A pilot study of heart rate variability biofeedback therapy in the treatment of perinatal depression on a specialized perinatal psychiatry inpatient unit
Open accessAbstract
Heart rate variability biofeedback (HRVB) therapy may be useful in treating the prominent anxiety features of perinatal depression. We investigated the use of this non-pharmacologic therapy among women hospitalized with severe perinatal depression. Three questionnaires, the State Trait Anxiety Inventory (STAI), Warwick-Edinburgh Mental Well-Being Scale, and Linear Analog Self Assessment, were administered to 15 women in a specialized inpatient perinatal psychiatry unit. Participants were also contacted by telephone after discharge to assess continued use of HRVB techniques. The use of HRVB was associated with an improvement in all three scales. The greatest improvement (-13.867, p < 0.001 and -11.533, p < 0.001) was among STAI scores. A majority (81.9 %, n = 9) of women surveyed by telephone also reported continued frequent use at least once per week, and over half (54.6 %, n = 6) described the use of HRVB techniques as very or extremely beneficial. The use of HRVB was associated with statistically significant improvement on all instrument scores, the greatest of which was STAI scores, and most women reported frequent continued use of HRVB techniques after discharge. These results suggest that HRVB may be particularly beneficial in the treatment of the prominent anxiety features of perinatal depression, both in inpatient and outpatient settings.
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Wearable data can provide important biological information about a patient's wellness and has potential for use in biofeedback interventions, which have been demonstrated to reduce mental health symptoms in the perinatal period.
“Not only can this provide important biological information about a patient’s wellness, but it also has the potential for use in biofeedback interventions that have been demonstrated to be successful interventions to reduce mental health symptoms in the perinatal period [72–74].”
From Technology-Based Approaches for Supporting Perinatal Mental Health (2022) · cites this paper as [73]
The Methods describe an earlobe pulse sensor that provides real-time heart-rhythm feedback, and the Results report significantly reduced anxiety scores after biofeedback sessions. However, the device was a desktop system, not evidence about wearable data generally. The Conclusion calls the findings promising and says a controlled study is needed, so describing biofeedback as a demonstrated successful intervention overstates this pilot study. (LLM, conf=0.86)
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- Authors
- Beckham, A. J., Greene, T. B., & Meltzer-Brody, S.
- Affiliations
- University of North Carolina at Chapel Hill (US)
- Corresponding author
- Meltzer-Brody, Samantha
- Venue
- Archives of Women's Mental Health
- Published
- 2012-11-25
- Volume
- 16
- Issue
- 1
- Pages
- 59-65
- ISSN
- 1434-1816 (ISSN-L)
- 1435-1102
- PMC
- PMC3547136
- OpenAlex
- W2113615429
- Cited by
- 62
- References
- 39
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 4 · 2023: 2 · 2022: 4 · 2021: 6 · 2020: 7 · 2019: 4 · 2018: 5 · 2017: 6 · 2016: 4 · 2015: 6 · 2014: 5 · 2013: 6
- FWCI
- 5.25
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Archives of Women s Mental Health (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (K23MH085165)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- heart rate variability biofeedback, perinatal depression, anxiety, non-pharmacological treatment, State-Trait Anxiety Inventory, Warwick-Edinburgh Mental Well-being Scale, maternal mental health
- MeSH terms
- Adult, Anxiety, Biofeedback, Psychology, Depression, Female, Follow-Up Studies, Heart Rate, Humans, Inpatients, Mothers, Pilot Projects, Pregnancy, Pregnancy Complications, Psychiatric Status Rating Scales, Surveys and Questionnaires, Socioeconomic Factors, Treatment Outcome, Depression, Postpartum, Peripartum Period
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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