Transfer of Heart Rate Feedback Training to Reduce Heart Rate Response to Laboratory Tasks

To examine whether transfer of heart rate (HR) feedback training to tasks not used during training could be improved by using multiple tasks during training, a modified multiple baseline across tasks, single subject design study was conducted using six high HR-reactive young adults. Participants received HR feedback training during the presentation of a videogame, and transfer of training was assessed to a mental arithmetic challenge and handgrip task. Transfer of training was next assessed following training with the mental arithmetic challenge and handgrip task. HR responses to each training task with no HR feedback were assessed during a pre-treatment session, an immediate post-training period following training on each task, a short delay (1–2 days) post-training session, and a long delay (1–2 weeks) post-training session. HR response to a novel speech task was assessed at pre-treatment and during short delay and long delay post-training sessions. Results revealed that participants reduced HR during training and generally maintained this reduction in HR during the immediate post-training assessment when HR feedback was not present. Participants were not able to reduce HR responses to tasks during short delay and long delay post-training sessions, and they were unable to transfer HR reduction skills to the speech task. Transfer of HR feedback training to new tasks was limited in nature and efforts to train across multiple stressors did not appear to improve transfer of training.

[1]  K. Larkin,et al.  Reducing Heart Rate Reactivity to Stress with Feedback Generalization Across Task and Time , 1992, Behavior modification.

[2]  F. H. Kanfer,et al.  Tolerance of aversive stimulation , 1976 .

[3]  J. Hatch The effects of operant reinforcement schedules on the modification of human heart rate. , 1980, Psychophysiology.

[4]  K. Matthews,et al.  Cardiovascular responses of adolescents during a naturally occurring stressor and their behavioral and psychophysiological predictors. , 1986, Psychophysiology.

[5]  Operant conditioning of heart rate slowing. , 1966, Psychophysiology.

[6]  S. Manuck,et al.  Psychophysiologic Reactivity as a Dimension of Individual Differences , 1989 .

[7]  E. Simonson,et al.  Mortality and coronary heart disease among men studied for 23 years. , 1971, Archives of internal medicine.

[8]  P. Lehrer,et al.  The Effects of Specific Respiratory Rates on Heart Rate and Heart Rate Variability , 2003, Applied psychophysiology and biofeedback.

[9]  J. Goldberg,et al.  Psychosocial influences on mortality after myocardial infarction. , 1984, The New England journal of medicine.

[10]  D. S. Holmes,et al.  Effect of avoidant thinking and reappraisal for coping with threat involving temporal uncertainty. , 1974, Journal of personality and social psychology.

[11]  C. Sharpley Maintenance and generalizability of laboratory-based heart rate reactivity control training , 1994, Journal of Behavioral Medicine.

[12]  S. Manuck,et al.  Social instability and coronary artery atherosclerosis in cynomolgus monkeys , 1983, Neuroscience & Biobehavioral Reviews.

[13]  B. Houston,et al.  Anxiety management training in the treatment of essential hypertension. , 1981, Behaviour research and therapy.

[14]  C. Weems The evaluation of heart rate biofeedback using a multi-element design. , 1998, Journal of behavior therapy and experimental psychiatry.

[15]  I. Kirsch,et al.  Self-desensitization and meditation in the reduction of public speaking anxiety. , 1979, Journal of consulting and clinical psychology.

[16]  Goodie,et al.  Use of the Accutracker Dx to assess behavioral influences on ambulatory cardiovascular activity: a preliminary investigation. , 1996, Blood pressure monitoring.

[17]  P. Obrist,et al.  Parental hypertension and cardiovascular response to stress in healthy young adults. , 1982, Psychophysiology.

[18]  N. Frasure-smith,et al.  The impact of negative emotions on prognosis following myocardial infarction: is it more than depression? , 1995, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[19]  Christopher F. Sharpley,et al.  Biofeedback training versus simple instructions to reduce heart rate reactivity to a psychological stressor , 1989, Journal of Behavioral Medicine.

[20]  K. Matthews,et al.  Cardiovascular Responses to Behavioral Stress and Hypertension: a Meta-Analytic Review , 1990 .

[21]  M. Zvolensky,et al.  Anxiety sensitivity in the prediction of pain-related fear and anxiety in a heterogeneous chronic pain population. , 2001, Behaviour research and therapy.

[22]  R. Allan,et al.  Empirical basis for cardiac psychology. , 1996 .

[23]  R. Magno,et al.  Coronary heart disease , 1957 .

[24]  J. Goodie,et al.  Validation of the Polar Heart Rate Monitor for Assessing Heart Rate During Physical and Mental Stress , 2000 .

[25]  J. Goodie,et al.  Do behavioral responses mediate or moderate the relation between cardiovascular reactivity to stress and parental history of hypertension? , 2002, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[26]  K. Matthews,et al.  Coronary‐Prone Behavior Pattern and Cardiovascular Response in Persons with and without Coronary Heart Disease , 1982, Psychosomatic medicine.

[27]  C. Emery,et al.  Heart and Mind: The Practice of Cardiac Psychology , 1998 .

[28]  J. Andreassi Psychophysiology: Human Behavior and Physiological Response , 1980 .

[29]  B. T. Engel,et al.  Operant conditioning of heart rate speeding. , 1967, Psychophysiology.

[30]  E. Blanchard,et al.  Cognitive control of pain: Attention to the sensory aspects of the cold pressor stimulus , 2005, Cognitive Therapy and Research.

[31]  H. Friedman,et al.  Psychological predictors of heart disease: a quantitative review. , 1987, Psychological bulletin.

[32]  D. Rosmarin,et al.  Progressive and self-induced relaxation training: their relative effects on subjective and autonomic arousal to fearful stimuli. , 1981, Journal of clinical psychology.

[33]  S. Manuck Cardiovascular reactivity in cardiovascular disease: “Once more unto the breach” , 1994, International journal of behavioral medicine.

[34]  B. T. Engel,et al.  Differential operant conditioning of heart rate in the restrained monkey. , 1970, Journal of comparative and physiological psychology.

[35]  M. Schroll,et al.  Hostility, incidence of acute myocardial infarction, and mortality in a sample of older Danish men and women. , 1995, American journal of epidemiology.

[36]  J. Goodie Using impedance cardiography to examine changes in hemodynamic parameters during heart rate biofeedback , 1999 .

[37]  D W SHEARN,et al.  Operant Conditioning of Heart Rate , 1962, Science.

[38]  Using a single-subject design to assess the development of anxiety in humans. , 1999, Journal of behavior therapy and experimental psychiatry.

[39]  D. Carroll,et al.  Heart rate reactions to standard laboratory challenges and a naturalistic stressor. , 1987, International Journal of Psychophysiology.

[40]  S. Manuck,et al.  Behaviorally elicited heart rate reactivity and atherosclerosis in female cynomolgus monkeys (Macaca fascicularis). , 1989, Psychosomatic medicine.

[41]  R. Straka,et al.  The Epidemiology of Cardiovascular Diseases. , 1951, American journal of public health and the nation's health.

[42]  S. Manuck,et al.  Role of Feedback in Voluntary Control of Heart Rate , 1975, Perceptual and motor skills.

[43]  M. Zvolensky,et al.  Perceived Stress and Anxiety Sensitivity in the Prediction of Anxiety-Related Responding: A Multichallenge Evaluation , 2002 .

[44]  A. Sherwood,et al.  Cardiovascular responses to behavioral stressors: laboratory-field generalization and inter-task consistency. , 1990, Journal of psychosomatic research.

[45]  B. Edelstein Generalization: Terminological, methodological and conceptual issues , 1989 .

[46]  Effects of Heart-Rate Biofeedback and False Feedback on Reactions to Stressful Stimulation , 1981, Perceptual and motor skills.

[47]  K. Matthews,et al.  Cardiovascular Reactivity to the Cold Pressor Test as a Predictor of Hypertension , 1989, Hypertension.

[48]  P. Lehrer Psychophysiological effects of progressive relaxation in anxiety neurotic patients and of progressive relaxation and alpha feedback in nonpatients. , 1978, Journal of consulting and clinical psychology.

[49]  S. Manuck,et al.  Acute psychophysiologic reactivity and risk of cardiovascular disease: a review and methodologic critique. , 1984, Psychological bulletin.

[50]  D. Adams,et al.  Essential Hypertension: Abnormal Renal Vascular and Endocrine Responses to a Mild Psychological Stimulus , 1981, Hypertension.

[51]  Stephen B. Manuck,et al.  Psychological stress and the progression of carotid artery disease , 1997, Journal of hypertension.

[52]  D. Barlow,et al.  Single Case Experimental Designs: Strategies for Studying Behavior Change , 1976 .

[53]  T. Martin,et al.  Association for the Advancement of Behavior Therapy , 2008 .

[54]  J. Goodie,et al.  Using item analysis to facilitate interpretation of empirical findings. , 1999, Journal of behavior therapy and experimental psychiatry.

[55]  D. Goleman,et al.  Meditation as an intervention in stress reactivity. , 1976, Journal of consulting and clinical psychology.

[56]  J V Brady,et al.  Biofeedback heart rate training during exercise , 1977, Biofeedback and self-regulation.

[57]  J. Goodie,et al.  Changes in Hemodynamic Response to Mental Stress with Heart Rate Feedback Training , 2001, Applied psychophysiology and biofeedback.

[58]  R. Davidoff,et al.  Postexercise blood pressure as a predictor of hypertension. , 1982, Aviation, space, and environmental medicine.

[59]  J. Goodie,et al.  Does cardiovascular reactivity to stress measured in the laboratory generalize to thesis and dissertation meetings among doctoral students? , 2000 .

[60]  N. Schneiderman,et al.  Cardiovascular Reactivity and Development of Preclinical and Clinical Disease States , 2003, Psychosomatic medicine.

[61]  T. Kamarck,et al.  The Diary of Ambulatory Behavioral States: A new approach to the assessment of psychosocial influences on ambulatory cardiovascular activity. , 1998 .

[62]  K. Orth-Gomér International Epidemiological Evidence for a Relationship between Social Support and Cardiovascular Disease , 1994 .

[63]  E. Blanchard,et al.  Self-control of cardiac functioning: a promise as yet unfulfilled. , 1973, Psychological bulletin.

[64]  S. Manuck,et al.  The effect of feedback-assisted reduction in heart rate reactivity on videogame performance , 1990, Biofeedback and self-regulation.

[65]  R. Moos,et al.  Psychophysiological reactions in hypertensive and arthritic patients , 1962 .

[66]  C. Shagass,et al.  Symptom Specificity and Bodily Reactions During Psychiatric Interview , 1950, Psychosomatic medicine.

[67]  Stephen B. Manuck,et al.  Heart Rate Feedback-Assisted Reduction in Cardiovascular Reactivity to a Videogame Challenge , 1989 .

[68]  C E Matthews,et al.  Exaggerated blood pressure response to dynamic exercise and risk of future hypertension. , 1998, Journal of clinical epidemiology.

[69]  B. T. Engel,et al.  The role of behavioral conditioning in the cardiovascular adjustment to exercise , 1980, Biofeedback and self-regulation.

[70]  T. Kamarck,et al.  Effects of task strain, social conflict, and emotional activation on ambulatory cardiovascular activity: daily life consequences of recurring stress in a multiethnic adult sample. , 1998, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[71]  J. Lacey,et al.  Autonomic Response Specificity: An Experimental Study , 1953, Psychosomatic medicine.

[72]  D. S. Holmes,et al.  Effects of instructions, biofeedback, reward, and cognitive mediation on the control of heart rate and the application of that control in a stressful situation , 1978 .

[73]  G. Schwartz,et al.  Voluntary control of human heart rate: effect on reaction to aversive stimulation. , 1974, Journal of abnormal psychology.

[74]  D. Williamson,et al.  Temporal stability of psychophysiological responding: a comparative analysis of mental and physical stressors. , 1986, The International journal of neuroscience.

[75]  A. Glaros,et al.  Self control of stress-induced cardiovascular change using transit time feedback. , 1982, Psychophysiology.

[76]  B. T. Engel,et al.  Alteration of classically conditioned heart rate by operant reinforcement in monkeys. , 1974, Journal of comparative and physiological psychology.

[77]  C. Taylor,et al.  Communication Behaviors That Affect Blood Pressure , 1983, Behavior modification.