Relação Entre Sintomas Internalizantes e Variabilidade da Frequência Cardíaca em Repouso
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A abordagem dimensional de psicopatologia permite a identificação de traços e sintomas presentes na origem ou na manutenção de diversos transtornos mentais. Diante dessa lógica, surgem novos agrupamentos, como a divisão entre os sintomas internalizantes e externalizantes. Além disso, os modelos dimensionais possuem uma melhor aproximação com biomarcadores. Um potencial biomarcador transdiagnóstico das psicopatologias é a variabilidade da frequência cardíaca (VFC). Diante das evidências de alterações da VFC em diversas psicopatologias, o objetivo deste estudo foi avaliar a relação entre níveis de VFC em repouso (parâmetro RMSSD) com sintomas internalizantes (ansiedade, depressão e estresse) mensurados pela escala DASS-21 (Depression, Anxiety and Stress Scale). A amostra total desse estudo incluiu 60 indivíduos com idades entre 18 e 40 anos (M = 28,53; DP = 5,85); nessa amostra, 50,0% (n = 30) dos participantes apresentavam autorrelato de diagnóstico em saúde mental. Foram realizadas correlações de Spearman para avaliar a associação entre a DASS-21 e a VFC. Na amostra total, os resultados indicaram que a VFC apresentou relações negativas e significativas com todas as variáveis de escore do DASS-21. Quando divididos por grupos, a VFC apresentou correlação significativa com o grupo com transtorno mental nos escores Total, Depressão e Estresse da DASS-21. No grupo controle não foram encontradas correlações significativas. Tais resultados indicam que a intensidade dos sintomas internalizantes está associada com VFC, corroborando uma visão dimensional.
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