Applied Psychophysiology and Biofeedback最新文献

{"title":"Feasibility and Effectiveness of Portable/Remote Heart Rate Variability (HRV) Biofeedback Training in Treating Stress and Mental Health Difficulties: A Systematic Review","authors":"Sophie Wilson,&nbsp;Alisia-Roberta-Lorelai Maciu,&nbsp;Katie Ashcroft","doi":"10.1007/s10484-025-09751-9","DOIUrl":"10.1007/s10484-025-09751-9","url":null,"abstract":"<div><p>Understanding the mind–body relationship is increasingly important in healthcare. Dysregulation of the autonomic nervous system (ANS) has been linked to both physical and mental health issues. Heart rate variability biofeedback training (HRVBt), which targets ANS regulation, is gaining popularity and is becoming more portable with advancing technology. While meta-analyses have shown that HRVBt can improve psychological and physiological outcomes, no review has specifically examined portable/remote HRV biofeedback training (P/R-HRVBt). Given the digital transformation of healthcare, this review aimed to evaluate the feasibility and effectiveness of P/R-HRVBt for reducing stress and subclinical anxiety and depression, and to consider its clinical implications. Three databases (PubMed, PsycINFO, Web of Science) and reference lists were searched. Eligible studies were written in English, used P/R-HRVBt, and quantitatively assessed feasibility or effectiveness on psychological outcomes or physiological stress markers in adults experiencing stress or subclinical anxiety and depression. Thirteen studies met the inclusion criteria. Quality was appraised using the Quality Assessment Tool for Quantitative Studies. All studies received a global ‘weak’ rating, though four achieved ‘moderate’ quality when blinding was excluded. Overall, P/R-HRVBt was found to be feasible. All studies reported improvements in at least one psychological or physiological outcome, though heterogeneity in study design, measures, and effect sizes limited conclusions. Further high-quality research is warranted. Nonetheless, findings suggest that P/R-HRVBt may be comparable to established interventions and offers a promising alternative for improving psychological and physiological health.</p></div>","PeriodicalId":47506,"journal":{"name":"Applied Psychophysiology and Biofeedback","volume":"51 3","pages":"453 - 476"},"PeriodicalIF":3.0,"publicationDate":"2025-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s10484-025-09751-9.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145709986","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction: Rewiring Recovery: Cognitive and Motor Gains Through Personalized Neurofeedback after Tumor Resection—A Case Series from Neurorehabilitation Practice","authors":"Gianvito Lagravinese,&nbsp;Valentina Nicolardi,&nbsp;Simona Aresta,&nbsp;Marialuisa Guglielmo,&nbsp;Serena Tagliente,&nbsp;Fabiana Montenegro,&nbsp;Petronilla Battista,&nbsp;Brendan Parsons,&nbsp;Stefania De Trane","doi":"10.1007/s10484-025-09752-8","DOIUrl":"10.1007/s10484-025-09752-8","url":null,"abstract":"","PeriodicalId":47506,"journal":{"name":"Applied Psychophysiology and Biofeedback","volume":"51 2","pages":"437 - 439"},"PeriodicalIF":2.4,"publicationDate":"2025-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s10484-025-09752-8.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145702420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"SMR/Theta Neurofeedback Training on Attention and Reading Abilities in Children with Attention Deficit Hyperactivity Disorder-Predominantly Inattentive","authors":"Maha Mirarab,&nbsp;Javad Hasan Nia Roshan,&nbsp;Rabi Atabaki,&nbsp;Shahla Sharifi","doi":"10.1007/s10484-025-09754-6","DOIUrl":"10.1007/s10484-025-09754-6","url":null,"abstract":"<div><p>Sensorimotor rhythm (SMR)/Theta neurofeedback is an intervention protocol to enhance attention performance in children with attention deficit hyperactivity disorder, predominantly inattentive (ADHD-I). However, the effects of this attention modulation intervention on reading fluency in these children are not well documented. This study examined the efficacy of SMR/Theta neurofeedback in auditory and visual attention and reading fluency in children with ADHD-I. A cohort of 34 children aged 9–10 years underwent three-month neurofeedback training sessions. Attention was assessed with the Integrative Visual and Auditory Continuous Performance Test (IVA +), and reading ability was assessed by applying the Test of Word Reading Efficiency (TOWRE) and oral/silent reading measures. Repeated-measures ANOVA was conducted to analyze pre- and post-intervention performance. The results revealed significant improvements in components of visual attention, including visual focus and sustained visual vigilance (<i>p</i> &lt; 0.005). Auditory attention also increases in auditory vigilance and sustained auditory attention significantly (<i>p</i> &lt; 0.05). Reading fluency tasks yielded significant increases in sight word efficiency and oral/silent reading (<i>p</i> &lt; 0.001). These findings demonstrate that SMR/Theta neurofeedback significantly enhances auditory and visual attention components, as well as reading fluency, in children with ADHD-I. The last effect of this intervention should be explored in future research, as well as its impact on higher-order reading comprehension processes.</p></div>","PeriodicalId":47506,"journal":{"name":"Applied Psychophysiology and Biofeedback","volume":"51 3","pages":"541 - 552"},"PeriodicalIF":3.0,"publicationDate":"2025-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145662282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy and Methodology of Remote Heart Rate Variability Biofeedback Interventions for Mental Health: A Systematic Review and Meta-Analysis","authors":"Sophia Vann-Adibe,&nbsp;Harry Kam Hung Tsui,&nbsp;Hui Quan Zhou,&nbsp;Zhuoma Ciren,&nbsp;Chao Li,&nbsp;Sherry Kit Wa Cha","doi":"10.1007/s10484-025-09750-w","DOIUrl":"10.1007/s10484-025-09750-w","url":null,"abstract":"<div><p>Heart rate variability biofeedback (HRV-B) is a technique that has been shown to have benefits for both physical and mental health conditions. The aim of the present systematic review and meta-analysis is to describe the methodological approach and examine the efficacy of remote HRV-B interventions for mental health symptoms, including depression, stress, anxiety, and sleep as well as heart rate variability (HRV), a measure of autonomic function. A systematic literature search was conducted from five databases and eighteen studies with a total of 1352 subjects from different populations were included in this systematic review and meta-analysis based on the inclusion criteria. Meta-analysis showed a medium effect size of HRV-B for improving both depression (<i>g</i> = − 0.41 [− 0.049, − 0.772], <i>p</i> = 0.026, I² = 72.623%, k = 10) and HRV (<i>g</i> = 0.443, [0.718, 0.167], <i>p</i> = 0.002, I² = 56.81%, k = 10) compared to control conditions. These results remained significant after sensitivity analyses excluding high-risk, non-randomized, and outlier studies. Effect for stress was not significant (<i>p</i> = 0.152, k = 8). Meta-regressions identified study and protocol characteristics as significant moderators of the effect on HRV, stress, and anxiety. Specifically, maximizing resonance, screen on the device, less lab visits, less than twenty minutes of practice time per day, and female gender were beneficial for the intervention effectiveness. Overall, this study indicates that HRV-B is an effective intervention for decreasing depressive symptoms and increasing HRV across populations, and some intervention variables may influence the intervention outcomes.</p></div>","PeriodicalId":47506,"journal":{"name":"Applied Psychophysiology and Biofeedback","volume":"51 3","pages":"441 - 452"},"PeriodicalIF":3.0,"publicationDate":"2025-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s10484-025-09750-w.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145641184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examining the Integration of Biofeedback Treatment in Inpatient Mental Health Care, Specialized in Psychosomatic Medicine and Psychotherapy: A Mixed Methods Study","authors":"Gregor Gehrig,&nbsp;Tania Lalgi,&nbsp;Alexander Bäuerle,&nbsp;Martin Teufel,&nbsp;Kira Schmidt","doi":"10.1007/s10484-025-09749-3","DOIUrl":"10.1007/s10484-025-09749-3","url":null,"abstract":"<div><p>Although biofeedback (BFB) treatment has been well researched for different outpatient settings, relatively little information exists on the implementation process or the difficulties of applying this form of therapy in an inpatient setting. This study, therefore, focuses on the implementation of BFB in the inpatient setting and the potential barriers to its implementation and use. A mixed methods approach was chosen. Medical professionals in hospitals for inpatient mental health care, specializing in psychosomatic medicine and psychotherapy in Germany, were surveyed on the use of BFB via an online questionnaire. Hospitals that use BFB were then invited to take part in a semistructured interview. Participants were asked about the BFB treatment process and difficulties faced during implementation and application. Twenty-four hospitals participated in the quantitative part, and seven hospitals participated in the qualitative part of the study. The analysis of the data revealed that BFB implementation varied from hospital to hospital. The greatest differences were found primarily in the parameters surveyed, session frequency, and duration. Common features included the use of an introductory session, an evaluation, and a discussion of the benefits for patients. The obstacles included staff shortages, technical problems, and the high organizational effort required for BFB use. The data obtained confirm the benefits of BFB treatment in the inpatient setting and reveal which criteria are necessary for successful implementation. Sufficient resources (staff, time, equipment) must be provided for successful BFB implementation. Consistent integration into patients’ timetables could minimize organizational effort, and therapist training could improve handling and implementation.</p></div>","PeriodicalId":47506,"journal":{"name":"Applied Psychophysiology and Biofeedback","volume":"51 3","pages":"511 - 525"},"PeriodicalIF":3.0,"publicationDate":"2025-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s10484-025-09749-3.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145565695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Basal ganglia as an fMRI motor neurofeedback target in Parkinson’s disease","authors":"Halim I. Baqapuri,&nbsp;Anneke Terneusen,&nbsp;Michael Luehrs,&nbsp;Judith Peters,&nbsp;Mark Kuijf,&nbsp;Rainer Goebel,&nbsp;David Linden,&nbsp;Neuripides Study Group","doi":"10.1007/s10484-025-09747-5","DOIUrl":"10.1007/s10484-025-09747-5","url":null,"abstract":"<div><p>Parkinson’s disease (PD) is a progressive neurodegenerative disorder characterized by motor impairments. While pharmacological treatments offer symptom alleviation, their long-term effectiveness is insufficient. Deep Brain Stimulation (DBS) is a neurosurgical treatment that targets brain pathways to alleviate motor symptoms in PD. It is a highly invasive procedure and carries associated risks. This prompts investigation of non-invasive alternatives, such as real-time functional Magnetic Resonance Imaging (rt-fMRI) neurofeedback (NF). This work investigates the feasibility of using the basal ganglia, more specifically the putamen, a key structure in the motor network, as a potential NF target region. Two rt-fMRI studies were conducted: (i) Twelve healthy individuals participated in a single-blind, crossover study involving one MRI session targeting the putamen and the supplementary motor area (SMA) in separate runs. (ii) Twelve PD patients followed the same protocol but with three MRI sessions. We investigated whether participants could learn to voluntarily control brain activity through NF training. The PD patients successfully recruited the putamen during NF-reinforced motor imagery, which was also found at trend level in the healthy participants. We found no learning effect and no difference in putamen activation when it was directly targeted versus when the target signals came from the SMA. Overall, widespread cortical and subcortical areas involved in motor control were activated during neurofeedback. This study demonstrates for the first time that PD patients can modulate putamen activity through NF training, supporting its potential as a non-invasive neuromodulation target. This opens opportunities for integrating invasive and non-invasive neuromodulation for PD treatment.</p></div>","PeriodicalId":47506,"journal":{"name":"Applied Psychophysiology and Biofeedback","volume":"50 on","pages":"635 - 653"},"PeriodicalIF":2.4,"publicationDate":"2025-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s10484-025-09747-5.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145551615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unlocking Cognitive Potential: Investigating the Impact of a Single Short-Term Mindfulness Meditation Session on Working Memory in Medical Students","authors":"Mamur Khan,&nbsp;Malaika Shakeel,&nbsp;Sana Muftah,&nbsp;Laiba Gul,&nbsp;Muhammad Talha,&nbsp;Fazlina Shaid,&nbsp;Zaryab Bacha,&nbsp;Saqib Hayat Khan,&nbsp;Muhammad Abdullah Ali,&nbsp;Ahmad Khan","doi":"10.1007/s10484-025-09746-6","DOIUrl":"10.1007/s10484-025-09746-6","url":null,"abstract":"<div><p>With the heavy academic demands for medical students, this research aimed to find the potential benefits of short-term mindfulness meditation in improving working memory among medical students, which may potentially have positive effects on their academics. Several previous studies have also shown the positive effects of mindfulness meditation in improving different cognitive functions, however, most of those studies studied the effects of long-term meditation. This study is unique because it studies the effectiveness of short-term meditation. To see the effects of a short-term mindfulness meditation practice on working memory among medical students at Khyber Medical College, Peshawar. In a quasi-experimental study, 55 medical students provided written consent to participate. The participants’ working memory was assessed using the forward digit span test before a brief mindfulness meditation session. Following listening to a 10 min mindfulness audiotape, the forward digit span test was administered again. The pre- and post-meditation test scores were compared using SPSS software for statistical analysis. This study explored the pre- and post-meditation Forward Digit Span test scores. The improvements were extremely significant as per the T-test analysis (<i>p</i> = 0.00). On separate T-tests for each gender, it was found that females (<i>p</i> = 0.013) had a comparatively lesser increase in digit-span test scores than males (<i>p</i> = 0.003). However, both males and females showed improvements of significance. These findings imply the cognitive benefits of meditation practices for both genders. This research indicates that short-term mindfulness meditation improves the working memory of medical students. Evidence was obtained to suggest that mindfulness practice can improve working memory, which may have implications for enhancing the academic performance of medical students.</p></div>","PeriodicalId":47506,"journal":{"name":"Applied Psychophysiology and Biofeedback","volume":"51 3","pages":"597 - 605"},"PeriodicalIF":3.0,"publicationDate":"2025-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145460214","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction: Brief Interactive Virtual Reality Mindfulness Training with Real-Time Biofeedback for Anxiety Reduction: A Pilot Study","authors":"Qiuxia Xu,&nbsp;Yingqi Gu,&nbsp;Xizhe Hu","doi":"10.1007/s10484-025-09748-4","DOIUrl":"10.1007/s10484-025-09748-4","url":null,"abstract":"","PeriodicalId":47506,"journal":{"name":"Applied Psychophysiology and Biofeedback","volume":"51 1","pages":"167 - 167"},"PeriodicalIF":2.4,"publicationDate":"2025-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145439595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rewiring Recovery: Cognitive and Motor Gains Through Personalized Neurofeedback After Tumor Resection—A Case Series from Neurorehabilitation Practice","authors":"Gianvito Lagravinese,&nbsp;Valentina Nicolardi,&nbsp;Simona Aresta,&nbsp;Marialuisa Guglielmo,&nbsp;Serena Tagliente,&nbsp;Fabiana Montenegro,&nbsp;Petronilla Battista,&nbsp;Brendan Parsons,&nbsp;Stefania De Trane","doi":"10.1007/s10484-025-09743-9","DOIUrl":"10.1007/s10484-025-09743-9","url":null,"abstract":"<div><p>Postoperative cognitive impairment is common among patients undergoing brain tumor resection. Neurofeedback (NF) represents a promising adjunctive intervention for cognitive rehabilitation, though its clinical application in neuro-oncology remains largely unexplored. This prospective case series enrolled seven inpatients (5 women, 2 men; aged 46–76 years) with cognitive deficits following brain tumor surgery. Each underwent 15 sessions of EEG-based NF (35 min/session, five times per week for three weeks) in parallel with daily motor rehabilitation. Baseline and post-intervention assessments included quantitative EEG (qEEG), a comprehensive neuropsychological battery, and functional measures. All patients completed the NF protocol without adverse events. qEEG analyses revealed heterogeneous but measurable modulations in absolute power and spectral ratios, with several patients showing normalization of pathological delta/beta activity. Reliable Change Index analyses indicated cognitive improvements in all patients, particularly in domains of memory, executive function, and language. Secondary benefits were also observed in mood, motor performance, and activities of daily living, though these varied across individuals. Intensive NF training combined with motor rehabilitation was feasible and well tolerated in this heterogeneous cohort. Preliminary results suggest that NF may promote postoperative cognitive recovery, with additional gains in functional and affective domains. Larger controlled studies are required to validate these exploratory findings.</p></div>","PeriodicalId":47506,"journal":{"name":"Applied Psychophysiology and Biofeedback","volume":"51 2","pages":"423 - 436"},"PeriodicalIF":2.4,"publicationDate":"2025-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s10484-025-09743-9.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145439566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cost, Research, and Education: Providers’ Perspectives on Making Neurofeedback More Accessible","authors":"Whitney K. Norris,&nbsp;M. Kathryn Allison,&nbsp;Linda Larson-Prior,&nbsp;Jocelyn C. Anderson,&nbsp;Martha Rojo","doi":"10.1007/s10484-025-09744-8","DOIUrl":"10.1007/s10484-025-09744-8","url":null,"abstract":"<div><p>Despite a wide variety of research and clinical utilization over the past 50 years, neurofeedback has failed to gain recognition comparable to other well-researched mental health interventions. The goal of this study was to explore neurofeedback practitioners’ perspectives on what would help make the intervention more accessible to mental health providers and to the public. Despite a wide variety of research and clinical utilization over the past 50 years, neurofeedback has failed to gain recognition comparable to other well-researched mental health interventions. The goal of this study was to explore neurofeedback practitioners’ perspectives on what would help make the intervention more accessible to mental health providers and to the public. As part of a larger implementation study using mixed methods to identify determinants of neurofeedback implementation, this qualitative study involved semi-structured interviews conducted online with 17 neurofeedback practitioners in outpatient settings, analyzed using inductive thematic analysis to identify themes related to accessibility. This study focused on the interview question: “What would help increase the accessibility of neurofeedback to the public?” Interview data were analyzed by two independent coders using inductive thematic analysis. The sample was mostly White (<i>n</i> = 15, 88%) and female (<i>n</i> = 13, 76%) with an average age of 53 years (range: 34–73 years). They averaged 17.8 years in practice (range: 3–36 years) and 8 years practicing neurofeedback (range: 1–20 years). Three major themes to help increase accessibility were identified: (a) financial support, including increased insurance coverage; (b) better provider education, including introduction of neurofeedback into graduate school curriculum; and (c) more research/research funding contributing to the scientific credibility of the neurofeedback field. This study was the first to qualitatively explore the accessibility changes of neurofeedback from an implementation science lens. Study participants described tangible ways to address these challenges through actionable avenues that could ultimately lead to increasing the update of neurofeedback in routine mental healthcare.</p></div>","PeriodicalId":47506,"journal":{"name":"Applied Psychophysiology and Biofeedback","volume":"51 3","pages":"491 - 498"},"PeriodicalIF":3.0,"publicationDate":"2025-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145393903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}