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Heart rate variability biofeedback for college students recovering from substance use disorder

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TitleInfo
Title
Heart rate variability biofeedback for college students recovering from substance use disorder
SubTitle
a longitudinal analysis of craving changes
Name (type = personal)
NamePart (type = family)
Alayan
NamePart (type = given)
Nour
NamePart (type = date)
1983-
DisplayForm
Nour Alayan
Role
RoleTerm (authority = RULIB)
author
Name (type = personal)
NamePart (type = family)
Eller
NamePart (type = given)
Lucille
DisplayForm
Lucille Eller
Affiliation
Advisory Committee
Role
RoleTerm (authority = RULIB)
chair
Name (type = corporate)
NamePart
Rutgers University
Role
RoleTerm (authority = RULIB)
degree grantor
Name (type = corporate)
NamePart
Graduate School - Newark
Role
RoleTerm (authority = RULIB)
school
TypeOfResource
Text
Genre (authority = marcgt)
theses
OriginInfo
DateCreated (qualifier = exact)
2017
DateOther (qualifier = exact); (type = degree)
2017-10
CopyrightDate (encoding = w3cdtf); (qualifier = exact)
2017
Place
PlaceTerm (type = code)
xx
Language
LanguageTerm (authority = ISO639-2b); (type = code)
eng
Abstract (type = abstract)
Purpose: The purpose of this dissertation was to provide longitudinal evidence on heart rate variability biofeedback (HRVB) as an anti-craving intervention for college students recovering from substance use disorder (SUD). Methods: Previous studies showed promise of the therapeutic potential of HRVB to reduce substance craving. Gaps in the literature indicated the need for a longitudinal examination of craving changes that takes individual differences into consideration. Data from 46 college students recovering from SUD were used to examine craving changes before and during an eight-session HRVB intervention. Participants were assessed at four occasions in the control condition over the first 12 weeks followed by 8 occasions in the experimental condition, separated by an 11-week rest period. A longitudinal multilevel modeling approach was used with time at level-1 nested within persons at level-2. Unconditional and conditional multilevel models of change were estimated to model craving trajectories and predictor relationships over time. Results: Significant reductions in substance craving were observed during HRVB compared to waitlist. HRVB seemed to enhance the efficacy of conventional therapies by producing craving reductions that were not evident prior to the HRVB intervention despite usual treatment. A continued daily HRVB practice of more than 12 minutes was found to enhance treatment as usual outcomes and contribute to greater craving reductions over time. In our sample, younger participants seemed to be more committed to daily HRVB practice, although many did not achieve the recommended daily practice of 15 minutes twice daily. Increases in depressive symptoms were found to attenuate the effects of HRVB on craving. Anxiety and perceived stress were not significantly associated with craving in this study. The true R2 for the final model indicated that 20.5% of the variance in craving was explained by age, daily HRVB >12 minutes, and the within-person aspect of depression. Conclusions: HRVB is an easily accessible and affordable intervention that shows promise as a complementary anti-craving intervention. The outcomes of this study have implications for hypothesized HRVB practice-dose relationships. Nurses may help persons recovering from SUD to better manage the symptom of craving by the routine and strategic use of personal HRVB practice.
Subject (authority = RUETD)
Topic
Nursing
RelatedItem (type = host)
TitleInfo
Title
Rutgers University Electronic Theses and Dissertations
Identifier (type = RULIB)
ETD
Identifier
ETD_8237
PhysicalDescription
Form (authority = gmd)
electronic resource
InternetMediaType
application/pdf
InternetMediaType
text/xml
Extent
1 online resource (x, 138 p. : ill.)
Note (type = degree)
Ph.D.
Note (type = bibliography)
Includes bibliographical references
Subject (authority = ETD-LCSH)
Topic
Substance abuse
Subject (authority = ETD-LCSH)
Topic
Heart beat
Note (type = statement of responsibility)
by Nour Alayan
RelatedItem (type = host)
TitleInfo
Title
Graduate School - Newark Electronic Theses and Dissertations
Identifier (type = local)
rucore10002600001
Location
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NjNbRU
Identifier (type = doi)
doi:10.7282/T3DF6V9Z
Genre (authority = ExL-Esploro)
ETD doctoral
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Rights

RightsDeclaration (ID = rulibRdec0006)
The author owns the copyright to this work.
RightsHolder (type = personal)
Name
FamilyName
Alayan
GivenName
Nour
Role
Copyright Holder
RightsEvent
Type
Permission or license
DateTime (encoding = w3cdtf); (point = start); (qualifier = exact)
2017-06-20 22:41:15
AssociatedEntity
Name
Nour Alayan
Role
Copyright holder
Affiliation
Rutgers University. Graduate School - Newark
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.
RightsEvent
DateTime (encoding = w3cdtf); (point = start); (qualifier = exact)
2018-08-29
DateTime (encoding = w3cdtf); (point = end); (qualifier = exact)
2019-10-31
Type
Embargo
Detail
Access to this PDF has been restricted at the author's request. It will be publicly available after October 31st, 2019.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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Technical

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ETD
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windows xp
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DateCreated (point = end); (encoding = w3cdtf); (qualifier = exact)
2017-06-21T21:17:09
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2017-06-21T21:17:09
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