Gesundheit (MDH)
Refine
Year
Publication Type
- Article (635)
- Lecture (337)
- Part of a Book (238)
- Book (101)
- Conference Proceeding (101)
- Contribution to a Periodical (38)
- Report (14)
- Review (12)
- Master's Thesis (7)
- Bachelor Thesis (6)
- Other (2)
- incollection (1)
- Participation in a Norm (DIN, RFC etc.) (1)
- Periodical (1)
- Working Paper (1)
Language
- German (1280)
- English (169)
- Multiple languages (41)
- ger (5)
Keywords
- Kultursensibel pflegen (7)
- Pflegeberufegesetz (5)
- Palliative Care (4)
- Pflege (3)
- Rehabilitation (3)
- Gesundheitsrecht (2)
- ICF-Modell (2)
- Kommunikation (2)
- Learning Analytics (2)
- Leichte Sprache (2)
Faculty
- Gesundheit (MDH) (1495)
- Sozialwesen (SW) (2)
- Physikingenieurwesen (PHY) (1)
From Surviving to Living (on): A Grounded Theory Study on Coping in People with Pancreatic Cancer
(2023)
9. Deutsches Kinderhospizforum. Kinder- und Jugendhospizarbeit meets Wissenschaft und Forschung.
(2023)
Objective:
We examined whether autonomic flexibility to experimentally presented stressors is reduced in somatic symptom disorder (SSD) as this would point to reduced vagal control as a proposed indicator of emotion regulation deficits.
Method:
In this experimental study, the influence of health-related and social stressors on subjective and physiological reactivity was investigated in 29 subjects with SSD without any medical condition SSD(mc−), 33 subjects with SSD with medical condition SSD(mc+) and 32 healthy controls at the age from 18 to 70 years. Self-report and physiological variables were measured before and after/during stressor exposure, using state ratings of symptom intensity, disability, tension and mood, heart rate (HR), and heart rate variability (HRV).
Results:
Overall, the tension increased and the mood worsened after exposure to stressors compared to pre-exposure. Compared to HC, the two SSD groups showed higher symptom intensity, disability, tension and worse mood. The SSD(mc−) group revealed higher HR than HC (p = .012, d = −0.77). Compared to pre-exposure, symptom impairment increased after social stressor exposure in SSD(mc−) (p < .001, d = 1.36). HRV-root mean square of successive differences (RMSSD) only decreased in HC during exposure (p = .003, d = −1.09), not in the SSD groups. The two SSD groups did not differ in their reactivity to stressors.
Conclusion:
HRV in SSD, seems to respond less flexibly to stressors, potentially reflecting overall physiological disturbance through reduced parasympathetic influence on HR. Stress reactivity in SSD(mc−) and SSD(mc+) do not seem to differ.