A Pilot Study of Brief Heart Rate Variability Biofeedback to Reduce Craving in Young Adult Men Receiving Inpatient Treatment for Substance Use Disorders

Applied Psychophysiology Biofeedback

Volumn 39, Issue 3-4, 2014, Pages 181-192

  Eddie, D ^a   Kim, C ^a   Lehrer, P ^b   Deneke, E ^c   Bates, M E ^a  

^a RUTGERS UNIVERSITY   (United States)

^b ROBERT WOOD JOHNSON MEDICAL SCHOOL   (United States)

^c Caron Foundation   (United States)

Author keywords

Craving; Heart rate variability biofeedback; Substance use disorders

Indexed keywords

ADULT; HEART RATE; HUMAN; MALE; PHYSIOLOGY; PILOT STUDY; PROCEDURES; PSYCHOPHYSIOLOGY; SUBSTANCE-RELATED DISORDERS; TREATMENT OUTCOME; WITHDRAWAL SYNDROME; YOUNG ADULT;

ADULT; BIOFEEDBACK, PSYCHOLOGY; CRAVING; HEART RATE; HUMANS; MALE; PILOT PROJECTS; SUBSTANCE-RELATED DISORDERS; TREATMENT OUTCOME; YOUNG ADULT;

EID: 84911496050     PISSN: 10900586     EISSN: None     Source Type: Journal    
DOI: 10.1007/s10484-014-9251-z     Document Type: Article

References (67)

1. Andreotti, C., Thigpen, J. E., Dunn, M. J., Watson, K., Potts, J., Reising, M. M., et al. (2011). Cognitive reappraisal and secondary control coping: Associations with working memory, positive and negative affect, and symptoms of anxiety/depression. Anxiety, Stress & Coping,. doi:10.1080/10615806.2011.631526.
2. Appelhans, B. M., & Luecken, L. J. (2006). Heart rate variability as an index of regulated emotional responding. Review of General Psychology,10, 229–240.
3. Benarroch, E. E. (2008). The arterial baroreflex. Neurology,71, 1733–1738.
4. Berking, M., Margraf, M., Ebert, D., Wupperman, P., Hofmann, S. G., & Junghanns, K. (2011). Deficits in emotion-regulation skills predict alcohol use during and after cognitive-behavioral therapy for alcohol dependence. Journal of Consulting and Clinical Psychology,79, 307–318.
5. Berridge, K. C. (2012). From prediction error to incentive salience: Mesolimbic computation of reward motivation. European Journal of Neuroscience,35, 1124–1143.
6. Brody, S., Krause, C., Veit, R., & Rau, H. (1998). Cardiovascular autonomic dysregulation in users of MDMA (“Ecstasy”). Psychopharmacology (Berl),136, 390–393.
7. Carney, R. M., Saunders, R. D., Freedland, K. E., Stein, P., Rich, M. W., & Jaffe, A. S. (1995). Association of depression with reduced heart rate variability in coronary artery disease. The American Journal of Cardiology,76, 562–564.
8. Cohen, S. (1988). Perceived stress in a probability sample of the United States. In S. Spacapan & S. Oskamp (Eds.), The social psychology of health. The Claremont symposium on applied social psychology (pp. 31–67). Thousand Oaks, CA: Sage Publishing.
9. Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior,24, 385–396.
10. Cooke, W. H., Hoag, J. B., Crossman, A. A., Kuusela, T. A., Tahvanainen, K. U. O., & Eckberg, D. L. (1999). Human responses to upright tilt: A window on central autonomic integration. The Journal of Physiology,517, 617–628.
11. de Maesschalck, R., Jouan-Rimbaud, D., & Massart, D. L. (2000). The mahalanobis distance. Chemometrics and Intelligent Laboratory Systems,50, 1–18.
12. Diamond, L. M., & Aspinwall, L. G. (2003). Emotion regulation across the life span: An integrative perspective emphasizing self-regulation, positive affect, and dyadic processes. Motivation and Emotion,27, 125–156.
13. Dishman, R. K., Nakamura, Y., Garcia, M. E., Thompson, R. W., Dunn, A. L., & Blair, S. N. (2000). Heart rate variability, trait anxiety, and perceived stress among physically fit men and women. International Journal of Psychophysiology,37(2), 121–133.
14. First, M. B., & Gibbon, M. (2004). The structured clinical interview for DSM-IV axis I disorders (SCID-I) & the structured clinical interview for DSM-IV axis II disorders (SCID-II). In M. J. Hilsenroth & D. L. Segal (Eds.), Comprehensive handbook of psychological assessment, vol. 2: Personality assessment (pp. 134–143). Hoboken, NJ: Wiley.
15. Flannery, B. A., Volpicelli, J. R., & Pettinati, H. M. (1999). Psychometric properties of the Penn alcohol craving scale. Alcoholism, Clinical and Experimental Research,23, 1289–1295.
16. Forgas, J. P. (2008). Affect and cognition. Perspectives on Psychological Science,3(2), 94–101.
17. Franken, I. H. A. (2003). Drug craving and addiction: Integrating psychological and neuropsychopharmacological approaches. Progress in Neuro-Psychopharmacology and Biological Psychiatry,27(4), 563–579.
18. Garland, E. L., & Roberts-Lewis, A. (2013). Differential roles of thought suppression and dispositional mindfulness in posttraumatic stress symptoms and craving. Addictive Behaviors,38, 1555–1562.
19. Gorman, J. M., & Sloan, R. P. (2000). Heart rate variability in depressive and anxiety disorders. American Heart Journal,140(4), 77–83.
20. Gross, J. J. (1998). The emerging field of emotion regulation: An integrative review. Review of general psychology,2, 271–299.
21. Gross, J. J. (2002). Emotion regulation: Affective, cognitive, and social consequences. Psychophysiology,39, 281–291.
22. Hasin, D. S., Fenton, M. C., Beseler, C., Park, J. Y., & Wall, M. M. (2012). Analyses related to the development of DSM-5 criteria for substance use related disorders: 2. Proposed DSM-5 criteria for alcohol, cannabis, cocaine and heroin disorders in 663 substance abuse patients. Drug and Alcohol Dependence,122(1), 28–37.
23. Hassett, A. L., Radvanski, D. C., Vaschillo, E., Vaschillo, B., Sigal, L. H., Karavidas, M. K., et al. (2007). A pilot study of the efficacy of heart rate variability (HRV) biofeedback in patients with fibromyalgia. Applied Psychophysiology and Biofeedback,32(1), 1–10.
24. Hewitt, P. L., Flett, G. L., & Mosher, S. W. (1992). The Perceived Stress Scale: Factor structure and relation to depression symptoms in a psychiatric sample. Journal of Psychopathology and Behavioral Assessment,14(3), 247–257.
25. Ingjaldsson, J. T., Laberg, J. C., & Thayer, J. F. (2003a). Reduced heart rate variability in chronic alcohol abuse: Relationship with negative mood, chronic thought suppression, and compulsive drinking. Biological Psychiatry,54, 1427–1436.
26. Ingjaldsson, J. T., Thayer, J. F., & Laberg, J. C. (2003b). Preattentive processing of alcohol stimuli. Scandinavian Journal of Psychology,44, 161–165.
27. Jennings, J. R., Kamarck, T., Stewart, C., Eddy, M., & Johnson, P. (1992). Alternate cardiovascular baseline assessment techniques: Vanilla or resting baseline. Psychophysiology,29, 742–750.
28. Karavidas, M. K., Lehrer, P. M., Vaschillo, E., Vaschillo, B., Marin, H., Buyske, S., et al. (2007). Preliminary results of an open label study of heart rate variability biofeedback for the treatment of major depression. Applied Psychophysiology and Biofeedback,32(1), 19–30.
29. Kemp, A. H., & Quintana, D. S. (2013). The relationship between mental and physical health: Insights from the study of heart rate variability. International Journal of Psychophysiology,89(3), 288–296.
30. Koob, G. F., & Le Moal, M. (2001). Drug addiction, dysregulation of reward, and allostasis. Neuropsychopharmacology,24(2), 97–129.
31. Labouvie, E., & Bates, M. E. (2002). Reasons for alcohol use in young adulthood: Validation of a three-dimensional measure. Journal of Studies on Alcohol,63, 145–155.
32. Lehrer, P., 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.
33. Lehrer, P., Vaschillo, E., Vaschillo, B., Lu, S. E., Eckberg, D. L., et al. (2003). Heart rate variability biofeedback increases baroreflex gain and peak expiratory flow. Psychosomatic Medicine,65, 796–805.
34. Lehrer, P., Vaschillo, E., Vaschillo, B., Lu, S. E., Scardella, A., Siddique, M., et al. (2004). Biofeedback treatment for asthma. Chest Journal,126, 352–361.
35. Lyonfields, J. D., Borkovec, T. D., & Thayer, J. F. (1995). Vagal tone in generalized anxiety disorder and the effects of aversive imagery and worrisome thinking. Behavior Therapy,26, 457–466.
36. Malpas, S. C., Whiteside, E. A., & Maling, T. J. (1991). Heart rate variability and cardiac autonomic function in men with chronic alcohol dependence. British Heart Journal,65, 84–88.
37. McCraty, R., Atkinson, M., & Tomasino, D. (2003). Impact of a workplace stress reduction program on blood pressure and emotional health in hypertensive employees. The Journal of Alternative & Complementary Medicine,9, 355–369.
38. Meule, A., Freund, R., Skirde, A. K., Vögele, C., & Kübler, A. (2012). Heart rate variability biofeedback reduces food cravings in high food cravers. Applied Psychophysiology and Biofeedback,37(4), 241–251.
39. Nolan, R. P., Kamath, M. V., Floras, J. S., Stanley, J., Pang, C., Picton, P., et al. (2005). Heart rate variability biofeedback as a behavioral neurocardiac intervention to enhance vagal heart rate control. American Heart Journal,149, 1137.
40. Nolen-Hoeksema, S. (2012). Emotion regulation and psychopathology: The role of gender. Annual Review of Clinical Psychology,8, 161–187.
41. O’Brien, C. P. (2005). Anticraving medications for relapse prevention: A possible new class of psychoactive medications. American Journal of Psychiatry,162, 1423–1431.
42. Paliwal, P., Hyman, S. M., & Sinha, R. (2008). Craving predicts time to cocaine relapse: Further validation of the now and brief versions of the cocaine craving questionnaire. Drug and Alcohol Dependence,93(3), 252–259.
43. Paul, M., & Garg, K. (2012). The effect of heart rate variability biofeedback on performance psychology of basketball players. Applied Psychophysiology and Biofeedback,37(2), 131–144.
44. Porges, S. W. (2009). The polyvagal theory: New insights into adaptive reactions of the autonomic nervous system. Cleveland Clinic Journal of Medicine,76(Supplement 2), S86–S90.
45. Quintana, D. S., Guastella, A. J., McGregor, I. S., Hickie, I. B., & Kemp, A. H. (2013). Heart rate variability predicts alcohol craving in alcohol dependent outpatients: Further evidence for HRV as a psychophysiological marker of self-regulation. Drug and Alcohol Dependence,132, 395–398.
46. Reyes del Paso, G. A., Langewitz, W., Mulder, L. J. M., Roon, A., & Duschek, S. (2013). The utility of low frequency heart rate variability as an index of sympathetic cardiac tone: A review with emphasis on a reanalysis of previous studies. Psychophysiology,50, 477–487. doi:10.1111/psyp.12027.
47. Robinson, T. E., & Berridge, K. C. (1993). The neural basis of drug craving: An incentive-sensitization theory of addiction. Brain Research. Brain Research Reviews,18, 247–291.
48. Sinha, R. (2011). New findings on biological factors predicting addiction relapse vulnerability. Current Psychiatry Reports,13(5), 398–405.
49. Song, H. S., & Lehrer, P. M. (2003). The effects of specific respiratory rates on heart rate and heart rate variability. Applied Psychophysiology and Biofeedback,28, 13–23.
50. Tan, G., Dao, T. K., Farmer, L., Sutherland, R. J., & Gevirtz, R. (2011). Heart rate variability (HRV) and posttraumatic stress disorder (PTSD): A pilot study. Applied Psychophysiology and Biofeedback,36, 27–35.
51. Task-Force. (1996). Heart rate variability: Standards of measurement, physiological interpretation, and clinical use. Circulation,93, 1043–1065.
52. Taylor, J. A., Carr, D. L., Myers, C. W., & Eckberg, D. L. (1998). Mechanisms underlying very-low-frequency RR-interval oscillations in humans. Circulation,98, 547–555.
53. Thayer, J. F., & Friedman, B. H. (2002). Stop that! Inhibition, sensitization, and their neurovisceral concomitants. Scandinavian Journal of Psychology,43, 123–130.
54. Thayer, J. F., Hansen, A. L., Saus-Rose, E., & Johnsen, B. H. (2009). Heart rate variability, prefrontal neural function, and cognitive performance: The neurovisceral integration perspective on self-regulation, adaptation, and health. Annals of Behavioral Medicine,37, 141–153.
55. Thayer, J. F., & Lane, R. D. (2000). A model of neurovisceral integration in emotion regulation and dysregulation. Journal of Affective Disorders,61, 201–216.
56. Thayer, J. F., & Lane, R. D. (2009). Claude Bernard and the heart-brain connection: Further elaboration of a model of neurovisceral integration. Neuroscience and Biobehavioral Reviews,33(2), 81–88.
57. Thurber, M. R., Bodenhamer-Davis, E., Johnson, M., Chesky, K., & Chandler, C. K. (2010). Effects of heart rate variability coherence biofeedback training and emotional management techniques to decrease music performance anxiety. Biofeedback,38(1), 28–40.
58. Tiffany, S. T. (1990). A cognitive model of drug urges and drug-use behavior: Role of automatic and nonautomatic processes. Psychological Review,97, 147–168.
59. Tindell, A. J., Smith, K. S., Berridge, K. C., & Aldridge, J. W. (2009). Dynamic computation of incentive salience: “Wanting” what was never “liked”. The Journal of Neuroscience,29, 12220–12228.
60. Vaschillo, E., Lehrer, P., Rishe, N., & Konstantinov, M. (2002). Heart rate variability biofeedback as a method for assessing baroreflex function: A preliminary study of resonance in the cardiovascular system. Applied Psychophysiology and Biofeedback,27, 1–27.
61. Vaschillo, E., Vaschillo, B., Buckman, J. F., Bates, M. E., & Pandina, R. J. (2010). Resonances in the cardiovascular system: Investigation and clinical applications. doi:10.5220/0002691200210028.
62. Vaschillo, E., Vaschillo, B., & Lehrer, P. M. (2006). Characteristics of resonance in heart rate variability stimulated by biofeedback. Applied Psychophysiology and Biofeedback,31, 129–142.
63. Verheul, R., van den Brink, W., & Geerlings, P. (1999). A three-pathway psychobiological model of craving for alcohol. Alcohol and Alcoholism,34(2), 197.
64. Weinstein, A. M., Feldtkeller, B. T., Law, F., Myles, J., & Nutt, D. J. (2000). The processing of automatic thoughts of drug use and craving in opiate-dependent individuals. Experimental and Clinical Psychopharmacology,8(4), 549–553.
65. Wells, R., Outhred, T., Heathers, J. A. J., Quintana, D. S., & Kemp, A. H. (2012). Matter over mind: A randomised-controlled trial of single-session biofeedback training on performance anxiety and heart rate variability in musicians. PLoS ONE,7(10), e46597.
66. Wills, T. A., Cleary, S., Filer, M., Shinar, O., Mariani, J., & Spera, K. (2001). Temperament and self-control related to early-onset substance use. Prevention Science,2, 145–163.
67. Zucker, T. L., Samuelson, K. W., Muench, F., Greenberg, M. A., & Gevirtz, R. N. (2009). The effects of respiratory sinus arrhythmia biofeedback on heart rate variability and post-traumatic stress disorder symptoms: A pilot study. Applied Psychophysiology and Biofeedback,34, 135–143.