Biofeedback as a stress management tool: a systematic review

Kennedy, Lauren; Parker, Sarah

doi:10.1007/s10111-018-0487-x

Cited by 55 publications

(46 citation statements)

References 74 publications

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“…Trainees receive feedback regarding their current HRV and, depending on the exact implementation, learn to apply different techniques in an attempt to increase their individual HRV. The effectiveness of HRV-BF in treating stress-related disorders and symptoms has been established in reviews and meta-analyses (Wheat and Larkin, 2010; Gevirtz, 2013; Goessl et al, 2017; Kennedy and Parker, 2018; Yu et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

Heart Rate Variability Biofeedback Based on Slow-Paced Breathing With Immersive Virtual Reality Nature Scenery

2019

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This study investigated the benefits of using a virtual nature environment to administer immersive heart rate variability biofeedback (HRV-BF) based on slow-paced breathing. We compared the virtual reality (VR)-based HRV-BF with a standard implementation in a randomized controlled experiment with 60 healthy employees. After a cognitive stress induction, the participants performed a single-session of HRV-BF before repeating the cognitive stressor task. VR-based versus standard HRV-BF was comparable in terms of biofeedback performance (cardiac coherence and cardiac vagal tone). However, the VR-based implementation buffered perceived stress in the subsequent stressor task, increased relaxation self-efficacy more, reduced mind wandering, helped participants focus on the present moment, and helped preserve attentional resources. Potential long-term effects and generalizability need to be assessed in future research.

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Section: Introductionmentioning

confidence: 99%

Heart Rate Variability Biofeedback Based on Slow-Paced Breathing With Immersive Virtual Reality Nature Scenery

2019

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“…Therefore, it is crucial to identify and develop techniques that can augment recovery from stress in order to prevent the development of chronic health problems such as cardiovascular disease. One effective method for the management of stress is the use of biofeedback systems [10]. Biofeedback is a mind-body self-regulation practice, wherein individuals learn how to regulate their thoughts, feelings, and behavior to modify their physiology through continuous physiological feedback.…”

Section: Introductionmentioning

confidence: 99%

Use of a Biofeedback Breathing App to Augment Poststress Physiological Recovery: Randomized Pilot Study

Plans¹,

Morelli²,

Sütterlin³

et al. 2019

JMIR Formativ Res

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Background The speed of physiological recovery from stress may be a marker for cardiovascular disease risk. Stress management programs that incorporate guided breathing have been shown to moderate the stress response and augment recovery. Objective The aim of this study was to examine the effectiveness of an app-based brief relaxation intervention (BioBase) for facilitating physiological recovery in individuals exposed to a brief psychological stressor. Methods A total of 75 participants (44 women) completed a stressor speech task and were randomly assigned to one of three conditions: control, rumination, or an app-based relaxation breathing (BioBase) conditions. Heart rate variability (HRV) was assessed as a measure of autonomic function at baseline (6 min), during stress (6 min), and during recovery (6 min). Results There was a significant increase in subjective stress following stress exposure, but the ratings returned to baseline after recovery in all three groups. In addition, there was a significant decrease in vagally mediated HRV in the poststress period. During recovery, the root mean square of successive differences (P<.001), the percentage of successive interbeat (RR) intervals that differ by >50 ms (pNN50; P<.001), and high-frequency (P<.02) HRV were significantly higher in the BioBase breathing condition than the rumination and control conditions. There was no difference in HRV values between the rumination and control conditions during recovery. Conclusions App-based relaxed breathing interventions could be effective in reducing cardiovascular disease risk. These results provide additional utility of biofeedback breathing in augmenting physiological recovery from psychological stress.

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“…Long-term implications of capturing these data in real-world settings include the unique ability to intervene in real time as a means of preventing cognitive overload states. In high-consequence settings, physiological-based interventions such as biofeedback often rely on HRV and are associated with improved performance [ 27 ]. Furthermore, the sensitivity of NIRS data affords the opportunity to determine the optimal time to provide notifications or interruptions along the course of a primary task [ 28 ], which has otherwise been shown to increase error, time to completion, annoyance, and anxiety [ 29 ].…”

Section: Discussionmentioning

confidence: 99%

Sensors for Continuous Monitoring of Surgeon’s Cognitive Workload in the Cardiac Operating Room

Kennedy-Metz

Dias

Srey

et al. 2020

Sensors

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Monitoring healthcare providers’ cognitive workload during surgical procedures can provide insight into the dynamic changes of mental states that may affect patient clinical outcomes. The role of cognitive factors influencing both technical and non-technical skill are increasingly being recognized, especially as the opportunities to unobtrusively collect accurate and sensitive data are improving. Applying sensors to capture these data in a complex real-world setting such as the cardiac surgery operating room, however, is accompanied by myriad social, physical, and procedural constraints. The goal of this study was to investigate the feasibility of overcoming logistical barriers in order to effectively collect multi-modal psychophysiological inputs via heart rate (HR) and near-infrared spectroscopy (NIRS) acquisition in the real-world setting of the operating room. The surgeon was outfitted with HR and NIRS sensors during aortic valve surgery, and validation analysis was performed to detect the influence of intra-operative events on cardiovascular and prefrontal cortex changes. Signals collected were significantly correlated and noted intra-operative events and subjective self-reports coincided with observable correlations among cardiovascular and cerebral activity across surgical phases. The primary novelty and contribution of this work is in demonstrating the feasibility of collecting continuous sensor data from a surgical team member in a real-world setting.

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Biofeedback as a stress management tool: a systematic review

Cited by 55 publications

References 74 publications

Heart Rate Variability Biofeedback Based on Slow-Paced Breathing With Immersive Virtual Reality Nature Scenery

Heart Rate Variability Biofeedback Based on Slow-Paced Breathing With Immersive Virtual Reality Nature Scenery

Use of a Biofeedback Breathing App to Augment Poststress Physiological Recovery: Randomized Pilot Study

Sensors for Continuous Monitoring of Surgeon’s Cognitive Workload in the Cardiac Operating Room

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