A Narrative Review of Heart Rate Variability as a Good Index of Psychophysical Health in Athletes and in Biofeedback Training

in Journal of Clinical Sport Psychology

Click name to view affiliation

Carlo Pruneti Laboratory of Clinical Psychology, Clinical Psychophysiology and Clinical Neuropsychology, University of Parma, Parma, Italy

Search for other papers by Carlo Pruneti in
Current site
Google Scholar
PubMed
Close
https://orcid.org/0000-0002-7686-0766
,
Simone Ferrari Laboratory of Clinical Psychology, Clinical Psychophysiology and Clinical Neuropsychology, University of Parma, Parma, Italy

Search for other papers by Simone Ferrari in
Current site
Google Scholar
PubMed
Close
, and
Sara Guidotti Laboratory of Clinical Psychology, Clinical Psychophysiology and Clinical Neuropsychology, University of Parma, Parma, Italy

Search for other papers by Sara Guidotti in
Current site
Google Scholar
PubMed
Close
https://orcid.org/0000-0003-4607-4438 *
Restricted access

Stress is a psychophysical condition that causes an impairment in athletes’ performance by causing an increase in sympathetic activity and an autonomic imbalance. The current methods for the measurement of psychophysiological stress introduce the use of the heart rate variability as a useful index of the well-being of these people. The heart rate variability corresponds to the time intervals between consecutive heartbeats, such as an irregularity in the normal sinus heart rhythm whose variability is due to the control exercised by a complex system of mechanisms, including the respiratory control system, and provides information about the activity of the sympathetic and parasympathetic branches of the autonomic nervous system. This review aims at summarizing the promising results, despite small amount, of the recent literature on the efficacy of heart rate variability biofeedback on the autonomic imbalance and psychophysical well-being of athletes as well as cognitive and motor performance.

  • Collapse
  • Expand
  • Achten, J., & Jeukendrup, A.E. (2003). Heart rate monitoring: Applications and limitations. Sports Medicine, 33(7), 517538. https://doi.org/10.2165/00007256-200333070-00004

    • Search Google Scholar
    • Export Citation
  • An, E., Nolty, A.A.T., Amano, S.S., Rizzo, A.A., Buckwalter, J.G., & Rensberger, J. (2020). Heart rate variability as an index of resilience. Military Medicine, 185(3–4), 363369. https://doi.org/10.1093/milmed/usz325

    • Search Google Scholar
    • Export Citation
  • Ang, R., Abramowitz, J., Birnbaumer, L., Gourine, A.V., & Tinker, A. (2016). The role of GαO-mediated signaling in the rostral ventrolateral medulla oblongata in cardiovascular reflexes and control of cardiac ventricular excitability. Physiological Reports, 4(15), Article e12860. https://doi.org/10.14814/phy2.12860

    • Search Google Scholar
    • Export Citation
  • Aubert, A.E., Seps, B., & Beckers, F. (2003). Heart rate variability in athletes. Sports Medicine, 33(12), 889919. https://doi.org/10.2165/00007256-200333120-00003

    • Search Google Scholar
    • Export Citation
  • Bellenger, C.R., Fuller, J.T., Thomson, R.L., Davison, K., Robertson, E.Y., & Buckley, J.D. (2016). Monitoring athletic training status through autonomic heart rate regulation: A systematic review and meta-analysis. Sports Medicine, 46(10), 14611486. https://doi.org/10.1007/s40279-016-0484-2

    • Search Google Scholar
    • Export Citation
  • Berntson, G.G., Cacioppo, J.T., & Quigley, K.S. (1993). Respiratory sinus arrhythmia: Autonomic origins, physiological mechanisms, and psychophysiological implications. Psychophysiology, 30(2), 183196. https://doi.org/10.1111/j.1469-8986.1993.tb01731.x

    • Search Google Scholar
    • Export Citation
  • Berntson, G.G., Bigger, J.T.Jr., Eckberg, D.L., Grossman, P., Kaufmann, P.G., Malik, M., Nagaraja, H. N., Porges, S.W., Saul, J.P., Stone, P.H., & van der Molen, M.W. (1997). Heart rate variability: Origins, methods, and interpretive caveats. Psychophysiology, 34(6), 623648. https://doi.org/10.1111/j.1469-8986.1997.tb02140.x

    • Search Google Scholar
    • Export Citation
  • Bhoja, R., Guttman, O.T., Fox, A.A., Melikman, E., Kosemund, M., & Gingrich, K.J. (2020). Psychophysiological stress indicators of heart rate variability and electrodermal activity with application in healthcare simulation research. Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare, 15(1), 3945. https://doi.org/10.1097/SIH.0000000000000402

    • Search Google Scholar
    • Export Citation
  • Bradley, M., & Lang, P.J. (1994). Measuring emotion: The self-assessment manikin and the semantic differential. Journal of Behavioral Therapy and Experimental Psychiatry, 25(1), 4959. https://doi.org/10.1016/0005-7916(94)90063-9

    • Search Google Scholar
    • Export Citation
  • Brooks, K., & Carter, J. (2013). Overtraining, exercise, and adrenal insufficiency. Journal of Novel Physiotherapies, 3(125), Article 11717. https://doi.org/10.4172/2165-7025.1000125

    • Search Google Scholar
    • Export Citation
  • Buchheit, M. (2014). Monitoring training status with HR measures: Do all roads lead to Rome? Frontiers in Physiology, 5, Article 73. https://doi.org/10.3389/fphys.2014.00073

    • Search Google Scholar
    • Export Citation
  • Buchheit, M., & Laursen, P.B. (2013). High-intensity interval training, solutions to the programming puzzle. Part II: Anaerobic energy, neuromuscular load and practical applications. Sports Medicine, 43(10), 927954. https://doi.org/10.1007/s40279-013-0066-5

    • Search Google Scholar
    • Export Citation
  • Cacioppo, J.T., Tassinary, L.G., & Berntson, G.G. (Eds.). (2010). Handbook of psychophysiology (3rd ed.). Cambridge University Press. https://doi.org/10.1017/CBO9780511546396

    • Search Google Scholar
    • Export Citation
  • Calabrese, E.J. (2008). Stress biology and hormesis: The Yerkes-Dodson law in psychology—A special case of the hormesis dose response. Critical Reviews in Toxicology, 38(5), 453462. https://doi.org/10.1080/10408440802004007

    • Search Google Scholar
    • Export Citation
  • Catai, A.M., Pastre, C.M., de Godoy, M.F., da Silva, E., de Medeiros Takahashi, A.C., & Marques Vanderlei, L.C. (2020). Heart rate variability: Are you using it properly? Standardisation checklist of procedures. Brazilian Journal of Physical Therapy, 24(2), 91102, https://doi.org/10.1016/j.bjpt.2019.02.006

    • Search Google Scholar
    • Export Citation
  • Clemente-Suárez, V.J., Ruisoto, P., Isorna-Folgar, M., Cancelo-Martínez, J., Beltrán-Velasco, A.I., & Tornero-Aguilera, J.F. (2022). Psychophysiological and psychosocial profile of patients attending drug addiction centers. Applied Psychophysiology and Biofeedback, 47(2), 7784. https://doi.org/10.1007/s10484-021-09531-1

    • Search Google Scholar
    • Export Citation
  • Colzato, L.S., & Steenbergen, L. (2017). High vagally mediated resting-state heart rate variability is associated with superior action cascading. Neuropsychologia, 106, 16. https://doi.org/10.1016/j.neuropsychologia.2017.08.030

    • Search Google Scholar
    • Export Citation
  • Cosentino, C., & Pruneti, C.A. (2015). Towards an integrated model of defense in gynecological cancer. Psychoneuroimmunological and psychological factors, between risk and protection in cancer: A review. Integrative Cancer Science and Therapy, 2(2), 112117. https://doi.org/10.15761/ICST.1000125

    • Search Google Scholar
    • Export Citation
  • Cosentino, C., Sgromo, D., Merisio, C., Berretta, R., & Pruneti, C. (2018). Psychophysiological adjustment to ovarian cancer: Preliminary study on Italian women condition. Applied Psychophysiology and Biofeedback, 43(2), 161168. https://doi.org/10.1007/s10484-018-9395-3

    • Search Google Scholar
    • Export Citation
  • Dellal, A., da Silva, C.D., Hill-Haas, S., Wong, d.P., Natali, A.J., De Lima, J.R., Bara Filho, M.G., Marins, J.J., Garcia, E.S., & Chamari, K. (2012). Heart rate monitoring in soccer: Interest and limits during competitive match play and training, practical application. Journal of Strength and Conditioning Research, 26(10), 28902906. https://doi.org/10.1519/JSC.0b013e3182429ac7

    • Search Google Scholar
    • Export Citation
  • De Vincenzo, F., Cosentino, C., Quinto, R.M., Di Leo, S., Contardi, A., Guidotti, S., Iani, L., & Pruneti, C. (2022). Psychological adjustment and heart rate variability in ovarian cancer survivors. Mediterranean Journal of Clinical Psychology, 10(1), 1–18. https://doi.org/10.13129/2282-1619/mjcp-3318

    • Search Google Scholar
    • Export Citation
  • Djaoui, L., Haddad, M., Chamari, K., & Dellal, A. (2017). Monitoring training load and fatigue in soccer players with physiological markers. Physiology & Behavior, 181, 8694. https://doi.org/10.1016/j.physbeh.2017.09.004

    • Search Google Scholar
    • Export Citation
  • Düking, P., Zinner, C., Trabelsi, K., Reed, J.L., Holmberg, H.C., Kunz, P., & Sperlich, B. (2021). Monitoring and adapting endurance training on the basis of heart rate variability monitored by wearable technologies: A systematic review with meta-analysis. Journal of Science and Medicine in Sport, 24(11), 11801192. https://doi.org/10.1016/j.jsams.2021.04.012

    • Search Google Scholar
    • Export Citation
  • Dziembowska, I., Izdebski, P., Rasmus, A., Brudny, J., Grzelczak, M., & Cysewski, P. (2016). Effects of heart rate variability biofeedback on EEG alpha asymmetry and anxiety symptoms in male athletes: A pilot study. Applied Psychophysiology and Biofeedback, 41(2), 141150. https://doi.org/10.1007/s10484-015-9319-4

    • Search Google Scholar
    • Export Citation
  • Ernst, G. (2017). Hidden signals-the history and methods of heart rate variability. Frontiers in Public Health, 5, Article 265.

  • Forte, G., Favieri, F., & Casagrande, M. (2019). Heart rate variability and cognitive function: A systematic review. Frontiers in Neuroscience, 13, Article 710. https://doi.org/10.3389/fnins.2019.00710

    • Search Google Scholar
    • Export Citation
  • Fox, S.T., Ghelfi, E.A., & Goates-Jones, M.K. (2021). Common factors in biofeedback administered by psychotherapists. Applied Psychophysiology and Biofeedback, 46(2), 151159. https://doi.org/10.1007/s10484-021-09504-4

    • Search Google Scholar
    • Export Citation
  • Frank, D.L., Khorshid, L., Kiffer, J.F., Moravec, C.S., & McKee, M.G. (2010). Biofeedback in medicine: Who, when, why and how? Mental Health in Family Medicine, 7(2), 8591.

    • Search Google Scholar
    • Export Citation
  • Frewen, J., Finucane, C., Savva, G.M., Boyle, G., Coen, R.F., & Kenny, R.A. (2013). Cognitive function is associated with impaired heart rate variability in ageing adults: The Irish longitudinal study on ageing wave one results. Clinical Autonomic Research, 23(6), 313323. https://doi.org/10.1007/s10286-013-0214-x

    • Search Google Scholar
    • Export Citation
  • Frisone, F., Sicari, F., Settineri, S., & Merlo, E.M. (2021). Clinical psychological assessment of stress: A narrative review of the last 5 years. Clinical Neuropsychiatry, 18(2), 91100. https://doi.org/10.36131/cnfioritieditore20210203

    • Search Google Scholar
    • Export Citation
  • Fuller, G.D. (1979). Biofeedback methods and procedures in clinical practice. Biofeedback Press.

  • Gerritsen, R.J.S., & Band, G.P.H. (2018). Breath of life: The respiratory vagal stimulation model of contemplative activity. Frontiers in Human Neuroscience, 12, Article 397. https://doi.org/10.3389/fnhum.2018.00397

    • Search Google Scholar
    • Export Citation
  • Gianaros, P.J., Derbyshire, S.W., May, J.C., Siegle, G.J., Gamalo, M.A., & Jennings, J.R. (2005). Anterior cingulate activity correlates with blood pressure during stress. Psychophysiology, 42(6), 627635. https://doi.org/10.1111/j.1469-8986.2005.00366.x

    • Search Google Scholar
    • Export Citation
  • Gillie, B.L., Vasey, M.W., & Thayer, J.F. (2014). Heart rate variability predicts control over memory retrieval. Psychological Science, 25(2), 458465. https://doi.org/10.1177/0956797613508789

    • Search Google Scholar
    • Export Citation
  • Gronwald, T., & Hoos, O. (2020). Correlation properties of heart rate variability during endurance exercise: A systematic review. Annals of Noninvasive Electrocardiology, 25(1), Article e12697. https://doi.org/10.1111/anec.12697

    • Search Google Scholar
    • Export Citation
  • Gross, M.J., Bringer, J.D., Kilduff, L.P., Cook, C.J., Hall, R., & Shearer, D.A. (2018). A multi-modal biofeedback protocol to demonstrate physiological manifestations of psychological stress and introduce heart rate variability biofeedback stress management. Journal of Sport Psychology in Action, 9(4), 216226. https://doi.org/10.1080/21520704.2018.1496210

    • Search Google Scholar
    • Export Citation
  • Hedelin, R., Kenttä, G., Wiklund, U., Bjerle, P., & Henriksson-Larsén, K. (2000). Short-term overtraining: Effects on performance, circulatory responses, and heart rate variability. Medicine & Science in Sports & Exercise, 32(8), 14801484. https://doi.org/10.1097/00005768-200008000-00017

    • Search Google Scholar
    • Export Citation
  • Hoehn, T., Braune, S., Scheibe, G., & Albus, M. (1997). Physiological, biochemical and subjective parameters in anxiety patients with panic disorder during stress exposure as compared with healthy controls. European Archives of Psychiatry and Clinical Neuroscience, 247(5), 264274. https://doi.org/10.1007/BF02900305

    • Search Google Scholar
    • Export Citation
  • Javorka, M., Zila, I., Balhárek, T., & Javorka, K. (2002). Heart rate recovery after exercise: Relations to heart rate variability and complexity. Brazilian Journal of Medical and Biological Research, 35(8), 9911000. https://doi.org/10.1590/S0100-879X2002000800018

    • Search Google Scholar
    • Export Citation
  • Jiménez Morgan, S., & Molina Mora, J.A. (2017). Effect of heart rate variability biofeedback on sport performance, a systematic review. Applied Psychophysiology and Biofeedback, 42(3), 235245. https://doi.org/10.1007/s10484-017-9364-2

    • Search Google Scholar
    • Export Citation
  • Jordanova, N.P., & Demerdzieva, A. (2010). Biofeedback training for peak performance in sport: Case study. Macedonian Journal of Medical Sciences, 3(2), 113118. https://doi.org/10.3889/MJMS.1857-5773.2010.0098

    • Search Google Scholar
    • Export Citation
  • Kajaia, T., Maskhulia, L., Chelidze, K., Akhalkatsi, V., & Kakhabrishvili, Z. (2017). The effects of non-functional overreaching and overtraining on autonomic nervous system function in highly trained athletes. Georgian Medical News, 274, 97103.

    • Search Google Scholar
    • Export Citation
  • Karavidas, M.K., Lehrer, P.M., Vaschillo, E., Vaschillo, B., Marin, H., Buyske, S., et al. (2007). Preliminary results of an open-label study of heart rate variability biofeedback for the treatment of major depression. Applied Psychophysiology and Biofeedback, 32(1), 1930. https://doi.org/10.1007/s10484-006-9029-z

    • Search Google Scholar
    • Export Citation
  • Karemaker, J.M. (2009). Counterpoint: Respiratory sinus arrhythmia is due to the baroreflex mechanism. Journal of Applied Physiology, 106(5), 17421743. https://doi.org/10.1152/japplphysiol.91107.2008a

    • Search Google Scholar
    • Export Citation
  • Kemeny, M.E. (2003). The psychobiology of stress. Current Directions in Psychological Science, 12(4), 124129. https://doi.org/10.1111/1467-8721.01246

    • Search Google Scholar
    • Export Citation
  • Kenttä, G., & Hassmén, P. (1998). Overtraining and recovery. A conceptual model. Sports Medicine, 26(1), 116. https://doi.org/10.2165/00007256-199826010-00001

    • Search Google Scholar
    • Export Citation
  • Kilgour, R.D., Gariépy, P., & Rehel, R. (1993). Cardiovascular responses during recovery from exercise and thermal stress. Aviation, Space and Environmental Medicine, 64(3, Pt. 1), 224229.

    • Search Google Scholar
    • Export Citation
  • Kim, A.Y., Jang, E.H., Choi, K.W., Jeon, H.J., Byun, S., Sim, J.Y., Choi, J.H., & Yu, H.Y. (2019). Skin conductance responses in Major Depressive Disorder (MDD) under mental arithmetic stress. PLoS One, 14(4), Article e0213140. https://doi.org/10.1371/journal.pone.0213140

    • Search Google Scholar
    • Export Citation
  • Kim, D.H., Lipsitz, L.A., Ferrucci, L., Varadhan, R., Guralnik, J.M., Carlson, M.C., et al. (2006). Association between reduced heart rate variability and cognitive impairment in older disabled women in the community: Women’s health and aging study I. Journal of the American Geriatrics Society, 54(11), 17511757. https://doi.org/10.1111/j.1532-5415.2006.00940.x

    • Search Google Scholar
    • Export Citation
  • Laborde, S., Allen, M.S., Borges, U., Iskra, M., Zammit, N., You, M., Hosang, T., Mosley, E., & Dosseville, F. (2022). Psychophysiological effects of slow-paced breathing at six cycles per minute with or without heart rate variability biofeedback. Psychophysiology, 59(1), Article e13952. https://doi.org/10.1111/psyp.13952

    • Search Google Scholar
    • Export Citation
  • Lagos, L., Vaschillo, E., Vaschillo, B., Lehrer, P., Bates, M., & Pandina, R. (2008). Heart rate variability biofeedback as a strategy for dealing with competitive anxiety: A case study. Applied Psychophysiology and Biofeedback, 36(3), 109115.

    • Search Google Scholar
    • Export Citation
  • Lehrer, P., Kaur, K., Sharma, A., Shah, K., Huseby, R., Bhavsar, J., Sgobba, P., & Zhang, Y. (2020). Heart rate variability biofeedback improves emotional and physical health and performance: A systematic review and meta analysis. Applied Psychophysiology and Biofeedback, 45(3), 109129. https://doi.org/10.1007/s10484-020-09466-z. Erratum in: Applied Psychophysiology and Biofeedback. 2021, 46(4), 389.

    • Search Google Scholar
    • Export Citation
  • Lehrer, P., Vaschillo, E., Vaschillo, B., Lu, S.E., Eckberg, D.L., Edelberg, R., et al. (2003). Heart rate variability biofeedback increases baroreflex gain and peak expiratory flow. Psychosomatic Medicine, 65(5), 796805. https://doi.org/10.1097/01.PSY.0000089200.81962.19

    • Search Google Scholar
    • Export Citation
  • Lehrer, P.M., & Gevirtz, R. (2014). Heart rate variability biofeedback: How and why does it work? Frontiers in Psychology, 5, Article 756. https://doi.org/10.3389/fpsyg.2014.00756

    • Search Google Scholar
    • Export Citation
  • Lehrer, P.M., Vaschillo, E.G., & Vaschillo, B. (2000). Resonant frequency biofeedback training to increase cardiac variability: Rationale and manual for training. Applied Psychophysiology and Biofeedback, 25(3), 177191. https://doi.org/10.1023/A:1009554825745

    • Search Google Scholar
    • Export Citation
  • Lin, J.R., Wu, P.T., Wu, W.L., Chang, Y.K., & Chu, I.H. (2022). The psychophysiological profile and cardiac autonomic reactivity in long-term female yoga practitioners: A comparison with runners and sedentary individuals. International Journal of Environmental Research and Public Health, 19(13), Article 7671. https://doi.org/10.3390/ijerph19137671

    • Search Google Scholar
    • Export Citation
  • Mahinrad, S., Jukema, J.W., van Heemst, D., Macfarlane, P.W., Clark, E.N., de Craen, A.J.M., et al. (2016). 10-Second heart rate variability and cognitive function in old age. Neurology, 86, 11201127. https://doi.org/10.1212/WNL.0000000000002499

    • Search Google Scholar
    • Export Citation
  • Mann, S.L., Selby, E.A., Bates, M.E., & Contrada, R.J. (2015). Integrating affective and cognitive correlates of heart rate variability: A structural equation modeling approach. International Journal of Psychophysiology, 98(1), 7686. https://doi.org/10.1016/j.ijpsycho.2015.07.003

    • Search Google Scholar
    • Export Citation
  • Manresa-Rocamora, A., Flatt, A.A., Casanova-Lizón, A., Ballester-Ferrer, J.A., Sarabia, J.M., Vera-Garcia, F.J., & Moya-Ramón, M. (2021). Heart rate-based indices to detect parasympathetic hyperactivity in functionally overreached athletes. A meta-analysis. Scandinavian Journal of Medicine & Science in Sports, 31(6), 11641182. https://doi.org/10.1111/sms.13932

    • Search Google Scholar
    • Export Citation
  • Mather, M., & Thayer, J.F. (2018). How heart rate variability affects emotion regulation brain networks. Current Opinion in Behavioral Sciences, 19, 98104. https://doi.org/10.1016/j.cobeha.2017.12.017

    • Search Google Scholar
    • Export Citation
  • Matthews, S.C., Paulus, M.P., Simmons, A.N., Nelesen, R.A., & Dimsdale, J.E. (2004). Functional subdivisions within anterior cingulate cortex and their relationship to autonomic nervous system function. Neuroimage, 22(3), 11511156. https://doi.org/10.1016/j.neuroimage.2004.03.005

    • Search Google Scholar
    • Export Citation
  • McCraty, R. (2016). Science of the heart, volume 2 exploring the role of the heart in human performance an overview of research conducted by the HeartMath Institute. HeartMath Institute. ISBN 978-1-5136-0636-1.

    • Search Google Scholar
    • Export Citation
  • Melis, C., & Van Boxtel, A. (2001). Differences in autonomic physiological responses between good and poor inductive reasoners. Biological Psychology, 58(2), 121146. https://doi.org/10.1016/S0301-0511(01)00112-0

    • Search Google Scholar
    • Export Citation
  • Michelini, L.C., & Stern, J.E. (2009). Exercise-induced neuronal plasticity in central autonomic networks: Role in cardiovascular control. Experimental Physiology, 94(9), 947960. https://doi.org/10.1113/expphysiol.2009.047449

    • Search Google Scholar
    • Export Citation
  • Moraes, J.L., Rocha, M.X., Vasconcelos, G.G., Vasconcelos Filho, J.E., de Albuquerque, V.H.C., & Alexandria, A.R. (2018). Advances in photopletysmography signal analysis for biomedical applications. Sensors, 18(6), Article 1894. https://doi.org/10.3390/s18061894

    • Search Google Scholar
    • Export Citation
  • Mourot, L., Bouhaddi, M., Perrey, S., Cappelle, S., Henriet, M.T., Wolf, J.P., Rouillon, J.D., & Regnard, J. (2004). Decrease in heart rate variability with overtraining: Assessment by the Poincaré plot analysis. Clinical Physiology and Functional Imaging, 24(1), 1018. https://doi.org/10.1046/j.1475-0961.2003.00523.x

    • Search Google Scholar
    • Export Citation
  • Nestoriuc, Y., & Martin, A. (2007). Efficacy of biofeedback for migraine: A meta-analysis. Pain, 128(1–2), 111127. https://doi.org/10.1016/j.pain.2006.09.007

    • Search Google Scholar
    • Export Citation
  • Noble, D.J., & Hochman, S. (2019). Hypothesis: Pulmonary afferent activity patterns during slow, deep breathing contribute to the neural induction of physiological relaxation. Frontiers in Physiology, 10, Article 1176. https://doi.org/10.3389/fphys.2019.01176

    • Search Google Scholar
    • Export Citation
  • Nunan, D., Sandercock, G.R., & Brodie, D.A. (2010). A quantitative systematic review of normal values for short-term heart rate variability in healthy adults. Pacing and Clinical Electrophysiology, 33(11), 14071417. https://doi.org/10.1111/j.1540-8159.2010.02841.x

    • Search Google Scholar
    • Export Citation
  • Pagaduan, J.C., Chen, Y.S., Fell, J.W., & Wu, S.S.X. (2020). Can heart rate variability biofeedback improve athletic performance? A systematic review. Journal of Human Kinetics, 73, 103114. https://doi.org/10.2478/hukin-2020-0004

    • Search Google Scholar
    • Export Citation
  • Paul, M., & Garg, K. (2012). The effect of heart rate variability biofeedback on performance psychology of basketball players. Applied Psychophysiology and Biofeedback, 37(2), 131144. https://doi.org/10.1007/s10484-012-9185-2

    • Search Google Scholar
    • Export Citation
  • Paul, M., Garg, K., & Singh Sandhu, J. (2012). Role of biofeedback in optimizing psychomotor performance in sports. Asian Journal of Sports Medicine, 3(1), 2940. https://doi.org/10.5812/asjsm.34722

    • Search Google Scholar
    • Export Citation
  • Penttila, J., Helminen, A., Jartti, T., Kuusela, T., Huikuri, H.V., Tulppo, M.P., Coffeng, R., & Scheinin, H. (2001). Time domain, geometrical and frequency domain analysis of cardiac vagal outflow: Effects of various respiratory patterns. Clinical Physiology, 21, 365376. https://doi.org/10.1046/j.1365-2281.2001.00337.x

    • Search Google Scholar
    • Export Citation
  • Plews, D.J., Laursen, P.B., Stanley, J., Kilding, A.E., & Buchheit, M. (2013). Training adaptation and heart rate variability in elite endurance athletes: Opening the door to effective monitoring. Sports Medicine, 43(9), 773781. https://doi.org/10.1007/s40279-013-0071-8

    • Search Google Scholar
    • Export Citation
  • Porges, S.W. (2007). The polyvagal perspective. Biological Psychology, 74(2), 116143. https://doi.org/10.1016/j.biopsycho.2006.06.009

    • Search Google Scholar
    • Export Citation
  • Porges, S.W. (2021). Polyvagal theory: A biobehavioral journey to sociality. Comprehensive Psychoneuroendocrinology, 7, Article 100069. https://doi.org/10.1016/j.cpnec.2021.100069

    • Search Google Scholar
    • Export Citation
  • Porges, S.W. (2022). Polyvagal theory: A science of safety. Frontiers in Integrative Neuroscience, 16, Article 871227. https://doi.org/10.3389/fnint.2022.871227

    • Search Google Scholar
    • Export Citation
  • Pruneti, C., Cosentino, C., Sgromo, M., & Innocenti, A. (2014). Skin conductance response as a decisive variable in individuals with a DSM-IV TR Axis I diagnosis. The Journal of Medical Research, 2014, Article 565009. https://doi.org/10.5171/2014.565009

    • Search Google Scholar
    • Export Citation
  • Pruneti, C., Fontana, F., Carrozzo, E., & Fante, C. (2011). Autonomic reactivity, emotions and stress response in psychopathology. Applied Psychophysiology and Biofeedback, 36, Article 218.

    • Search Google Scholar
    • Export Citation
  • Pruneti, C., & Guidotti, S. (2022). Cognition, behavior, sexuality, and autonomic responses of women with hypothalamic amenorrhea. Brain Sciences, 12(11), Article 1448. https://doi.org/10.3390/brainsci12111448

    • Search Google Scholar
    • Export Citation
  • Pruneti, C., Guidotti, S., Lento, R.M., & Renda, N. (2022). Dissociation between cognitive-behavioral and emotional-psycho- physiological aspects in eating disorders and its pre-post treatment stability. Journal of Psychopathology, 28, 3038. https://doi.org/10.36148/2284-0249-451.

    • Search Google Scholar
    • Export Citation
  • Pruneti, C., Lento, R.M., Fante, C., Carrozzo, E., & Fontana, F. (2010). Autonomic arousal and differential diagnosis in clinical psychology and psychopathology. Journal of Psychopathology, 16, 4352.

    • Search Google Scholar
    • Export Citation
  • Pruneti, C., Saccò, M., Cosentino, C., & Sgromo, D. (2016). Relevance of autonomic arousal in the stress response in psychopathology. Journal of Basic & Applied Sciences, 12, 176184. https://doi.org/10.6000/1927-5129.2016.12.26

    • Search Google Scholar
    • Export Citation
  • Pruneti, C.A., Vanello, N., Ricciardi, E., Paterni, M., Landini, L., Guidotti, S., & Ferdeghini, E.M. (2021). Combined functional magnetic resonance imaging and skin conductance to detect localized neural response to psychological stress: A pilot study. Archives Italiennes de Biologie, 159, 2127. https://doi.org/10.12871/00039829202112

    • Search Google Scholar
    • Export Citation
  • Raymond, J., Sajid, I., Parkinson, L.A., & Gruzelier, J.H. (2005). Biofeedback and dance performance: A preliminary investigation. Applied Psychophysiology and Biofeedback, 30(1), 6573. https://doi.org/10.1007/s10484-005-2175-x

    • Search Google Scholar
    • Export Citation
  • Rice, P.L. (1999). Stress and health. Brooks/Cole Publishing.

  • Rice, P.L, Soer, R., de Maar, E., Prins, H., Teeuw, W.B., Peuscher, J., & Oosterveld, F.G. (2016). Increasing performance of professional soccer players and elite track and field athletes with peak performance training and biofeedback: A pilot study. Applied Psychophysiology and Biofeedback, 41(4), 421430. https://doi.org/10.1007/s10484-016-9344-y

    • Search Google Scholar
    • Export Citation
  • Saito, R., Sawamura, D., Yoshida, K., & Sakai, S. (2021). Relationship between the proficiency level and anxiety-reducing effect in a one-time heart rate variability biofeedback: A randomized controlled trial. Medicine, 100(45), Article e27742. https://doi.org/10.1097/MD.0000000000027742

    • Search Google Scholar
    • Export Citation
  • Schäfer, S.K., Ihmig, F.R., Lara, H.K.A., Neurohr, F., Kiefer, S., Staginnus, M., Lass-Hennemann, J., & Michael, T. (2018). Effects of heart rate variability biofeedback during exposure to fear-provoking stimuli within spider-fearful individuals: Study protocol for a randomized controlled trial. Trials, 19(1), Article 184. https://doi.org/10.1186/s13063-018-2554-2

    • Search Google Scholar
    • Export Citation
  • Schiweck, C., Piette, D., Berckmans, D., Claes, S., & Vrieze, E. (2019). Heart rate and high frequency heart rate variability during stress as biomarker for clinical depression. A systematic review. Psychological Medicine, 49(2), 200211. https://doi.org/10.1017/S0033291718001988

    • Search Google Scholar
    • Export Citation
  • Seiler, S., Haugen, O., & Kuffel, E. (2007). Autonomic recovery after exercise in trained athletes: Intensity and duration effects. Medicine & Science in Sports & Exercise, 39(8), 13661373. https://doi.org/10.1249/mss.0b013e318060f17d

    • Search Google Scholar
    • Export Citation
  • Selye, H. (1956). What is stress. Metabolism, 5(5), 525530.

  • Selye, H. (1998). A syndrome produced by diverse nocuous agents. The Journal of Neuropsychiatry and Clinical Neurosciences, 10(2), 230231. https://doi.org/10.1176/jnp.10.2.230a

    • Search Google Scholar
    • Export Citation
  • Shaffer, F., McCraty, R., & Zerr, C.L. (2014). A healthy heart is not a metronome: An integrative review of the heart’s anatomy and heart rate variability. Frontiers in Psychology, 5, Article 1040. https://doi.org/10.3389/fpsyg.2014.01040

    • Search Google Scholar
    • Export Citation
  • Shaffer, F., & Meehan, Z.M. (2020). A practical guide to resonance frequency assessment for heart rate variability biofeedback. Frontiers in Neuroscience, 14, Article 570400. https://doi.org/10.3389/fnins.2020.570400

    • Search Google Scholar
    • Export Citation
  • Shetler, K., Marcus, R., Froelicher, V.F., Vora, S., Kalisetti, D., Prakash, M., Do, D., & Myers, J. (2001). Heart rate recovery: Validation and methodologic issues. Journal of the American College of Cardiology, 38(7), 19801987. https://doi.org/10.1016/S0735-1097(01)01652-7

    • Search Google Scholar
    • Export Citation
  • Solernó, J.I., Pérez Chada, D., Guinjoan, S.M., Pérez Lloret, S., Hedderwick, A., Vidal, M.F., et al. (2012). Cardiac autonomic activity predicts dominance in verbal over spatial reasoning tasks: Results from a preliminary study. Autonomic Neuroscience: Basic and Clinical, 167(1–2), 7880. https://doi.org/10.1016/j.autneu.2011.10.008

    • Search Google Scholar
    • Export Citation
  • Spencer, J., Wolf, S.L., & Kesar, T.M. (2021). Biofeedback for post-stroke gait retraining: A review of current evidence and future research directions in the context of emerging technologies. Frontiers in Neurology, 12, Article 637199. https://doi.org/10.3389/fneur.2021.637199

    • Search Google Scholar
    • Export Citation
  • Stanley, J., Peake, J.M., & Buchheit, M. (2013). Cardiac parasympathetic reactivation following exercise: Implications for training prescription. Sports Medicine, 43(12), 12591277. https://doi.org/10.1007/s40279-013-0083-4

    • Search Google Scholar
    • Export Citation
  • Strack, B.W. (2003). Effect of heart rate variability (HRV) biofeedback on batting performance in baseball. Dissertation Abstracts International: Section B, the Sciences and Engineering, 64(3), Article 1540B.

    • Search Google Scholar
    • Export Citation
  • Taghizadeh, N., Eslaminejad, A., & Raoufy, M.R. (2019). Protective effect of heart rate variability biofeedback on stress-induced lung function impairment in asthma. Respiratory Physiology & Neurobiology, 262, 4956. https://doi.org/10.1016/j.resp.2019.01.011

    • Search Google Scholar
    • Export Citation
  • Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. (1996). Heart rate variability: Standards of measurement, physiological interpretation and clinical use. Circulation, 93(5), 10431065. https://doi.org/10.1161/01.CIR.93.5.1043

    • Search Google Scholar
    • Export Citation
  • Tarvainen, M.P., Niskanen, J.P., Lipponen, J.A., Ranta-Aho, P.O., & Karjalainen, P.A. (2014). Kubios HRV--heart rate variability analysis software. Computer Methods and Programs in Biomedicine, 113(1), 210220. https://doi.org/10.1016/j.cmpb.2013.07.024

    • Search Google Scholar
    • Export Citation
  • Vagedes, J., Fazeli, A., Boening, A., Helmert, E., Berger, B., & Martin, D. (2019). Efficacy of rhythmical massage in comparison to heart rate variability biofeedback in patients with dysmenorrhea—A randomized, controlled trial. Complementary Therapies in Medicine, 42, 438444. https://doi.org/10.1016/j.ctim.2018.11.009

    • Search Google Scholar
    • Export Citation
  • Valderrama, M., Navarro, V., & Le Van Quyen, M. (2010). Heart rate variability as measurement of heart-brain interactions. Epilepsies, 22(3), 194200. https://doi.org/10.1684/epi.2010.0323

    • Search Google Scholar
    • Export Citation
  • van der Veen, F.M., van der Molen, M.W., Sahibdin, P.P., & Franken, I.H. (2014). The heart-break of social rejection versus the brain wave of social acceptance. Social Cognitive and Affective Neuroscience, 9(9), 13461351. https://doi.org/10.1093/scan/nst120

    • Search Google Scholar
    • Export Citation
  • Wearne, T.A., Logan, J.A., Trimmer, E.M., Wilson, E., Filipcikova, M., Kornfeld, E., Rushby, J.A., & McDonald, S. (2021). Regulating emotion following severe traumatic brain injury: A randomized controlled trial of heart-rate variability biofeedback training. Brain Injury, 35(11), 13901401. https://doi.org/10.1080/02699052.2021.1972337

    • Search Google Scholar
    • Export Citation
  • Wells, R., Outhred, T., Heathers, J.A., Quintana, D.S., & Kemp, A.H. (2012). Matter over mind: A randomised-controlled trial of single-session biofeedback training on performance anxiety and heart rate variability in musicians. PLoS One, 7(10), Article e46597. https://doi.org/10.1371/journal.pone.0046597

    • Search Google Scholar
    • Export Citation
  • Zaccaro, A., Piarulli, A., Laurino, M., Garbella, E., Menicucci, D., Neri, B., & Gemignani, A. (2018). How breath-control can change your life: A systematic review on psycho-physiological correlates of slow breathing. Frontiers in Human Neuroscience, 12, Article 353. https://doi.org/10.3389/fnhum.2018.00353

    • Search Google Scholar
    • Export Citation
All Time Past Year Past 30 Days
Abstract Views 1676 1676 441
Full Text Views 27 27 13
PDF Downloads 15 15 2