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Heart rate variability biofeedback in the treatment of major depression

Descriptive

TitleInfo
Title
Heart rate variability biofeedback in the treatment of major depression
Name (type = personal)
NamePart (type = family)
Breach
NamePart (type = given)
Nasya Brenda
NamePart (type = date)
1981-
DisplayForm
Nasya Breach
Role
RoleTerm (authority = RULIB)
author
Name (type = personal)
NamePart (type = family)
Katsamanis
NamePart (type = given)
Maria
DisplayForm
Maria Katsamanis
Affiliation
Advisory Committee
Role
RoleTerm (authority = RULIB)
chair
Name (type = personal)
NamePart (type = family)
Morgan
NamePart (type = given)
Donald
DisplayForm
Donald Morgan
Affiliation
Advisory Committee
Role
RoleTerm (authority = RULIB)
internal member
Name (type = corporate)
NamePart
Rutgers University
Role
RoleTerm (authority = RULIB)
degree grantor
Name (type = corporate)
NamePart
Graduate School of Applied and Professional Psychology
Role
RoleTerm (authority = RULIB)
school
TypeOfResource
Text
Genre (authority = marcgt)
theses
Genre (authority = ExL-Esploro)
ETD doctoral
OriginInfo
DateCreated (qualifier = exact)
2012
DateOther (qualifier = exact); (type = degree)
2012-10
CopyrightDate (qualifier = exact)
2012
Place
PlaceTerm (type = code)
xx
Language
LanguageTerm (authority = ISO639-2b); (type = code)
eng
Subject (authority = RUETD)
Topic
Clinical Psychology
Subject (authority = ETD-LCSH)
Topic
Heart beat
Subject (authority = ETD-LCSH)
Topic
Depression, Mental
RelatedItem (type = host)
TitleInfo
Title
Rutgers University Electronic Theses and Dissertations
Identifier (type = RULIB)
ETD
RelatedItem (type = host)
TitleInfo
Title
Graduate School of Applied and Professional Psychology Electronic Theses and Dissertations
Identifier (type = local)
rucore10001800001
Identifier
ETD_4381
Identifier (type = hdl)
http://hdl.rutgers.edu/1782.1/rucore10001800001.ETD.000066497
Identifier (type = doi)
doi:10.7282/T3J96549
PhysicalDescription
Form (authority = gmd)
electronic resource
InternetMediaType
application/pdf
InternetMediaType
text/xml
Extent
viii, 114 p. : ill.
Note (type = degree)
Psy.D.
Note (type = bibliography)
Includes bibliographical references
Note (type = statement of responsibility)
by Nasya Brenda Breach
Location
PhysicalLocation (authority = marcorg); (displayLabel = Rutgers, The State University of New Jersey)
NjNbRU
Abstract (type = abstract)
Major depressive disorder is the most common mood disorder and is one of the most burdensome and disabling diseases in the world. Prevailing approaches to treating depression have a number of significant limitations and drawbacks. Consequently, alternative and adjunctive treatments for depression are being increasingly explored. The role of autonomic nervous system functioning in the etiology of depression has been examined, and depression has been found to be associated with sympathetic predominance and parasympathetic impairment. This decreased parasympathetic modulation has been attributed to impaired activity of the vagus nerve, as indexed by attenuated heart rate variability (HRV) at the respiratory frequency. Areas of the brain that areinvolved in emotion regulation influence vagus nerve functioning. HRV biofeedback has been shown to be a modality through which individuals can learn to increase the amplitude of their HRV oscillations by breathing at specific rates. Through HRV biofeedback, the vagus nerve is thought to be stimulated in such a way that promotes autonomic balance and improved emotion regulation. Previous research suggests that HRV biofeedback may significantly reduce depression symptoms. The current study was a preliminary efficacy, randomized controlled trial that intended to follow-up an open label pilot study previously conducted by this lab, which found HRV biofeedback to be effective at significantly reducing depressive symptoms. The primary goal was to evaluate the efficacy of a HRV biofeedback protocol by comparing it to a sham control protocol with similar demand characteristics. The study also sought to evaluate the feasibility, tolerability and effectiveness of this placebo. Eleven participants were recruited from the UMDNJ-University Behavioral Health Care population and surrounding communities, and were randomized to a treatment group, receiving ten weeks of HRV biofeedback training and home practice, or a control group, receiving ten weeks of sham respiratory biofeedback training and home practice. Primary outcome measures were the HAMD and the BDI-II—assessed at baseline, week four, week seven, and week ten. Results indicated no significant differences in depression symptom improvement between groups, although significant main effects for time were observed for both groups (p<.05). Results did, however, support the utility, feasibility, and tolerability of the credible sham respiratory control protocol.
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Rights

RightsDeclaration (ID = rulibRdec0006)
The author owns the copyright to this work.
RightsHolder (type = personal)
Name
FamilyName
Breach
GivenName
Nasya
Role
Copyright Holder
RightsEvent
Type
Permission or license
DateTime (encoding = w3cdtf); (qualifier = exact); (point = start)
2012-10-09 10:21:58
AssociatedEntity
Name
Nasya Breach
Role
Copyright holder
Affiliation
Rutgers University. Graduate School of Applied and Professional Psychology
AssociatedObject
Type
License
Name
Author Agreement License
Detail
I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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