Anxiety, Depression, and Sleep Disorders: Their Relationship and Reduction with Neurotherapy

Anxiety, Depression, and Sleep Disorders: Their Relationship and Reduction with Neurotherapy

Date: August 2010
Creator: Fisher, Christopher, Alan
Description: This study investigated the relationship among anxiety, depression, and sleep disturbances and the treatment of these three disorders through neurotherapy. Research suggests that these conditions commonly co-occur in the general population and that central nervous system (CNS) arousal may play a primary role in the development and maintenance of these disorders. Several recent studies suggested that neurotherapy, a biofeedback-based treatment for CNS dysregulation, might be an effective treatment for comorbid conditions, particularly the ones of interest here, depression, anxiety, and sleep disturbances. This investigation used a clinical case-series design to assess pre/post neurotherapy changes on objective measures of anxiety, depression, and sleep and to determine whether changes in anxiety and depression then predict improvements in sleep quality. Data for 23 participants (10 males) were obtained from files of adults (Mage = 40.22 years, SD = 16.20) who received at least 15 neurotherapy sessions (M = 47.83 sessions, SD = 22.23) the University of North Texas Neurotherapy Lab. Matched pair t-tests revealed that symptoms of sleep disturbance, depression, and anxiety showed significant improvements following neurotherapy. Neurotherapy treatment effect sizes generally ranged from moderate to large (d = .414 - .849). Multiple regression analysis found that changes in self-reported anxiety symptoms, but ...
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The Effects of Biofeedback on Task Performance

The Effects of Biofeedback on Task Performance

Date: December 2000
Creator: Bruce, Kurt
Description: This experiment attempted to study the effectiveness of biofeedback training on an individual's peak performance while performing a stress-provoking task. In a between subjects design 30 individual college students were divided into 2 groups. One group received auditory biofeedback and relaxation training, and the other group received no training. Both groups met the researcher for 1 hour a week for seven weeks. During each session the participant completed a ten-minute Competition and Coaction (C & C) computer software program (Shea, 1992). The biofeedback equipment recorded the physiological state of each of the participants while he/she performed the C & C task. Both groups' physiological values and C & C scores were compared using the SPSS software. The biofeedback group had statistically lower stress values than the non-biofeedback group (Schwartz, 1995). There was no statistical difference between the 2 groups' C & C scores. The STAI Y-1 and Y-2 anxiety inventories were given to each of the participants at the 1st and 7th session to examine the anxiety differences between the 2 groups. There were no statistical differences between the 2 groups' STAI scores. This study's findings show that individuals can be taught to lower their stress response while performing a ...
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The effects of sequential versus referential montage neurofeedback amplitude training on QEEG measures of phase and coherence.

The effects of sequential versus referential montage neurofeedback amplitude training on QEEG measures of phase and coherence.

Date: August 2008
Creator: Ramezani, Amir
Description: An important clinical research question to be answered in the field of neurofeedback (NF) is whether amplitude training affects connectivity between cortical sites. This study hypothesizes that, following NF amplitude training, there will be a difference in QEEG coherence and phase measures between NF training done using referential montages and using sequential montages. The study examined case files of 16 adult clients from the University of North Texas Neurotherapy Lab who had received NF training that consisted of either referential or sequential placement amplitude training (no coherence training) and who received both pre- and post- treatment QEEGs. Sixty-eight percent of the cases consisted of referential placements, while 34% of the cases consisted of sequential placements. All frontal site phase and coherence abnormal z-scores at pre-treatment were converted to deviation scores and compared by general linear model analysis of variance to post-treatment deviation scores. Effect size r-values and eta square values indicate that differences between referential and sequential electrode placements after NF amplitude training are moderately high. This study shows that referential placements tend to increase phase scores and decrease coherence scores, while sequential placements tend to decrease phase scores and increase coherence scores.
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Effects of heart rate variability biofeedback-assisted stress management training on pregnant women and fetal heart rate measures.

Effects of heart rate variability biofeedback-assisted stress management training on pregnant women and fetal heart rate measures.

Date: August 2008
Creator: Keeney, Janice E.
Description: This study examined effectiveness of heart rate variability (HRV) biofeedback-assisted stress management training in reducing anxiety and stress in pregnant women and the effect of maternal stress management skills practice on fetal heart rate measures in real time. Participants were seven working pregnant women who volunteered in response to recruitment announcements and invitations from cooperating midwives. Reported state and trait anxiety and pregnancy specific stress were measured during five 45- to 50-minute training sessions. Training included bibliotherapy, instruction in the use of emotion-focused stress management techniques, and HRV biofeedback. Subjects used portable biofeedback units for home practice and were encouraged to practice the skills for 20 minutes a day and for short periods of time during stressful life events. At the end of training, fetal heart rate was monitored and concurrent maternal HRV measures were recorded. Repeated measures ANOVA and paired samples t-test analysis of study data revealed no statistically significant reductions in state or trait anxiety measures or in pregnancy specific stress measures. Partial eta squared (n²) and Cohen's d calculations found small to medium effect sizes on the various test scales. Friedman's analysis of variance of biofeedback measures showed a statistically significant decrease in low HRV coherence scores ...
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Heart rhythm variability in persons with chronic pain.

Heart rhythm variability in persons with chronic pain.

Date: August 2008
Creator: Saxon, LaDonna Christine
Description: The present study evaluated the utility of heart rhythm coherence (HRC) feedback to reduce the reported pain intensity of patients enrolled in a multimodal pain management program. Participants were recruited and assigned to a usual treatment group (UT) or a heart rhythm coherence feedback group (UT+HRC). It was hypothesized that UT+HRC participants who achieved heart rhythm coherence would report a reduction of pain intensity, as measured by the McGill Pain Inventory. For those whose pain intensity decreased, it was also expected that their self reported levels of depression as measured by the Beck Depression Inventory-Second Edition and state anger as measured by the State Trait Anger Inventory would decrease. It is also hypothesized that with a reduction in pain levels, anger, and depression, blood pressure would also decrease among those who had high blood pressure prior to the intervention. Multivariate analyses of variance (MANOVA) were used to investigate the relationship between treatment condition, coherence status and pain levels. A series of independent t-tests were utilized to investigate the change in pain, depression, and state anger from baseline to posttest, followed by Pearson product moment correlation coefficients on difference scores to understand the relationship between the outcome variables for Hypothesis 2. ...
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Efficacy of neurofeedback for children with histories of abuse and neglect: Pilot study and meta-analytic comparison to other treatments.

Efficacy of neurofeedback for children with histories of abuse and neglect: Pilot study and meta-analytic comparison to other treatments.

Date: August 2008
Creator: Huang-Storms, Lark
Description: This two-part study investigates the effectiveness of neurofeedback training for reducing behavioral problems commonly observed in abused/neglected children, and compares its efficacy to other treatment interventions with this population. Neuro-developmental sequelae of early relationship trauma are explored as an etiological framework for understanding disturbed affect-regulation, which appears central to the behavioral and emotional difficulties commonly experienced by this pediatric population. It is suggested that neurofeedback teaches children to self-regulate brain rhythmicity mechanisms, which in turn affects global improvements in behavior and mood. The pilot study utilizes records of 20 children removed from their biological homes by Child Protective Services. Children were assessed prior to treatment using the Child Behavior Checklist (CBCL) and the Test of Variables of Attention (TOVA), and again after 30 sessions of individualized, qEEG-guided neurofeedback training. A t-test analysis of pre- and post-scores was computed, and indicated significant improvements following treatment. A meta-analysis of existing literature on treatment interventions with abused/neglected children provides individual and aggregate effect sizes for 33 outcome studies with this clinical population, and contextualizes the results of the present pilot study within other empirically validated treatment modalities. Establishment of an overall effect size for treatment for this pediatric population provides a needed method ...
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Treatment Outcomes Related to EEG-Biofeedback for Chemical Dependency: Changes in MMPI-2™ (University of Minnesota) Personality Measures and Long Term Abstinence Rates

Treatment Outcomes Related to EEG-Biofeedback for Chemical Dependency: Changes in MMPI-2™ (University of Minnesota) Personality Measures and Long Term Abstinence Rates

Date: May 2005
Creator: Callaway, Tonya Gayle
Description: Peniston and Kulkosky (1989, 1990) demonstrated the effectiveness of alpha-theta EEG-Biofeedback (EEG-BFB) in treating inpatient alcoholics noting significant improvements in depression, psychopathology, serum β-endorphin levels, and abstinence rates. The present study is an extension of a previously unpublished replication of the Peniston EEG-BFB protocol with 20 chemically dependent outpatients (Bodenhamer-Davis, Callaway, & DeBeus, 2002). Fifteen subjects were "high risk for re-arrest" probationers. Data for the EEG-BFB group was collected from archival records. Subjects completed an average of 39 sessions (SD = 6.096), with 33 of those being EEG-BFB. Pre/post-treatment MMPI-2s™ (University of Minnesota) were collected and follow-up (4-11 years) data obtained (abstinence rates, re-arrests in some cases). Treatment effects were evaluated by comparing assessment data (pre/post) and documenting abstinence rates. Post-treatment MMPI-2 results were within normal limits, with several scales significantly reduced from baseline suggesting less psychopathology. Results were then compared to 20 subjects receiving standard addiction treatment (OT-CD group), but not EEG-BFB. OT-CD subjects completed a 2-week inpatient program followed by 18 outpatient sessions. Pre/post assessment and follow-up data was collected on the OT-CD group. The OT-CD group's post-assessment results showed three elevations (MMPI-2 scales 4/6/8), suggestive of characteriological problems. Post-MMPI-2 results of the two groups were compared via ...
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Effect of Biofeedback-Assisted Relaxation Therapy on the Psychophysiological Measures of Stressed-Out Working Professional Mothers

Effect of Biofeedback-Assisted Relaxation Therapy on the Psychophysiological Measures of Stressed-Out Working Professional Mothers

Date: May 2006
Creator: Valdez, Diana Carol
Description: This study was designed to determine the effectiveness of biofeedback-assisted relaxation therapy on reducing psychophysiological stress levels of working professional mothers. Participants were 14 working professional mothers from a major daily newspaper. Reported stress levels were measured with the 123 question Stress Profile (Nowack, 1990) three times during the eight week treatment study that was held at the women's workplace. A repeated measure ANOVA design was used to analyze the data and a partial eta squared was used to calculate effect size. As hypothesized, the study found a statistically significant reduction of reported stress levels (F=8.62; p=.001) and a statistically significant (F=3.65; p=.01) reduction in measured muscle tension across subjects. Practical significance (effect size) was found for reduction in reported stress levels (n=.39) and reduction in muscle tension (n=.21).
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The Effects of Biofeedback and Verbal Feedback on the Training and Maintenance of Diaphragmatic Breathing

The Effects of Biofeedback and Verbal Feedback on the Training and Maintenance of Diaphragmatic Breathing

Date: May 2003
Creator: Armstrong, Earl E.
Description: The purpose of this study was to evaluate the effects of a computer program on the training and maintenance of diaphragmatic breathing. The biofeedback portion was visual computer training and the results were displayed concurrently with participants' breathing responses to monitor display. The verbal feedback portion was praise that was given and recorded when participants responded with predominantly diaphragmatic breathing at the scheduled moment and response instruction that was given when participants responded with predominantly thoracic breathing. The results of this study indicate the computer program's effectiveness needs to be increased by supplementation with verbal feedback.
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Treatment Effects Related to EEG-Biofeedback for Crack Cocaine Dependency: Changes in Personality and Attentional Variables

Treatment Effects Related to EEG-Biofeedback for Crack Cocaine Dependency: Changes in Personality and Attentional Variables

Access: Use of this item is restricted to the UNT Community.
Date: August 2005
Creator: Burkett, Virginia Shannon
Description: EEG biofeedback (neurotherapy) has been demonstrated as effective in the treatment of alcoholism, as evidenced by Peniston and Kulkosky's research efforts. These neurotherapy pioneers evaluated the efficacy of alpha-theta brain wave biofeedback as a treatment for chronic alcohol abuse, citing 80% abstinence rates as measured by improvements in psychopathology, serum beta endorphin levels, and long-term alcohol abstinence. Most research with alpha-theta EEG biofeedback has addressed alcohol addiction. Cocaine is now considered to be the most common drug problem of patients entering treatment for drug abuse. To date, only one controlled study has been published that researched alpha-theta neurofeedback in the treatment of "crack" cocaine addiction. The present study was an extension of a 4-year EEG-biofeedback treatment outcome project underway at a faith-based homeless mission in Houston, Texas, with male "crack" cocaine addicts. Changes in personality, attention, and impulsivity were measured following 30 sessions of a non-individualized EEG -biofeedback protocol. Experimental subjects received a variant of the Peniston-Kulkosky alpha-theta protocol for 30 sessions while controls received all elements of the experimental protocol except the EEG biofeedback. Assessment measures included the MMPI-2 and the IVA. Although experimental subjects showed greater mean improvement on most MMPI basic scales and all IVA Attention related ...
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