Skip to main content
Top
Published in: BioPsychoSocial Medicine 1/2010

Open Access 01-12-2010 | Short report

No differences in cardiovascular autonomic responses to mental stress in chronic fatigue syndrome adolescents as compared to healthy controls

Authors: Caroline Egge, Vegard Bruun Wyller

Published in: BioPsychoSocial Medicine | Issue 1/2010

Login to get access

Abstract

Chronic fatigue syndrome (CFS) is a disabling disease with unknown etiology. There is accumulating evidence of altered cardiovascular autonomic responses to different somatic stressors, in particular orthostatic stress, whereas autonomic responses to mental stress remain to be investigated. In this study, we explored cardiovascular autonomic responses to a simple mental stress test in CFS patients and healthy controls.
A consecutive sample of 13 patients with CFS, aged 12 to 18 years, and a volunteer sample of 53 healthy control subjects of equal age and gender distribution were included. Blood pressure, heart rate and acral skin blood flow were continuously recorded during an arithmetic exercise.
At baseline, heart rate was significantly higher among CFS patients than controls (p = 0.02). During the arithmetic exercise, however, there were no significant differences in the responses between the two groups.
In conclusion, CFS patients have unaltered autonomic responses to simple mental stress as compared to healthy control subjects.
Literature
1.
go back to reference Prins JB, van der Meer JW, Bleijenberg G: Chronic fatigue syndrome. Lancet. 2006, 367: 346-355. 10.1016/S0140-6736(06)68073-2.CrossRefPubMed Prins JB, van der Meer JW, Bleijenberg G: Chronic fatigue syndrome. Lancet. 2006, 367: 346-355. 10.1016/S0140-6736(06)68073-2.CrossRefPubMed
2.
go back to reference Wyller VB, Saul JP, Walløe L, Thaulow E: Enhanced sympathetic response during orthostatic stress and attenuated sympathetic responses during isometric exercise may account for clinical symptoms in adolescents with chronic fatigue. Eur J Appl Physiol. 2008, 102: 623-632. 10.1007/s00421-007-0634-1.CrossRefPubMed Wyller VB, Saul JP, Walløe L, Thaulow E: Enhanced sympathetic response during orthostatic stress and attenuated sympathetic responses during isometric exercise may account for clinical symptoms in adolescents with chronic fatigue. Eur J Appl Physiol. 2008, 102: 623-632. 10.1007/s00421-007-0634-1.CrossRefPubMed
3.
go back to reference Stewart JM: Autonomic nervous system dysfunction in adolescents with postural orthostatic tachycardia syndrome and chronic fatigue syndrome is characterized by attenuated vagal baroreflex and potentiated sympathetic vasomotion. Pediatr Res. 2000, 48: 218-226. 10.1203/00006450-200008000-00016.CrossRefPubMed Stewart JM: Autonomic nervous system dysfunction in adolescents with postural orthostatic tachycardia syndrome and chronic fatigue syndrome is characterized by attenuated vagal baroreflex and potentiated sympathetic vasomotion. Pediatr Res. 2000, 48: 218-226. 10.1203/00006450-200008000-00016.CrossRefPubMed
4.
go back to reference Wyller VB, Godang K, Mørkrid L, Saul JP, Thaulow E, Walløe L: Abnormal thermoregulatory responses in adolescents with Chronic Fatigue Syndrome: relation to clinical symptoms. Pediatrics. 2007, 120: e129-137. 10.1542/peds.2006-2759.CrossRefPubMed Wyller VB, Godang K, Mørkrid L, Saul JP, Thaulow E, Walløe L: Abnormal thermoregulatory responses in adolescents with Chronic Fatigue Syndrome: relation to clinical symptoms. Pediatrics. 2007, 120: e129-137. 10.1542/peds.2006-2759.CrossRefPubMed
5.
go back to reference Busichio K, Tiersky LA, Deluca J, Natelson BH: Neuropsychological deficits in patients with chronic fatigue syndrome. J Int Neuropsychol Soc. 2004, 10: 278-285. 10.1017/S1355617704102178.CrossRefPubMed Busichio K, Tiersky LA, Deluca J, Natelson BH: Neuropsychological deficits in patients with chronic fatigue syndrome. J Int Neuropsychol Soc. 2004, 10: 278-285. 10.1017/S1355617704102178.CrossRefPubMed
6.
go back to reference Gjone H, Wyller VB: Chronic fatigue in adolescence - autonomic dysregulation and mental health; an exploratory study. Acta Pediatrica. 2009, 98: 1313-1318. 10.1111/j.1651-2227.2009.01323.x.CrossRef Gjone H, Wyller VB: Chronic fatigue in adolescence - autonomic dysregulation and mental health; an exploratory study. Acta Pediatrica. 2009, 98: 1313-1318. 10.1111/j.1651-2227.2009.01323.x.CrossRef
7.
go back to reference Fukuda K, Straus SE, Hickie I, Sharpe MC, Dobbins JG, Komaroff A: The chronic fatigue syndrome: a comprehensive approach to its definition and study. Ann Intern Med. 1994, 121: 953-959.CrossRefPubMed Fukuda K, Straus SE, Hickie I, Sharpe MC, Dobbins JG, Komaroff A: The chronic fatigue syndrome: a comprehensive approach to its definition and study. Ann Intern Med. 1994, 121: 953-959.CrossRefPubMed
8.
go back to reference Cho HJ, Skowera A, Cleare A, Wessely S: Chronic fatigue syndrome: an update focusing on phenomenology and pathophysiology. Curr Opin Psychiatr. 2006, 19: 67-73. 10.1097/01.yco.0000194370.40062.b0.CrossRef Cho HJ, Skowera A, Cleare A, Wessely S: Chronic fatigue syndrome: an update focusing on phenomenology and pathophysiology. Curr Opin Psychiatr. 2006, 19: 67-73. 10.1097/01.yco.0000194370.40062.b0.CrossRef
9.
go back to reference Folstein MF, Folstein SE, McHugh PR: "Mini-Mental State". A practical method for grading the cognitive state of patients for the clinician. J Psychiat Res. 1975, 12: 189-198. 10.1016/0022-3956(75)90026-6.CrossRefPubMed Folstein MF, Folstein SE, McHugh PR: "Mini-Mental State". A practical method for grading the cognitive state of patients for the clinician. J Psychiat Res. 1975, 12: 189-198. 10.1016/0022-3956(75)90026-6.CrossRefPubMed
10.
go back to reference Kawada S, Fukusaki C, Ohtani M, Kobayashi K: Effects of hyperoxic inhalation on psychological stress-induced salivary biomarkers. Biomedical Research. 2009, 30: 245-249. 10.2220/biomedres.30.245.CrossRefPubMed Kawada S, Fukusaki C, Ohtani M, Kobayashi K: Effects of hyperoxic inhalation on psychological stress-induced salivary biomarkers. Biomedical Research. 2009, 30: 245-249. 10.2220/biomedres.30.245.CrossRefPubMed
11.
go back to reference Lossius K, Eriksen M: Spontaneous flow waves detected by laser Doppler in human skin. Microvasc Res. 1995, 50: 94-104. 10.1006/mvre.1995.1041.CrossRefPubMed Lossius K, Eriksen M: Spontaneous flow waves detected by laser Doppler in human skin. Microvasc Res. 1995, 50: 94-104. 10.1006/mvre.1995.1041.CrossRefPubMed
12.
go back to reference Parati G, Casadei R, Groppelli A, di Rienzo M, Mancia G: Comparison of finger and intra-arterial blood pressure monitoring at rest and during laboratory testing. Hypertension. 1989, 13: 647-655.CrossRefPubMed Parati G, Casadei R, Groppelli A, di Rienzo M, Mancia G: Comparison of finger and intra-arterial blood pressure monitoring at rest and during laboratory testing. Hypertension. 1989, 13: 647-655.CrossRefPubMed
13.
go back to reference LaManca JJ, Peckerman A, Sisto SA, DeLuca J, Cook S, Natelson BH: Cardiovascular responses of women with chronic fatigue syndrome to stressful cognitive testing before and after strenuous exercise. Psychosom Med. 2001, 63: 756-764.CrossRefPubMed LaManca JJ, Peckerman A, Sisto SA, DeLuca J, Cook S, Natelson BH: Cardiovascular responses of women with chronic fatigue syndrome to stressful cognitive testing before and after strenuous exercise. Psychosom Med. 2001, 63: 756-764.CrossRefPubMed
14.
go back to reference Goldstein DS: The autonomic nervous system in health and disease. 2001, New York: Marcel Dekker Goldstein DS: The autonomic nervous system in health and disease. 2001, New York: Marcel Dekker
15.
go back to reference Cerutti S, Bianchi AM, Mainardi LT: Advanced spectral methods for detecting dynamic behavior. Auton Neurosci. 2001, 90: 3-12. 10.1016/S1566-0702(01)00261-2.CrossRefPubMed Cerutti S, Bianchi AM, Mainardi LT: Advanced spectral methods for detecting dynamic behavior. Auton Neurosci. 2001, 90: 3-12. 10.1016/S1566-0702(01)00261-2.CrossRefPubMed
Metadata
Title
No differences in cardiovascular autonomic responses to mental stress in chronic fatigue syndrome adolescents as compared to healthy controls
Authors
Caroline Egge
Vegard Bruun Wyller
Publication date
01-12-2010
Publisher
BioMed Central
Published in
BioPsychoSocial Medicine / Issue 1/2010
Electronic ISSN: 1751-0759
DOI
https://doi.org/10.1186/1751-0759-4-22

Other articles of this Issue 1/2010

BioPsychoSocial Medicine 1/2010 Go to the issue