Evidence map›Paper›PMID 29916944›Full record

Trial reportMenopause (New York, N.Y.)2018

Anxiety, depressive symptoms, and cardiac autonomic function in perimenopausal and postmenopausal women with hot flashes: a brief report.

Polly Fu, Carolyn J Gibson, Wendy Berry Mendes, Michael Schembri, Alison J Huang

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Menopause (New York, N.Y.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05293860 (Effects of Connective Tissue Manipulation on Menopausal Symptoms), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
0.7field-weighted citation impact, top 27% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05293860 nacompletednot on this mapstarted 2022, after this paper: background citation

Effects of Connective Tissue Manipulation on Menopausal Symptoms

TypeinterventionalSponsorHacettepe UniversityRan2022 to 2023Enrolled52ConditionsMenopause SyndromeArmsConnective tissue manipulation, Superficial massage with the head of the therapeutic ultrasound device
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 19 citations in OpenAlex.

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  11. Anxiety and hemodynamic reactivity during cardiac stress testing: The role of gender and age in myocardial ischemia.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Polly FuDepartment of Medicine, University of California, San Francisco, CA.
Carolyn J GibsonDepartment of Medicine, University of California, San Francisco, CA.
Wendy Berry MendesDepartment of Psychiatry, University of California, San Francisco, CA.
Michael SchembriDepartment of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, CA.
Alison J HuangDepartment of Medicine, University of California, San Francisco, CA.
University of California, San Francisco · US

Funding

Slow-Paced Respiration for Treatment of Menopausal Hot FlashesR01AT005491 · NCCIH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HUANG, ALISON · 2011 to 2013
$965k
Improving Health Care for Women Veterans: Addressing Menopause and Mental HealthIK2HX002402 · VA · VETERANS AFFAIRS MED CTR SAN FRANCISCO · PI GIBSON, CAROLYN · 2019 to 2022
–
HSRD VA IK2 HX002402NCCIH NIH HHS R01 AT005491
6 · The paper itself

Abstract

objectiveThe aim of the study was to examine whether anxiety and depressive symptoms are associated with an adverse cardiac autonomic profile among midlife women with hot flashes.

methodsAnxiety and depressive symptoms were evaluated by validated self-administered questionnaires among peri- and postmenopausal women in a randomized trial of slow-paced respiration for hot flashes. Pre-ejection period (PEP), a marker of sympathetic activation, and respiratory sinus arrhythmia (RSA), a marker of parasympathetic activation, were measured at baseline and 12 weeks using impedance cardiography and electocardiography. Multivariable repeated measures linear regression models examined associations between anxiety and depression symptoms and autonomic markers, corrected for multiple comparisons with Benjamini-Hochberg procedure, and adjusted for age and body mass index.

resultsAmong the 121 participants, greater state anxiety was associated with shorter PEP, reflecting higher sympathetic activity (β = -0.24, P = 0.02). Greater trait anxiety and cognitive anxiety were associated with lower RSA, reflecting decreased parasympathetic activity (β = -0.03, P < 0.01 for Spielberger Trait Anxiety; β = -0.06, P = 0.02 for Hospital Anxiety and Depression Scale [HADS] Anxiety Subscale). Greater depressive symptoms were associated with lower RSA (β = -0.06, P = 0.03 for HADS Depression Subscale; β = -0.03, P = 0.04 for Beck Depression Inventory).

conclusionsAmong peri- and postmenopausal women with hot flashes, greater self-reported anxiety and depressive symptoms were associated with lower levels of resting cardiac parasympathetic activity, and greater state anxiety was associated with higher levels of cardiac sympathetic activity. Findings suggest that midlife women with increased anxiety and depressive symptoms may have an unfavorable cardiac autonomic profile with potential implications for their overall cardiovascular risk.

Indexed as

AdultAnalysis of VarianceAnxietyBreathing ExercisesCardiography, ImpedanceCardiovascular DiseasesDepressionElectrocardiographyFemaleHeartHot FlashesHumansLinear ModelsMiddle AgedMultivariate AnalysisMusic Therapy

Identifiers

PMID29916944
PMCPMC6265057
OpenAlexW2809190574

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.