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Learning to relax: The impact of brief biofeedback training and gentle yoga on salivary cortisol reduction

Abstract

Short-term activation of the human stress response system is beneficial as it prepares the body to deal with stressors at hand (McEwen & Stellar, 1993). However, chronic activation of the system can negatively impact health and longevity (Cohen et al., 2007). There is evidence that relaxation techniques that utilize controlled or diaphragmatic breathing can be useful in the reduction of stress and psychological complaints. Short-term interventions like computer-based biofeedback or the implementation of a gentle yoga practice could provide a brief, yet beneficial, way to manage stress and anxiety. The present study aimed to expand on current research involving yoga and biofeedback for stress reduction by exploring whether participating in a gentle yoga intervention or a biofeedback intervention could decrease the stress response more quickly than what naturally occurs after the Trier Social Stress Test: a laboratory stress task shown to elicit changes in cortisol levels found in participants’ saliva samples. Participants were randomly assigned to take part in a gentle yoga sequence, a biofeedback intervention, or watch a neutral video while relaxing on their own. We examined changes in salivary cortisol levels and found a significant difference between the three groups, with both the yoga and biofeedback intervention groups eliciting a larger decrease in cortisol levels, indicating a greater decrease in stress levels.

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Availability of Data and Material

The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.

References

  • Alive Comprehensive Stress Management & Peak Performance Training (2019). Somatic vision, Inc.

  • Anstead, S. J. (2009). College students and stress management: Utilizing biofeedback and relaxation skills training.

  • Black, P. H. (1994). Immune system-central nervous system interactions: Effect and immunomodulatory consequences of immune system mediators on the brain. Antimicrobial Agents and Chemotherapy, 38(1), 7–12.

    Article  PubMed  PubMed Central  Google Scholar 

  • Broad, W. J. (2012). The science of yoga: The risks and the rewards. New York, New York, USA: Simon & Schuster.

  • Byrd-Craven, J., Auer, B. J., Granger, D. A., & Massey, A. R. (2012). The father–daughter dance: The relationship between father–daughter relationship quality and daughters' stress response. Journal of Family Psychology, 26(1), 87–94. https://doi.org/10.1037/a0026588.

    Article  PubMed  Google Scholar 

  • Carroll, M., & Winslow, B. (2017). Examination of the impact of condensed biofeedback Training on acute stress responses. Journal of Behavioral and Brain Science, 7, 287–303. https://doi.org/10.4236/jbbs.2017.77021.

    Article  Google Scholar 

  • Chrousos, G. P. (2009). Stress and disorders of the stress system. Nature Reviews Endocrinology, 5(7), 374–381. https://doi.org/10.1038/nrendo.2009.106.

    Article  PubMed  Google Scholar 

  • Cohen, S., Janicki-Deverts, D., & Miller, G. E. (2007). Psychological stress and disease. Jama, 298(14), 1685-1687.https://doi.org/10.1001/jama.298.14.1685.

  • Crockett, J., Gill, D., Cashwell, T., & Myers, J. (2017). Integrating non-technological and technological peripheral biofeedback in counseling. Neurocounseling. 39(2), 163-179. https://doi.org/10.17744/mehc.39.2.06.

  • Dickerson, S. S., & Kemeny, M. E. (2004). Acute stressors and cortisol responses: A theoretical integration and synthesis of laboratory research. Psychological Bulletin, 130(3), 355–391.

    Article  PubMed  Google Scholar 

  • Dickerson, S. S., Mycek, P. J., & Zaldivar, F. (2008). Negative social evaluation, but not mere social presence, elicits cortisol responses to a laboratory stressor task. Health Psychology, 27(1), 116–121.

    Article  PubMed  Google Scholar 

  • Frank, D. L. (2010). Biofeedback in medicine: Who, when, why and how? Mental Health in Family Medicine, 7, 85–91.

    PubMed  PubMed Central  Google Scholar 

  • Gerritsen, R. J. S., & Band, G. P. H. (2018). Breath of life: The respiratory vagal stimulation model of contemplative activity. In Frontiers in Human Neuroscience 12, 1–25. https://doi.org/10.3389/fnhum.2018.00397.

  • Gordis, E. B., Granger, D. A., Susman, E. J., & Trickett, P. K. (2006). Asymmetry between salivary cortisol and α-amylase reactivity to stress: Relation to aggressive behavior in adolescents. Psychoneuroendocrinology, 31(8), 976–987. https://doi.org/10.1016/j.psyneuen.2006.05.010.

    Article  PubMed  Google Scholar 

  • Gozansky, W. S., Lynn, J. S., Laudenslager, M. L., & Kohrt, W. M. (2005). Salivary cortisol determined by enzyme immunoassay is preferable to serum total cortisol for assessment of dynamic hypothalamic-pituitary-adrenal axis activity. Clinical Endocrinology, 63(3), 336–341. https://doi.org/10.1111/j.1365-2265.2005.02349.x.

  • Hazlett-Stevens, H., & Craske, M. G. (2003). Breathing retraining and diaphragmatic breathing techniques. In W. O’Donohue, J. E. Fisher, & S. C. Hayes (Eds.), Cognotive Behavior Therapy applying emperically supported techniques in your practice (pp. 59–64). Hoboken, NJ: John Wiley & Sons, Inc.

  • Henriques, G., Keffer, S., Abrahamson, C., & Horst, S. J. (2011). Exploring the effectiveness of a computer-based heart rate variability biofeedback program in reducing anxiety in college students. Applied Psychophysiology & Biofeedback, 36(2), 101–112. https://doi.org/10.1007/s10484-011-9151-4.

    Article  Google Scholar 

  • Herbert, J., Ban, M., Brown, G. W., Harris, T. O., Ogilvie, A., Uher, R., & Craig, T. K. J. (2012). Interaction between the BDNF gene Val/66/met polymorphism and morning cortisol levels as a predictor of depression in adult women. The British Journal of Psychiatry, 201(4), 313–319.

    Article  PubMed  PubMed Central  Google Scholar 

  • Hill, E. E., Zack, E., Battaglini, C., Viru, M., Viru, A., & Hackney, A. C. (2008). Exercise and circulating cortisol levels: The intensity threshold effect. Journal of Endocrinological Investigation, 31(7), 587–591. https://doi.org/10.1007/BF03345606.

    Article  PubMed  Google Scholar 

  • Jacquet, L. (2005). March of the penguins. Warner Brothers.

  • Hoffman, J. W., Benson, H., & Arns, P. A. (1982). Reduced sympathetic nervous system responsivity associated with the relaxation response. Science, 215(4529), 190–192.

    Article  PubMed  Google Scholar 

  • Kelly, S. J., Young, R., Sweeting, H., Fischer, J. E., & West, P. (2008). Levels and confounders of morning cortisol collected from adolescents in a naturalistic (school) setting. Psychoneuroendocrinology, 33(9), 1257–1268. https://doi.org/10.1016/j.psyneuen.2008.06.010.

  • Kirschbaum, C., Pirke, K. M., & Hellhammer, D. H. (1993). The ‘trier social stress test’ – A tool for investigating psychobiological stress responses in a laboratory setting. Neuropsychobiology., 28, 76–81. https://doi.org/10.1159/000119004.

    Article  PubMed  Google Scholar 

  • Kotozaki, Y. (2014). Biofeedback-based Training for stress Management in Daily Hassles: An intervention study. Brain and Behavior, 4, 566–579.

    Article  PubMed  PubMed Central  Google Scholar 

  • Lehmann, J. W., Goodale, I. L., & Benson, H. (1986). Reduced pupillary sensitivity to topical phenylephrine associated with the relaxation response. Journal of Human Stress, 12(3), 101–104.

    PubMed  Google Scholar 

  • Ketchen Lipson, S., Gaddis, S. M., Heinze, J., Beck, K., & Eisenberg, D. (2015). Variations in student mental health and treatment utilization across US colleges and universities. Journal of American College Health, 63(6), 388–396. https://doi.org/10.1080/07448481.2015.1040411.

    Article  PubMed  Google Scholar 

  • McEwen, B. S. (1998a). Protective and damaging effects of stress mediators. The New England Journal of Medicine, 338, 171–179. https://doi.org/10.1111/j.1749-6632.1998.tb09546.x.

    Article  PubMed  Google Scholar 

  • McEwen, B. S. (2008). Central effects of stress hormones in health and disease. European Journal of Pharmacology, 583(2–3), 174–185. https://doi.org/10.1016/j.ejphar.2007.11.071.

    Article  PubMed  PubMed Central  Google Scholar 

  • McEwen, B. S. (1998b). Stress, adaptation, and disease: Allostasis and allostatic load. Annals New York Academy of Sciences, 840(1), 33–44.

    Article  Google Scholar 

  • McEwen, B. S., & Stellar, E. (1993). Stress and the individual. Archives of Internal Medicine, 153(18), 2093–2101. https://doi.org/10.1001/archinte.1993.00410180039004.

    Article  PubMed  Google Scholar 

  • Meier, N. (2013). The effects acute self-paced exercise and respiration biofeedback on anxiety and affect in high-stress university students.

  • Raison, C. L., & Miller, A. H. (2003). When not enough is too much: The role of insufficient glucocorticoid signaling in the pathophysiology of stress-related disorders. Am.J. Psychiatry, 160, 1554–1565.

    Article  PubMed  Google Scholar 

  • Ratanasiripong, P., Kaewboonchoo, O., Ratanasiripong, N., Hanklang, S., & Chumchai, P. (2015). Biofeedback intervention for stress, anxiety, and depression among graduate students in public health nursing. Nursing Research & Practice, 2015, 1–5. https://doi.org/10.1155/2015/160746.

    Article  Google Scholar 

  • Reiner, R. (2008). Integrating a portable biofeedback device into clinical practice for patients with anxiety disorders: Results of a pilot study. Applied Psychophysiology and Biofeedback, 33, 55–61. https://doi.org/10.1007/s10484-007-9046-6.

    Article  PubMed  Google Scholar 

  • Robotham, D., & Julian, C. (2006). Stress and the higher education student: A critical review of the literature. Journal of Further and Higher Education, 30(2), 107–117.

    Article  Google Scholar 

  • Sapolsky, R. (2004). Social status and health in humans and other animals. Annual Review of Anthropology, 33, 393–418. https://doi.org/10.1146/annurev.anthro.33.070203.144000.

    Article  Google Scholar 

  • Sterling, P., & Eyer, J. (1988). Allostasis: A new paradigm to explain arousal pathology. In S. Fisher & J. Reason (Eds.), Handbook of life stress, cognition and health (pp. 629–649). John Wiley & Sons, Inc..

  • Sternberg, E. M., Chrousos, G. P., Wilder, R. L., & Gold, P. W. (1992). The stress response and the regulation of inflammatory disease. Annals of International Medicine, 117(10), 854–866.

    Article  Google Scholar 

  • Sweere, J. (2019). Yoga for stress. Retrieved from http://www.stressedouthumans.com/yogaforstress#.

  • Thurstone, C., & Lajoie, T. (2013). Heart rate variability biofeedback in adolescent substance abuse treatment. Global Advances in Health and Medicine, 2(1), 22–23. https://doi.org/10.7453/gahmj.2013.2.1.005.

    Article  PubMed  PubMed Central  Google Scholar 

  • Ulrich-Lai, Y. M., & Herman, J. P. (2014). Effects of work-related stress. Nature Reviews Neuroscience, 10(6), 397–409. https://doi.org/10.1038/nrn2647.Neural.

  • Van Rhenen, W., Blonk, R. W., van der Klink, J. J., van Dijk, F. J., & Schaufeli, W. B. (2005). The effect of a cognitive and a physical stress-reducing programme on psychological complaints. International Archives of Occupational and Environmental Health, 78(2), 139–148.

    Article  PubMed  Google Scholar 

  • Woody, A., Hooker, E. D., Zoccola, P. M., & Dickerson, S. S. (2018). Social-evaluative threat, cognitive load, and the cortisol and cardiovascular stress response. Psychoneuroendocrinology, 97, 149–155.

    Article  PubMed  Google Scholar 

  • West, J., Otte, C., Geher, K., Johnson, J., & Mohr, D. C. (2004). Effects of Hatha Yoga and African dance on perceived stress, affect, and salivary cortisol. Annals of Behavioral Medicine, 28(2), 114–118. https://doi.org/10.1207/s15324796abm2802.

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This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

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Correspondence to D. N. Robinson.

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All of the research described in the paper was conducted in accordance with APA’s guidelines for the ethical treatment of human participants, and was reviewed and approved by the Institutional Review Board of this University (study number IRB-FY2019–380). Informed consent was signed by all participants as per IRB protocol.

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Robinson, D.N., Hopke, T. & Massey-Abernathy, A. Learning to relax: The impact of brief biofeedback training and gentle yoga on salivary cortisol reduction. Curr Psychol 42, 6980–6989 (2023). https://doi.org/10.1007/s12144-021-02036-4

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  • DOI: https://doi.org/10.1007/s12144-021-02036-4

Keywords

  • Biofeedback
  • Yoga
  • Salivary cortisol
  • Stress response
  • Relaxation technique
  • Physiological psychology