Diversidad de perfiles reactivos hemodinámicos entre personas: Implicaciones psicosociales para la medicina personalizada

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dc.contributor.authorGandarillas Solinis, Miguel Ángel
dc.contributor.authorGoswami, Nandu
dc.date.accessioned2023-06-22T12:45:32Z
dc.date.available2023-06-22T12:45:32Z
dc.date.issued2022
dc.descriptionTraducción al español del original en inglés (Gandarillas & Goswami, 2022).
dc.description.abstractResumen: Este estudio analizó las diferencias individuales en los patrones de tiempo hemodinámicos y la reactividad a las tareas cognitivas y emocionales, y exploró la diversidad de perfiles psicofisiológicos que podrían utilizarse para la predicción personalizada de diferentes enfermedades. Se llevó a cabo un análisis de los patrones de relación entre la frecuencia cardíaca (FC) y la presión arterial (PA) a lo largo del tiempo mediante correlaciones cruzadas (CC) durante una tarea matemática lógica y una tarea que recordaba emociones negativas (rumiación) en un entorno de laboratorio con 45 participantes. Los resultados mostraron CC máximos de HR-BP durante la tarea matemática significativamente más positivos que los CC máximos de HR-BP durante la tarea de rumiación. Además, nuestros resultados mostraron una gran variedad de perfiles de reactividad hemodinámica entre los participantes, incluso cuando realizaban las mismas tareas. El tipo más frecuente mostró CC de FC-PA positivas bajo actividad cognitiva, y varios ciclos de CC de FC-PA positivos-negativos bajo actividad emocional negativa. En términos generales, nuestros resultados apoyaron la hipótesis principal. Observamos algunas "estrategias de coordinación" distintas basadas en el tiempo en la reactividad del sistema nervioso autónomo bajo carga emocional versus cognitiva. En general, se observaron grandes especificidades individuales, así como situacionales, en los patrones de tiempo de reactividad hemodinámica. Se discuten las posibles relaciones entre esta variedad de perfiles y diferentes características psicosociales, y el potencial para la salud predictiva integradora dentro de la provisión de una medicina altamente personalizada.
dc.description.abstractThis study analyzed the individual differences in hemodynamic time patterns and reactivity to cognitive and emotional tasks, and explored the diversity of psycho-physiological profiles that could be used for the personalized prediction of different diseases. An analysis of heart rate (HR)—blood pressure (BP) relationship patterns across time using cross-correlations (CCs) during a logical-mathematical task and a task recalling negative emotions (rumination) was carried out in a laboratory setting on 45 participants. The results showed maximum HR–BP CCs during the mathematical task significantly more positive than the maximum HR–BP CCs during the rumination task. Furthermore, our results showed a large variety of hemodynamic reactivity profiles across the participants, even when carrying out the same tasks. The most frequent type showed positive HR–BP CCs under cognitive activity, and several positive–negative HR–BP CCs cycles under negative emotional activity. In general terms, our results supported the main hypothesis. We observed some distinct time-based “coordination strategies” in the reactivity of the autonomic nervous system under emotional vs. cognitive loading. Overall, large individual, as well as situational, specificities in hemodynamic reactivity time patterns were seen. The possible relationships between this variety of profiles and different psychosocial characteristics, and the potential for integrative predictive health within the provision of highly personalized medicine, are discussed.
dc.description.departmentDepto. de Psicología Social, del Trabajo y Diferencial
dc.description.facultyFac. de Psicología
dc.description.refereedTRUE
dc.description.statuspub
dc.eprint.idhttps://eprints.ucm.es/id/eprint/77240
dc.identifier.doi10.3390/jcm11133869
dc.identifier.issn2077-0383
dc.identifier.officialurlhttps://www.mdpi.com/journal/jcm
dc.identifier.relatedurlhttps://doi.org/10.3390/jcm11133869
dc.identifier.urihttps://hdl.handle.net/20.500.14352/73142
dc.issue.number13
dc.journal.titleJournal of Clinical Medicine
dc.language.isospa
dc.page.initial3869
dc.publisherMDPI
dc.rights.accessRightsopen access
dc.subject.cdu316.6
dc.subject.cdu159.91
dc.subject.keywordSistema nervioso autónomo
dc.subject.keywordHemodinámica
dc.subject.keywordSalud predictiva
dc.subject.keywordMedicina personalizada
dc.subject.keywordFactores psicosociales
dc.subject.keywordMedicina integrativa
dc.subject.keywordAutonomic nervous system
dc.subject.keywordHemodynamics
dc.subject.keywordPredictive health
dc.subject.keywordPersonalized medicine
dc.subject.keywordPsychosocial factors
dc.subject.keywordIntegrative medicine
dc.subject.ucmPsicología social (Psicología)
dc.subject.ucmMedicina psicosomática
dc.subject.unesco6114 Psicología Social
dc.titleDiversidad de perfiles reactivos hemodinámicos entre personas: Implicaciones psicosociales para la medicina personalizada
dc.title.alternativeDiversity of Hemodynamic Reactive Profiles across Persons—Psychosocial Implications for Personalized Medicine. Journal of Clinical Medicine
dc.typejournal article
dc.type.hasVersionVoR
dc.volume.number11
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