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Effects of stress management interventions on heart rate variability in adults with cardiovascular disease: a systematic review and meta-analysis.
Gathright, Emily C; Hughes, Joel W; Sun, Shufang; Storlazzi, Laurie E; DeCosta, Julie; Balletto, Brittany L; Carey, Michael P; Scott-Sheldon, Lori A J; Salmoirago-Blotcher, Elena.
Afiliación
  • Gathright EC; Center for Behavioral and Preventive Medicine, The Miriam Hospital, CORO West, Suite 309, 164 Summit Avenue, Providence, RI, 02906, USA. emily_gathright@brown.edu.
  • Hughes JW; Department of Psychiatry and Human Behavior, Alpert School of Medicine, Brown University, Providence, RI, USA. emily_gathright@brown.edu.
  • Sun S; Department of Psychological Sciences, Kent State University, Kent, OH, USA.
  • Storlazzi LE; Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI, USA.
  • DeCosta J; Center for Behavioral and Preventive Medicine, The Miriam Hospital, CORO West, Suite 309, 164 Summit Avenue, Providence, RI, 02906, USA.
  • Balletto BL; Center for Behavioral and Preventive Medicine, The Miriam Hospital, CORO West, Suite 309, 164 Summit Avenue, Providence, RI, 02906, USA.
  • Carey MP; Center for Behavioral and Preventive Medicine, The Miriam Hospital, CORO West, Suite 309, 164 Summit Avenue, Providence, RI, 02906, USA.
  • Scott-Sheldon LAJ; Center for Behavioral and Preventive Medicine, The Miriam Hospital, CORO West, Suite 309, 164 Summit Avenue, Providence, RI, 02906, USA.
  • Salmoirago-Blotcher E; Department of Psychiatry and Human Behavior, Alpert School of Medicine, Brown University, Providence, RI, USA.
J Behav Med ; 47(3): 374-388, 2024 Jun.
Article en En | MEDLINE | ID: mdl-38478157
ABSTRACT
Meta-analysis was used to investigate the potential benefits of stress management interventions (SMIs) on vagally-mediated heart rate variability (HRV) in adults with cardiovascular disease. Electronic bibliographic databases were searched through August 2022. Randomized controlled trials and quasi-experimental studies assessing effects of SMIs on HRV were included. Methodological quality was assessed with a standardized checklist. A pooled effect size was calculated for vagally-mediated HRV indices (standard deviation of normal-to-normal intervals, root mean square of the successive differences, and high frequency power) using random effects models. Fourteen studies (1202 participants, Mage 59 ± 6.25 years; 25% ± 16% women; 61% ± 22% White) were included. Ten studies (11 effects) reported short-term HRV assessment; a small between-group difference emerged for vagally-mediated HRV (d+ = .27, 95% confidence interval [CI] 0.01-0.52, k = 11). Most interventions examined biofeedback; these studies yielded a small between-group difference on vagally-mediated HRV (d+ = 0.31, 95% CI 0.09-0.53, k = 7, Q [6] = 3.82, p = .70, I2 = 11%). This is the first systematic examination of the effect of SMIs on HRV in adults with CVD. Findings suggest a small effect of SMIs on vagally-mediated HRV, with biofeedback likely driving the effect. More research is required to fully understand whether this benefit on vagally-mediated HRV applies to other SMIs.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Estrés Psicológico / Enfermedades Cardiovasculares / Frecuencia Cardíaca Límite: Female / Humans / Male / Middle aged Idioma: En Revista: J Behav Med Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Estrés Psicológico / Enfermedades Cardiovasculares / Frecuencia Cardíaca Límite: Female / Humans / Male / Middle aged Idioma: En Revista: J Behav Med Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos