Relationship between heart rate variability and aggressive behavior among patients with schizophrenia hospitalized in acute wards

Perspect Psychiatr Care. 2020 Apr;56(2):321-329. doi: 10.1111/ppc.12433. Epub 2019 Aug 13.

Abstract

Purpose: To explore the state of mental treatment, heart rate variability (HRV), level of aggressive behavior, and their relationships among hospitalized patients with schizophrenia.

Design and methods: This study adopted a follow-up design and convenience sampling. Thirty-three subjects completed the questionnaire, and their HRV indices were measured.

Findings: Patients' psychiatric symptoms showed a significant downward trend after hospitalization (P = .003). The standard deviation of the normal-to-normal intervals in the morning was significantly correlated with overall aggression, physical aggression, and verbal aggression.

Practice implications: HRV can be regularly monitored among inpatients with schizophrenia with a risk of high aggression as an indicator of possible aggressive behavior.

Keywords: acute ward; aggressive behavior; heart rate variability; schizophrenia.

MeSH terms

  • Adult
  • Aged
  • Aggression / psychology*
  • Female
  • Follow-Up Studies
  • Heart Rate*
  • Humans
  • Inpatients / psychology
  • Male
  • Middle Aged
  • Psychiatric Department, Hospital / statistics & numerical data
  • Schizophrenia / diagnosis*
  • Schizophrenic Psychology*
  • Taiwan