Possibilities of using the method of binaural effects in patients with post-traumatic stress disorders



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Abstract

AIM: study of the effectiveness of using binaural effects to correct the psychofunctional state of patients with post-traumatic stress disorders.

METHODS. A prospective, controlled, comparative and randomized study was conducted with the participation of 65 patients with an established diagnosis of post-traumatic stress disorder, who were divided into 2 groups using simple fixed randomization. The first 1st group (control, n = 32) received conventional sound exposure through headphones. Patients of the 2nd group (main, n = 33) received exposure to a binaural rhythm, in which acoustic signals of different sound frequencies were fed to the right and left ears. The effectiveness of binaural effects was assessed by the dynamics of heart rate variability parameters, clinical manifestations of post-traumatic stress disorders according to the CAPS scale, indicators of the Spielberger-Khanin and SAN tests (well-being, activity, mood), biochemical and hormonal data.

RESULTS. The initial state of patients with post-traumatic stress disorders was characterized by an increase in the activity of stress-realizing mechanisms against the background of a reduced tone of stress-limiting systems, a higher level of reactive anxiety, a decrease in the categories of well-being, activity and mood, as well as high values ​​​​of disease symptoms in their severity and frequency. The use of binaural rhythm caused an increase in the mechanisms of anti-stress activity in patients, aimed at normalizing their psychofunctional status against the background of increased activity of hormonal and biochemical stress-limiting systems of the body. The results obtained using correlation adaptometry indicated a decrease in the correlation links between the studied parameters, which indicates a decrease in the severity of the pathological condition.

CONCLUSION. The high efficiency of the course application of binaural beats in the correction of the psychofunctional state of patients with post-traumatic stress disorders has been proven. The use of the correlation adaptometry method as an additional tool for objectifying the obtained results has confirmed the achievement of higher values ​​of the clinical effect in the group with the course use of binaural beats against the background of increased regulatory capabilities of a person to maintain the adaptive properties of his self-regulating functional systems.

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About the authors

Sergey N. Nagornev

Petrovsky National Research Centre of Surgery

Author for correspondence.
Email: drnag@mail.ru
ORCID iD: 0000-0002-1190-1440
SPIN-code: 2099-3854

MD, Dr. Sci. (Medicine), Professor

Russian Federation, Moscow

Sergey A. Fedorov

Email: fedorov@acsma.ru
ORCID iD: 0000-0003-4920-5982
SPIN-code: 8105-3619
Russian Federation

Valery K. Frolkov

Petrovsky National Research Centre of Surgery

Email: fvk49@mail.ru
ORCID iD: 0000-0002-1277-5183
SPIN-code: 3183-0883

Dr. Sci. (Biology), Professor

Russian Federation, Moscow

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