Schmidt Kira, Schlicht Maike, Deutschendorf Lina, Smets Lena, Bäuerle Alexander, Teufel Martin
Clinic for Psychosomatic Medicine and Psychotherapy, LVR-University Hospital Essen, University of Duisburg-Essen, 45147 Essen, Germany.
Center for Translational Neuro- and Behavioral Sciences (C-TNBS), University of Duisburg-Essen, 45147 Essen, Germany.
J Clin Med. 2025 May 16;14(10):3491. doi: 10.3390/jcm14103491.
: Biofeedback (BFB) has long been a successful treatment for various mental health disorders. The purpose of this scoping review is to investigate the implementation of BFB in inpatient treatment concepts for the therapy of mental health disorders. : Through a systematic search via Medline, PubMed, and the Web of Science, as well as a manual search in Google Scholar and reference lists, relevant articles published up to 30 December 2024 were identified. Studies were included if they focused on BFB interventions to treat mental health disorders in inpatient settings and were published in English or German. Studies were assessed by two independent raters, and key information was summarized in a shared document. : This scoping review analyzed 20 articles published between 1979 and 2022, examining BFB in inpatient settings for various mental health disorders, i.e., obsessive-compulsive disorder, depression, anxiety, substance use disorders, schizophrenia, and eating disorders. Positive outcomes were observed in symptoms, stress reduction, and improvements in cardiac autonomic and motor functions. The duration and frequency of the sessions varied widely, and different methodologies were used across studies, including controlled sessions and self-administered exercises. : Most BFB inpatient studies showed positive effects on clinical symptoms. There was a broad heterogeneity of the studies. Comparisons are limited, making it challenging to give general recommendations for BFB implementation. The issue remains whether a methodologically consistent approach is necessary for clinical success.
生物反馈(BFB)长期以来一直是治疗各种心理健康障碍的成功方法。本综述的目的是研究BFB在心理健康障碍治疗的住院治疗概念中的应用。通过对Medline、PubMed和科学网进行系统检索,以及在谷歌学术和参考文献列表中进行手动检索,确定了截至2024年12月30日发表的相关文章。如果研究聚焦于在住院环境中治疗心理健康障碍的BFB干预措施,且以英文或德文发表,则纳入研究。由两名独立评估者对研究进行评估,并将关键信息汇总在一份共享文件中。本综述分析了1979年至2022年间发表的20篇文章,研究了住院环境中针对各种心理健康障碍(即强迫症、抑郁症、焦虑症、物质使用障碍、精神分裂症和饮食失调)的BFB。在症状、压力减轻以及心脏自主神经和运动功能改善方面观察到了积极结果。治疗疗程的时长和频率差异很大,不同研究采用了不同方法,包括对照疗程和自我实施的练习。大多数BFB住院研究显示对临床症状有积极影响。研究存在广泛的异质性。比较有限,因此难以就BFB的实施给出一般性建议。临床成功是否需要一种方法学上一致的方法这一问题仍然存在。