A pilot study of heart rate variability biofeedback therapy in the treatment of perinatal depression on a specialized perinatal psychiatry inpatient unit
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Heart rate variability biofeedback (HRVB) therapy may be useful in treating the prominent anxiety features of perinatal depression. We investigated the use of this non-pharmacologic therapy among women hospitalized with severe perinatal depression. Three questionnaires, the State Trait Anxiety Inventory (STAI), Warwick–Edinburgh Mental Well-Being Scale, and Linear Analog Self Assessment, were administered to 15 women in a specialized inpatient perinatal psychiatry unit. Participants were also contacted by telephone after discharge to assess continued use of HRVB techniques. The use of HRVB was associated with an improvement in all three scales. The greatest improvement (−13.867, p < 0.001 and −11.533, p < 0.001) was among STAI scores. A majority (81.9 %, n = 9) of women surveyed by telephone also reported continued frequent use at least once per week, and over half (54.6 %, n = 6) described the use of HRVB techniques as very or extremely beneficial. The use of HRVB was associated with statistically significant improvement on all instrument scores, the greatest of which was STAI scores, and most women reported frequent continued use of HRVB techniques after discharge. These results suggest that HRVB may be particularly beneficial in the treatment of the prominent anxiety features of perinatal depression, both in inpatient and outpatient settings.
KeywordsDepression Pregnancy Perinatal depression Postpartum depression Biofeedback Complementary and alternative medicine
Conflict of interest
The authors declare that they have no conflict of interest.
- Association for Applied Psychophysiology and Biofeedback Inc. (2011) About Biofeedback. http://www.aapb.org/i4a/pages/index.cfm?pageid=3463. Accessed 10 Jun 2012
- Childre D, Martin H (1999) The HeartMath solution. Harper, San FranciscoGoogle Scholar
- Gaynes BN, Gavin N, Meltzer-Brody S, Lohr KN, Swinson T, Gartlehner G, Brody S, Miller WC (2005) Perinatal depression: prevalence, screening accuracy, and screening outcomes. Evid Rep Technol Assess (Summ) 119:1–8Google Scholar
- HeartMath (2011) The Science Behind the emWave® Desktop & emWave2 Products. http://www.heartmathstore.com/cgi-bin/category.cgi?category=sciencebehind. Accessed 3 Nov 2012
- Horowitz S (2006) Biofeedback applications. J Altern Complement 12:275–281Google Scholar
- Karavidas MK, Lehrer PM, Vaschillo E, Vaschillo B, Marin H, Buyske S, Malinovsky I, Radvanski D, Hassett A (2007) Preliminary results of an open label study of heart rate variability biofeedback for the treatment of major depression. Appl Psychophysiol Biofeedback 32:19–30PubMedCrossRefGoogle Scholar
- Spielberger C (1983) Manual for the state trait anxiety inventory (STAI). Consulting Psychologists, Palo AltoGoogle Scholar