Applied Psychophysiology and Biofeedback 2025 Evidence: Works

Remote HRV Biofeedback Effective for Depression and Anxiety

Summary

Meta-analysis of remote HRV biofeedback interventions found medium effect sizes for improving depression, anxiety, and stress symptoms, supporting app-based biofeedback as accessible mental health intervention.

Methods

Systematic review and meta-analysis of remote HRV biofeedback studies

Key Findings

  • Medium effect size (g = 0.41) for depression improvement
  • Similar effects for anxiety and stress reduction
  • HRV itself also improved (g = 0.44)
  • Remote delivery as effective as in-person for many outcomes

Limitations

Varied protocols and control conditions across studies

What This Means for You

You don't need a clinic for HRV biofeedback—apps work. Regular practice with biofeedback apps like Elite HRV or HeartMath can meaningfully reduce anxiety and depression symptoms over time.

Source

Read the original paper in Applied Psychophysiology and Biofeedback ↗

Added to HRV Zone: 2025-01-07

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