Evidence map›Paper›PMID 32385728›Full record

SynthesisApplied psychophysiology and biofeedback2020

Heart Rate Variability Biofeedback Improves Emotional and Physical Health and Performance: A Systematic Review and Meta Analysis.

Paul Lehrer, Karenjot Kaur, Agratta Sharma, Khushbu Shah, Robert Huseby, Jay Bhavsar, Phillip Sgobba, Yingting Zhang

Erratum issued 5 registry-linked trialsAbstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Applied psychophysiology and biofeedback, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to 5 registered trials, which are not on this map. Cited by 218 papers, 13 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
218citing papers in PubMed, 13 pooled it
32.5field-weighted citation impact, top 1% of its field
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.

NCT04921228 nacompletednot on this mapstarted 2021, after this paper: background citation

Heart Rate Variability Biofeedback in Healthcare Providers During COVID-19: A Pilot Feasibility Study

TypeinterventionalSponsorVillanova UniversityRan2021 to 2022Enrolled25ConditionsDisordered Eating, StressArmsHeart rate variability biofeedback
NCT05897580 nacompletednot on this mapstarted 2022, after this paper: background citation

Impact of Community-Based Biofeedback Program on Drug Use and Mental Health Among People Experiencing Homelessness

TypeinterventionalSponsorUniversity of California, IrvineRan2022 to 2022Enrolled40ConditionsHeart Rate VariabilityArmsHeart Rate Variability - Biofeedback (HRV-BF), Health Promotion (HP)
NCT06422819 naactive not recruitingnot on this mapstarted 2024, after this paper: background citation

Probing the Heart Rate Variability Biofeedback as an Innovative and Non-invasive Treatment for Functional Neurological Disorders Guided by a Multimodal Approach of Autonomic Nervous System.

TypeinterventionalSponsorCentre hospitalier de l'Université de Montréal (CHUM)Ran2024 to 2027Enrolled31ConditionsFunctional Neurological DisorderArmsHeart rate variability Biofeedback [HRV-BFB], Pseudo HRV-BFB
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)
NCT07005830 nacompletednot on this mapstarted 2024, after this paper: background citation

Examining the Impact of a Specific Guided Meditation (Twin Hearts Meditation; THM) on Mood, Cognitive Functioning, and EEG Dynamics in Experienced and Novice Meditators

TypeinterventionalSponsorNeuroMeditation InstituteRan2024 to 2024Enrolled28ConditionsPositive Mood States, Negative Mood States, Cognitive Processing Speed, Cognitive FlexibilityArmsTwin Hearts Meditation
3 · Its place in the literature

Who cites it

218 citing papers in PubMed, 13 syntheses or guidelines pooled it, 430 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Pooled it
  9. Pooled it
  10. Pooled it
  11. Pooled it
  12. Pooled it
  13. Pooled it
  14. Trial
  15. Trial
  16. Trial
  17. Trial
  18. Trial
  19. Trial
  20. Trial

158 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 6 institutions in 2 countries.

Paul LehrerRutgers Robert Wood Johnson Medical School, Piscataway, NJ, USA. lehrer@rwjms.rutgers.edu.ORCID http://orcid.org/0000-0002-9010-6129
Karenjot KaurFerkauf Graduate School of Psychology, Yeshiva University, New York, NY, USA.
Agratta SharmaSt. George's University School of Medicine, True Blue, W.I., Grenada.
Khushbu ShahRichmond University Medical Center, Staten Island, NY, USA.
Robert HusebyRutgers Robert Wood Johnson Medical School, Piscataway, NJ, USA.
Jay BhavsarReid Health, Richmond, IN, USA.
Phillip SgobbaUniversity of South Florida, Morasani College of Medicine, Tampa, FL, 33612, USA.
Yingting ZhangRutgers Robert Wood Johnson Medical School, Piscataway, NJ, USA.
Rutgers, The State University of New Jersey · USReid Health · USRichmond University Medical Center · USSt. George's University · GDUniversity of South Florida · USYeshiva University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We performed a systematic and meta analytic review of heart rate variability biofeedback (HRVB) for various symptoms and human functioning. We analyzed all problems addressed by HRVB and all outcome measures in all studies, whether or not relevant to the studied population, among randomly controlled studies. Targets included various biological and psychological problems and issues with athletic, cognitive, and artistic performance. Our initial review yielded 1868 papers, from which 58 met inclusion criteria. A significant small to moderate effect size was found favoring HRVB, which does not differ from that of other effective treatments. With a small number of studies for each, HRVB has the largest effect sizes for anxiety, depression, anger and athletic/artistic performance and the smallest effect sizes on PTSD, sleep and quality of life. We found no significant differences for number of treatment sessions or weeks between pretest and post-test, whether the outcome measure was targeted to the population, or year of publication. Effect sizes are larger in comparison to inactive than active control conditions although significant for both. HRVB improves symptoms and functioning in many areas, both in the normal and pathological ranges. It appears useful as a complementary treatment. Further research is needed to confirm its efficacy for particular applications.

Indexed as

Athletic PerformanceBiofeedback, PsychologyHealth StatusHeart RatePsychomotor PerformanceBehavioral SymptomsHumansOutcome Assessment, Health CareApplied physiologyDiseaseEmotional dysregulationPerformanceRehabilitation

Identifiers

PMID32385728
OpenAlexW3021231750

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.