The effectiveness and user experience of a biofeedback intervention program for stress management supported by virtual reality and mobile technology: a randomized controlled study DOI Creative Commons
Jasmine I. Kerr, Raphael P. Weibel, Mara Naegelin

et al.

BMC Digital Health, Journal Year: 2023, Volume and Issue: 1(1)

Published: Oct. 12, 2023

Abstract Background Heart rate variability biofeedback (HRV-BF) can be used for stress management. Recent feasibility studies suggest that delivering HRV-BF in virtual reality (VR) is associated with better user experience (UX) and might yield more beneficial changes HRV than two-dimensional screens. The effectiveness of a VR-supported intervention program has, however, not been investigated yet. Methods In this study, 87 healthy women men were assigned to (INT; $$n=44$$ n = 44 ) or wait-list control (WLC; $$n=43$$ 43 group. INT came the lab four weekly sessions VR using head-mounted display. Between sessions, participants asked perform breathing exercises without supported by mobile application. Stress-related psychological psychophysiological outcomes assessed pre- post-intervention at follow-up weeks after both groups. A psychosocial test was conducted investigate reactivity. UX each session INT. Results Analysis revealed LF increased significantly from post-, whereas pNN50 chronic decreased pre-intervention compared WLC. Anxiety mental fatigue significantly, while mindfulness health-related quality life post- WLC (all small effects). two groups did differ their reactivity post-intervention. As INT, degree feeling autonomous concerning technology adoption over time. Competence, involvement, immersion, first last session, hedonic motivation peaked second then gradually returned first-session levels. Conclusions This program, technology, able improve indicators stress-related symptoms achieved good very UX. Future should potential placebo effects emphasize higher degrees personalization adaptability increase autonomy and, thereby, long-term health well-being. These findings may serve as step towards future applications cutting-edge, increasingly accessible technologies, such wearables, VR, smartphones, service healthcare. Trial registration study registered retrospectively clinical trial on ISRCTN registry (ISRCTN11331226, 26 May 2023).

Language: Английский

The Effects of Resonance Frequency Breathing on Cardiovascular System and Brain-Cardiopulmonary Interactions DOI
Xiaoni Wang, Jing Nie, Yuchen Lu

et al.

Applied Psychophysiology and Biofeedback, Journal Year: 2025, Volume and Issue: 50(1), P. 107 - 122

Published: Jan. 7, 2025

Language: Английский

Citations

0
Neurophysiological Markers of Regulation Success in Everyday Life in Depression DOI
Jonathan P. Stange, Ellie Xu, Sarah L Zapetis

et al.

Biological Psychiatry Cognitive Neuroscience and Neuroimaging, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 1, 2025

Language: Английский

Citations

0
Designing and developing a prescription digital therapeutic for at-home heart rate variability biofeedback to support and enhance patient outcomes in post-traumatic stress disorder treatment DOI Creative Commons

Rene Macy,

Flavio Somanji,

Oleksandr Sverdlov

et al.

Frontiers in Digital Health, Journal Year: 2025, Volume and Issue: 7

Published: Feb. 11, 2025

Post-traumatic stress disorder (PTSD) is a psychiatric condition producing considerable distress, dysfunction, and impairment in affected individuals. While various forms of psychotherapy are commonly utilized PTSD treatment, the known neurological pathologies associated with insufficiently addressed by these conventional approaches. Heart rate variability biofeedback (HRV-BFB) promising tool for correcting autonomic dysfunction PTSD, subsequent changes clinically significant outcome measures. This paper outlines systematic approach development, distribution, implementation prescription at-home HRV-BFB digital therapeutic. We provide recommendations evidence-generation strategies propose appropriate regulatory pathways within existing frameworks. Widespread access to could potentially reduce disability, healthcare burden PTSD. Promoting as primary intervention also serve stigma “mental” illness increase health literacy regarding neuroimmune impacts psychosocial factors. These processes might turn improve treatment-seeking, adherence, supported self-management conditions.

Language: Английский

Citations

0
Heart Rate Variability Biofeedback to Manage the Mental Health of Adults With Irritable Bowel Syndrome: A Pilot Study DOI
Séphora Minjoz, Rudy Jeanne, Laurent Vercueil

et al.

Stress and Health, Journal Year: 2025, Volume and Issue: 41(1)

Published: Feb. 1, 2025

ABSTRACT Irritable bowel syndrome [IBS] is classified as a disorder of gut‐brain interaction related to stress with no curative option. Heart rate variability biofeedback [HRV‐BFB] non‐drug therapy recently suggested be relevant in reducing both autonomic nervous system [ANS] dysregulations and psychiatric comorbidities. Nevertheless, empirical evidence still scarce only few studies have tested HRV‐BFB adults IBS. Our aims were therefore examine the effectiveness training on psychophysiological states 29 The study took place three sessions, spaced 24 days apart. In all participants completed self‐report questionnaires assess their psychological state (affectivity, anxiety, depression, perceived stress, coping strategy, life satisfaction, illness cognitions), ANS measurements then recorded them at rest, during completion mental task (reactivity), while recovery following this task. first 24‐day period was control without any practice, second an intervention HRV‐BFB. Participants practiced daily for 5 min, times day, days. We found that reduced distress feeling helplessness, led decrease sympathetic reactivity findings support potential relevance manage health

Language: Английский

Citations

0
Vagal heart rate variability during rapid eye movement sleep reduces negative memory bias DOI Creative Commons
Allison Morehouse, Katharine Simon, Pin‐Chun Chen

et al.

Frontiers in Behavioral Neuroscience, Journal Year: 2025, Volume and Issue: 19

Published: Feb. 24, 2025

Emotional memories change over time, but the mechanisms supporting this are not well understood. Sleep has been identified as one mechanism that supports memory consolidation, with sleep selectively benefitting negative emotional consolidation at expense of neutral memories, specific oscillatory events linked to process. In contrast, and positive compared associated increased vagally mediated heart rate variability (HRV) during wakefulness. However, how HRV contributes remains unexplored. We investigated oscillations (i.e., spindles) vagal activity contribute memories. Using a double-blind, placebo-controlled, within-subject, cross-over design, we examined impact pharmacological suppression using zolpidem on overnight consolidation. Thirty-three participants encoded pictures in morning, followed by picture recognition tests before after night sleep. Zolpidem or placebo was administered evening sleep, were monitored electroencephalography electrocardiography. condition, greater improvement for higher both Non-Rapid Eye Movement Slow Wave (NREM SWS) REM. Additionally, tradeoff difference between versus memories) REM, case, remembered better than indicating potential role REM promoting bias overnight. Zolpidem, other hand, reduced SWS, NREM spindle activity, eliminated bias. Lastly, used stepwise linear mixed effects regression determine independently explained variance effect. found addition combination significantly improved model's fit. Overall, our results suggest brain signals synergistically interact critically contributing

Language: Английский

Citations

0
Psychobiological Stress Regulation in Depressive Women Achieved Through Group Music Therapy: Results From the Randomised‐Controlled Music Therapy for Depression Study DOI Creative Commons

Christine Gaebel,

Marc N. Jarczok, Corina Aguilar‐Raab

et al.

Stress and Health, Journal Year: 2025, Volume and Issue: 41(2)

Published: March 22, 2025

ABSTRACT Major depressive disorder (MDD) is a stress‐related disease that affects women more often than men. Music therapy (MT) has been shown to be effective in the treatment of MDD. However, clinical trials investigating effects MT on psychological and psychobiological outcomes suffering from MDD are still scarce. This study was conducted as randomised controlled trial, with participants assigned either an intervention group (IG), which received (GMT), or waitlist control (CG), GMT 6 months later. The primary objective assess impact stress (chronic stress, coping, experienced daily life) markers (diurnal salivary cortisol levels circadian heart rate variability), considering both allocation time. Outcome measurements were taken before, immediately after, and—for some variables—10 weeks following period. A total 102 18–65 years old diagnosed current took part study. Overall, IG demonstrated significantly stronger stress‐reducing CG. Significant improvements observed general positive thinking, life levels. cost‐effective non‐invasive approach effectively address burden associated To demonstrate long‐term gain better understanding underlying mechanisms, further methodologically robust studies needed. Trail Registration MUSED pre‐registered at German Clinical Trials Registry (DRKS00016616). All study‐related procedures published detail protocol.

Language: Английский

Citations

0
Measuring Heart Rate Variability in Patients Admitted with ST-Elevation Myocardial Infarction for the Prediction of Subsequent Cardiovascular Events: A Systematic Review DOI Creative Commons
Crischentian Brinza, Mariana Floria,

Adrian Covic

et al.

Medicina, Journal Year: 2021, Volume and Issue: 57(10), P. 1021 - 1021

Published: Sept. 26, 2021

: Ischemic heart disease represents the leading cause of death, emphasizing risk stratification and early therapeutic intervention. Heart rate variability (HRV), an indirect marker autonomic nervous system activity, was investigated extensively as a factor for adverse cardiovascular events following acute myocardial infarction. Thus, we systematically reviewed literature to investigate association HRV parameters with mortality in patients presenting ST-elevation infarction (STEMI).

Language: Английский

Citations

21
Heart rate variability covaries with amygdala functional connectivity during voluntary emotion regulation DOI Creative Commons
Emma Tupitsa,

Ifeoma Egbuniwe,

William Lloyd

et al.

NeuroImage, Journal Year: 2023, Volume and Issue: 274, P. 120136 - 120136

Published: April 26, 2023

The Neurovisceral Integration Model posits that shared neural networks support the effective regulation of emotions and heart rate, with rate variability (HRV) serving as an objective, peripheral index prefrontal inhibitory control. Prior neuroimaging studies have predominantly examined both HRV associated functional connectivity at rest, opposed to contexts require active emotion regulation. present study sought extend upon previous resting-state findings, examining task-related corresponding amygdala during a cognitive reappraisal task. Seventy adults (52 older 18 younger adults, 18-84 years, 51% male) received instructions cognitively reappraise negative affective images MRI scanning. measures were derived from finger pulse signal throughout scan. During task, exhibited significant inverse association between amygdala-medial cortex (mPFC) connectivity, in which higher was correlated weaker amygdala-mPFC coupling, whereas displayed slight positive, albeit non-significant correlation. Furthermore, voxelwise whole-brain analyses showed task-based linked right amygdala-posterior cingulate across positively stronger amygdala-right ventrolateral connectivity. Collectively, these findings highlight importance assessing regulatory further identify concomitants adaptive

Language: Английский

Citations

9
Heart Rate Variability in Mental Health and Psychotherapy DOI
Julia Wendt, Julian F. Thayer

Oxford University Press eBooks, Journal Year: 2024, Volume and Issue: unknown, P. 75 - 100

Published: May 23, 2024

Abstract This chapter explores the role of heart rate variability (HRV) in phenomenology, scientific study, and treatment mental disorders. To this end, starts with a review empirically determined association between HRV health, followed by an introduction to physiological underpinnings HRV. Next, main part focuses on neurovisceral integration model as theoretical explanation for observed HRV–mental health association. Following is overview various applications psychotherapy research, diagnostics, special focus biofeedback. The concludes suggestions future research that may enable more targeted use HRV-related interventions psychotherapy.

Language: Английский

Citations

3
Relationship between Central Autonomic Effective Connectivity and Heart Rate Variability: A Resting-state fMRI Dynamic Causal Modeling Study DOI Creative Commons
Liangsuo Ma, Larry Keen, Joel L. Steinberg

et al.

NeuroImage, Journal Year: 2024, Volume and Issue: 300, P. 120869 - 120869

Published: Sept. 25, 2024

Language: Английский

Citations

3