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Biofeedback in the Treatment of the Stress Response

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A Clinical Guide to the Treatment of the Human Stress Response

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Abstract

The purpose of this chapter is to provide a basic introduction to biofeedback and to discuss how it relates to the treatment of excessive stress. Although being applied for more than 40 years, biofeedback may still be considered by some to be “high-technology” therapy that may be used to (1) engender a relaxation response, thus treating the stress response itself, or (2) alter target-organ activity, thus treating the symptoms of excessive stress arousal. Indeed, it can help to do this and possibly more by restoring and even enhancing balance and control to the systems involved.

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References

  • Allen, K. D., & Shriver, M. D. (1997). Enhanced performance feedback to strengthen biofeedback treatment outcome with childhood migraine. Headache, 37(3), 169–173.

    Article  PubMed  Google Scholar 

  • Angelakis, E., Stathopoulou, S., Frymiare, J. L., Green, D. L., Lubar, J. F., & Kounios, J. (2007). EEG neurofeedback: A brief overview and an example of peak alpha frequency training for cognitive enhancement in the elderly. The Clinical Neuropsychologist, 21(1), 110–129.

    Article  PubMed  Google Scholar 

  • Angoules, A. G., Balakatounis, K. C., Panagiotopoulou, K. A., Mavrogenis, A. F., Mitsiokapa, E. A., & Papagelopoulos, P. J. (2008). Orthopedics, 31(10), 980–984.

    Google Scholar 

  • Arns, M., de Ridder, S., Strehl, U., Breteler, M., & Coenen, A. (2009). Efficacy of neurofeedback treatment in ADHD: The effects of inattention, impulsivity and hyperactivity: A meta-analysis. Clinical EEG and Neuroscience, 40(3), 180–189.

    Article  PubMed  Google Scholar 

  • Association for Applied Psychophysiology & Biofeedback. (2011). About AAPB. Retrieved from: http://www.aapb.org/i4a/pages/index.cfm?pageid=3285

  • Baehr, E., Rosenfeld, J. P., & Baehr, R. (1997). The clinical use of an alpha asymmetry protocol in the neurofeedback treatment of depression: Two case studies. Journal of Neurotherapy, 2(3), 10–23.

    Article  Google Scholar 

  • Bandura, A. (1982a). Self-efficacy mechanism in human agency. The American Psychologist, 37, 122–147.

    Article  Google Scholar 

  • Bandura, A. (1982b). The self and mechanisms of agency. In J. Suls (Ed.), Psychological perspectives on the self (pp. 3–39). Hillsdale, NJ: Erlbaum.

    Google Scholar 

  • Bandura, A. (1997). Self-efficacy: The exercise of control. New York, NY: Freeman.

    Google Scholar 

  • Basmajian, J. V. (1963). Control and training of individual motor units. Science, 141, 440–441.

    Article  PubMed  Google Scholar 

  • Basmajian, J. (1967). Muscles alive. Their function revealed by electromyography (2nd ed.). Baltimore, MD: Williams & Wilkins.

    Google Scholar 

  • Basmajian, J. V. (1989). Biofeedback: Principles and practice for clinicians (3rd ed.). Baltimore, Maryland: Williams & Wilkins

    Google Scholar 

  • Beauchaine, T. P. (2001). Vagal tone, development, and Gray’s motivational theory: Toward an integrated model of autonomic nervous system functioning in psychopathology. Development and Psychopathology, 13, 183–214.

    Article  PubMed  Google Scholar 

  • Biondi, D. M. (2005). Physical treatments for headache: A structured review. Headache: The Journal of Head and Face Pain, 45(6), 738–746.

    Article  Google Scholar 

  • Biondi, M., & Picardi, A. (1998). Temporomandibular joint pain–dysfunction syndrome and bruxism: Etiopathogenesis and treatment from a psychosomatic integrative viewpoint. In G. A. Fava & H. Freyberger (Eds.), Handbook of psychosomatic medicine (pp. 469–490). Madision, CT: International Universities Press.

    Google Scholar 

  • Bisson, E., Contant, B., Sveistrup, H., & Lojoie, Y. (2007). Functional balance and dual-task reaction times in older adults are improved by virtual reality and biofeedback training. Cyberpsychology and Behavior, 10(1), 16–23.

    Article  PubMed  Google Scholar 

  • Blanchard, E. B., Eisele, G., Vollmer, A., Payne, A., Gordon, M., Gornish, P., & Gilmore, L. (1996). Controlled evaluation of thermal biofeedback in treatment of elevated blood pressure in unmedicated mild hypertension. Biofeedback and Self-Regulation, 21(2), 167–190.

    Article  PubMed  Google Scholar 

  • Blanchard, E. B., & Epstein, L. H. (1978). A biofeedback primer. Reading, MA: Addison-Wesley.

    Google Scholar 

  • Brown, B. (1977). Stress and the art of biofeedback. New York, NY: Harper & Row.

    Google Scholar 

  • Butler, R. N., Maby, J. I., Montela, J. M., & Young, G. P. (1999). Urinary incontinence: Primary care therapies for the older woman. Geriatrics, 54(11), 31–34, 39–40, 43–44.

    Google Scholar 

  • Calkins, S. D., Graziano, P. A., & Keane, S. P. (2007). Cardiac vagal regulation differentiates among children at risk for behavior problems. Biological Psychology, 74(2), 144–153.

    Article  PubMed  Google Scholar 

  • Caro, X. J., & Winter, E. F. (2011). EEG biofeedback treatment improves certain attention and somatic symptoms in fibromyalgia: A pilot study. Applied Psychophysiology and Biofeedback, 36(3), 193–200.

    Article  PubMed  Google Scholar 

  • Chabot, R. J., & Serfontein, G. (1996). Quantitative electroencephalographic profiles in children with attention deficit disorder. Biological Psychiatry, 40, 951–963.

    Article  PubMed  Google Scholar 

  • Chiarioni, G., & Whitehead, W. E. (2008). The role of biofeedback in the treatment of gastrointestinal disorders. Nature Reviews Gastroenterology & Hepatology, 5, 371–382.

    Article  Google Scholar 

  • Crider, A. B., & Glaros, A. G. (1999). A meta-analysis of EMG biofeedback treatment of temporomandibular disorders. Journal of Orofacial Pain, 13(1), 29–37.

    PubMed  Google Scholar 

  • Dannecker, C., Wolf, V., Raab, R., Hepp, H., & Anthuber, C. (2005). EMG-biofeedback assisted pelvic floor muscle training is an effective therapy of stress urinary or mixed incontinence: A 7-year experience with 390 patients. Archives of Gynecology and Obstetrics, 273, 93–97.

    Article  PubMed  Google Scholar 

  • Davis, P. A., & Sime, W. E. (2005). Toward a psychophysiology of performance: Sport psychology principles dealing with anxiety. International Journal of Stress Management, 12(4), 363–378.

    Article  Google Scholar 

  • DiCara, L. V., & Miller, N. E. (1968a). Changes in heart rate instrumentally learned by curarized rats as avoidance responses. Journal of Comparative Physiology and Psychology, 65, 8–12.

    Article  Google Scholar 

  • DiCara, L. V., & Miller, N. E. (1968b). Instrumental learning of systolic blood pressure responses by curarized rats: Dissociation of cardiac and vascular changes. Psychosomatic Medicine, 30, 489–494.

    PubMed  Google Scholar 

  • DiCara, L. V., & Miller, N. E. (1968c). Instrumental learning of vasomotor responses by rats: Learning to respond differently in the two ears. Science, 159, 1485.

    Article  PubMed  Google Scholar 

  • Diego, M. A., Field, T., Sanders, C., & Hernandez-Reif, M. (2004). Massage therapy of moderate and light pressure and vibrator effects on EEG and heart rate. International Journal of Neuroscience, 114, 31–45.

    Article  PubMed  Google Scholar 

  • Doğan-Aslan, M., Nakipoğlu-Yüzer, G. F., Doğan, A., Karabay, İ., & Ӧzgirgin, N. (2010). The effect of electromyographic biofeedback treatment in improving upper extremity functioning of patients with hemiplegic stroke. Journal of Stroke and Cerebrovascular Diseases, 21(3), 187–193.

    Article  PubMed  Google Scholar 

  • Donaldson, S., Donaldson, M., & Snelling, L. (2003). SEMG Evaluations: An overview. Applied Psychophysiology and Biofeedback, 28(2), 121–127.

    Article  PubMed  Google Scholar 

  • Druzbicki, M., Kwolek, A., Depa, A., & Przysada, G. (2010). The use of a treadmill with biofeedback function in assessment of relearning walking skills in post-stroke hemiplegic pateients – A preliminary report. Neuologia i Neurochirurgia Polska, 44(6), 567–573.

    Google Scholar 

  • El-Sayed, E., Larsson, J. O., Persson, H. E., & Rydelius, P. A. (2002). Altered cortical activity in children with attention-deficit/hyperactivity disorder during attentional load task. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 811–819.

    Article  PubMed  Google Scholar 

  • Everly, G. S., Jr., & Sobelman, S. H. (1987). The assessment of the human stress response: Neurological, biochemical, and psychological foundations. New York, NY: American Management Systems Press.

    Google Scholar 

  • Field, T. (2009). Complementary and alternative therapies research. Washington, DC: American Psychological Association.

    Book  Google Scholar 

  • Foster, P. S. (2004). Use of the Calmset 3 Biofeedback/Relaxation System in the assessment and treatment of chronic nocturnal bruxism. Applied Psychophysiology and Biofeedback, 29(2), 141–147.

    Article  PubMed  Google Scholar 

  • Frazier, T. W. (1966). Avoidance conditioning of heart rate in humans. Psychophysiology, 3, 188–202.

    Article  PubMed  Google Scholar 

  • Friedman, B. H. (2007). An autonomic flexibility-neurovisceral integration model of anxiety and cardiac vagal tone. Biological Psychology, 74, 185–199.

    Article  PubMed  Google Scholar 

  • Gatchel, R., & Price, K. (1979). Biofeedback: An introduction and historical overview. In R. Gatchel & K. Price (Eds.), Clinical applications of biofeedback: Appraisal and status. Elmsford, NY: Pergamon Press.

    Google Scholar 

  • Gevensleben, H., Moll, G. H., & Heinrich, H. (2010). Neurofeedback training in children with ADHD: Behavioral and neurophysiological effects. Zeitschrift für Kinder – und Jugendpsychiatrie und psychotherapie, 38(6), 409–419.

    Article  PubMed  Google Scholar 

  • Gevirtz, R. (2006). Applied psychophysiology/biofeedback in primary care medicine. Biofeedback, 34(4), 145–147.

    Google Scholar 

  • Gevirtz, R., & Dalenberg, C. (2008). Heart rate biofeedback in the treatment of trauma symptoms. Biofeedback, 36(1), 22–23.

    Google Scholar 

  • Gevirtz, R. N., & Lehrer, P. (2003). Resonant frequency heart rate biofeedback. In M. S. Schwartz & F. Andrasik (Eds.), Biofeedback: A practitioner’s guide (pp. 245–250). New York, NY: Guilford.

    Google Scholar 

  • Glick, R. M., & Greco, C. M. (2010). Biofeedback and primary care. Primary Care: Clinics in Office Practice, 37(1), 91–103.

    Article  PubMed  Google Scholar 

  • Gorini, A., Pallavincini, F., Algeri, D., Repetto, C., Gaggioli, A., & Giuseppe, R. (2010). Virtual reality in the treatment of generalized anxiety disorders. Annual Review of CyberTherapy and Telemedicine, 8, 31–35.

    Google Scholar 

  • Graham, C., Cook, M. R., Cohen, H. D., Gerkovich, M. M., Phelps, J. W., & Fotopoulous, S. S. (1986). Effects of variation in physical effort on frontalis EMG activity. Biofeedback and Self-Regulation, 11(2), 135–141.

    Article  PubMed  Google Scholar 

  • Green, E., & Green, A. (1977). Beyond biofeedback. San Francisco, CA: Delta.

    Google Scholar 

  • Hall, J. E. (2011). Guyton and Hall textbook of medical physiology (12th ed.). Philadelphia, PA: Saunders Elsevier.

    Google Scholar 

  • Hallman, D. M., Olsson, E. M., von Schéele, B., Melin, L., & Lyskov, E. (2011). Effects of heart rate variability biofeedback in subjects with stress-related chronic neck pain: A pilot study. Applied Psychophysiology and Biofeedback, 36(2), 71–80.

    Article  PubMed  Google Scholar 

  • Herman, C., Blanchard, E. B., & Flor, H. (1997). Biofeedback treatment for pediatric migraine: Prediction of treatment outcome. Journal of Consulting and Clinical Psychology, 65(4), 611–616.

    Article  Google Scholar 

  • Hermens, H. J., Freriks, B., Disselhorst-Klug, C., & Rau, G. (2000). Development of recommendations for SEMG sensors and senor placement procedures. Journal of Electromyography and Kinesiology, 10, 361–374.

    Article  PubMed  Google Scholar 

  • Holroyd, K. A., & Penzien, D. B. (1994). Psychosocial interventions in the management of recurrent headache disorders: I. Overview and effectiveness. Behavioral Medicine, 20(2), 53–63.

    Google Scholar 

  • Holtmann, M., & Stadler, C. (2006). Electroencephalographic biofeedback for the treatment of attention-deficit hyperactivity disorder in childhood and adolescence. Expert Review of Neurotherapeutics, 6(4), 533–540.

    Article  PubMed  Google Scholar 

  • Huang-Storms, L., Bodenhamer-Davis, E., Davis, R., & Dunn, J. (2007). QEEG-guided neurofeedback for children with histories of abuse and neglect: Neurodevelopmental rationale and pilot study. Journal of Neurotherapy, 10(4), 3–16.

    Article  Google Scholar 

  • Iellamo, F., Lagramant, J. M., Pigozzi, F., Spataro, A., Norbiato, G., Lucini, D., & Pagani, M. (2002). Conversion from vagal to sympathetic predominance with strenuous training in high-performance world class athletes. Circulation, 105, 2719–2724.

    Article  PubMed  Google Scholar 

  • Imamura, M., Abrams, P., Bain, C., Buckley, B., Cardozo, L., Cody, J., & Vale, L. (2010). Systematic review and economic modelling of the effectiveness and cost-effectiveness of non-surgical treatments for women with stress urinary incontinence. Health Technology Assessment, 14(40), whole volume.

    Google Scholar 

  • Ingjaldsson, J. T., Laberg, J. C., & Thayer, J. F. (2003). Reduced heart rate variability in chronic alcohol abuse: Relationship with negative mood, chronic thought suppression, and compulsive drinking. Biological Psychiatry, 54, 1427–1436.

    Article  PubMed  Google Scholar 

  • International Society for Neurofeedback & Research. (2011). About ISNR. Retreived from: http://www.isnr.org/about-isnr/about-isnr.cfm

  • Isler, W. C. (2006). Collaborative approaches in primary care. Biofeedback, 34(4), 151–154.

    Google Scholar 

  • Jacobs, G. D., Benson, H., & Friedman, R. (1996). Topographic EEG mapping of the relaxation response. Biofeedback and Self-Regulation, 21(2), 121–129.

    Article  PubMed  Google Scholar 

  • Jadidi, F., Castrillon, E., & Svensson, P. (2008). Effect of conditioning electrical stimuli on temporalis electromyographic activity during sleep. Journal of Oral Rehabilitation, 35(3), 171–183.

    Article  PubMed  Google Scholar 

  • James, L. C., & Folen, R. A. (1996). EEG biofeedback as a treatment for chronic fatigue syndrome: A controlled case report. Behavioral Medicine, 22(2), 77–81.

    Article  PubMed  Google Scholar 

  • Jones, G. E., & Evans, P. A. (1981). Effectiveness of frontalis feedback training in producing general body relaxation. Biological Psychology, 12(4), 313–320.

    Article  PubMed  Google Scholar 

  • Kaiser, D. A. (2006). What is quantitative EEG. Journal of Neurotherapy, 10(4), 37–52.

    Article  Google Scholar 

  • Kamiya, J. (1969). Operant control of the EEG alpha rhythm and some of its reported effects on consciousness. In C. T. Tart (Ed.), Altered states of consciousness (pp. 507–517). New York: Wiley.

    Google Scholar 

  • Karavidas, M. K., Lehrer, P. M., Vaschillo, E., Vaschillo, B., Marin, H., Buyske, S., & Hassett, A. (2007). Preliminary results of an open label study of heart rate variability biofeedback for the treatment of major depression. Applied Psychophysiology and Biofeedback, 32, 19–30.

    Google Scholar 

  • Karavidas, M. K., Tsai, P.-S., Yucha, C., McGrady, A., & Lehrer, P. M. (2006). Thermal biofeedback for primary Raynaud’s phenomenon: A review of the literature. Applied Psychophysiology and Biofeedback, 31(3), 203–216.

    Article  PubMed  Google Scholar 

  • Kayiran, S., Dursun, E., Dursun, N., Ermutlu, N., & Karamürsel, S. (2010). Neurofeedback intervention in fibromyalgia syndrome: A randomized, controlled, rater blind clinical trial. Applied Psychopysiology and Biofeedback, 35(4), 293–302.

    Article  Google Scholar 

  • Khumar, S. S., Kaur, P., & Kaur, J. (1992). A study of therapeutic effect of GSR biofeed-back on mild hypertension. Journal of the Indian Academy of Applied Psychology, 18(1–2), 23–28.

    Google Scholar 

  • Kimble, G. A. (1961). Hilgard and Marquis’ conditioning and learning. New York: Appleton–Century–Crofts.

    Google Scholar 

  • Kleen, M., & Reitsma, B. (2011). Appliance of heart rate variability biofeedback in Acceptance and Commitment Therapy: A pilot study. Journal of Neurotherapy: Investigations in Neuromodulation, Neurofeedback and Applied Neuroscience, 15(2), 170–181.

    Google Scholar 

  • Lande, R. G., Williams, L. B., Francis, J. L., Cragnani, C., & Morin, M. L. (2010). Efficacy of biofeedback for post-traumatic stress disorder. Complementary Therapies in Medicine, 18, 256–259.

    Article  PubMed  Google Scholar 

  • Landy, S. (2004). Migraine throughout the life cycle: Treatment through the ages. Neurology, 62(5 suppl2)S2-S8

    Google Scholar 

  • Lehrer, P. M., Carr, R., Sargunaraj, D., & Woolfolk, R. L. (1994). Stress management techniques: Are they all equivalent, or do they have specific effects? Biofeedback and Self-Regulation, 19(4), 353–401.

    Article  PubMed  Google Scholar 

  • Lehrer, P., & Vaschillo, E. (2008). The future of heart rate variability biofeedback. Biofeedback, 36(1), 11–14.

    Google Scholar 

  • Lehrer, P., Vaschillo, E., Lu, S.-E., Eckberg, D., Vaschillo, B., Scardella, A., & Habib, R. (2006). Heart rate variability biofeedback: Effects of age on heart rate variability, baroreflex gain, and asthma. Chest, 129(2), 278–284.

    Article  PubMed  Google Scholar 

  • Levy, B. R., Slade, M. D., Kunkel, S. R., & Kasl, S. V. (2002). Longevity increased by positive self-perceptions of aging. Journal of Personality and Social Psychology, 83(2), 261–270.

    Article  PubMed  Google Scholar 

  • Linden, W., & Moseley, J. V. (2006). The efficacy of behavioral treatments for hypertension. Applied Psychophysiology and Biofeedback, 31(1), 51–63.

    Article  PubMed  Google Scholar 

  • Lindmark, S., Burén, J., & Eriksson, J. W. (2006). Insulin resistance, endocrine function and adipokines in type 2 diabetes patients at different glycaemic levels: Potential impact for glucotoxicity in vivo. Clinical Endocrinology, 65, 301–309.

    Article  PubMed  Google Scholar 

  • Lindsley, D. B., & Sassaman, W. (1938). Autonomic activity and brain potentials associated with “voluntary” control of pilomotors. Journal of Neurophysiology, 1, 342–349.

    Google Scholar 

  • Loo, S. K., & Barkley, R. A. (2005). Clinical utility of EEG in attention deficit hyperactivity ­disorder. Applied Neuropsychology, 12(2), 64–76.

    Article  PubMed  Google Scholar 

  • Lubar, J. F. (1991). Discourse on the development of EEG diagnostics and biofeedback treatment for attention-deficit/hyperactivity disorders. Biofeedback and Self-Regulation, 16, 201–225.

    Article  PubMed  Google Scholar 

  • Lubar, J. F. (1995). Neurofeedback for the management of attention-deficit/hyperactivity disorders. In M. Schwartz and Associates (Eds.), Biofeedback: A practitioner’s guide (2nd ed., pp. 493–522). New York: Guilford.

    Google Scholar 

  • Lubar, J. F., & Deering, W. M. (1981). Behavioral approaches to neurology. New York: Academic Press.

    Google Scholar 

  • Lubar, J. F., & Shouse, M. N. (1976). EEG and behavioral changes in a hyperkinetic child concurrent with training of the sensorimotor rhythm (SMR): A preliminary report. Biofeedback and Self-Regulation, 3, 293–306.

    Article  Google Scholar 

  • Luria, A. R. (1958). The mind of a mnemonist (L. Solotaroff, trans.). New York: Basic Books.

    Google Scholar 

  • Lynch, D. J., McGrady, A. V., Nagel, R. W., & Wahl, E. F. (2007). The patient-physician relationship and medical utilization. The Primary Care Companion to the Journal of Clinical Psychiatry, 9(4), 266–270.

    Article  Google Scholar 

  • Manzi, V., Castagna, C., Padua, E., Lombardo, M., D’Ottavio, S., Massaro, … Iellamo, F. (2009). Dose–response relationship of autonomic nervous system responses to individualized training impulse in marathon runners. American Journal of Physiology-Heart and Circulatory Physiology, 296(6), H1733-H1740

    Google Scholar 

  • Mariela, S. C., Matt, D. A., & Burish, T. G. (1992). Comparison of frontalis, multiple muscle site, and reactive muscle site feedback in reducing arousal under stressful and nonstressful conditions. Medical Psychotherapy: An International Journal, 5, 133–148.

    Google Scholar 

  • Maunder, R. G., Nolan, R. P., Hunter, J. J., Lancee, W. J., Steinhart, A. H., & Greenberg, G. R. (2012). Relationship between social support and autonomic function during a stress protocol in ulcerative colitis patients in remission. Inflammatory Bowel Diseases, 18(4), 732–742.

    Article  Google Scholar 

  • McClure, C. (1959). Cardiac arrest through volition. California Medicine, 90, 440–448.

    PubMed  Google Scholar 

  • McCraty, R. (2008). From depletion to renewal: Positive emotions and heart rhythm coherence feedback. Biofeedback, 36(1), 30–34.

    Google Scholar 

  • McDowell, B. J., Engberg, S., Sereika, S., Donovan, N., Jubeck, M. E., Weber, E., & Engberg, R. (1999). Effectiveness of behavioral therapy to treat incontinence in homebound older adults. Journal of the American Geriatric Society, 47(3), 309–318.

    Google Scholar 

  • McGinnis, R. A., McGrady, A., Cox, S. A., & Grower-Dowling, K. A. (2005). Biofeedback-assisted relaxation in Type 2 diabetes. Diabetes Care, 28(9), 2145–2149.

    Article  PubMed  Google Scholar 

  • McGrady, A., Graham, G., & Bailey, B. (1996). Biofeedback-assisted relaxation in insulin-­dependent diabetes: A replication and extension study. Annals of Behavioral Medicine, 18(3), 185–189.

    Article  Google Scholar 

  • McGrath, P. J. (1999). Clinical psychology issues in migraine headaches. Canadian Journal of the Neurological Sciences, 26(Suppl. 3), S33–S36.

    Google Scholar 

  • McKee, M. G. (2008). Biofeedback: An overview in the context of heart-brain medicine. Cleveland Clinic Journal of Medicine, 75(Suppl. 2), S31–S34.

    Article  PubMed  Google Scholar 

  • Meany, J., McNamara, M., Burks, V., Berger, T. W., & Sayle, D. M. (1988). Psychological treatment of an asthmatic patient in crisis: Dreams, biofeedback, and pain behavior modification. Journal of Asthma, 25(3), 141–151.

    Article  PubMed  Google Scholar 

  • Miller, N. E. (1969). Learning of visceral and glandular responses. Science, 163, 434–445.

    Article  PubMed  Google Scholar 

  • Miller, R. M., & Chang, M. W. (1999). Advances in the management of dysphagia caused by stroke. Physical Medicine and Rehabilitation Clinics of North America, 10(4), 925–941.

    PubMed  Google Scholar 

  • Miller, N. E., & Dworkin, B. R. (1974). Visceral learning: Recent difficulties with curarized rats and significant problems for human research. In P., A. Obrist, A. H. Black, J. Brener, & L. V. DiCara (Eds.), Cardiovascular psychophysiology (pp. 313–331). Chicago: Aldine.

    Google Scholar 

  • Monastra, V. J. (2005). Electroencephalographic biofeedback (neurotherapy) as a treatment for attention deficit hyperactivity disorder: Rationale and empirical foundation. Child and Adolescent Psychiatric Clinics of North America, 14, 55–82.

    Article  PubMed  Google Scholar 

  • Mosastra, V. J. (2003). Clinical applications of electroencephalographic biofeedback. In M. S. Schwartz, F. Andrasik (Eds.), Biofeedback: A practitioner’s guide (pp.438-463). New York: Guilford.

    Google Scholar 

  • Moser, D. K., Dracup, K., Woo, M. A., & Stevenson, L. W. (1997). Voluntary control of vascular tone by using skin-temperature biofeedback-relaxation in patients with advanced heart failure. Alternative Therapies in Health and Medicine, 3(1), 51–59.

    PubMed  Google Scholar 

  • Moss, D. (2008). Special Issue: The emergent science and practice of heart rate variability biofeedback. Biofeedback, 36(1), 1–4.

    Google Scholar 

  • Moss, D. & Shaffer, F. (2009). Heart rate variability training. Retreived from: http://www.bfe.org/articles/hrv.pdf

  • Mueller, H. (n.d.). Heart rate variability biofeedback. Learning to change heart rhythms. Retreived from: http://www.drmueller-healthpsychology.com/heart_rate_variability.html

  • Nagai, Y., Cavanna, A., & Critchley, H. D. (2009). Influence of sympathetic autonomic arousal on tics: Implications for a therapeutic behavioral intervention for Tourette syndrome. Journal of Psychosomatic Research, 67(6), 599–605.

    Article  PubMed  Google Scholar 

  • Nagai, Y., Critchley, H. D., Rothwell, J. C., Duncan, J. S., & Trimble, M. R. (2009). Changes in cortical potential associated with modulation of peripheral sympathetic activity in patients with epilepsy. Psychosomatic Medicine, 71(1), 84–92.

    Article  PubMed  Google Scholar 

  • Nagai, Y., Goldstein, L. H., Fenwick, P. B. C., & Trimble, M. R. (2004). Clinical efficacy of galvanic skin response biofeedback training in reducing seizures in adult epilepsy: A preliminary randomized controlled study. Epilepsy & Behavior, 5, 216–223.

    Article  Google Scholar 

  • Nestoriuc, Y., & Martin, A. (2007). Efficacy of biofeedback for migraine: A meta-analysis. Pain, 128, 111–127.

    Article  PubMed  Google Scholar 

  • Nestoriuc, Y., Martin, A., Rief, W., & Andrasik, F. (2008). Biofeedback treatment for headache disorders: A comprehensive efficacy review. Applied Psychophysiology and Biofeedback, 33, 125–140.

    Article  PubMed  Google Scholar 

  • Neuman, N., Strehl, U., & Birbaumer, N. (2003). A primer of electroencephalographic instrumentation. In M. S. Schwartz & F. Andrasik (Eds.), Biofeedback: A practitioner’s guide (3rd ed., pp. 88–102). New York: Guilford Press.

    Google Scholar 

  • Ogden, E., & Shock, N. (1939). Voluntary hypercirculation. American Journal of the Medical Sciences, 98, 329–342.

    Article  Google Scholar 

  • Packard, R. C., & Ham, L. P. (1996). EEG biofeedback in the treatment of Lyme disease: A case study. Journal of Neurotherapy, 1(3), 22–31.

    Article  Google Scholar 

  • Palermo, T. M., Eccleston, C., Lewandowski, A. S., Williams, A. C., & Morley, S. (2010). Randomized controlled trials of psychological therapies for management of chronic pain in childhood and adolescents: An updated meta-analytic review. Pain, 148(3), 387–397.

    Article  PubMed  Google Scholar 

  • Pallavicini, F., Algeri, D., Repetto, C., Gorini, A., & Riva, G. (2009). Biofeedback, virtual reality and mobile phones in the treatment of generalized anxiety disorder (GAD): A phase-2 controlled clinical trial. Journal of CyberTherapy & Rehabilitation, 2(4), 315–327.

    Google Scholar 

  • Palmer, L. S. (2010). Biofeedback in the management of urinary continence in children. Current Urology Reports, 11(2), 122–127.

    Article  PubMed  Google Scholar 

  • Patel, C., & Marmot, M. (1988). Can general practitioners use training in relaxation and management of stress to reduce mild hypertension? British Medical Journal, 296, 21–24.

    Article  PubMed  Google Scholar 

  • Peek, C. J. (2003). A primer of biofeedback instrumentation. In M. S. Schwartz, F. Andrasik (Eds.), Biofeedback: A practitioner’s guide (pp.43-87). New York:Guilford

    Google Scholar 

  • Peniston, E. G., & Kulkosky, P. J. (1999). Neurofeedback in the treatment of addictive disorders. In J. R. Evans (Ed.), Introduction to quantitative EEG and neurofeedback (pp. 157–179). San Diego: Academic Press.

    Chapter  Google Scholar 

  • Rechlin, T., Weis, M., Spitzer, A., & Kaschka, W. P. (1994). Are affective disorders associated with alterations of heart rate variability? Journal of Affective Disorders, 32, 271–275.

    Article  PubMed  Google Scholar 

  • Reid, G. J., & McGrath, P. J. (1996). Psychological treatments for migraine. Biomedical Pharmacotherapy, 50(2), 58–63.

    Article  Google Scholar 

  • Repetto, C., Gorini, A., Algeri, D., Vigna, C., Gaggioli, A., & Riva, G. (2009). The use of biofeedback in clinical virtual reality: The intrepid project. Studies in Health Technology and Informatics, 144, 128–132.

    PubMed  Google Scholar 

  • Rice, B. I. (2007). Clinical benefits of training patients to voluntarily increase peripheral blood flow: The warm feet intervention. The Diabetes Educator, 33(3), 442–454.

    Article  PubMed  Google Scholar 

  • Richards, L., & Pohl, P. (1999). Therapeutic interventions to improve upper extremity recovery and function. Clinical Geriatric Medicine, 15(4), 819–832.

    Google Scholar 

  • Richardson, I., & Palmer, L. S. (2009). Successful treatment for giggle incontinence with biofeedback. Journal of Urology, 182(4 Suppl), 2062–2066.

    Article  PubMed  Google Scholar 

  • Rokicki, L. A., Holroyd, K. A., France, C. R., Lipchik, G. L., France, J. L., & Kvaal, S. A. (1997). Change mechanisms associated with combined relaxation/EMG biofeedback training for chronic tension headache. Applied Psychophysiology and Biofeedback, 22(1), 21–41.

    Article  PubMed  Google Scholar 

  • Rubin, L. R. (1977). Reanimation of the paralyzed face. St. Louis, MD: Mosby.

    Google Scholar 

  • Ryan, M., & Gevirtz, R. (2004). Biofeedback-based psychophysiological treatment in a primary care setting: An initial feasibility study. Applied Psychophysiology and Biofeedback, 29(2), 79–93.

    Article  PubMed  Google Scholar 

  • Scharff, L., Marcus, D. A., & Masek, B. J. (2002). A controlled study of minimal-contact thermal biofeedback treatment in children with migraine. Journal of Pediatric Psychology, 27(2), 109–119.

    Article  PubMed  Google Scholar 

  • Schneider, C. J. (1989). A brief history of biofeedback. Biofeedback, 17(1), 4–7.

    Google Scholar 

  • Schwartz, M. S. (1995). Biofeedback: A practitioner’s guide (2nd ed.). New York: Guilford.

    Google Scholar 

  • Schwartz, M. S., & Andrasik, F. (2003). Biofeedback: A practitioner’s guide (3rd ed.). New York: Guilford.

    Google Scholar 

  • Schwartz, M. S., & Montgomery, D. D. (2003). Entering the field and assuring competence. In M. Schwartz & F. Andrasik (Eds.), Biofeedback: A practitoner’s guide (3rd ed., pp. 20–26). New York: Guilford.

    Google Scholar 

  • Seifert, A. R., & Lubar, J. F. (1975). Reduction of epileptic seizures through EEG biofeedback training. Biological Psychology, 3, 157–184.

    Article  PubMed  Google Scholar 

  • Sharpley, C. F., & Rogers, H. (1984). A meta-analysis of frontal EMG levels with biofeedback and alternative procedures. Biofeedback and Self-Regulation, 9, 385–393.

    Article  PubMed  Google Scholar 

  • Shearn, D. W. (1962). Operant conditioning of heart rate. Science, 137, 530–531.

    Article  PubMed  Google Scholar 

  • Shellenberger, R., & Green, J. (1986). From the ghost in the box to successful biofeedback ­training. Greeley, CO: Health Psychology.

    Google Scholar 

  • Shellenberger, R., & Green, J. (1987). Specific effects of biofeedback versus biofeedback-assisted self-regulation training. Biofeedback and Self-Regulation, 12(3), 185–209.

    Article  PubMed  Google Scholar 

  • Sokhadze, T. M., Cannon, R. L., & Trudeau, D. L. (2008). EEG biofeedback as a treatment for substance use disorders: Review, rating of efficacy, and recommendations for further research. Applied Psychophysiology and Biofeedback, 33(1), 1–28.

    Article  PubMed  Google Scholar 

  • Staples, J. K., Abdel Atti, J. A., & Gordon, J. S. (2011). Mind-body skills groups for posttraumatic stress disorder and depression symptoms in Palestinian children and adolescents in Gaza. International Journal of Stress Management, 18(3), 246–262.

    Article  Google Scholar 

  • Sterman, M. B. (1973). Neurophysiological and clinical studies in an epileptic following sensorimotor EEG biofeedback training: Some effects on epilepsy. In L. Birk (Ed.), Biofeedback: Behavioral medicine. New York: Grune & Stratton.

    Google Scholar 

  • Sterman, M. B., & Egner, T. (2006). Foundation and practice of neurofeedback for the treatment of epilepsy. Applied Psychophysiology and Biofeedback, 31(1), 21–35.

    Article  PubMed  Google Scholar 

  • Sterman, M. B., & Friar, L. (1972). Suppression of seizures in an epileptic following sensorimotor EEG feedback training. Electroencephalography and Clinical Neurophysiology, 33, 89–95.

    Article  PubMed  Google Scholar 

  • Stoyva, J. M., & Budzynski, T. H. (1974). Cultivated low-arousal: An anti-stress response? In L. DiCara (Ed.), Recent advances in limbic and autonomic nervous systems research (pp. 369–394). New York: Plenum Press.

    Chapter  Google Scholar 

  • Stoyva, J. M., & Budzynski, T. H. (1993). Biofeedback methods in the treatment of anxiety and stress disorders. In P. Lehrer & R. Woolfolk (Eds.), Principles and practice of stress management (2nd ed., pp. 263–300). New York: Guilford.

    Google Scholar 

  • Striefel, S. (2007). Ethical and legal electromyography. Biofeedback, 35, 3–7.

    Google Scholar 

  • Striefel, S. (2008). Ethical issues in heart rate variability biofeedback. Biofeedback, 36, 5–8.

    Google Scholar 

  • Surmeli, T., & Ertem, A. (2009). QEEG guided neurofeedback therapy in personality disorders: 13 case studies. Clinical EEG and Neuroscience, 40(1), 5–10.

    Article  PubMed  Google Scholar 

  • Tan, G., Dao, T. K., Sutherland, R. J., & Gevirtz, R. (2011). Heart rate variability (HRV) and posttraumatic stress disorder (PTSD): A pilot study. Applied Psychophysiology and Biofeedback, 36(1), 27–35.

    Article  PubMed  Google Scholar 

  • Tsai, Y.-S., Lai, F.-C., Chen, S.-R., & Jeng, C. (2011). The influence of physical activity level on heart rate variability among asthmatic adults. Journal of Clinical Nursing, 20(1–2), 111–118.

    Article  PubMed  Google Scholar 

  • Tyson, P. D. (1996). Biodesensitization: biofeedback-controlled systematic desensitization of the stress response to infant crying. Biofeedback & Self Regulation, 21(3), 273–290.

    Article  Google Scholar 

  • Varoqui, D., Froger, J., Pélissier, J.-Y., & Bardy, B. G. (2011). Effect of coordination biofeedback on (re)learning preferred postural patterns in post-stroke patients. Motor Control, 15, 187–205.

    PubMed  Google Scholar 

  • Verbunt, M., & Bartneck, C. (2010). Sensing senses: Tactile feedback for the prevention of decubitus ulcers. Applied Psychophysiology and Biofeedback, 35, 243–250.

    Article  PubMed  Google Scholar 

  • Walker, J. E. (2011). QEEG-guided neurofeedback for recurrent migraine headaches. Clinical EEG and Neuroscience, 42(1), 59–61.

    Article  PubMed  Google Scholar 

  • Weatherall, M. (1999). Biofeedback or pelvic floor muscle exercises for female genuine stress incontinence: A meta-analysis of trials identified in a systematic review. BJU International, 83, 1015–1016.

    Article  PubMed  Google Scholar 

  • Wiederhold, B. K., & Rizzo, A. (2005). Virtual reality and applied psychophysiology. Applied Psychophysiology and Biofeedback, 30(3), 183–185.

    Article  PubMed  Google Scholar 

  • Wong, Y. M. (2008). Early-generation biofeedback instruments and modern computers. Biofeedback, 36(3), 116–117.

    Google Scholar 

  • Wood, D. P., Wiederhold, B. K., & Spira, J. (2010). Lessons learned from 350 virtual-reality sessions with warriors diagnosed with combat-related posttraumatic stress disorder. Cyberpsychology, Behavior, and Social Networking, 13(1), 3–11.

    Article  Google Scholar 

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Acknowledgements

We would like to thank Russ Hibler, PhD, ABPP, Affiliate Faculty Loyola University Maryland, for his early review of this chapter.

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  1. School of Medicine, The Johns Hopkins University, Severna Park, MD, USA

    George S. Everly Jr.

  2. Loyola University Mayland, Baltimore, MD, USA

    Jeffrey M. Lating

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Everly, G.S., Lating, J.M. (2013). Biofeedback in the Treatment of the Stress Response. In: A Clinical Guide to the Treatment of the Human Stress Response. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-5538-7_14

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