Differential relationship of observer-rated and self-rated depression and anxiety scales with heart rate variability features
Open accessAbstract
Heart rate variability (HRV) is a known psychophysiological marker for diverse psychiatric symptoms. In this study, we aimed to explore the potential for clinical use of HRV by investigating the interrelationship between HRV indices and clinical measures mainly used to assess depressive and anxious symptoms. Participants who reported depressive and anxious symptoms were designated into the following groups: group 1, clinician-rated and self-rated depression; group 2, only self-rated depression; group 3, clinician-rated and self-rated anxiety; group 4, only self-rated anxiety. Statistical comparisons were performed between these groups to investigate the association between HRV and clinical measures. As a result, HRV variables showed significant correlations only with the clinician-rated assessments. Moreover, both time and frequency domain HRV indices were significantly different between groups 1 and 2, but groups 3 and 4 showed significant differences only in frequency domain HRV indices. Our study showed that HRV is an objective indicator for depressive or anxious symptoms. Additionally, it is considered a potential indicator for predicting the severity or state of depressive symptoms rather than of anxious symptoms. This study will contribute to increasing the diagnostic utility of discriminating those symptoms based on HRV in the future.
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Clinicians' ratings show stronger relationships with objective measures such as heart rate variability than self-ratings.
“Clinicians' ratings also show stronger relationships with objective measures such as heart rate variability (Ham et al., 2023), suggesting a potentially more reliable assessment.”
From Virtual Reality exposure therapy in the treatment of public speaking anxiety and social anxiety disorder (2024) · cites this paper as Ham et al., 2023
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- Authors
- Ham, J., Kim, H. E., Kim, J.-J., Seok, J.-H., Kim, E., Park, J. Y., Lee, B., & Oh, J.
- Affiliations
- Yonsei University (KR)
- Gwangju Institute of Science and Technology (KR)
- Corresponding author
- Lee, Boreom
- Oh, Jooyoung
- Venue
- Frontiers in Psychiatry
- Publisher
- Frontiers Media SA
- Published
- 2023-04-03
- Volume
- 14
- Pages
- 1124550-1124550
- ISSN
- 1664-0640 (ISSN-L)
- PMC
- PMC10109339
- OpenAlex
- W4362578674
- Cited by
- 7
- References
- 62
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 1 · 2023: 1
- FWCI
- 1.38
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Psychiatry (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- YUHSpace (Yonsei University Medical Library) (submittedVersion, cc-by-nc-nd)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Ministry of Trade, Industry and Energy (20012603)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- heart rate variability, depression, anxiety, self-rated depression, self-rated anxiety, time-domain HRV, frequency-domain HRV, psychophysiological indicators, depression severity, diagnostic value
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