The Use of a Respiratory Rate Biofeedback Device to Reduce Dental Anxiety: An Exploratory Investigation

Morarend, Quinn Alan; Spector, Michael L.; Dawson, Deborah V.; Clark, Steven H.; Holmes, David

doi:10.1007/s10484-011-9148-z

Cited by 25 publications

(33 citation statements)

References 35 publications

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“…Additionally, continued studies on HF HRV biofeedback are warranted especially ones that specifically use PTSD measures as outcomes and incorporate at least eight training sessions. While no PTSD studies specifically focused on respiratory biofeedback have been conducted, slowed respiration rate training may help people with PTSD increase their HF HRV (Ginsberg et al 2010; Tan et al 2011; Zucker et al 2009) and reduce anxiety in general (Clark and Hirschman 1990; Morarend et al 2011). …”

Section: Discussionmentioning

confidence: 99%

Peak High-Frequency HRV and Peak Alpha Frequency Higher in PTSD

Wahbeh

Oken

2012

Appl Psychophysiol Biofeedback

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Posttraumatic stress disorder (PTSD) is difficult to treat and current PTSD treatments are not effective for all people. Despite limited evidence for its efficacy, some clinicians have implemented biofeedback for PTSD treatment. As a first step in constructing an effective biofeedback treatment program, we assessed respiration, electroencephalography (EEG) and heart rate variability (HRV) as potential biofeedback parameters for a future clinical trial. This cross-sectional study included 86 veterans; 59 with and 27 without PTSD. Data were collected on EEG measures, HRV, and respiration rate during an attentive resting state. Measures were analyzed to assess sensitivity to PTSD status and the relationship to PTSD symptoms. Peak alpha frequency was higher in the PTSD group (F(1,84) = 6.14, p = 0.01). Peak high-frequency HRV was lower in the PTSD group (F(2,78) = 26.5, p<0.00005) when adjusting for respiration rate. All other EEG and HRV measures and respiration were not different between groups. Peak high-frequency HRV and peak alpha frequency are sensitive to PTSD status and may be potential biofeedback parameters for future PTSD clinical trials.

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Section: Discussionmentioning

confidence: 99%

Peak High-Frequency HRV and Peak Alpha Frequency Higher in PTSD

Wahbeh

Oken

2012

Appl Psychophysiol Biofeedback

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“…Physiological monitoring of breathing via a heart rate monitor or some other biofeedback device might be useful for both the patient and dental practitioner, 25 and has demonstrated effectiveness in reducing dental anxiety and negative feelings regarding a dental injection. 101 …”

Section: Diaphragmatic or Relaxation Breathingmentioning

confidence: 99%

Management of fear and anxiety in the dental clinic: a review

2013

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People who are highly anxious about undergoing dental treatment comprise approximately one in seven of the population and require careful and considerate management by dental practitioners. This paper presents a review of a number of non-pharmacological (behavioural and cognitive) techniques that can be used in the dental clinic or surgery in order to assist anxious individuals obtain needed dental care. Practical advice for managing anxious patients is provided and the evidence base for the various approaches is examined and summarized. The importance of firstly identifying dental fear and then understanding its aetiology, nature and associated components is stressed. Anxiety management techniques range from good communication and establishing rapport to the use of systematic desensitization and hypnosis. Some techniques require specialist training but many others could usefully be adopted for all dental patients, regardless of their known level of dental anxiety. It is concluded that successfully managing dentally fearful individuals is achievable for clinicians but requires a greater level of understanding, good communication and a phased treatment approach. There is an acceptable evidence base for several non-pharmacological anxiety management practices to help augment dental practitioners providing care to anxious or fearful children and adults.

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“…Eight studies (Morarend et al, 2011;Moraveji et al, 2012;Parnandi et al, 2013;Vidyarthi and Riecke, 2013;Harris et al, 2014;Bhandari et al, 2015;Wu et al, 2015) reported using RSP biofeedback for coping with stress. Respiratory biofeedback systems measure and present breathing-related information (i.e., depth and frequency) to help users learn specific breathing skills for relaxation and stress relief.…”

Section: Respiratory (Rsp) Biofeedback (8 Studies)mentioning

confidence: 99%

Biofeedback for Everyday Stress Management: A Systematic Review

Funk

et al. 2018

Front. ICT

117

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Background: Mainly due to an increase in stress-related health problems and driven by recent technological advances in biosensors, microelectronics, computing platform, and human-computer interaction, ubiquitous physiological information will potentially transform the role of biofeedback in clinical treatment. Such technology is also likely to provide a useful tool for stress management in everyday life. The aim of this systematic review is to: (1) Classify biofeedback systems for stress management, with a special focus on biosensing techniques, bio-data computing approaches, biofeedback protocol, and feedback modality. (2) Review ways of evaluating approaches to biofeedback applications in terms of their effectiveness in stress management. Method: A systematic literature search was conducted using keywords for "Biofeedback" and "Stress" within the following databases: PubMed, IEEE Xplore, ACM, and Scopus. Two independent reviewers were involved in selecting articles. Results: We identified 103 studies published between 1990 and 2016, 46 of which met our inclusion criteria and were further analyzed. Based on the evidence reviewed, HRV, multimodal biofeedback, RSP, HR, and GSR appear to be the most common techniques for alleviating stress. Traditional screen-based visual displays remain the most common devices used for biofeedback display. Biofeedback applications are usually assessed by making both physiological and psychological measurements. Conclusions: This review reveals several challenges related to biofeedback for everyday stress management, such as facilitating user's perception and interpretating the biofeedback information, the demand of ubiquitous biosensing and display technologies, and field evaluation in order to understand the use of biofeedback in everyday environments. We expect that various emerging HCI technologies could be used to address these challenges. New interaction designs as well as biofeedback paradigms can be further explored in order to improve the accessibility, usability, comfort, engagement with, and user experience of biofeedback in everyday use.

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The Use of a Respiratory Rate Biofeedback Device to Reduce Dental Anxiety: An Exploratory Investigation

Cited by 25 publications

References 35 publications

Peak High-Frequency HRV and Peak Alpha Frequency Higher in PTSD

Peak High-Frequency HRV and Peak Alpha Frequency Higher in PTSD

Management of fear and anxiety in the dental clinic: a review

Biofeedback for Everyday Stress Management: A Systematic Review

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