Applied Psychophysiology and Biofeedback 2025 Evidence: Works

HRV Biofeedback Shows Medium Effect Size for Depression

Summary

Meta-analysis of HRV biofeedback interventions found consistent improvements in both HRV metrics and depression symptoms, with effects comparable to other evidence-based psychological interventions.

Methods

Meta-analysis of 18 RCTs examining HRV biofeedback for mental health

Key Findings

  • Medium effect size (d = 0.5-0.6) for depression symptom reduction
  • HRV improvements correlated with mood improvements
  • 6-10 sessions typically needed for meaningful benefit
  • Effects maintained at follow-up in most studies

Limitations

Varied biofeedback protocols and control conditions

What This Means for You

HRV biofeedback isn't just for athletes—it's a validated intervention for anxiety and depression. Apps like Elite HRV and HeartMath offer accessible entry points, though working with a trained provider may optimize results.

Source

Read the original paper in Applied Psychophysiology and Biofeedback ↗

Added to HRV Zone: 2025-01-07

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