The effect of heart rate variability biofeedback training on stress and anxiety: a meta-analysis

Some evidence suggests that heart rate variability (HRV) biofeedback might be an effective way to treat anxiety and stress symptoms. To examine the effect of HRV biofeedback on symptoms of anxiety and stress, we conducted a meta-analysis of studies extracted from PubMed, PsycINFO and the Cochrane Li...

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Vydáno v:	Psychological medicine Ročník 47; číslo 15; s. 2578 - 2586
Hlavní autoři:	Goessl, V. C., Curtiss, J. E., Hofmann, S. G.
Médium:	Journal Article
Jazyk:	angličtina
Vydáno:	Cambridge, UK Cambridge University Press 01.11.2017
Témata:	Analysis Anxiety Anxiety - physiopathology Anxiety - therapy Anxiety disorders Anxiety Disorders - physiopathology Anxiety Disorders - therapy Bias Biofeedback Biofeedback, Psychology - physiology Cardiac arrhythmia Efficacy Feedback Heart rate Heart Rate - physiology Hedges Humans Meta-analysis Post traumatic stress disorder Stress Stress management Stress, Psychological - physiopathology Stress, Psychological - therapy Symptoms Systematic review Training Variability biofeedback meta-analysis stress Anxiety HRV
ISSN:	0033-2917, 1469-8978, 1469-8978
On-line přístup:	Získat plný text
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Abstract	Some evidence suggests that heart rate variability (HRV) biofeedback might be an effective way to treat anxiety and stress symptoms. To examine the effect of HRV biofeedback on symptoms of anxiety and stress, we conducted a meta-analysis of studies extracted from PubMed, PsycINFO and the Cochrane Library. The search identified 24 studies totaling 484 participants who received HRV biofeedback training for stress and anxiety. We conducted a random-effects meta-analysis. The pre-post within-group effect size (Hedges' g) was 0.81. The between-groups analysis comparing biofeedback to a control condition yielded Hedges' g = 0.83. Moderator analyses revealed that treatment efficacy was not moderated by study year, risk of study bias, percentage of females, number of sessions, or presence of an anxiety disorder. HRV biofeedback training is associated with a large reduction in self-reported stress and anxiety. Although more well-controlled studies are needed, this intervention offers a promising approach for treating stress and anxiety with wearable devices.
AbstractList	Background Some evidence suggests that heart rate variability (HRV) biofeedback might be an effective way to treat anxiety and stress symptoms. To examine the effect of HRV biofeedback on symptoms of anxiety and stress, we conducted a meta-analysis of studies extracted from PubMed, PsycINFO and the Cochrane Library. Methods The search identified 24 studies totaling 484 participants who received HRV biofeedback training for stress and anxiety. We conducted a random-effects meta-analysis. Results The pre-post within-group effect size (Hedges' g) was 0.81. The between-groups analysis comparing biofeedback to a control condition yielded Hedges' g = 0.83. Moderator analyses revealed that treatment efficacy was not moderated by study year, risk of study bias, percentage of females, number of sessions, or presence of an anxiety disorder. Conclusions HRV biofeedback training is associated with a large reduction in self-reported stress and anxiety. Although more well-controlled studies are needed, this intervention offers a promising approach for treating stress and anxiety with wearable devices. Some evidence suggests that heart rate variability (HRV) biofeedback might be an effective way to treat anxiety and stress symptoms. To examine the effect of HRV biofeedback on symptoms of anxiety and stress, we conducted a meta-analysis of studies extracted from PubMed, PsycINFO and the Cochrane Library.BACKGROUNDSome evidence suggests that heart rate variability (HRV) biofeedback might be an effective way to treat anxiety and stress symptoms. To examine the effect of HRV biofeedback on symptoms of anxiety and stress, we conducted a meta-analysis of studies extracted from PubMed, PsycINFO and the Cochrane Library.The search identified 24 studies totaling 484 participants who received HRV biofeedback training for stress and anxiety. We conducted a random-effects meta-analysis.METHODSThe search identified 24 studies totaling 484 participants who received HRV biofeedback training for stress and anxiety. We conducted a random-effects meta-analysis.The pre-post within-group effect size (Hedges' g) was 0.81. The between-groups analysis comparing biofeedback to a control condition yielded Hedges' g = 0.83. Moderator analyses revealed that treatment efficacy was not moderated by study year, risk of study bias, percentage of females, number of sessions, or presence of an anxiety disorder.RESULTSThe pre-post within-group effect size (Hedges' g) was 0.81. The between-groups analysis comparing biofeedback to a control condition yielded Hedges' g = 0.83. Moderator analyses revealed that treatment efficacy was not moderated by study year, risk of study bias, percentage of females, number of sessions, or presence of an anxiety disorder.HRV biofeedback training is associated with a large reduction in self-reported stress and anxiety. Although more well-controlled studies are needed, this intervention offers a promising approach for treating stress and anxiety with wearable devices.CONCLUSIONSHRV biofeedback training is associated with a large reduction in self-reported stress and anxiety. Although more well-controlled studies are needed, this intervention offers a promising approach for treating stress and anxiety with wearable devices. Some evidence suggests that heart rate variability (HRV) biofeedback might be an effective way to treat anxiety and stress symptoms. To examine the effect of HRV biofeedback on symptoms of anxiety and stress, we conducted a meta-analysis of studies extracted from PubMed, PsycINFO and the Cochrane Library. The search identified 24 studies totaling 484 participants who received HRV biofeedback training for stress and anxiety. We conducted a random-effects meta-analysis. The pre-post within-group effect size (Hedges' g) was 0.81. The between-groups analysis comparing biofeedback to a control condition yielded Hedges' g = 0.83. Moderator analyses revealed that treatment efficacy was not moderated by study year, risk of study bias, percentage of females, number of sessions, or presence of an anxiety disorder. HRV biofeedback training is associated with a large reduction in self-reported stress and anxiety. Although more well-controlled studies are needed, this intervention offers a promising approach for treating stress and anxiety with wearable devices.
Author	Curtiss, J. E. Hofmann, S. G. Goessl, V. C.
Author_xml	– sequence: 1 givenname: V. C. surname: Goessl fullname: Goessl, V. C. organization: Department of Psychological and Brain Sciences, Boston University, Boston, MA, USA – sequence: 2 givenname: J. E. surname: Curtiss fullname: Curtiss, J. E. organization: Department of Psychological and Brain Sciences, Boston University, Boston, MA, USA – sequence: 3 givenname: S. G. surname: Hofmann fullname: Hofmann, S. G. email: shofmann@bu.edu organization: Department of Psychological and Brain Sciences, Boston University, Boston, MA, USA
BackLink	https://www.ncbi.nlm.nih.gov/pubmed/28478782$$D View this record in MEDLINE/PubMed
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ContentType	Journal Article
Copyright	Copyright © Cambridge University Press 2017
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DocumentTitleAlternate	The effect of heart rate variability biofeedback training on stress and anxiety V. C. Goessl et al.
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Snippet	Some evidence suggests that heart rate variability (HRV) biofeedback might be an effective way to treat anxiety and stress symptoms. To examine the effect of... Background Some evidence suggests that heart rate variability (HRV) biofeedback might be an effective way to treat anxiety and stress symptoms. To examine the...
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SubjectTerms	Analysis Anxiety Anxiety - physiopathology Anxiety - therapy Anxiety disorders Anxiety Disorders - physiopathology Anxiety Disorders - therapy Bias Biofeedback Biofeedback, Psychology - physiology Cardiac arrhythmia Efficacy Feedback Heart rate Heart Rate - physiology Hedges Humans Meta-analysis Post traumatic stress disorder Stress Stress management Stress, Psychological - physiopathology Stress, Psychological - therapy Symptoms Systematic review Training Variability
Title	The effect of heart rate variability biofeedback training on stress and anxiety: a meta-analysis
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