Abstract
The aim of this study was to analyze the influence of a biofeedback relaxation training program on anxiety and academic performance. The program consisted of five biofeedback sessions coupled with three training activities focused on deep breathing, guided imagery, and muscle relaxation. The participants were second-year psychology undergraduates from the University of the Basque Country (UPV/EHU, northern Spain). The experimental group comprised 152 students (M age = 19.6, SD = 0.74; 74% women) and the control group 81 students (M age = 19.4, SD = 0.92; 71% women). Results showed that after participating in the program, students in the experimental group had lower levels of anxiety and increased academic performance. Furthermore, they scored lower on anxiety and higher on academic performance in comparison with the control subjects. This suggests that the inclusion of biofeedback training programs in educational contexts could be a way of reducing anxiety and improving academic performance. It may also deepen our understanding of the dynamic interplay between psychophysiological, cognitive, and emotional processes.
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Apóstolo, J. L. A., & Kolcaba, K. (2009). The effects of guided imagery on comfort, depression, anxiety, and stress of psychiatric inpatients with depressive disorders. Archives of Psychiatric Nursing, 23, 403–411.
Appelhans, B. M., & Luecken, L. J. (2006). Heart rate variability as an index of regulated emotional responding. Review of General Psychology, 10, 229–240.
Arguelles, L., McCraty, R., & Rees, R. A. (2003). The heart inholistic education. Encounter: Education for Meaning and Social Justice, 16, 13–21.
Blanco, C., Estupiñá, F. J., Labrador, F. J., Fernández-Arias, I., de Quirós, M. B., & Gómez, L. (2014). The use of relaxation techniques in a clinic of psychology. Anales de Psicología, 30, 403–411.
Bradley, R. T., Atkinson, M., Tomasino, D., Rees, R. A., & Galvin, P. (2009). Facilitating emotional self-regulation in preschool children: Efficacy of the early HeartSmarts program in promoting social, emotional, and cognitive development. Boulder Creek: HeartMath Research Center, Institute of HeartMath.
Bradley, R. T., McCraty, R., Atkinson, M., Arguelles, L., Rees, R. A., & Tomasino, D. (2007). Reducing test anxiety and improving test performance in America’s schools: Results from the TestEdge national demonstration study. Boulder Creek: HeartMath Research Center, Institute of HeartMath.
Buela-Casal, G., Guillén-Riquelme, A., & Seisdedos, C. N. (2011). Cuestionario de Ansiedad Estado-Rasgo: Adaptación española (8ª ed.). Madrid: TEA Ediciones.
Cameron, O. G. (2002). Visceral sensory neuroscience: Interoception. New York: Oxford University Press.
Conrad, A., & Roth, W. T. (2007). Muscle relaxation therapy for anxiety disorders: It works but how? Journal of Anxiety Disorders, 21, 243–264.
Cranford, J. A., Eisenberg, D., & Serras, A. M. (2009). Substance use behaviors, mental health problems, and use of mental health services in a probability sample of college students. Addictive Behaviors, 34, 134–145.
Cupal, D. D., & Brewer, B. W. (2001). Effects of relaxation and guided imagery on knee strength, reinjury anxiety, and pain following anterior cruciate ligament reconstruction. Rehabilitation Psychology, 46, 28–43.
Damasio, A. (2003). Looking for spinoza: Joy, sorrow, and the feeling brain. Orlando: Harcourt.
Dolbier, C. L., & Rush, T. H. E. (2012). Efficacy of abbreviated progressive muscle relaxation in a high-stress college sample. International Journal of Stress Management, 19, 48–68.
Foji, S., Tadayonfar, M. A., Mohsenpour, M., & Rakhshani, M. H. (2015). The study of the effect of guided imagery on pain, anxiety and some other hemodynamic factors in patients undergoing coronary angiography. Complementary Therapies in Clinical Practice, 21, 119–123.
Fredrickson, B. L. (2002). Positive emotions. In C. R. Snyder & S. J. Lopez (Eds.), Handbook of Positive Psychology (pp. 120–134). New York: Oxford University Press.
Friedman, B. H. (2010). Feelings and the body: The Jamesian perspective on autonomic specificity of emotion. Biological Psychology, 84, 383–393.
Friedman, B. H., & Thayer, J. F. (1998a). Anxiety and autonomic flexibility: A cardiovascular approach. Biological Psychology, 49, 303–323.
Friedman, B. H., & Thayer, J. F. (1998b). Autonomic balance revisited: Panic anxiety and heart rate variability. Journal of Psychosomatic Research, 44, 133–151.
Ghafari, S., Ahmadi, F., Nabavi, M., Anoshirvan, K., Memarian, R., & Rafatbakhsh, M. (2009). Effectiveness of applying progressive muscle relaxation technique on quality of life of patients with multiple sclerosis. Journal of Clinical Nursing, 18, 2171–2179.
Gill, S., Kolt, G. S., & Keating, J. (2004). Examining the multi-process theory: an investigation of the effects of two relaxation techniques on state anxiety. Journal of Bodywork and Movement Therapies, 8, 288–296.
Gregor, A. (2005). Examination anxiety: Live with it, control it or make it work for you? School Psychology International, 26, 617–635.
Hartnett-Edwards, K. (2008). Stress matters: The social psychology and physiology of reading/language arts achievement. Saarbrücken: Verlag Dr. Müller (VDM).
Immordino-Yang, M. H., & Damasio, A. (2007). We feel, thereforewe learn: The relevance of affective and social neuroscience to education. Mind, Brain, and Education, 1, 3–10.
Innes, K. E., Selfe, T. K., & Vishnu, A. (2010). Mind-body therapies for menopausal symptoms: A systematic review. Maturitas, 66, 135–149.
Jacobson, E. (1929). Progressive relaxation. Chicago: University of Chicago Press.
Johnson, C. M., Larson, H. A., Conn, S. R., Estes, L. A., & Ghibellini, A. B. (2009). The impact of relaxation techniques on third grade students: self-perceived levels of test anxiety. American Counselling Association Annual Conference and Exposition. Charlotte, North Carolina.
Jost, S. (2004). Your body, your mind, & their link to your health: How guided imagery can bring extraordinary results to your life. St. Louis, MO: One Health Publishing.
Lane, R. D., McRae, K., Reiman, E. M., Chen, K., Ahern, G. L., & Thayer, J. (2009). Neural correlates of heart rate variability during emotion. NeuroImage, 44, 213–222.
Lantyer, A. D., Viana, M. D., & Padovani, R. D. (2013). Biofeedback no tratamento de transtornos relacionados ao estresse e à ansiedade: uma revisão crítica. Psico USF, 18, 131–140.
LeDoux, J. (1996). The emotional brain: The mysterious underpinnings of emotional life. New York: Simon and Schuster.
Lehrer, P. M., Vaschillo, E., Vaschillo, B., Lu, S.-E., Eckberg, D., Edelberg, R., Shih, W., Lin, Y., Kuusela, T. A., Tahvanainen, K. U. O., & Hamer, R. M. (2003). Heart rate variability biofeedback increases baroreflex gain and peak expiratory flow. Psychosomatic Medicine, 65, 796–805.
Mayer, J. D., Roberts, R. D., & Barsade, S. G. (2008). Human abilities: Emotional intelligence. Annual Review of Psychology, 59, 507–536.
McCallie, M. S., Blum, C. M., & Hood, C. J. (2006). Progressive muscle relaxation. Journal of Human Behavior in the Social Environment, 13, 51–66.
McCraty, R., Tomasino, D., Atkinson, M., Aasen, P., & Thurik, S. J. (2000). Improving test-taking skills and academic performance in high school students using HeartMath learning enhancement tools. Retrieved from http://www.heartmath.org/research/publications.html.
McCraty, R. (2005). Enhancing emotional, social, and academic learning with heart rhythm coherence feedback. Biofeedback, 33, 130–134.
McCraty, R., Atkinson, M., Lipsenthal, L., & Arguelles, L. (2009). New hope for correctional officers: An innovative program for reducing stress and health risks. Applied Psychophysiology and Biofeedback, 34, 251–272.
McCraty, R., Atkinson, M., & Tomasino, D. (2003). Impact of a workplace stress reduction program on blood pressure and emotional health in hypertensive employees. Journal of Alternative and Complementary Medicine, 9, 355–369.
McCraty, R., Atkinson, M., Tomasino, D., & Bradley, R. T. (2006). The coherent heart: Heart–brain interactions, psychophysiological coherence, and the emergence of system-wide order. BoulderCreek, CA: HeartMath Research Center, Institute of HeartMath.
McCraty, R., Atkinson, M., Tomasino, D., Goelitz, J., & Mayrovitz, H. N. (1999). The impact of an emotional self-management skills course on psychosocial functioning and autonomic recovery to stress in middle school children. Integrative Physiological and Behavioral Science, 34, 246–268.
McCraty, R., & Tomasino, D. (2006). Emotional stress, positive emotions, and psychophysiological coherence. In B. B. Arnetz & R. Ekman (Eds.), Stress in health and disease (pp. 360–383). Weinheim: Wiley-VCH.
Miralles, F., & Hernández, I. (Marzo 2012). La ansiedad ante los exámenes. Boletín de la SEAS, 9–16.
Peck, H. L., Bray, M. A., & Kehle, T. J. (2003). Relaxation and guided imagery: A school-based intervention for children with asthma. Psychology in the Schools, 40, 57–75.
Prato, C. A. (2009). Biofeedback assisted relaxation training program to decrease test anxiety in nursing students. Ph. D. Thesis. University of Nevada Las Vegas, USA.
Prato, C. A., & Yucha, C. B. (2013). Biofeedback-assisted relaxation training to decrease test anxiety in nursing students. Nursing Education Perspectives, 34, 76–81.
Regehr, C., Glancy, D., & Pitts, A. (2013). Interventions to reduce stress in university students: A review and meta-analysis. Journal of Affective Disorders, 148, 1–11.
Roffe, L., Schmidt, K., & Ernst, E. (2005). A systematic review of guided imagery as an adjuvant cancer therapy. Psycho-Oncology, 14, 607–617.
Segerstrom, S., & Nes, L. S. (2007). Heart rate variability reflects self-regulatory strength, effort, and fatigue. Psychological Science, 18, 275–281.
Segool, N., Carlson, J., Goforth, A., Von Der Embse, N., & Barterian, J. (2013). Heightened test anxiety among young children: Elementary school students’ anxious responses to high-stakes testing. Psychology in the Schools, 50, 57–71.
Serrano, I., & Escolar, M. C. (2011). Psicopatología de la ansiedad ante los exámenes: dimensiones y componentes. Escuela y Psicopatología, 2, 135–168.
Spielberger, C. D. (1983). Manual for the state-trait anxiety STAI (Form Y). Palo Alto: CA: Consulting Psychologists Press.
Spielberger, C. D., Gorsuch, R. L., & Lushene, R. E. (1970). STAI, manual for the state-trait anxiety (Self Evaluation Questionnaire). Palo Alto, CA: Consulting Psychologists Press.
Thayer, F. T., Hansen, A. L., Saus-Rose, C., & Johnsen, B. H. (2009). Heart rate variability, prefrontal neural function, and cognitive performance: The neurovisceral integration perspective on selfregulation, adaptation, and health. Annals of Behavioral Medicine, 37, 141–153.
Thayer, J. F. (2007). What the heart says to the brain (and vice versa) and why we should listen. Psychological Topics, 16, 241–250.
Thurber, M. R. (2006). Effect of Heart Rate Variability biofeedback training and emotional regulation on music performance anxiety in university students. Ph.D Thesis. University of North Texas, USA.
Vitasari, P., Wahab, M. N., Othman, A., Herawan, T., & Sinnadurai, S. K. (2010). The relationship between study anxiety and academic performance among engineering students. Procedia-Social and Behavioral Sciences, 8, 490–497.
Von Der Embse, N., Barterian, J., & Segool, N. (2013). Test anxiety interventions for children and adolescents: A systematic review of treatment studies from 2000 to 2010. Psychology in the Schools, 50, 57–71.
Whited, A., Larkin, K. T., & Whited, M. (2014). Effectiveness of emWave biofeedback in improving heart rate variability reactivity to and recovery from stress. Applied Psychophysiology and Biofeedback, 39, 75–88.
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This study followed the ethical guidelines for research involving human subjects and all procedures performed in this study were in accordance with the 1964 Helsinki declaration and its later amendments. This investigation was approved by the Ethics Committee for Human Research of the University of the Basque Country (UPV/EHU). Informed consent was collected from all participants included in the study.
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Aritzeta, A., Soroa, G., Balluerka, N. et al. Reducing Anxiety and Improving Academic Performance Through a Biofeedback Relaxation Training Program. Appl Psychophysiol Biofeedback 42, 193–202 (2017). https://doi.org/10.1007/s10484-017-9367-z
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DOI: https://doi.org/10.1007/s10484-017-9367-z