Determining the direction of prediction of the association between parasympathetic dysregulation and exhaustion symptoms.


Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
23 06 2022
Historique:
received: 03 12 2021
accepted: 13 06 2022
entrez: 23 6 2022
pubmed: 24 6 2022
medline: 28 6 2022
Statut: epublish

Résumé

Stress-related exhaustion symptoms have a high prevalence which is only likely to increase further in the near future. Understanding the physiological underpinnings of exhaustion has important implications for accurate diagnosis and the development of effective prevention and intervention programs. Given its integrative role in stress-regulation, the parasympathetic branch of the autonomic nervous systems has been a valid starting point in the exploration of the physiological mechanisms behind exhaustion. The aim of the present study was to examine the directionality and specificity of the association between exhaustion symptoms and vagally-mediated heart rate variability (vmHRV), a relatively pure measure of parasympathetic tone. Exhaustion symptoms and vmHRV were measured at four annually assessment waves (2015-2018) of the Dresden Burnout Study. A total sample of N = 378 participants who attended at least two of the four annual biomarker measurements were included in the present analyses. Cross-lagged multi-level panel modelling adjusting for various covariates (e.g., age, sex, BMI) revealed that vmHRV was meaningfully predictive of exhaustion symptoms and not vice versa. In addition, these effects were specific for exhaustion symptoms as no effect was shown for the other burnout sub-dimensions, or for depressive symptoms. Our findings indicate a clear link between exhaustion symptoms and vmHRV which may hold great potential for both enhancing the diagnosis and treatment of exhaustion symptoms.

Identifiants

pubmed: 35739224
doi: 10.1038/s41598-022-14743-4
pii: 10.1038/s41598-022-14743-4
pmc: PMC9219378
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

10648

Informations de copyright

© 2022. The Author(s).

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Auteurs

Magdalena K Wekenborg (MK)

Department of Biological Psychology, TU Dresden, Dresden, Germany. magdalena.wekenborg@tu-dresden.de.
Else Kröner Fresenius Center for Digital Health, University Hospital and Medical Faculty Carl Gustav Carus, TU Dresden, Dresden, Germany. magdalena.wekenborg@tu-dresden.de.

Andreas Schwerdtfeger (A)

Institute of Psychology, University of Graz, Graz, Austria.

Nicole Rothe (N)

Department of Biological Psychology, TU Dresden, Dresden, Germany.

Marlene Penz (M)

Institute of Education and Psychology, Johannes Kepler University, Linz, Austria.

Andreas Walther (A)

Clinical Psychology and Psychotherapy, University of Zurich, Zurich, Switzerland.

Clemens Kirschbaum (C)

Department of Biological Psychology, TU Dresden, Dresden, Germany.

Julian F Thayer (JF)

Department of Psychological Science, School of Social Ecology, University of California, Irvine, CA, 92697, USA.

Ralf A Wittling (RA)

ZNF-Center for Neuroscience Research NPO, Trier, Germany.

LaBarron K Hill (LK)

Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USA.

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