ArticleAddictive behaviors2019
Substance craving changes in university students receiving heart rate variability biofeedback: A longitudinal multilevel modeling approach.
Article in Addictive behaviors, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.
- Heart Rate Variability Biofeedback Improves Emotional and Physical Health and Performance: A Systematic Review and Meta Analysis.Applied psychophysiology and biofeedback · 2020Pooled it
- Heart Rate Variability Biofeedback for Substance Use Disorder: A Randomized Clinical Trial.JAMA psychiatry · 2025Trial
- Effects of arousal modulation via resonance breathing on craving and affect in women with substance use disorder.Addictive behaviors · 2022Trial
- Directional Brain Connectivity Changes Induced by Heart Rate Variability Biofeedback: A Spectral Dynamic Causal Modeling Study.Research square · 2026Article
- A Randomized Sham-Controlled Study of Heart Rate Variability Biofeedback in an Older Adult Sample.Applied psychophysiology and biofeedback · 2026Article
- Using Passive Sensing to Isolate a Biosignature for Craving Among Individuals in Early Alcohol Use Disorder Recovery.Addiction biology · 2026Article
- Statistical methods for predicting e-cigarette use events based on beat-to-beat interval (BBI) data collected from wearable devices.Statistics in medicine · 2024Article
- Article
- The effect of the COVID-19 pandemic on substance use patterns and physiological dysregulation in pregnant and postpartum women.Alcohol, clinical & experimental research · 2023Article
- The Process of Heart Rate Variability, Resonance at 0.1 hz, and the Three Baroreflex Loops: A Tribute to Evgeny Vaschillo.Applied psychophysiology and biofeedback · 2022Article
- Association between opioid use disorder and blunted heart rate variability among opioid-treated chronic pain patients.Addiction biology · 2022Article
- Heart Rate Variability Biofeedback for Substance Use Disorder: Health Policy Implications.Policy insights from the behavioral and brain sciences · 2022Article
- Use and perceived usefulness of a just-in-time resonance breathing intervention adjunct for substance use disorder: Contextual and physiological predictors.Frontiers in psychiatry · 2022Article
- Psychosocial Factors Predict the Level of Substance Craving of People with Drug Addiction: A Machine Learning Approach.International journal of environmental research and public health · 2021Article
- SUBSTANCE USE AND ADDICTION AFFECT MORE THAN THE BRAIN: THE PROMISE OF NEUROCARDIAC INTERVENTIONS.Current addiction reports · 2021Article
- Implementing Mobile HRV Biofeedback as Adjunctive Therapy During Inpatient Psychiatric Rehabilitation Facilitates Recovery of Depressive Symptoms and Enhances Autonomic Functioning Short-Term: A 1-Year Pre-Post-intervention Follow-Up Pilot Study.Frontiers in neuroscience · 2020Article
- Theoretical implications and clinical support for heart rate variability biofeedback for substance use disorders.Current opinion in psychology · 2019Review
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundPreviously published findings from a study of university students living in substance use disorder (SUD) recovery housing showed an eight-session heart rate variability biofeedback (HRVB) intervention significantly reduced craving. That study, however, uncovered pronounced inter-participant variability in craving change patterns through the course of HRVB that warranted further exploration. The purpose of the current investigation was to examine how within- and between-person factors may have differentially influenced craving changes.
methodsA longitudinal multilevel modeling approach was used with time at level-1 nested within persons at level-2. Multilevel models of change were estimated to model craving trajectories and predictor relationships over time as a function of age, sex, length of abstinence, daily HRVB practice, anxiety, depression, and stress.
resultsA quadratic pattern of craving reductions was found, indicating that craving reductions accelerated over time for some participants. Daily HRVB practice of >12 min and older age significantly enhanced craving reductions over time. Increases in depressive symptoms attenuated the effects of HRVB on craving. The other predictors were not significantly associated with craving in this study. The true R
conclusionsHRVB shows promise as an accessible, scalable, and cost-effective complementary anti-craving intervention. Healthcare providers may help persons recovering from SUD to better manage substance craving by the routine and strategic use of HRVB practice.
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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.