Exploring the Effectiveness of a Computer-Based Heart Rate Variability Biofeedback Program in Reducing Anxiety in College Students

Given the pervasiveness of stress and anxiety in our culture it is important to develop and implement interventions that can be easily utilized by large numbers of people that are readily available, inexpensive and have minimal side effects. Two studies explored the effectiveness of a computer-based heart rate variability biofeedback program on reducing anxiety and negative mood in college students. A pilot project (n = 9) of highly anxious students revealed sizable decreases in anxiety and negative mood following utilizing the program for 4 weeks. A second study (n = 35) employing an immediate versus delayed treatment design replicated the results, although the magnitude of the impact was not quite as strong. Despite observing decreases in anxiety, the expected changes in psychophysiological coherence were not observed.

[1]  Heart Rate Variability Biofeedback for Major Depression , 2008 .

[2]  E. Victor Leino,et al.  American College Health Association National College Health Assessment (ACHA-NCHA) Spring 2005 Reference Group Data Report (Abridged) , 2006, Journal of American college health : J of ACH.

[3]  M. Atkinson,et al.  Emotional Self-Regulation Program Enhances Psychological Health and Quality of Life in Patients with Diabetes , 2000 .

[4]  Justin J. Kennedy,et al.  Integrating a Portable Biofeedback Device into Call Centre Environments to Reduce Employee Stress: Results from Two Pilot Studies , 2008 .

[5]  American College Health Association-National College Health Assessment Spring 2007 Reference Group Data Report (Abridged) , 2008, Journal of American college health : J of ACH.

[6]  A. Malliani,et al.  Heart rate variability. Standards of measurement, physiological interpretation, and clinical use , 1996 .

[7]  R. Reiner,et al.  Integrating a Portable Biofeedback Device into Clinical Practice for Patients with Anxiety Disorders: Results of a Pilot Study , 2008, Applied psychophysiology and biofeedback.

[8]  Hagit Cohen,et al.  Power Spectral Analysis of Heart Rate Variability in Psychiatry , 1999, Psychotherapy and Psychosomatics.

[9]  C. Spielberger Manual for the State-Trait Anxiety Inventory (STAI) (Form Y , 1983 .

[10]  W. Shadish,et al.  Experimental and Quasi-Experimental Designs for Generalized Causal Inference , 2001 .

[11]  M. Aldenderfer,et al.  Cluster Analysis. Sage University Paper Series On Quantitative Applications in the Social Sciences 07-044 , 1984 .

[12]  M. Reger,et al.  A meta-analysis of the effects of internet- and computer-based cognitive-behavioral treatments for anxiety. , 2009, Journal of clinical psychology.

[13]  Weichung Joe Shih,et al.  Heart Rate Variability Biofeedback Increases Baroreflex Gain and Peak Expiratory Flow , 2003, Psychosomatic medicine.

[14]  C. Ryff Happiness is everything, or is it? Explorations on the meaning of psychological well-being. , 1989 .

[15]  Bronya Vaschillo,et al.  A Pilot Study of the Efficacy of Heart Rate Variability (HRV) Biofeedback in Patients with Fibromyalgia , 2007, Applied psychophysiology and biofeedback.

[16]  R. Lane,et al.  Claude Bernard and the heart–brain connection: Further elaboration of a model of neurovisceral integration , 2009, Neuroscience & Biobehavioral Reviews.

[17]  Gerhard Andersson,et al.  Randomized Controlled Trial of Internet-Based Stress Management , 2003, Cognitive behaviour therapy.

[18]  J. Hair Multivariate data analysis , 1972 .

[19]  J. Thayer,et al.  Beyond Heart Rate Variability , 2006, Annals of the New York Academy of Sciences.

[20]  C. Keyes,et al.  The structure of psychological well-being revisited. , 1995, Journal of personality and social psychology.

[21]  R. Mccraty,et al.  Cardiac coherence: a new, noninvasive measure of autonomic nervous system order. , 1996, Alternative therapies in health and medicine.

[22]  Shou-En Lu,et al.  Heart rate variability biofeedback: effects of age on heart rate variability, baroreflex gain, and asthma. , 2006, Chest.

[23]  Bruce H. Friedman,et al.  An autonomic flexibility–neurovisceral integration model of anxiety and cardiac vagal tone , 2007, Biological Psychology.

[24]  P. Stein,et al.  Insights from the study of heart rate variability. , 1999, Annual review of medicine.

[25]  Igor Malinovsky,et al.  Preliminary Results of an Open Label Study of Heart Rate Variability Biofeedback for the Treatment of Major Depression , 2007, Applied psychophysiology and biofeedback.

[26]  G. Breithardt,et al.  Heart rate variability: standards of measurement, physiological interpretation and clinical use. Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. , 1996 .

[27]  Soo Borson,et al.  Combined Heart Rate Variability and Pulse Oximetry Biofeedback for Chronic Obstructive Pulmonary Disease: Preliminary Findings , 2004, Applied psychophysiology and biofeedback.

[28]  R A McCormick,et al.  Testing a tripartite model: I. Evaluating the convergent and discriminant validity of anxiety and depression symptom scales. , 1995, Journal of abnormal psychology.

[29]  Rollin McCraty,et al.  Impact of a workplace stress reduction program on blood pressure and emotional health in hypertensive employees. , 2003, Journal of alternative and complementary medicine.

[30]  J. Twenge The age of anxiety? Birth cohort change in anxiety and neuroticism, 1952-1993. , 2000, Journal of personality and social psychology.

[31]  C. Baird,et al.  The pilot study. , 2000, Orthopedic nursing.

[32]  R. Mccraty,et al.  The Coherent Heart Heart-Brain Interactions, Psychophysiological Coherence, and the Emergence of System-Wide Order , 2009 .