Integrating a portable biofeedback device into clinical practice for patients with anxiety disorders: Results of a pilot study

Applied Psychophysiology Biofeedback

Volumn 33, Issue 1, 2008, Pages 55-61

  Reiner, Robert ^a,b  

^a Behavioral Associates   (United States)

^b NEW YORK UNIVERSITY MEDICAL CENTER   (United States)

Author keywords

Anxiety; Biofeedback; Heart rate variability; Respiratory sinus arrhythmia; Sleep

Indexed keywords

ADULT; AGED; ANGER; ANXIETY DISORDER; ARTICLE; BEHAVIOR THERAPY; CLINICAL ARTICLE; CLINICAL PRACTICE; COMORBIDITY; CONTROLLED STUDY; HUMAN; MEDICAL INSTRUMENTATION; OUTCOME ASSESSMENT; PSYCHOPHYSIOLOGY; QUESTIONNAIRE; SLEEP DISORDER; SLEEP TIME;

ADULT; ANGER; ANXIETY DISORDERS; AROUSAL; AUTONOMIC NERVOUS SYSTEM; BIOFEEDBACK (PSYCHOLOGY); EQUIPMENT DESIGN; FEMALE; HEART RATE; HOMEOSTASIS; HUMANS; MALE; MIDDLE AGED; MINIATURIZATION; PATIENT COMPLIANCE; PERSONALITY INVENTORY; PILOT PROJECTS; POINT-OF-CARE SYSTEMS; PRESSORECEPTORS; RESPIRATION; SIGNAL PROCESSING, COMPUTER-ASSISTED; SLEEP INITIATION AND MAINTENANCE DISORDERS; SOFTWARE;

EID: 40349113149     PISSN: 10900586     EISSN: None     Source Type: Journal    
DOI: 10.1007/s10484-007-9046-6     Document Type: Article

References (43)

1. Backhaus, J., Junghanns, K., Broocks, A., Riemann, D., & Hohagen, F. (2002). Test-retest reliability and validity of the Pittsburgh Sleep Quality Index in primary insomnia. Journal of Psychosomatic Research, 53(3), 737-740.
2. Barlow, D. (1988). Anxiety and its disorders. New York: Guilford Press.
3. Berntson, G. G., & Cacioppo, J. T. (2004). Heart rate variability: Stress and psychiatric conditions. In M. Malik & A. J. Camm (Eds.), Dynamic electrocardiography (pp. 57-64). New York: Blackwell/Futura.
4. Bonnet, M. H., & Arand, D. (1998). Heart rate variability in insomniacs and matched normal sleepers. Psychosomatic Medicine, 60(5), 610-615.
5. Buysee, D., Reynolds, C., Monk, T., Berman, S., & Kupfer, D. (1989). The Pittsburgh Sleep Quality Index: A new instrument for psychiatric practice and research. Psychiatry Research, 28, 193-213.
6. Cox, D. J., Tisdelle, D. A., & Culbert, J. P. (1988). Increasing adherence to behavioral homework assignments. Journal of Behavioral Medicine, 11, 519-522.
7. Delaney, J. P., & Brodie, D. A. (2000). Effects of short-term psychological stress on the time and frequency domains of heart-rate variability. Perceptual and Motor Skills, 91, 515-524.
8. Eckberg, D. (1983). Human sinus arrhythmia as an index of vagal cardiac outflow. Journal of Applied Physiology, 54(4), 961-966.
9. Fouad, F. M., et al. (1984). Assessment of parasympathetic control of heart rate by a noninvasive method. American Journal of Physiology, 246, 838-842.
10. Fried, R., & Grimaldi, J. (1993). The psychology and physiology of breathing in behavioral medicine, clinical psychology and psychiatry. New York: Plenum.
11. Friedman, B. H., Thayer, J. F., & Tyrrell, R. A. (1996). Spectral characteristics of heart period variability during cold face stress and shock avoidance in normal subjects. Clinical Autonomic Research, 6, 147-152.
12. Hughes, J. W., & Stoney, C. M. (2000). Depressed mood is related to high-frequency heart rate variability during stressors. Psychosomatic Medicine, 62, 796-803.
13. Gevirtz R., & Lehrer P. (2003). Resonant frequency heart rate biofeedback. In M. S. Schwartz & F. Andrasik (Eds.), Biofeedback: A practitioner's guide (pp. 245-250). Guilford Press.
14. Greenberg, J. S. (2004). Comprehensive stress management. MA: McGraw-Hill College.
15. Katona, P., et al. (1975). Respiratory sinus arrhythmia: Noninvasive measure of parasympathetic cardiac control. Journal of Applied Physiology, 39(5), 801-805.
16. Kazantzis, N. (2000). Power to detect homework effects in psychotherapy outcome research. Journal of Consulting and Clinical Psychology, 68, 166-170.
17. Kazantzis, N., & Deane, F. (1999). Psychologists' use of homework assignments in clinical practice. Professional Psychology: Research and Practice, 20, 581-585.
18. Lehrer, P. M. (2007). Biofeedback training to increase heart rate variability. In P. M. Lehrer, R. L. Woolfolk, & W. E. Sime (Eds.), Principles and practice of stress management (3rd ed., pp. 227-248). NY: Guilford.
19. Lehrer, P. M., Vaschillo, E., & Vaschillo, B. (2000). Resonant frequency biofeedback training to increase cardiac variability: Rationale and manual for training. Applied Psychophysiology and Biofeedback, 25, 177-191.
20. Lehrer, P. M., Vaschillo, E., Vaschillo, B., Lu, S.-E., Eckberg, D. L., Edelberg, R., et al. (2003). Heart rate variability biofeedback increases baroreflex gain and peak expiratory flow. Psychosomatic Medicine, 65(5), 796-805.
21. Lehrer, P. M., & Woolfolk, R. L. (2007). Research on clinical issues in stress management. In P. M. Lehrer, R. L. Woolfolk, & W. E. Sime (Eds.), Principles and practice of stress management (3rd ed., pp. 703-721). NY: Guilford.
22. Mashin, V., & Mashina, M. (2000). Analysis of the heart rate variability in negative functional states in the course of psychological relaxation sessions. Human Physiology, 26(4), 420-425.
23. Murdoch, J. (2000). A technique for assessing adherence to relaxation training instructions. Psychological Reports, 87(2), 523-524.
24. Mussgay, L., & Ruddel, H. (2004). Autonomic dysfunctions in patients with anxiety throughout therapy. Journal of Psychophysiology, 18(1), 27-37.
25. Porges, S. W. (2007). The polyvagal perspective. Biological Psychology, 74, 116-143.
26. Sandercock, G., Bromley, P., & Brodie, D. (2005). Effects of exercise on heart rate variability: Inferences from meta-analysis. Medicine and Science in Sports and Exercise, 37(3), 433-439.
27. Scheel, M. J., Seaman, S., Roach, K., Mullin, T., & Blackwell-Mahoney, K. (1999). Client implementation of therapist recommendations predicted by client perception of fit, difficulty of implementation, and therapist influence. Journal of Counseling Psychology, 46, 1-9.
28. Schipke, J. D., et al. (1999). Effect of respiration rate on short-term heart rate variability. Journal of Clinical Basic Cardiology, 2, 92-95.
29. Schwartz, M. (1987). Biofeedback: A practitioners guide. New York. Guilford.
30. Spielberger, C. D. (1988). State-Trait Anger Expression Inventory. Orlando, FL: Psychological Assessment Resources.
31. Spielberger, C. D. (1989). State-Trait Anxiety Inventory: A comprehensive bibliography. Palo Alto, CA: Consulting Psychologists Press.
32. Spielberger, C. D., Gorsuch, R. L., Luschene, R. E, Vagg, P. R., & Jacobs, G.A. (1983). Manual for the State-Trait Anxiety Inventory form Y. CA: Mind Garden Press.
33. Strauss-Blasche, G., Moser, M., et al. (2000). Relative timing of inspiration and expiration affects respiratory sinus arrhythmia. Clinical and Experimental Pharmacology and Physiology, 27, 601-606.
34. Sultanoff, B., & Zalaquett, C. (2000). Relaxation therapies. In D. Novey (Ed.), Clinician's complete reference to complementary & alternative medicine (pp. 114-129). New York: Mosby.
35. Taylor, C. B., Agras S. W., Schneider, J. A., & Allen, R. A. (1983). Adherence to instructions to practice relaxation exercises. Journal of Consulting & Clinical Psychology, 51(6), 940-941.
36. Thayer, J. F., Friedman, B. H., & Borkovec, T. D. (1996). Autonomic characteristics of generalized anxiety disorder and worry. Biological Psychiatry, 39, 255-266.
37. Tripathi Lt. Col. K. K. (2004). Respiration and heart rate variability: A review with special reference to its application in aerospace medicine. Indian Journal of Aerospace Medicine, 48(1), 64-75.
38. Vaschillo, E., Vaschillo, B, & Lehrer, P. M. (2004). Heartbeat synchronizes with respiratory rhythm only under specific circumstances. Chest, 126, 1385-1386.
39. Virtanen, R., et al. (2003). Anxiety and hostility are associated with reduced baroreflex sensitivity and increased beat-to-beat blood pressure variability. Psychosomatic Medicine, 65(5), 751-756.
40. Watkins, L. L., Grossman, P., Krishnan, R., & Blumenthal, J. A. (1999). Anxiety reduces baroreflex cardiac control in older adults with major depression. Psychosomatic Medicine, 61, 334-340.
41. Williams, J. E., Nieto, F. J., Sanford, C. P., et al. (2001). Effects of an angry temperament on coronary heart disease risk: The atherosclerosis risk in communities study. American Journal of Epidemiology, 154, 230-235.
42. Yeragani, V. K., Balon, R., Pohl, R., Ramesh, C., Glitz, D., Weinberg, P., & Merlos, B. (1995). Decreased R-R variance in panic disorder patients. Acta Psychiatrica Scandinavica, 81, 554-559.
43. Yucha, C., & Gilbert, C. (2004). Evidence based practice in biofeedback & neurofeedback. Wheat Ridge, CO: AAPB.