Skip to main content
Log in

Reducing Anxiety and Improving Academic Performance Through a Biofeedback Relaxation Training Program

  • Published:
Applied Psychophysiology and Biofeedback Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  • 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.

    Article  PubMed  Google Scholar 

  • Appelhans, B. M., & Luecken, L. J. (2006). Heart rate variability as an index of regulated emotional responding. Review of General Psychology, 10, 229–240.

    Article  Google Scholar 

  • Arguelles, L., McCraty, R., & Rees, R. A. (2003). The heart inholistic education. Encounter: Education for Meaning and Social Justice, 16, 13–21.

    Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Google Scholar 

  • Conrad, A., & Roth, W. T. (2007). Muscle relaxation therapy for anxiety disorders: It works but how? Journal of Anxiety Disorders, 21, 243–264.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  Google Scholar 

  • Damasio, A. (2003). Looking for spinoza: Joy, sorrow, and the feeling brain. Orlando: Harcourt.

    Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Google Scholar 

  • Friedman, B. H. (2010). Feelings and the body: The Jamesian perspective on autonomic specificity of emotion. Biological Psychology, 84, 383–393.

    Article  PubMed  Google Scholar 

  • Friedman, B. H., & Thayer, J. F. (1998a). Anxiety and autonomic flexibility: A cardiovascular approach. Biological Psychology, 49, 303–323.

    Article  PubMed  Google Scholar 

  • Friedman, B. H., & Thayer, J. F. (1998b). Autonomic balance revisited: Panic anxiety and heart rate variability. Journal of Psychosomatic Research, 44, 133–151.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  Google Scholar 

  • Gregor, A. (2005). Examination anxiety: Live with it, control it or make it work for you? School Psychology International, 26, 617–635.

    Article  Google Scholar 

  • Hartnett-Edwards, K. (2008). Stress matters: The social psychology and physiology of reading/language arts achievement. Saarbrücken: Verlag Dr. Müller (VDM).

    Google Scholar 

  • 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.

    Article  Google Scholar 

  • Innes, K. E., Selfe, T. K., & Vishnu, A. (2010). Mind-body therapies for menopausal symptoms: A systematic review. Maturitas, 66, 135–149.

    Article  PubMed  PubMed Central  Google Scholar 

  • Jacobson, E. (1929). Progressive relaxation. Chicago: University of Chicago Press.

    Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  Google Scholar 

  • LeDoux, J. (1996). The emotional brain: The mysterious underpinnings of emotional life. New York: Simon and Schuster.

    Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Mayer, J. D., Roberts, R. D., & Barsade, S. G. (2008). Human abilities: Emotional intelligence. Annual Review of Psychology, 59, 507–536.

    Article  PubMed  Google Scholar 

  • McCallie, M. S., Blum, C. M., & Hood, C. J. (2006). Progressive muscle relaxation. Journal of Human Behavior in the Social Environment, 13, 51–66.

    Article  Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Roffe, L., Schmidt, K., & Ernst, E. (2005). A systematic review of guided imagery as an adjuvant cancer therapy. Psycho-Oncology, 14, 607–617.

    Article  PubMed  Google Scholar 

  • Segerstrom, S., & Nes, L. S. (2007). Heart rate variability reflects self-regulatory strength, effort, and fatigue. Psychological Science, 18, 275–281.

    Article  PubMed  Google Scholar 

  • 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.

    Article  Google Scholar 

  • Serrano, I., & Escolar, M. C. (2011). Psicopatología de la ansiedad ante los exámenes: dimensiones y componentes. Escuela y Psicopatología, 2, 135–168.

    Google Scholar 

  • Spielberger, C. D. (1983). Manual for the state-trait anxiety STAI (Form Y). Palo Alto: CA: Consulting Psychologists Press.

    Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Thayer, J. F. (2007). What the heart says to the brain (and vice versa) and why we should listen. Psychological Topics, 16, 241–250.

    Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Aitor Aritzeta.

Ethics declarations

Conflict of interest

All authors of this work declare that have no conflict of interest.

Ethical Approval

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.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

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

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10484-017-9367-z

Keywords

Navigation