The association between heart rate variability and skin conductance: a correlation analysis in healthy individuals and patients with somatic symptom disorder comorbid with depression and anxiety.

OBJECTIVE: To investigate the correlations between heart rate variability (HRV) and skin conductance (SC) in two populations under three different situations. METHODS: This cross-sectional study enrolled patients with somatic symptom disorder comorbid with depression and anxiety and healthy individuals without a psychiatric history. The biological signals were measured under three conditions: resting state, during a cognitive task and during paced breathing. Pearson's correlation analysis and the generalized estimating equation were used to examine the correlations between SC and HRV in the two populations under the three situations. RESULTS: The study enrolled 97 patients with somatic symptom disorder comorbid with depression and anxiety and 96 healthy individuals. In healthy individuals, the ratio of low-frequency power to high frequency power (LF/HF) and normalized LF (LF%) were significantly correlated with SC in the resting state and during a cognitive task, but the correlation coefficients were low level. In patients with somatic symptom disorder comorbid with depression and anxiety, LF/HF and LF% did not show significant correlations with SC under any situation. CONCLUSIONS: The two different populations and three situations might have affected the significance of the LF/HF-SC and LF%-SC correlations. The generally low correlations indicate that LF/HF and LF% cannot fully reflect the sympathetic cholinergic activity represented by SC.

A novel neuropsychiatric phenotype of KCNJ2 mutation in one Taiwanese family with Andersen-Tawil syndrome.

Andersen-Tawil syndrome (ATS) is a rare familial potassium channelopathy characterized by the clinical triad of periodic paralysis, cardiac arrhythmia and dysmorphic facial/skeletal features. The majority of ATS patients are caused by mutations of the KCNJ2 gene, which encodes the inward-rectifying potassium channel protein Kir2.1. However, the effects of the KCNJ2 mutation on the central nervous system are rarely studied. In this report, we describe a heterozygous missense mutation (p.Thr192Ile) in the KCNJ2 gene, which segregates with the disease phenotype in an ATS family. It is noted that in addition to the classical clinical phenotypes of ATS, the index patient exhibited major depression and pyramidal tract signs with diffuse periventricular white matter lesions without contrast enhancement. This mutation and the unusual clinical manifestations observed underscore the phenotypic complexity underlying ATS. Our observations expand the current knowledge of the phenotypic variability of ATS caused by the KCNJ2 mutation. Patients with ATS, especially those carrying the KCNJ2 mutations, should be monitored for their potential neuropsychiatric system involvement.

Variations of chemical compositions in coarse aerosols and fine aerosols in two successive episodes.

Particulate matter with diameters less than 2.5 microm (PM2.5) and ranging between 10 to 2.5 microm (PM10-2.5) were simultaneously collected at four air-quality monitoring stations in the Taichung area of central Taiwan during the period of February 12 to 22, 2004. Two different types of PM10 episodes, a nonlocal dust-storm episode and a local episode, were observed in the present study. High concentrations of coarse aerosols occurred during the dust-storm episode, whereas high concentrations of fine aerosols were present during the local episode. Relatively high levels of Na+, Mg2+, Ca2+, and Cl- in coarse aerosols were observed during the dust-storm episode. Very high concentrations of secondary aerosols (NH4+, SO4(2-), and NO3-) in fine aerosols were observed during the local episode. The nitrate ion demonstrated the greatest increase in the ratios of ionic species to PM2.5 and ionic species to PM10-2.5 during the local episode. Significantly high ratios (0.444) of NO3- to NO2 in fine aerosols were present during the local episode, indicating that the relatively high formation rate of NO3 was one of the important factors leading to the increase of the NO3 to PM2.5 ratio during the local episode. Results also showed that an abundant quantity of fine ammonium nitrate was formed during the local episode, and chloride depletion probably was the major pathway to form coarse NaNO3 during this episode.