Differences in heart rate variability between depressed and non-depressed elderly.

Koen G {Van der Kooy}, Hein P J {Van Hout}, Harm Van Marwijk, Marten {De Haan}, Coen D A Stehouwer, Aartjan T F Beekman

    Research output: Contribution to journalArticlepeer-review

    Abstract

    OBJECTIVE: To determine whether older primary care patients with a Major Depressive Disorder (MDD) have lower heart rate variability (HRV) compared to non-depressed patients. HRV is a measure of cardiac autonomic functioning. METHOD: A cross-sectional comparison of 136 elderly persons with MDD and 136 non-depressed controls (matched for age and gender) recruited in family practices in the Netherlands. Depression was determined according to the DSM-IV criteria using the PRIME-MD. HRV was measured with an electrocardiogram (ECG) during a 5-minute supine rest. RESULTS: Multivariate analyses showed statistically significant decrease in HRV in MDD patients compared with controls. CONCLUSION: Older primary care patients with MDD have a reduced HRV. This may explain why depression is a risk factor for cardiovascular disease and mortality.
    Original languageEnglish
    Pages (from-to)147-50
    Number of pages96
    JournalInternational journal of geriatric psychiatry
    Volume21
    Publication statusPublished - 2006

    Keywords

    • aged
    • anxiety disorders
    • anxiety disorders complications
    • autonomic nervous system
    • autonomic nervous system physiopathology
    • case control studies
    • chronic disease
    • cross sectional studies
    • depressive disorder
    • female
    • heart rate
    • heart rate physiology
    • hrv
    • humans
    • major
    • major complications
    • major physiopathology
    • male
    • primary health care
    • psychiatric status rating scales
    • severity illness index

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