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A Stochastic Model for Affect Dynamics: Methodological Insights from Heart Rate Variability in an Illustrative Case of Anorexia Nervosa

Frontiers in psychiatry(2025)

Department of Psychology | Department of Neurosciences "Rita Levi Montalcini"

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Abstract
BackgroundAffect dynamics, or variations in emotional experiences over time, are linked to psychological health and well-being, with moderate emotional variations indicating good psychophysical health. Given the impact of emotional state on cardiac variability, our objective was to develop a quantitative method to measure affect dynamics for better understanding emotion temporal management in Anorexia Nervosa (AN).MethodsThe study proposed an experimental and methodological approach to evaluate physiological affect dynamics in clinical settings. It tested affective transitions and temporal changes using emotional images from the International Affective Picture System (IAPS), examining physiological characteristics of a patient with AN. The methodology involved calculating a heart rate variability index, e.g., RMSSD, and using it in a Discrete Time and Discrete Space Markov chain to define, quantify, and predict emotional fluctuations over time.ResultsThe patient with Anorexia Nervosa showed a high likelihood of transitioning from positive to negative emotional states, particularly at lower arousal levels. The steady state matrix indicated a tendency to remain in highly activated pleasant states, reflecting difficulties in maintaining emotional balance.ConclusionsEmploying Markov chains provided a quantitative and insightful approach for examining affect dynamics in a patient with AN. This methodology accurately measures emotional transitions and provides a clear and interpretable framework for clinicians and patients. By leveraging Markovian indexes, mental health professionals may gain a comprehensive understanding of emotional fluctuations’ patterns. Moreover, graphical representations of emotional transitions may enhance the clinician-patient dialogue, facilitating a clearer emotional and physiological profile for the implementation of personalized treatment procedures.
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Key words
affect dynamics,heart rate variability,Markov chain,psychometrics,stochastic model,neuroscience
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要点】:本研究提出了一种基于心率变异性的随机模型,用以量化并预测厌食症患者的情绪动态变化,为临床情绪管理提供了新的量化方法。

方法】:通过使用国际情感图片系统(IAPS)中的情感图片诱发情绪反应,计算心率变异性指数(如RMSSD),并将其应用于离散时间离散空间的马尔可夫链模型中,来定义、量化和预测情绪随时间的变化。

实验】:研究以一名厌食症患者为对象,通过实验记录其在不同情绪图片刺激下的心率变异性,使用得到的数据建立模型,并发现患者更易从正面情绪转向负面情绪,尤其在低唤醒水平下;稳态矩阵显示患者倾向于保持在高度激活的愉悦状态,反映了维持情绪平衡的困难。