Feasibility and Efficacy of the Addition of Heart Rate Variability Biofeedback to a Remote Digital Health Intervention for Depression

Show full item record



Permalink

http://hdl.handle.net/10138/318530

Citation

Economides , M , Lehrer , P , Ranta , K , Nazander , A , Hilgert , O , Raevuori , A , Gevirtz , R , Khazan , I & Forman‑Hoffman , V L 2020 , ' Feasibility and Efficacy of the Addition of Heart Rate Variability Biofeedback to a Remote Digital Health Intervention for Depression ' , Applied Psychophysiology and Biofeedback , vol. 45 , no. 2 , pp. 75-86 . https://doi.org/10.1007/s10484-020-09458-z

Title: Feasibility and Efficacy of the Addition of Heart Rate Variability Biofeedback to a Remote Digital Health Intervention for Depression
Author: Economides, Marcos; Lehrer, Paul; Ranta, Kristian; Nazander, Albert; Hilgert, Outi; Raevuori, Anu; Gevirtz, Richard; Khazan, Inna; Forman‑Hoffman, Valerie L.
Contributor organization: Department of Public Health
HUS Children and Adolescents
Clinicum
HUS Psychiatry
Nuorisopsykiatria
University of Helsinki
Date: 2020-06
Language: eng
Number of pages: 12
Belongs to series: Applied Psychophysiology and Biofeedback
ISSN: 1090-0586
DOI: https://doi.org/10.1007/s10484-020-09458-z
URI: http://hdl.handle.net/10138/318530
Abstract: A rise in the prevalence of depression underscores the need for accessible and effective interventions. The objectives of this study were to determine if the addition of a treatment component showing promise in treating depression, heart rate variability-biofeedback (HRV-B), to our original smartphone-based, 8-week digital intervention was feasible and whether patients in the HRV-B ("enhanced") intervention were more likely to experience clinically significant improvements in depressive symptoms than patients in our original ("standard") intervention. We used a quasi-experimental, non-equivalent (matched) groups design to compare changes in symptoms of depression in the enhanced group (n = 48) to historical outcome data from the standard group (n = 48). Patients in the enhanced group completed a total average of 3.86 h of HRV-B practice across 25.8 sessions, and were more likely to report a clinically significant improvement in depressive symptom score post-intervention than participants in the standard group, even after adjusting for differences in demographics and engagement between groups (adjusted OR 3.44, 95% CI [1.28-9.26], P = .015). Our findings suggest that adding HRV-B to an app-based, smartphone-delivered, remote intervention for depression is feasible and may enhance treatment outcomes.
Subject: 3124 Neurology and psychiatry
DEPRESSION
HEART RATE VARIABILITY
biofeedback
smartphone app
online intervention
digital health
mHealth
MINDFULNESS
Meditation
Depression
Heart rate variability
Biofeedback
Smartphone app
Online intervention
Digital health
mHealth
Mindfulness
Meditation
RESPIRATORY SINUS ARRHYTHMIA
PSYCHOTHERAPY
SYMPTOMS
DISORDERS
PHARMACOTHERAPY
ACTIVATION
BEHAVIOR
MODEL
Peer reviewed: Yes
Rights: cc_by
Usage restriction: openAccess
Self-archived version: publishedVersion


Files in this item

Total number of downloads: Loading...

Files Size Format View
Economides2020_ ... ityAndEfficacyOfTheAdd.pdf 730.7Kb PDF View/Open

This item appears in the following Collection(s)

Show full item record