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Atypical autonomic regulation,auditory processing,and affect recognition in women with HIV
Authors:K.J. Heilman  E.R. Harden  K.M. Weber  M. Cohen  S.W. Porges
Affiliation:1. Brain-Body Center, Department of Psychiatry, University of Illinois at Chicago, Chicago, IL, USA;2. The CORE Center/Cook County Health and Hospital System and Hektoen Institute of Medicine, Chicago, IL, USA;3. Department of Medicine, Stroger Hospital and Rush University, Chicago, IL, USA;4. Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
Abstract:This study examined the effect of HIV on visceromotor (i.e., heart rate and heart rate variability) and somatomotor (i.e., auditory processing and affect recognition) components of a Social Engagement System defined by the Polyvagal Theory (Porges, 1995) that links vagal regulation of the heart with brainstem regulation of the striated muscles of the face and head. Relative to at risk HIV-seronegative women, HIV-seropositive women had less heart rate variability (i.e., respiratory sinus arrhythmia) and had poorer performance on auditory processing and affect recognition tasks. CD4 was negatively correlated with the accuracy to detect specific emotions. The observed indices of atypical autonomic and behavioral regulation may contribute to greater difficulties in social behavior and social communication between HIV-infected women and other individuals in their social network.
Keywords:HIV   Women   Respiratory sinus arrhythmia   Heart rate   Heart rate variability   Auditory processing   Affect recognition   Polyvagal Theory
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