心、心理健康、物质使用、化学依赖、调节、情绪调节。对于干预研究中RSA的回顾，我们只包括那些提供了足够的心理生理学方法的描述，并在干预研究的背景下检查RSA。RSA似乎能够提供一个自我调节能力的指数，但它很少用于干预或治疗研究。在这篇综述中包括的四项干预研究中，所有这些都是基于正念的干预。两项研究使用物质样本，均显示RSA的前后增加和相关的物质使用结果改善。三项研究中有两项是RCT，与对照条件相比，两项研究均显示实验条件下RSA显著增加。呼吸性窦性心律失常可能是物质使用障碍患者情绪调节的一个有用指标，也是SUD治疗研究（特别是基于正念的干预）潜在机制的一个潜在指标。
Dysfunction of physiological regulation systems may underlie the disrupted emotional and self-regulatory processes among people with substance use disorder (SUD). This paper reviews evidence as to whether respiratory sinus arrhythmia (RSA), as a psychophysiological index of emotional regulation, could provide useful information in treatment-outcome research to provide insights into recovery processes. We reviewed use of RSA in clinical research and studies on SUD treatment. Search terms for the review of RSA in clinical research included respiratory sinus arrhythmia, heart rate variability, vagal, cardiac vagal control, psychophysiology, intervention, treatment, mindfulness, mind-body, mental health, substance use, chemical dependence, regulation, emotion regulation. For the review of RSA in intervention studies, we included only those that provided adequate description of psychophysiological methods, and examined RSA in the context of an intervention study. RSA appears to be able to provide an index of self-regulatory capacity; however it has been little used in either intervention or treatment research. Of the four intervention studies included in this review, all were mindfulness-based interventions. Two studies were with substance using samples and both showed pre-post increases in RSA and related improved substance use outcomes. Two of the three studies were RCTs and both showed significant increases in RSA in the experimental compared to comparison condition. Respiratory sinus arrhythmia may be a useful index of emotional regulation in people with substance use disorder, and a potential measure of underlying mechanisms for SUD treatment studies, particularly mindfulness-based interventions.