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The Effects of Respiratory Sinus Arrhythmia Biofeedback on Heart Rate Variability and Posttraumatic Stress Disorder Symptoms: A Pilot Study
Authors:Terri L. Zucker  Kristin W. Samuelson  Frederick Muench  Melanie A. Greenberg  Richard N. Gevirtz
Affiliation:(1) Alliant International University, San Diego, CA, USA;(2) Alliant International University, San Francisco, CA, USA;(3) The Center on Addiction and Substance Abuse, Columbia University & Helicor, Inc., New York, NY, USA;(4) Department of Psychiatry, VA San Diego Healthcare System, San Diego, CA, USA
Abstract:Recent studies have found a significant association between PTSD and low heart rate variability (HRV), a biomarker of autonomic dysregulation. Research indicates that respiratory sinus arrhythmia (RSA) biofeedback increases HRV while reducing related pathological symptoms. This controlled pilot study compared RSA biofeedback to progressive muscle relaxation (PMR) as adjunctive interventions for 38 persons with PTSD symptoms in a residential treatment facility for a substance use disorder. Both groups were assessed at pre-intervention and 4-week post-intervention. Group × time interactions revealed significantly greater reductions in depressive symptoms and increases in HRV indices for the RSA group. Both groups significantly reduced PTSD and insomnia symptoms and a statistical trend was observed for reduced substance craving for the RSA group. Increases in HRV were significantly associated with PTSD symptom reduction. Overall, these results provide preliminary support for the efficacy of RSA biofeedback in improving physiological and psychological health for individuals with PTSD.
Keywords:Heart rate  Heart rate variability  Respiratory sinus arrhythmia biofeedback  Psychophysiology  Posttraumatic stress disorder
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