Assessing effectiveness of heart rate variability biofeedback to mitigate mental health symptoms
Introduction: The increasing burden on mental health has become a worldwide concern especially due to its substantial negative social and economic impact. The implementation of prevention actions and psychological interventions is crucial to mitigate these consequences, and evidence supporting its e...
| Autores: | , , , , , , |
|---|---|
| Tipo de recurso: | artículo |
| Fecha de publicación: | 2023 |
| País: | España |
| Institución: | Universitat Autònoma de Barcelona |
| Repositorio: | Dipòsit Digital de Documents de la UAB |
| Idioma: | inglés |
| OAI Identifier: | oai:ddd.uab.cat:286218 |
| Acceso en línea: | https://ddd.uab.cat/record/286218 https://dx.doi.org/urn:doi:10.3389/fphys.2023.1147260 |
| Access Level: | acceso abierto |
| Palabra clave: | Stress objective assessment Effectiveness of interventions Electrophysiological model Heart rate variability biofeedback Healthcare workers Mental health Stress |
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Assessing effectiveness of heart rate variability biofeedback to mitigate mental health symptomsa pilot studyCastro Ribeiro, Thaís|||0000-0003-2536-7194Sobregrau Sangrà, Pau|||0000-0001-9919-5271García Pagès, Esther|||0000-0002-9225-845XBadiella Busquets, Llorenç|||0000-0002-9653-7421López-Barbeito, BeatrizAguiló, Sira|||0000-0001-9334-1282Aguiló Llobet, Jordi|||0000-0002-4691-5754Stress objective assessmentEffectiveness of interventionsElectrophysiological modelHeart rate variability biofeedbackHealthcare workersMental healthStressIntroduction: The increasing burden on mental health has become a worldwide concern especially due to its substantial negative social and economic impact. The implementation of prevention actions and psychological interventions is crucial to mitigate these consequences, and evidence supporting its effectiveness would facilitate a more assertive response. Heart rate variability biofeedback (HRV-BF) has been proposed as a potential intervention to improve mental wellbeing through mechanisms in autonomic functioning. The aim of this study is to propose and evaluate the validity of an objective procedure to assess the effectiveness of a HRV-BF protocol in mitigating mental health symptoms in a sample of frontline HCWs (healthcare workers) who worked in the COVID-19 pandemic. Methods: A prospective experimental study applying a HRV-BF protocol was conducted with 21 frontline healthcare workers in 5 weekly sessions. For PRE-POST intervention comparisons, two different approaches were used to evaluate mental health status: applying (a) gold-standard psychometric questionnaires and (b) electrophysiological multiparametric models for chronic and acute stress assessment. Results: After HRV-BF intervention, psychometric questionnaires showed a reduction in mental health symptoms and stress perception. The electrophysiological multiparametric also showed a reduction in chronic stress levels, while the acute stress levels were similar in PRE and POST conditions. A significant reduction in respiratory rate and an increase in some heart rate variability parameters, such as SDNN, LFn, and LF/HF ratio, were also observed after intervention. Conclusion: Our findings suggest that a 5-session HRV-BF protocol is an effective intervention for reducing stress and other mental health symptoms among frontline HCWs who worked during the COVID-19 pandemic. The electrophysiological multiparametric models provide relevant information about the current mental health state, being useful for objectively evaluating the effectiveness of stress-reducing interventions. Further research could replicate the proposed procedure to confirm its feasibility for different samples and specific interventions. 22023-01-0120232023-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/286218https://dx.doi.org/urn:doi:10.3389/fphys.2023.1147260reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengopen accesshttp://purl.org/coar/access_right/c_abf2Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:2862182026-06-06T12:50:31Z |
| dc.title.none.fl_str_mv |
Assessing effectiveness of heart rate variability biofeedback to mitigate mental health symptoms a pilot study |
| title |
Assessing effectiveness of heart rate variability biofeedback to mitigate mental health symptoms |
| spellingShingle |
Assessing effectiveness of heart rate variability biofeedback to mitigate mental health symptoms Castro Ribeiro, Thaís|||0000-0003-2536-7194 Stress objective assessment Effectiveness of interventions Electrophysiological model Heart rate variability biofeedback Healthcare workers Mental health Stress |
| title_short |
Assessing effectiveness of heart rate variability biofeedback to mitigate mental health symptoms |
| title_full |
Assessing effectiveness of heart rate variability biofeedback to mitigate mental health symptoms |
| title_fullStr |
Assessing effectiveness of heart rate variability biofeedback to mitigate mental health symptoms |
| title_full_unstemmed |
Assessing effectiveness of heart rate variability biofeedback to mitigate mental health symptoms |
| title_sort |
Assessing effectiveness of heart rate variability biofeedback to mitigate mental health symptoms |
| dc.creator.none.fl_str_mv |
Castro Ribeiro, Thaís|||0000-0003-2536-7194 Sobregrau Sangrà, Pau|||0000-0001-9919-5271 García Pagès, Esther|||0000-0002-9225-845X Badiella Busquets, Llorenç|||0000-0002-9653-7421 López-Barbeito, Beatriz Aguiló, Sira|||0000-0001-9334-1282 Aguiló Llobet, Jordi|||0000-0002-4691-5754 |
| author |
Castro Ribeiro, Thaís|||0000-0003-2536-7194 |
| author_facet |
Castro Ribeiro, Thaís|||0000-0003-2536-7194 Sobregrau Sangrà, Pau|||0000-0001-9919-5271 García Pagès, Esther|||0000-0002-9225-845X Badiella Busquets, Llorenç|||0000-0002-9653-7421 López-Barbeito, Beatriz Aguiló, Sira|||0000-0001-9334-1282 Aguiló Llobet, Jordi|||0000-0002-4691-5754 |
| author_role |
author |
| author2 |
Sobregrau Sangrà, Pau|||0000-0001-9919-5271 García Pagès, Esther|||0000-0002-9225-845X Badiella Busquets, Llorenç|||0000-0002-9653-7421 López-Barbeito, Beatriz Aguiló, Sira|||0000-0001-9334-1282 Aguiló Llobet, Jordi|||0000-0002-4691-5754 |
| author2_role |
author author author author author author |
| dc.subject.none.fl_str_mv |
Stress objective assessment Effectiveness of interventions Electrophysiological model Heart rate variability biofeedback Healthcare workers Mental health Stress |
| topic |
Stress objective assessment Effectiveness of interventions Electrophysiological model Heart rate variability biofeedback Healthcare workers Mental health Stress |
| description |
Introduction: The increasing burden on mental health has become a worldwide concern especially due to its substantial negative social and economic impact. The implementation of prevention actions and psychological interventions is crucial to mitigate these consequences, and evidence supporting its effectiveness would facilitate a more assertive response. Heart rate variability biofeedback (HRV-BF) has been proposed as a potential intervention to improve mental wellbeing through mechanisms in autonomic functioning. The aim of this study is to propose and evaluate the validity of an objective procedure to assess the effectiveness of a HRV-BF protocol in mitigating mental health symptoms in a sample of frontline HCWs (healthcare workers) who worked in the COVID-19 pandemic. Methods: A prospective experimental study applying a HRV-BF protocol was conducted with 21 frontline healthcare workers in 5 weekly sessions. For PRE-POST intervention comparisons, two different approaches were used to evaluate mental health status: applying (a) gold-standard psychometric questionnaires and (b) electrophysiological multiparametric models for chronic and acute stress assessment. Results: After HRV-BF intervention, psychometric questionnaires showed a reduction in mental health symptoms and stress perception. The electrophysiological multiparametric also showed a reduction in chronic stress levels, while the acute stress levels were similar in PRE and POST conditions. A significant reduction in respiratory rate and an increase in some heart rate variability parameters, such as SDNN, LFn, and LF/HF ratio, were also observed after intervention. Conclusion: Our findings suggest that a 5-session HRV-BF protocol is an effective intervention for reducing stress and other mental health symptoms among frontline HCWs who worked during the COVID-19 pandemic. The electrophysiological multiparametric models provide relevant information about the current mental health state, being useful for objectively evaluating the effectiveness of stress-reducing interventions. Further research could replicate the proposed procedure to confirm its feasibility for different samples and specific interventions. |
| publishDate |
2023 |
| dc.date.none.fl_str_mv |
2 2023-01-01 2023 2023-01-01 |
| dc.type.none.fl_str_mv |
Article http://purl.org/coar/resource_type/c_6501 VoR http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| dc.type.openaire.fl_str_mv |
info:eu-repo/semantics/article |
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article |
| dc.identifier.none.fl_str_mv |
https://ddd.uab.cat/record/286218 https://dx.doi.org/urn:doi:10.3389/fphys.2023.1147260 |
| url |
https://ddd.uab.cat/record/286218 https://dx.doi.org/urn:doi:10.3389/fphys.2023.1147260 |
| dc.language.none.fl_str_mv |
Inglés eng |
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Inglés |
| language |
eng |
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open access http://purl.org/coar/access_right/c_abf2 https://creativecommons.org/licenses/by/4.0/ |
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info:eu-repo/semantics/openAccess |
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open access http://purl.org/coar/access_right/c_abf2 https://creativecommons.org/licenses/by/4.0/ |
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openAccess |
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