心率变异性生物反馈：它是如何以及为何起作用的？

Department of Psychiatry, Rutgers - Robert Wood Johnson Medical School Piscataway, NJ, USA.

California School of Professional Psychology, Alliant University San Diego, CA, USA.

Front Psychol. 2014 Jul 21;5:756. doi: 10.3389/fpsyg.2014.00756. eCollection 2014.

In recent years there has been substantial support for heart rate variability biofeedback (HRVB) as a treatment for a variety of disorders and for performance enhancement (Gevirtz, 2013). Since conditions as widely varied as asthma and depression seem to respond to this form of cardiorespiratory feedback training, the issue of possible mechanisms becomes more salient. The most supported possible mechanism is the strengthening of homeostasis in the baroreceptor (Vaschillo et al., 2002; Lehrer et al., 2003). Recently, the effect on the vagal afferent pathway to the frontal cortical areas has been proposed. In this article, we review these and other possible mechanisms that might explain the positive effects of HRVB.

近年来，心率变异性生物反馈（HRVB）作为治疗各种疾病和提高表现的方法得到了大量支持（Gevirtz，2013）。由于哮喘和抑郁等各种不同的病症似乎都对这种心肺反馈训练有反应，因此可能的机制问题变得更加突出。最有可能的支持机制是增强压力感受器中的体内平衡（Vaschillo 等人，2002；Lehrer 等人，2003）。最近，有人提出了这种方法对通向额叶皮质区域的迷走传入途径的影响。在本文中，我们将回顾这些和其他可能的机制，这些机制可能解释了 HRVB 的积极影响。