PMID- 17094031 OWN - NLM STAT- MEDLINE DCOM- 20070126 LR - 20240322 IS - 1090-0586 (Print) IS - 1573-3270 (Electronic) IS - 1090-0586 (Linking) VI - 31 IP - 4 DP - 2006 Dec TI - Cardiovascular correlates of motor vehicle accident related posttraumatic stress disorder and its successful treatment. PG - 315-30 AB - Persons with posttraumatic stress disorder (PTSD) have been shown to display elevated baseline cardiovascular activity and a heightened physiological reactivity to trauma-related stimuli. Study 1 examined differences in baseline heart rate (HR) and HR reactivity in 68 survivors of motor vehicle accidents (MVAs) and healthy controls without MVA. MVA survivors with PTSD (n=26), subsyndromal PTSD (n=22), traumatized controls without PTSD (non-PTSD with MVA, n=20) and healthy controls without MVA (HC, n=27) underwent measurement of HR during baseline and exposure to a neutral, positive, negative, and trauma-related picture. PTSD patients showed elevated baseline HR and increased HR reactivity only during exposure to the trauma-related picture. Study 2 investigated whether the elevated physiological responses observed in Study 1 normalized after cognitive behavioral therapy (CBT). We conducted a randomized, controlled treatment trial comparing CBT (n=17) to a Wait-list condition (WLC, n=18). Results showed a greater decrease in HR reactivity for CBT than for WLC. The change in HR reactivity was associated with clinical improvement. FAU - Rabe, Sirko AU - Rabe S AD - Department of Psychology, Dresden University of Technology, Dresden, Germany. rabe@biopsych.tu-dresden.de FAU - Dorfel, Denise AU - Dorfel D FAU - Zollner, Tanja AU - Zollner T FAU - Maercker, Andreas AU - Maercker A FAU - Karl, Anke AU - Karl A LA - eng PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20061109 PL - Germany TA - Appl Psychophysiol Biofeedback JT - Applied psychophysiology and biofeedback JID - 9712383 SB - IM MH - *Accidents, Traffic MH - Adult MH - Affect/physiology MH - Cognitive Behavioral Therapy MH - Electrocardiography MH - Female MH - Heart Rate/physiology MH - Humans MH - Male MH - Middle Aged MH - Photic Stimulation MH - Psychiatric Status Rating Scales MH - Psychometrics MH - Stress Disorders, Post-Traumatic/diagnosis/*physiopathology/*therapy MH - Treatment Outcome PMC - PMC1705541 EDAT- 2006/11/10 09:00 MHDA- 2007/01/27 09:00 PMCR- 2006/12/18 CRDT- 2006/11/10 09:00 PHST- 2006/03/27 00:00 [received] PHST- 2006/10/02 00:00 [accepted] PHST- 2006/11/10 09:00 [pubmed] PHST- 2007/01/27 09:00 [medline] PHST- 2006/11/10 09:00 [entrez] PHST- 2006/12/18 00:00 [pmc-release] AID - 9027 [pii] AID - 10.1007/s10484-006-9027-1 [doi] PST - ppublish SO - Appl Psychophysiol Biofeedback. 2006 Dec;31(4):315-30. doi: 10.1007/s10484-006-9027-1. Epub 2006 Nov 9.