Heart rate variability biofeedback acutely improves attentional control
only in highly stressed individuals
Abstract
Vagally mediated heart rate variability is an index of autonomic nervous
system activity that is associated with a large variety of outcome
variables including psychopathology and self-regulation. While
practicing heart rate variability biofeedback over several weeks has
been reliably associated with a number of positive outcomes, its acute
effects are not well known. Because the strongest association with heart
rate variability has been found particularly within the
attention-related subdomain of self-regulation, we investigated the
acute effect of heart rate variability biofeedback on attentional
control using the revised Attention Network Test (ANT-R). Fifty-six
participants were tested in two sessions. In one session each subject
received a heart rate variability biofeedback intervention, and in the
other session a control intervention of paced breathing at a normal
ventilation rate. After the biofeedback or control intervention,
participants completed the ANT-R using the Orienting Score as a measure
of attentional control. Mixed models revealed that higher resting
baseline heart rate variability (RMSSD) was associated with better
performance in attentional control, which suggests more efficient
direction of attention to target stimuli. There was no significant main
effect of the intervention on attentional control. However, an
interaction effect indicated better performance in attentional control
after biofeedback in individuals who reported higher current stress
levels. The results point to acute beneficial effects of heart rate
variability biofeedback on cognitive performance in highly stressed
individuals. Although promising, the results need to be replicated in
larger or more targeted samples in order to reach stronger conclusions
about the effects.