Abstract
Technology allows innovative ways to perform biofeedback: virtual reality is a promising tool to improve the sense of involvement in the activity reducing the gap between the subject and the kind of feedback given. In this manuscript we report the efficacy of 4-session short protocol of virtual reality enhanced biofeedback with patients suffering from physical symptoms related to clinical conditions marked out by high arousal, i.e. anxiety disorders and hypertension. Preliminary results suggest that biofeedback reduces both state anxiety and anxiety sensitivity. Future research should compare the short protocol with other biofeedback intervention, both virtual and traditional ones.
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References
Bagby, R.M., Parker, J.D.A., Taylor, G.J.: The twenty-item Toronto Alexithymia Scale I. Item selection and cross validation of the factor structure. J. Psychosom. Res. 38, 23–32 (1994)
Beauchamp, M.K., Harvey, R.H., Beauchamp, P.H.: An integrated biofeedback and psychological skills training program for Canada’s Olympic short-track speedskating team. J. Clin. Sport Psychol. 6(1), 67 (2012)
Bouchard, S., St-Jacques, J., Robillard, G., Renaud, P.: Anxiety increases the feeling of presence in virtual reality. Presence Teleoperators Virtual Environ. 17(4), 376–391 (2008)
Budzynski, T.H.: Virtual reality biofeedback: a brief concept paper. Biofeedback 23, 12–13 (1995)
Frank, D.L., Khorshid, L., Kiffer, J.F., Moravec, C.S., McKee, M.G.: Biofeedback in medicine: who, when, why and how? Mental Health Fam. Med. 7(2), 85–91 (2010)
Gaggioli, A., Pallavicini, F., Morganti, L., Serino, S., Scaratti, C., Briguglio, M., Crifaci, G., Vetrano, N., Giulintano, A., Bernava, G., Tartarisco, G., Pioggia, G., Grassi, A., Baruffi, M., Wiederhold, B., Riva, G.: Experiential virtual scenarios with real-time monitoring (interreality) for the management of psychological stress: a block randomized controlled trial. J. Med. Internet Res. 16(7) (2014)
Gorini, A., Pallavicini, F., Algeri, D., Repetto, C., Gaggioli, A., Riva, G.: Virtual reality in the treatment of generalized anxiety disorders. Stud. Health Technol. Inform. 154, 39–43 (2010)
Huang, H., Wolf, S.L., He, J.: Recent developments in biofeedback for neuromotor rehabilitation. J. Neuroeng. Rehabil. 3, 11 (2006)
Ijsselsteijn, W.A., Riva, G.: Being there: the experience of presence in mediated environments. In: Riva, G., Davide, F., Ijsselsteijn, W. (eds.) Being There: Concepts, Effects and Measurement of User Presence in Synthetic Environments. Ios Press, Amsterdam (2003)
Macor, A., Pedrabissi, L., Santinello, M.: Ansia di stato e di tratto: ulteriore contributo alla verifica della validita psicometrica e teorica dello S.T.A.I. forma Y di Spielberger. Psicologia e società 15(1/3), 67–74 (1990)
Mailer, R.G., Reiss, S.: Anxiety sensitivity in 1984 and panic attacks in 1987. J. Anxiety Disord. 6, 241–247 (1992)
McNally, R.J.: Panic Disorder: A Critical Analysis. Guilford Press, New York (1994)
Nakao, M., Yano, E., Nomura, S., Kuboki, T.: Blood pressure-lowering effects of biofeedback treatment in hypertension: a meta-analysis of randomized controlled trials. Hypertens. Res.: Official J. Jpn. Soc. Hypertens. 26(1), 37–46 (2003)
Pallavicini, F., Algeri, D., Repetto, C., Gorini, A., Riva, G.: Biofeedback, virtual reality and mobile phones in the treatment of generalized anxiety disorder (GAD): a phase-2 controlled clinical trial. J. CyberTherapy Rehabil. 2(4), 315–327 (2009). (Aprile)
Palomba, D., Ghisi, M., Scozzari, S., Sarlo, M., Bonso, E., Dorigatti, F., Palatini, P.: Biofeedback-assisted cardiovascular control in hypertensives exposed to emotional stress: a pilot study. Appl. Psychophysiol. Biofeedback 36(3), 185–192 (2011)
Patla, A.E., Marteniuk, R.G.: Bio-feedback and principles of motor learning in the rehabilitation of movement disorders. Principles Pract. Restorative Neurol. Butterworths Int. Med. Rev. 11, 93 (2013)
Peterson, R.A., Reiss, S.: Test Manual for the Anxiety Sensitivity Index. International Diagnostic Systems, Orland Park (1987)
Repetto, C., Gorini, A., Vigna, C., Algeri, D., Pallavicini, F., Riva, G.: The use of biofeedback in clinical virtual reality: the INTREPID project. J. Vis. Exp. JoVE (33), 128–132 (2009)
Repetto, C., Gaggioli, A., Pallavicini, F., Cipresso, P., Raspelli, S., Riva, G.: Virtual reality and mobile phones in the treatment of generalized anxiety disorders: a phase-2 clinical trial. Pers. Ubiquit. Comput. 17(2), 253–260 (2013)
Riva, G., Mantovani, F., Capideville, C.S., Preziosa, A., Morganti, F., Villani, D., Gaggioli, A., Botella, C., Alcañiz, M.: Affective interactions using virtual reality: the link between presence and emotions. CyberPsychol. Behav. 10(1), 45–56 (2007)
Riva, G., Gaggioli, A., Grassi, A., Raspelli, S., Cipresso, P., Pallavicini, F., Vigna, C., Gagliati, A., Gasco, S., Donvito, G.: NeuroVR 2-a free virtual reality platform for the assessment and treatment in behavioral health care. In: MMVR, pp. 493–495 (2011)
Schein, M. H., Gavish, B., Herz, M., Rosner-Kahana, D., Naveh, P., Knishkowy, B., Zlotnikov, E., Ben-Zvi, N., Melmed, R.N.: Treating hypertension with a device that slows and regularises breathing: a randomised, double-blind controlled study. J. Hum. Hypertens. 15(4), 271–278 (2001)
Serino, S., Cipresso, P., Gaggioli, A., Riva, G.: The potential of pervasive sensors and computing for positive technology: the interreality paradigm. In: Mukhopadhyay, S.C., Postolache, O.A. (eds.) Pervasive and Mobile Sensing and Computing for Healthcare. SSMI, vol. 2, pp. 207–232. Springer, Heidelberg (2013)
Spielberger, C.D., Gorsuch, R.L., Lushene, R.E.: Manual for the State-Trait Anxiety Inventory. Consulting Psychologists Press, Palo Alto (1970)
Telch, M.J., Shermis, M.D., Lucas, J.A.: Anxiety sensitivity: unitary personality trait or domain-specific appraisals? J. Anxiety Disord. 3, 25–32 (1989)
Yucha, C.B., Clark, L., Smith, M., Uris, P., LaFleur, B., Duval, S.: The effect of biofeedback in hypertension. Appl. Nurs. Res. 14(1), 29–35 (2001)
Yucha, C.B., Tsai, P.S., Calderon, K.S., Tian, L.: Biofeedback-assisted relaxation training for essential hypertension: who is most likely to benefit? J. Cardiovasc. Nurs. 20(3), 198–205 (2005)
Wells, R., Outhred, T., Heathers, J.A.J., Quintana, D.S., Kemp, A.H.: Matter over mind: a randomised-controlled trial of single-session biofeedback training on performance anxiety and heart rate variability in musicians. PLoS ONE 7(10), e46597 (2012). doi:10.1371/journal.pone.0046597
Wheat, A.L., Larkin, K.T.: Biofeedback of heart rate variability and related physiology: a critical review. Appl. Psychophysiol. Biofeedback 35(3), 229–242 (2010)
Wiederhold, B.K., Wiederhold, M.D.: Virtual reality therapy for anxiety disorders: advances in evaluation and treatment. American Psychological Association (2005)
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Morganti, L., Cucchi, M. (2016). Virtual Reality Enhanced Biofeedback: Preliminary Results of a Short Protocol. In: Serino, S., Matic, A., Giakoumis, D., Lopez, G., Cipresso, P. (eds) Pervasive Computing Paradigms for Mental Health. MindCare 2015. Communications in Computer and Information Science, vol 604. Springer, Cham. https://doi.org/10.1007/978-3-319-32270-4_12
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DOI: https://doi.org/10.1007/978-3-319-32270-4_12
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