{"title":"Neurofeedback and Brain–Machine Interfaces: Where are We Now?","authors":"Martijn Arns, Estate Sokhadze, Niels Birbaumer","doi":"10.1007/s10484-025-09735-9","DOIUrl":"10.1007/s10484-025-09735-9","url":null,"abstract":"","PeriodicalId":47506,"journal":{"name":"Applied Psychophysiology and Biofeedback","volume":"50 on","pages":"547 - 549"},"PeriodicalIF":2.4,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974114","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":"Heart Rate Fragmentation: A Novel Analytic Approach to Detect Allostatic Load Among Healthy Adults","authors":"Jennifer F. Chan, Judith P. Andersen","doi":"10.1007/s10484-025-09721-1","DOIUrl":"10.1007/s10484-025-09721-1","url":null,"abstract":"<div><p>Building on prior psychophysiological stress regulation and adaptation literature (e.g., Allostatic load (AL) and Neurovisceral Integration (NVI) models), the current study explores the emerging nonlinear heart rate variability (HRV) metric—heart rate fragmentation (HRF)—and it’s efficacy as a potential AL biomarker to distinguish psychosocial stress reactivity conditions and predicting subclinical mental health symptomology in healthy adults. One hundred and fifty-six (n = 156) undergraduate student participants were fitted with a chest band to monitor cardiovascular activity and completed online demographic and psychosocial surveys. Participants were grouped as healthy or displaying probable mental health symptoms (pMH; n = 94, 60.25% of sample) based on scoring above associated inventory thresholds for depression, anxiety, and posttraumatic stress disorder. Subsequently, cardiovascular activity was measured to capture HRF under the established “RRR” experimental stress paradigm: a <i>resting</i> baseline, <i>reactivity</i> to an acute stressor task, and a paced breathing <i>recovery</i>. Results support the global study aim in which HRF significantly differentiated between each RRR condition (p < 0.001). While healthy and pMH individuals did not significantly differ within individual conditions, exploratory analyses revealed that healthy individuals displayed significantly greater HRF reactivity between conditions (p’s < 0.001) in comparison to the pMH sample, which displayed a more blunted pattern. Overall, this study establishes associations between HRF and mental health, serving as a promising biomarker that contributes towards the AL and NVI models of stress regulation and adaptation. HRF may also identify early signs of adverse dysregulation in samples otherwise considered “healthy”, while addressing the limitations of frequently used HRV biomarkers in non-clinical studies.</p></div>","PeriodicalId":47506,"journal":{"name":"Applied Psychophysiology and Biofeedback","volume":"51 1","pages":"29 - 47"},"PeriodicalIF":2.4,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974051","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}
Leah Talbert, Whitney Allen, Anna Wheeler, Bethany Hartwell, Tanner Jensen, Eliza Young, Thomas Baldwin, Kevin Olpin, Scott Baldwin, Ramona Hopkins, Patrick Steffen, Julian Thayer, Michael Larson
{"title":"A Randomized Sham-Controlled Trial of Heart Rate Variability Biofeedback Following Traumatic Brain Injury (TBI)","authors":"Leah Talbert, Whitney Allen, Anna Wheeler, Bethany Hartwell, Tanner Jensen, Eliza Young, Thomas Baldwin, Kevin Olpin, Scott Baldwin, Ramona Hopkins, Patrick Steffen, Julian Thayer, Michael Larson","doi":"10.1007/s10484-025-09734-w","DOIUrl":"10.1007/s10484-025-09734-w","url":null,"abstract":"<div><p>Traumatic brain injury (TBI) is often associated with autonomic nervous system (ANS) dysregulation and reduced heart rate variability (HRV), potentially affecting cognition. This study tested whether HRV biofeedback (HRV-B) improved resting HRV and stress recovery in individuals with TBI compared to sham control. We also examined whether HRV changes related to physical symptoms, emotional well-being, cognitive performance, and adherence. Fifty-eight participants with TBI enrolled; 49 completed the study (HRV-B: 25, mean age 27.1; sham: 24, mean age 26.6). Participants attended five weekly sessions. Assessments included cognitive, emotional, and physical outcomes. HRV metrics (HF, LF, LF/HF, SDNN, RMSSD) were collected via electrocardiogram. The HRV-B group showed a higher LF/HF ratio at rest (<i>F</i>(1, 43) = 9.38, <i>p</i> = 0.004) and during stress recovery (<i>F</i>(1, 172) = 4.27,<i> p</i> = 0.040) than sham. A group-by-session interaction (<i>F</i>(1, 172) = 4.18,<i> p</i> = 0.04) indicated an LF/HF increase over time for HRV-B. Condition effects for HF (log), RMSSD, and SDNN at rest favored sham but disappeared after adjusting for pre-assessment values. LF (log) showed no significant effects. Both groups improved in Fluid Cognition and Total Composite scores, with no between-group differences. Anxiety and depression decreased over sessions, with greater depression improvement in HRV-B. No group effects emerged for stress or life satisfaction. HRV-B increased LF/HF ratio at rest and during stressor recovery, possibly reflecting baroreflex engagement. However, other HRV condition effects attenuated after adjusting for baseline values. Cognitive and emotional gains were observed in both groups.</p></div>","PeriodicalId":47506,"journal":{"name":"Applied Psychophysiology and Biofeedback","volume":"51 2","pages":"327 - 348"},"PeriodicalIF":2.4,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144875985","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":"Effect of Brief Mindfulness Meditation Interventions on Heart Rate Variability in Adults: A Systematic Review","authors":"Alexis Barbry, Éva Gál, Annie Carton, Jérémy Coquart","doi":"10.1007/s10484-025-09724-y","DOIUrl":"10.1007/s10484-025-09724-y","url":null,"abstract":"<div><p>Heart Rate Variability (HRV) is considered as an objective assessment of stress, that considerably increased the last decades. The influence of Brief Mindfulness Meditation (BMM) on HRV contains gaps in the literature. This study aims to investigate the influence of BMM on HRV. A systematic search was conducted in four databases (i.e., PubMed NCBI, Cochrane Library, Scopus, and Web of Science). To be included, these studies were required to evaluate HRV before and during or after a BMM intervention. The methodological quality of the included studies was evaluated with the revised Cochrane Risk-of-Bias and the quality of the evidence was assessed with the Grading of Recommendations Assessment, Development and Evaluation. Seven studies met the inclusion criteria. Three studies had within subject design, two studies compared BMM with other relaxation techniques, one study was a controlled trial, and one study was an uncontrolled trial. Three studies, including 120 participants, found that BMM is associated with an increase of Root Mean Square of Successive Differences (RMSSD). Two studies reported an increase of the LF/HF ratio; however, the quality of the evidence was low. Although the large amount of heterogeneity can be seen as the main limitation, the results suggest that RMSSD may increase in the short-term during or after BMM, suggesting that BMM might be a promising psychological intervention to temporally reduce the physiological stress of the population. Future randomised controlled trials, measuring long-term effects of BMM on HRV, need to be conducted.</p><p><i>Registration and information</i>: This systematic review was registered on the international Prospective Register of Systematic Reviews (PROSPERO) database (#CRD42022291907). The review protocol can be accessed on the following link: brief mindfulness and heart rate variability.</p></div>","PeriodicalId":47506,"journal":{"name":"Applied Psychophysiology and Biofeedback","volume":"51 1","pages":"3 - 18"},"PeriodicalIF":2.4,"publicationDate":"2025-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733957","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}
Hasan Belghadr, Faezeh Alipisheh, Masoud Esmaeilnejad, Hassan Gharayagh Zandi
{"title":"Impact of a Single Alpha Neurofeedback Session on Working and Visuospatial Memory in Football Players: A Comparison of Defenders and Attackers","authors":"Hasan Belghadr, Faezeh Alipisheh, Masoud Esmaeilnejad, Hassan Gharayagh Zandi","doi":"10.1007/s10484-025-09731-z","DOIUrl":"10.1007/s10484-025-09731-z","url":null,"abstract":"<div><p>Working memory (WM) and visuospatial memory (VSM) are pivotal for rapid decision-making and effective teamwork in football. This study investigated the effects of a single-session alpha neurofeedback training (NFT) protocol at Pz on WM and VSM in 48 male players (aged 18–28), with a detailed analysis focusing on playing position, including both defenders and attackers, who were randomly assigned to either the NFT (n = 24) or sham (n = 24) groups. The NFT group received a 25-min eyes-closed session to boost Peak Alpha Frequency (PAF) (7.5–12.5 Hz), while the sham group received non-contingent feedback. WM was assessed using an n-back task, and VSM was measured via a Football Memory Block-Tapping Test (FMBT). The NFT group showed significantly greater improvements in NCR-L1, NCR-L2 (WM), and FRS (VSM) than the sham group (<i>p</i> < 0.05), whereas no significant differences were found in RTs during the WM task or in BRS during the VSM task (<i>p</i> > 0.05). Moreover, defenders outperformed attackers on certain WM and VSM measures, potentially reflecting the distinct demands of their positions. These findings suggest that even a brief alpha NFT session may enhance certain cognitive functions in football players, providing a practical and time-efficient approach that may contribute to improvements in memory performance, with variations observed across different positional roles.</p></div>","PeriodicalId":47506,"journal":{"name":"Applied Psychophysiology and Biofeedback","volume":"51 2","pages":"249 - 257"},"PeriodicalIF":2.4,"publicationDate":"2025-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733958","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":"The Efficacy of Virtual Reality-Based EEG Neurofeedback in Health-Related Symptoms Relief: A Systematic Review","authors":"Lina Castanho, Diogo Vicente Martinho, Ana Cristina Saial, Bruna Raquel Gouveia, Élvio Rúbio Gouveia, Filipa Ribeiro","doi":"10.1007/s10484-025-09730-0","DOIUrl":"10.1007/s10484-025-09730-0","url":null,"abstract":"<div><p>EEG Neurofeedback is a noninvasive therapeutic modality that can potentially modify targeted aspects of brain function, considered promising for the treatment of neuropsychiatric disorders. Nevertheless, some limitations have considerable potential to compromise its efficacy, including the requirement for a high number of sessions, the repetition of therapeutic tasks, and the challenge in sustaining the objectives of these tasks. These limitations can induce a decline in system dynamism and user motivation. However, barriers can be overcome by integrating immersive virtual reality into a neurofeedback system to increase motivation, interest, and adherence through immersion and a sense of presence. This systematic review aimed to determine whether this combined treatment is effective in relieving symptoms related to general health. To conduct this search following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, six electronic databases were accessed on January 26, 2024. Inclusion and exclusion criteria were defined to select the articles, and risk of bias and methodological quality assessment was conducted using the Mixed Methods Appraisal Tool and the CRED-nf checklist. A total of 24 trials were included, and according to Template for Developing Guidelines for the Evaluation of the Clinical Efficacy of Psychophysiological Interventions, the results showed that it was considered a probably efficacious treatment for attention and a possibly efficacious treatment for emotions, mood, pain, relaxation, impulsiveness, memory, self-esteem, creativity, empathy, meditation, and tiredness. Several methodological factors of the trials restrict the generalization of these findings and require caution in their interpretation, despite the promising results in future directions.</p></div>","PeriodicalId":47506,"journal":{"name":"Applied Psychophysiology and Biofeedback","volume":"50 on","pages":"613 - 633"},"PeriodicalIF":2.4,"publicationDate":"2025-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s10484-025-09730-0.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144718899","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":"Effectiveness of Mindfulness-Based Stress Reduction on Salivary Cortisol and α-amylase Level, Anxiety and Depression in Students: A Randomized and Parallel-Group Clinical Trial","authors":"Saba Hassanvandi, Reza Mohammadzadegan, Seyed Hassan Saadat, Boshra Hatef, Shima Shahyad","doi":"10.1007/s10484-025-09690-5","DOIUrl":"10.1007/s10484-025-09690-5","url":null,"abstract":"<div><p>The current trial aimed to assess the effectiveness of Mindfulness-Based Stress Reduction training on salivary cortisol and α-amylase levels, anxiety and depression of students. This research was an experimental trial with a pre-test-post-test design and a control group. The statistical population of the research included all students studying in the universities of Khoy, Iran in 2021. The sample consisted of 30 people who were assigned to two experimental and control groups equally. Stress, anxiety and depression scale (DASS-21), General Health Questionnaire (GHQ-28) and saliva samples were passively taken by ELISA laboratory method with special kits. Data analysis was done using an independent t-test and analysis of covariance using IBM-SPSS version 26 software. The results showed that MBSR training on general health, alpha-amylase level and alpha-amylase/cortisol ratio of experimental group participants was more effective than the control group (<i>P</i> < 0.05). However, it was not effective on students’ cortisol levels (<i>P</i> > 0.05). According to the findings, it can be argued that MBSR training has been able to promote the psychological (DASS and general health) and hormonal (alpha amylase level and alpha-amylase/cortisol ratio) mental health indicators of the experimental group participants compared to the control group.</p></div>","PeriodicalId":47506,"journal":{"name":"Applied Psychophysiology and Biofeedback","volume":"50 3","pages":"417 - 428"},"PeriodicalIF":2.4,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144691964","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}
Roghayyeh Shabaniyan Tafti, Nazila Akbar Fahimi, Mohsen Vahedi, Hozan Mohammadi, Amir Salar Jafarpisheh
{"title":"Effect of Pressure-Biofeedback on Manual Dexterity in Children with Developmental Coordination Disorder","authors":"Roghayyeh Shabaniyan Tafti, Nazila Akbar Fahimi, Mohsen Vahedi, Hozan Mohammadi, Amir Salar Jafarpisheh","doi":"10.1007/s10484-025-09725-x","DOIUrl":"10.1007/s10484-025-09725-x","url":null,"abstract":"<div><p>Developmental Coordination Disorder (DCD) is a neurodevelopmental condition affecting manual dexterity (MD) and fine motor skills (FMS). Pressure biofeedback (PB), a noninvasive tool providing real-time feedback, may enhance motor learning. This study examined the effects of PB combined with occupational therapy (OT) on MD and FMS in children with DCD. In this single-blinded, randomized controlled trial, 40 children aged 5–10 years with DCD were assigned to an intervention group (PB + OT) or a control group (OT alone). The Developmental Coordination Disorder Questionnaire (DCD-Q) provided a subjective evaluation of motor coordination, including FMS and proprioception. MD was objectively measured by the <i>manual dexterity subtest</i> of the Bruininks-Oseretsky Test of Motor Proficiency, Second Edition (BOT-2). Pressure biofeedback (PB) pattern tracking quantified fine motor precision and proprioceptive regulation using Root Mean Square Error (RMSE) and visual-motor integration using the Correlation Coefficient (CC). Post-intervention, the intervention group showed significantly more improvements than controls in DCD-Q, BOT-2, RMSE, and CC scores. DCD-Q and BOT-2 scores increased (<i>p</i> < 0.05), indicating enhanced manual dexterity, including proprioception and fine motor skills. RMSE decreased (<i>p</i> < 0.001), reflecting improved fine motor precision and proprioceptive regulation. CC scores improved post-intervention (<i>p</i> = 0.011) and remained higher at follow-up (<i>p</i> < 0.001), demonstrating sustained visuomotor coordination gains. Repeated measures ANOVA confirmed significant time and group effects (<i>p</i> < 0.05), supporting lasting motor improvements. PB is a practical, quantitative intervention for enhancing MD and FMS in children with DCD. Integrating PB with OT led to significant and sustained improvements in motor coordination, visuomotor integration, proprioceptive function, and handwriting performance. These findings support biofeedback as a non-invasive and engaging approach for pediatric neurorehabilitation, aligning with family-centered, non-pharmacological care models.</p></div>","PeriodicalId":47506,"journal":{"name":"Applied Psychophysiology and Biofeedback","volume":"51 1","pages":"133 - 152"},"PeriodicalIF":2.4,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144643774","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":"Evaluating the Effects of Yoga on the Body Mass Index and Heart Rate among Individuals with Substance Use Disorder: A Randomized Controlled Trial","authors":"Shubham Kumar, Manoj Sahu, Kuntal Ghosh","doi":"10.1007/s10484-025-09727-9","DOIUrl":"10.1007/s10484-025-09727-9","url":null,"abstract":"<div><p>Drug addiction significantly impacts physical and psychological health, often resulting in challenges such as weight management issues and cardiovascular irregularities. Yoga, a holistic practice, may serve as an adjunctive therapy to address these concerns. To evaluate the effects of yoga on body mass index (BMI) and heart rate (HR) in individuals undergoing drug addiction rehabilitation. A randomized controlled trial was conducted with 60 participants from a rehabilitation center in Shimla, Himachal Pradesh. The participants were divided into four groups: Asana, Pranayama, a combination of Asana and Pranayama, and a control group. The intervention spanned 12 weeks with 30-min sessions three times a week. The Asana group (Mean—23.051) presented the most significant BMI reduction, followed by the Asana + Pranayama group (Mean—23.456) and the Pranayama group (Mean—23.851). The Pranayama group (Mean—67.950) significantly improved HR, followed by Asana + Pranayama group (Mean—68.603) and the Asana group (Mean—68.859) compared with the control group. Yoga has potential as an adjunctive therapy for improving BMI and HR in individuals recovering from drug addiction, making it a valuable component of holistic rehabilitation programs.</p></div>","PeriodicalId":47506,"journal":{"name":"Applied Psychophysiology and Biofeedback","volume":"51 1","pages":"79 - 90"},"PeriodicalIF":2.4,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144620879","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}
Konrad Rudnicki, Luna Schepers, Koen Rummens, Glen Joris, Karolien Poels
{"title":"The Effectiveness of Brief Meditation Assisted with Cardiac Biofeedback on Interoceptive Accuracy, Sensibility and Awareness: A Randomized Controlled Trial","authors":"Konrad Rudnicki, Luna Schepers, Koen Rummens, Glen Joris, Karolien Poels","doi":"10.1007/s10484-025-09728-8","DOIUrl":"10.1007/s10484-025-09728-8","url":null,"abstract":"<div><p>The growing popularity of application-based meditation has driven the development of new technological features in this field such as the use of cardiac biofeedback, aimed at helping users train their attention to interoceptive stimuli while meditating. However, despite the innovativeness of this approach, the effectiveness of cardiac biofeedback-assisted meditation in enhancing interoception and its specific advantages in this context remains unclear. This study aimed to investigate whether a limited number of brief meditation sessions enhanced with cardiac biofeedback improves interoceptive accuracy, sensibility, and awareness more effectively than only using a meditation application. A randomized controlled trial of a 2-week intervention was conducted with participants who had no prior meditation experience (N = 105) assigned into one of three groups: a cardiac biofeedback-assisted meditation group, an app-based meditation group and a non-meditating control group. Interoceptive accuracy, sensibility and awareness were measured using the Heartbeat Discrimination Task. The findings indicated that interoceptive awareness increased from pre- to post-test across all participants, including the control group. No changes were observed in interoceptive sensibility. However, interoceptive accuracy improved in the two meditating conditions, but only among participants with positive user experience with their meditation devices.</p></div>","PeriodicalId":47506,"journal":{"name":"Applied Psychophysiology and Biofeedback","volume":"51 2","pages":"219 - 234"},"PeriodicalIF":2.4,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609962","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}