Repository of Research and Investigative Information

Repository of Research and Investigative Information

Baqiyatallah University of Medical Sciences

The Psychophysiological Responses of the Chronic Ischemic Stroke Patients to the Acute Stress were Changed

(2019) The Psychophysiological Responses of the Chronic Ischemic Stroke Patients to the Acute Stress were Changed. Brazilian Archives of Biology and Technology. p. 13. ISSN 1516-8913

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Abstract

Mood disorder is one of the complications of stroke. The inability to cope with stress is also a prognosis of depression and anxiety. The aim of this study is to assess the response of stress system in the post stroke patients. Twelve healthy controls (HC) and twelve post-stroke patients after filling in the State-Trait Anxiety Inventory completed the Trier Social Stress Test (TSST) which induces acute stress. Salivary samples were collected to determine salivary cortisol levels and ECG record were taken in four times (before, right after stress, after two recoveries: 20 and 40 minutes after stress). ECG was also recorded during TSST and then the linear and non-linear features of Heart Rate Variability (HRV) were analyzed. The results showed that trait anxiety score and baseline salivary cortisol level were higher in post stroke than HC group (P-value <0.05). The increase of cortisol level after stress was only observed in HC that returned to baseline after the second recovery time. The stress increased the relative low frequency of HRV in both groups, however it was significantly lower in the stroke than HC group (P-value < 0.005). There was also a significant difference between alpha 1 DFA measures in stroke group and HC group (P-value <0.05). It is concluded that the impairment of the hormonal axis of stress system in the post-stroke patients that until now was not reported.

Item Type: Article
Keywords: ischemic stroke acute social stress cortisol heart rate variation heart-rate-variability autonomic dysfunction mood disorders depression anxiety metaanalysis simvastatin reactivity cell Life Sciences & Biomedicine - Other Topics
Divisions:
Page Range: p. 13
Journal or Publication Title: Brazilian Archives of Biology and Technology
Journal Index: ISI
Volume: 62
Identification Number: https://doi.org/10.1590/1678-4324-2019180494
ISSN: 1516-8913
Depositing User: مهندس مهدی شریفی
URI: http://eprints.bmsu.ac.ir/id/eprint/2763

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