Background and Description. Cardiorespiratory synchronization training (CRST) is a biofeedback intervention that uses slow and deep diaphragmatic breathing to increase autonomic activations, decrease symptoms of physical and mental disorders, and decrease negative emotions. Diaphragmatic breathing decreases central neuron system activations, increases the theta and alpha powers, and decreases the beta power of electroencephalography (EEG).High-technology mobile applications (APPs) combined with CRST brings innovation and convenience to users in the field of clinical psychological intervention. The aims of this study were to examine the effects of mobile APP for CRST on heart rate variability (HRV) and EEG.Method. Two hundred participants were recruited from a university and communities. Ninety-two healthy participants were screened and assigned randomly to the CRST group, relaxation training group (RT group as a sham-control group), and control (C) group.The CRST group received resonance frequency and diaphragmatic breathing training with an APP, and the RT group received muscle relaxation with normal breathing rate achieved by using an APP. The training program took 1 hour and was conducted weekly for 4 weeks. The C group did not undergo any APP training. All the participants underwent pretest and posttest measurements performed using psychological questionnaires, electrocardiography, and EEG. The raw electrocardiographic signals were transformed to HRV indexes, which included standard deviations of all normal-to-normal intervals (SDNN), low frequency (LF), high frequency (HF), total power, and maximum and minimum heart rate (HRmaxmin). The EEG parameters included absolute power and relative power of delta, low/high theta, low/high alpha, and low/high beta powers at Fz, Cz, Pz, F3, F4, C3, and C4.Results. The CRST group had significantly higher HRV indexes (including SDNN, LF, total power, and HRmax-min) than the RT and C groups; decreased relative high beta power at Pz, F4, C3, and C4; and increased absolute high alpha power at Pz. The CRST group also had a significantly higher increase in the change scores of HRV indexes ( SDNN, LF, total power, and HRmax-min) than the RT and C groups, increased absolute high alpha, and decreased relative high beta from pretest to posttest.
Conclusion.Combining CRST with mobile APPs not only increased autonomic activations but also improved cortical activations. This program allows participants to practice everywhere and all the time and will be applied to different populations to improve autonomic dysregulation and cortical hyperarousal in the future.
ReferencesChan, A. S., Cheung, M.-C., Sze, S. L., Leung, W.-M., & Shi, D. (2011 Background. Previous studies confirmed cortical hyperarousal at pre-sleep and sleep stages among patients with primary insomnia or major depressive disorder (MDD); few studies explored cortical hyperarousal at daytime.This study aims to investigate: (1) cortical hyperarousal at daytime among patient comorbid MDD and insomnia and (2) relationships b...