Regulating emotion following severe traumatic brain injury: a randomized controlled trial of heart-rate variability biofeedback training

Wearne, Travis A; Logan, Jodie A; Trimmer, Emily; Wilson, Emily J; Filipčíková, Michaela; Kornfeld, Emma J.; Rushby, Jacqueline A.; McDonald, Skye

doi:10.1080/02699052.2021.1972337

Cited by 9 publications

(19 citation statements)

References 59 publications

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“…The incidence of TBI has been increasing in recent years. Despite the great progress in research on TBI and improvements in diagnostic techniques and treatment measures, its mortality and disability rates have not decreased significantly (Wearne et al, 2021). Due to its complex diagnosis and treatment, high mortality and disability rates, its mechanism of injury has been one of the hot spots in neurosurgical research (Sowter et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

Gastrodin provides neuroprotection in models of traumatic brain injury via Nrf2 signaling pathway

Wang

Dong

2021

qas

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Gastrodin is one of the main active components of Gastrodia elata and has significant therapeutic value for various nervous system diseases. Its medicinal properties include smooth muscle relaxation, anti-necrosis, anti-aging, and anti-apoptosis effects. However, its possible effects on traumatic brain injury (TBI) are still unclear. In this study, the effects of gastroditin on TBI rats were investigated. The results proved that gastrodin had neuroprotective effect on TBI through alleviating brain deficits, decreasing brain water content, inhibiting neuronal apoptosis, and suppressing oxidative stress in brain tissues of TBI rats. Mechanically, gastrodin upregulated the expression of Nrf2 downstream proteins, suggesting the activation of Nrf2 pathway in brain tissues of TBI rats. In conclusion, gastrodin provided neuroprotection in TBI rats via Nrf2 pathway.

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Section: Discussionmentioning

confidence: 99%

Gastrodin provides neuroprotection in models of traumatic brain injury via Nrf2 signaling pathway

Wang

Dong

2021

qas

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“…When the severity was specified, four studies included participants with mild TBI 57,58,60,63 and six studies included participants with moderate-tosevere TBI. 59,61,62,[64][65][66] Most studies included samples having a majority of males, except for two female-only case studies. 56,58 The following results are organized per specific research questions.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…However, ten interventions targeted challenging behaviours that could not be readily categorised using the OBS. 56,58,[60][61][62][63][64][65][66]70 These addressed emotional dysregulation and psychological distress (e.g., stress, anxiety, or depression). These studies also frequently integrated measures of other challenging behaviours, such as verbal/physical aggression, 58,[61][62][63] but also lack of initiation and inappropriate social behaviours.…”

Section: What Technology-based Interventions Are Used To Enable the M...mentioning

confidence: 99%

“…56,58,[60][61][62][63][64][65][66]70 These addressed emotional dysregulation and psychological distress (e.g., stress, anxiety, or depression). These studies also frequently integrated measures of other challenging behaviours, such as verbal/physical aggression, 58,[61][62][63] but also lack of initiation and inappropriate social behaviours. 61 Biofeedback studies aimed to increase participants' ability to regulate their breathing to achieve heart rate coherence (also called resonant frequency), and consequently addressed difficulties in emotional regulation, executive functioning, and psychological distress.…”

Section: What Technology-based Interventions Are Used To Enable the M...mentioning

confidence: 99%

“…61 Biofeedback studies aimed to increase participants' ability to regulate their breathing to achieve heart rate coherence (also called resonant frequency), and consequently addressed difficulties in emotional regulation, executive functioning, and psychological distress. 58,62,65,66 The included studies explored the association between behaviour and heart rate variability, and other related physiological measures (e.g., heart rate, respiration rate). Hammond 57 specifically targeted verbal and physical aggression management with the Low Energy Neurofeedback System, as well as O'Neill and Findlay 59 with their biofeedback intervention.…”

Section: What Technology-based Interventions Are Used To Enable the M...mentioning

confidence: 99%

See 2 more Smart Citations

Managing challenging behaviours in adults with traumatic brain injury: A scoping review of technology-based interventions

Hendryckx,

Nalder,

Drake

et al. 2023

Journal of Rehabilitation and Assistive Technologies Engineerin

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Challenging behaviours are one of the most serious sequelae after a traumatic brain injury (TBI). These chronic behaviours must be managed to reduce the associated burden for caregivers, and people with TBI. Though technology-based interventions have shown potential for managing challenging behaviours, no review has synthesised evidence of technology aided behaviour management in the TBI population. The objective of this scoping review was to explore what technology-based interventions are being used to manage challenging behaviours in people with TBI. Two independent reviewers analysed 3505 studies conducted between 2000 and 2023. Studies were selected from five databases using search strategies developed in collaboration with a university librarian. Sixteen studies were selected. Most studies used biofeedback and mobile applications, primarily targeting emotional dysregulation. These technologies were tested in a variety of settings. Two interventions involved both people with TBI and their family caregivers. This review found that technology-based interventions have the potential to support behavioural management, though research and technology development is at an early stage. Future research is needed to further develop technology-based interventions that target diverse challenging behaviours, and to document their effectiveness and acceptability for use by people with TBI and their families.

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A Pilot Study of the Biofeedback Training to Reduce Salivary Cortisol Level and Improve Mental Health in Highly-Trained Female Athletes

Makaracı

Kozak

Zorba

et al. 2023

Appl Psychophysiol Biofeedback

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Regulating emotion following severe traumatic brain injury: a randomized controlled trial of heart-rate variability biofeedback training

Cited by 9 publications

References 59 publications

Gastrodin provides neuroprotection in models of traumatic brain injury via Nrf2 signaling pathway

Gastrodin provides neuroprotection in models of traumatic brain injury via Nrf2 signaling pathway

Managing challenging behaviours in adults with traumatic brain injury: A scoping review of technology-based interventions

A Pilot Study of the Biofeedback Training to Reduce Salivary Cortisol Level and Improve Mental Health in Highly-Trained Female Athletes

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