Evidence map›Paper›PMID 29782180›Full record

ReviewJournal of alternative and complementary medicine (New York, N.Y.)2018

Current Evidence on Heart Rate Variability Biofeedback as a Complementary Anticraving Intervention.

Nour Alayan, Lucille Eller, Marsha E Bates, Dennis P Carmody

Registry-linked trialAbstract readReview
In one paragraph

Review in Journal of alternative and complementary medicine (New York, N.Y.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06821035 (Teaching Youth & Families Self-Regulation Skills to Disrupt the Impact of Adverse Childhood Experiences), which is not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06821035 narecruitingnot on this mapstarted 2025, after this paper: background citation

Teaching Youth & Families Self-Regulation Skills to Disrupt the Impact of Adverse Childhood Experiences: Preventing Substance Use in Adversity- Impacted Youth

TypeinterventionalSponsorUniversity of California, IrvineRan2025 to 2028Enrolled210ConditionsAdverse Childhood Experiences, Family FunctioningArmsGarnering Resilience in Traumatized youth and families (GRIT), Digital Citizenship Curriculum (DCC)
3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Improvement in women's cardiovascular functioning during cognitive-behavioral therapy for alcohol use disorder.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2019
    Observational
  9. Review
  10. Article
  11. Review
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Nour Alayan1 Hariri School of Nursing, American University of Beirut , Beirut, Lebanon .
Lucille Eller2 School of Nursing, Rutgers, The State University of New Jersey , Newark, New Jersey.
Marsha E Bates3 Department of Kinesiology and Health, Rutgers, The State University of New Jersey , Piscataway, New Jersey.
Dennis P Carmody2 School of Nursing, Rutgers, The State University of New Jersey , Newark, New Jersey.

Funding

Project IMPACT: In-the-Moment Protection from Automatic Capture by TriggersR01AA023667 · NIAAA · RUTGERS, THE STATE UNIV OF N.J. · PI BATES, MARSHA E., BUCKMAN, JENNIFER F. · 2015 to 2019
$2.7M
THE BAROREFLEX MECHANISM: TRANSLATION TO AUD TREATMENT AND PROGNOSTIC MODELSK24AA021778 · NIAAA · RUTGERS, THE STATE UNIV OF N.J. · PI BATES, MARSHA E. · 2013 to 2017
$830k
NIAAA NIH HHS K24 AA021778NIAAA NIH HHS R01 AA023667
6 · The paper itself

Abstract

backgroundThe limited success of conventional anticraving interventions encourages research into new treatment strategies. Heart rate variability biofeedback (HRVB), which is based on slowed breathing, was shown to improve symptom severity in various disorders. HRVB, and certain rates of controlled breathing (CB), may offer therapeutic potential as a complementary drug-free treatment option to help control substance craving.

methodsThis review evaluated current evidence on the effectiveness of HRVB and CB training as a complementary anticraving intervention, based on guidelines from the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols. Studies that assessed a cardiorespiratory feedback or CB intervention with substance craving as an outcome were selected. Effect sizes were calculated for each study. The Scale for Assessing Scientific Quality of Investigations in Complementary and Alternative Medicine was used to evaluate the quality of each study reviewed.

resultsA total of eight articles remained for final review, including controlled studies with or without randomization, as well as noncontrolled trials. Most studies showed positive results with a variety of methodological quality levels and effect size. Current HRVB studies rated moderately on methodological rigor and showed inconsistent magnitudes of calculated effect size (0.074-0.727) across populations. The largest effect size was found in a nonclinical college population of high food cravers utilizing the most intensive HRVB training time of 240 min.

conclusionsDespite the limitations of this review, there is beginning evidence that HRVB and CB training can be of significant therapeutic potential. Larger clinical trials are needed with methodological improvements such as longer treatment duration, adequate control conditions, measures of adherence and compliance, longitudinal examination of craving changes, and more comprehensive methods of craving measurement.

Indexed as

Biofeedback, PsychologyAdolescentAdultCravingFemaleHeart RateHumansMaleSubstance-Related DisordersYoung Adultanticraving interventioncomplementarycravingheart rate variability biofeedbacksubstance use disorder

Identifiers

PMID29782180
PMCPMC6422009

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.