Expertise Unit Psychology, Technology & Society, Thomas More University of Applied Sciences, Molenstraat 8, 2018, Antwerp, Belgium.
LUCAS, Centre for Care Research and Consultancy, KU Leuven, Leuven, Belgium.
Appl Psychophysiol Biofeedback. 2019 Jun;44(2):71-82. doi: 10.1007/s10484-018-09427-7.
Current mental healthcare systems experience difficulties meeting the challenges of a growing population with elevated stress symptoms. Outpatient stress management interventions have already proven to be effective in routine care and recent technological advances now allow to expand such interventions, for example by adding a physiological component like biofeedback. Adding biofeedback to stress management interventions appears promising, but there is a lack of insight into the general conceptualization and evaluation of the resulting interventions, both in relation to psychological and physiological stress indicators. A comprehensive literature search was performed to investigate stress management interventions with a biofeedback component. This systematic review provides an overview of these interventions and explores to what extent they can improve both physiological and psychological indicators of stress. Fourteen RCTs were included. A large diversity was observed in intervention design and effectiveness. Nevertheless, there is preliminary evidence that the use of biofeedback can improve both physiological and psychological indicators of stress. Biofeedback could provide an accessible and low-cost addition to stress interventions. Further research into the effectiveness of different components of biofeedback interventions is needed.
当前的精神卫生保健系统在应对压力症状不断上升的人口挑战方面遇到困难。门诊压力管理干预措施已被证明在常规护理中是有效的，而最近的技术进步现在允许扩大这些干预措施，例如通过添加生物反馈等生理成分。将生物反馈添加到压力管理干预措施中似乎很有前景，但对于由此产生的干预措施的总体概念化和评估，无论是与心理还是生理压力指标相关，都缺乏了解。进行了全面的文献检索，以调查具有生物反馈成分的压力管理干预措施。本系统评价概述了这些干预措施，并探讨了它们在多大程度上可以改善生理和心理压力指标。共纳入 14 项 RCT。干预设计和效果存在很大差异。尽管如此，有初步证据表明，生物反馈的使用可以改善生理和心理压力指标。生物反馈可以为压力干预措施提供一种易于获得且低成本的附加手段。需要进一步研究生物反馈干预措施不同组成部分的有效性。
