The benefit of heart rate variability biofeedback and relaxation training in reducing trait anxiety
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Previous research studies have indicated that biofeedback treatment and relaxation techniques are effective in reducing psychological and physical symptoms (Hammond, 2005; Manzoni, G. M., Pagnini, F., Castelnuovo, G., & Molinari, E., 2008). However, dearth of studies has compared heart rate variability (HRV) biofeedback treatment and relaxation training to reduce trait anxiety. The objective of this study was to determine the effect of HRV biofeedback treatment and relaxation training in reducing trait anxiety compared to control group without any treatment using students in a science and engineering university of South Korea. For the present study, a total of 15 graduate students with moderate level of trait anxiety were recruited for 4 individual sessions every two weeks. They were randomly assigned into three groups: biofeedback treatment (n = 5), relaxation training (n = 5), and no treatment control group (n = 5). Our results revealed significant difference in change score of trait anxiety between the HRV biofeedback treatment and the no treatment control group. However, no significant difference was found between the relaxation training group and the no treatment control group. In addition, there was no significant difference between the HRV biofeedback treatment and the relaxation training. Results of the present study indicate that there is potential benefit in utilizing HRV biofeedback treatment for stress management programs and/or anxiety reduction treatment.
Abstract
Previous research studies have indicated that biofeedback treatment and relaxation techniques are effective in reducing psychological and physical symptoms (Hammond, 2005; Manzoni, G. M., Pagnini, F., Castelnuovo, G., & Molinari, E., 2008). However, dearth of studies has compared heart rate variability (HRV) biofeedback treatment and relaxation training to reduce trait anxiety. The objective of this study was to determine the effect of HRV biofeedback treatment and relaxation training in reducing trait anxiety compared to control group without any treatment using students in a science and engineering university of South Korea. For the present study, a total of 15 graduate students with moderate level of trait anxiety were recruited for 4 individual sessions every two weeks. They were randomly assigned into three groups: biofeedback treatment (n = 5), relaxation training (n = 5), and no treatment control group (n = 5). Our results revealed significant difference in change score of trait anxiety between the HRV biofeedback treatment and the no treatment control group. However, no significant difference was found between the relaxation training group and the no treatment control group. In addition, there was no significant difference between the HRV biofeedback treatment and the relaxation training. Results of the present study indicate that there is potential benefit in utilizing HRV biofeedback treatment for stress management programs and/or anxiety reduction treatment.
참고문헌 (29)
- Bacchetti, P., "Breaking free of sample size dogma to perform innovative translational research", Sci Transl Med, 3(87), pp.1~9 (2011)
- Borkovec, T. D., "Efficacy of applied relaxation and cognitive-behavioral therapy in the treatment of generalized anxiety disorder", Journal of Consulting and Clinical Psychology, 61(4), pp.611~619 (1993)
- Chambers, J. A., "The relationship between trait vulnerability and anxiety and depressive diagnoses at long-term follow-up of generalized anxiety disorder", Journal of Anxiety Disorders, 18, pp.587~607 (2004)
- Choi, M, S., "The effects of HR biofeedback training on speech anxiety and self-focused attention", Korean Journal of Clinical Psychology, 11(1), pp.249~263 (1992)
- "Results of a stress management program for graduate students based on relaxation associated with HRV biofeedback" (2008)[URL]
- Cohen, J., "Statistical power analysis for the behavioral sciences" (1988), Erlbaum
- Eppley, K. R., "Differential effects of relaxation techniques on trait anxiety : A meta-analysis", Journal of Clinical Psychology, 45(6), pp.957~974 (2006)
- "Issues with repeated measures designs" (2012)[URL]
- Friedman, B. H., "An autonomic flexibilityneurovisceral integration model of anxiety and cardiac vagal tone", Biological Psychiatry, 74, pp.185~199 (2007)
- Gatchel, R. J., "Therapeutic effectiveness of voluntary heart rate control in reducing anxiety", Journal of Consulting and Clinical Psychology, 45(4), pp.689~691 (1977)
- Hahn, D. W., "Korean adaptation of spielberger’s STAI(K-STAI)", Korean Journal of Health Psychology, 1(1), pp.1~14 (1996)
- Hammond, D. C., "Neurofeedback treatment of depression and anxiety", Journal of Adult Development, 12, pp.131~137 (2005)
- Henriques, G., "Exploring the effectiveness of a computer-based heart rate variability biofeedback program in reducing anxiety in college students", Appl Psychophysiol Biofeedback, 36, pp.101~112 (2011)
- Jorm, A. F., "Effectiveness of complementary and self-help treatments for anxiety disorders", Medical Journal of Australia, 181(7), pp.S29~S46 (2004)
- Kim, J. T., "A study based on the standardization of the STAI for Korea", New Medical Journal, 21, pp.69~75 (1978)
- Lehrer, P. M., "Principles and practice of stress management" (2007), The Guilford press
- Lipchik, G. L., "Biofeedback and Relaxation Training for Headaches", Headache, 9(2) (2008)
- Manzoni, G. M., "Relaxation training for anxiety : a ten-year systematic review with meta-analysis", BMC Psychiatry, 8(41), pp.1~12 (2008)
- Porges, S. W., "Orienting in a defensive world : Mammalian modifications of our evolutionary heritage : A polyvagal theory", Psychophysiology, 32, pp.301~318 (1995)
- Prinsloo, G. E., "The effects of a single episode of short duration heart rate variability biofeedback on measures of anxiety and relaxation states", International Journal of Stress Management, 20(4), pp.391~411 (2013)
- Qualls, P. J., "Imagery encouragement, absorption capacity, and relaxation during electromyography biofeedback", Journal of Personality and Social Psychology, 41(2), pp.370~379 (1981)
- Ratanasiripong, P., "Biofeedback intervention for stress and anxiety among nursing students: A randomized controlled trial", International scholarly research network, pp.1~5 (2012)
- Ratanasiripong, P., "Setting up the next generation program for stress and anxiety management for college students : a simple and cost-effective approach", College student journal, 44(1), pp.97~100 (2010)
- Reiner, R., "Integrating a portable biofeedback device into clinical practice for patients with anxiety disorders : results of a pilot study", Appl Psychophysiol Biofeedback, 33, pp.55~61 (2008)
- Rice, K., "Biofeedback in the treatment of anxiety disorder", Clinical psychology review, 2, pp.557~577 (1982)
- Rice, K., "Biofeedback treatments of generalized anxiety disorder : Preliminary results", Biofeedback and Self-Regulation, 18(2), pp.93~105 (1993)
- Spielberger, C. D., "Manual for the State-Trait Anxiety Inventory" (1970), Consulting Psychologist Press
- Wachholtz, A., "Is spirituality a critical ingredient of meditation? Comparing the effects of spiritual meditation, secular meditation, and relaxation on spiritual, psychological, cardiac, and pain outcomes", Journal of Behavioral Medicine, 28(4), pp.369~384 (2005)
- Wachholtz, A., "Migraines and meditation: does spirituality matter?", Journal of Behavioral Medicine, 31, pp.351~366 (2008)