“…Van der Zwan et al ( 2019 ) found an increase in feelings of well-being among women given HRVB compared with a waiting list control, and a decrease in anxiety symptoms among pregnant women reporting high levels of stress. In a meta-analysis of controlled studies evaluating respiratory retraining as a treatment for anxiety disorders, Leyro et al ( 2021 ) found larger decreases in anxiety among studies employing biofeedback, mostly HRVB, as part of training than among people given other types of respiratory retraining. In a conservative meta-analysis of clinical HRVB effects, examining all measures taken in all studies of HRVB for all conditions, Lehrer, Kaur, et al ( 2020 ) found a moderate effect size across problems and measures, with large effect sizes for improvements in artistic/athletic performance, depression, anger, anxiety, systolic blood pressure, respiratory disorders, and gastrointestinal disorders, with moderate effect sizes for pain, executive/cognitive function, and substance craving, and only small effect sizes for PTSD symptoms, fatigue, diastolic blood pressure, quality of life, sleep, diastolic blood pressure, and, surprisingly, daily stress.…”