心率变异性生物反馈：理论基础、应用方式及其在物质使用障碍治疗中的潜力。
Heart rate variability biofeedback: Theoretical basis, delivery, and its potential for the treatment of substance use disorders.
作者信息
Eddie David, Vaschillo Evgeny, Vaschillo Bronya, Lehrer Paul
机构信息
Center of Alcohol Studies, Rutgers, the State University of New Jersey, Piscataway, USA.
Robert Wood Johnson Medical School, Rutgers, the State University of New Jersey, Piscataway, USA.
出版信息
Addict Res Theory. 2015;23(4):266-272. doi: 10.3109/16066359.2015.1011625. Epub 2015 Feb 17.
Abstract
Heart rate variability biofeedback (HRV BFB) is a biobehavioural clinical intervention that is gaining growing empirical support for the treatment of a number of psychological disorders, several of which are highly comorbid with substance use disorders (SUDs). The present article reviews the autonomic nervous system bases of two key processes implicated in the formation and maintenance of addictive pathology-affect dysregulation and craving-and asks if HRV BFB may be an effective intervention to ameliorate autonomic nervous system dysregulation in these processes, and as such, prove to be an effective intervention for SUDs. A detailed description of HRV BFB and its delivery is provided. Preliminary evidence suggests HRV BFB may be an effective addendum to current first-line SUD treatments, though no firm conclusions can be drawn at this time; more research is needed.
摘要
心率变异性生物反馈（HRV BFB）是一种生物行为临床干预措施，在治疗多种心理障碍方面获得了越来越多的实证支持，其中几种心理障碍与物质使用障碍（SUDs）高度共病。本文回顾了成瘾性病理形成和维持过程中涉及的两个关键过程——情感失调和渴望——的自主神经系统基础，并探讨HRV BFB是否可能是改善这些过程中自主神经系统失调的有效干预措施，从而证明对SUDs是一种有效的干预措施。文中提供了HRV BFB及其实施方式的详细描述。初步证据表明，HRV BFB可能是当前一线SUD治疗的有效补充，不过目前还无法得出确凿结论；需要更多的研究。
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