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Clinical Psychology and Special Education
2025. Vol. 14, no. 1, 169–183
doi:10.17759/cpse.2025140110
ISSN: 2304-0394 (online)

Short-term program of mindfulness-based therapy for anxiety disorders using biofeedback: a pilot study

 
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Abstract

This study is intended to determine the preliminary effectiveness of a short-term 10-day program for the treatment of anxiety disorders using methods of mindfulness formation using biofeedback (biofeedback). The sample size was 94 patients of the psychotherapy department of the Clinic of Nervous Diseases named after A.Y. Kozhevnikov Clinical Center of Sechenov University (68.1% women and 31.9% men) with a mean age of years (M = 43.52, SD = 13.58) met the study criteria and completed the program. Subjects were randomized into three groups: (1) mindfulness program using adaptive biocontrol methods (without medication support) (OBT — mindfulness and biofeedback), (2) medication treatment of anxiety disorder (MT — medication therapy), and (3) combination of medication therapy methods and mindfulness program using biofeedback methods (CT — combination therapy). Outcomes were assessed at baseline, after 10 days of treatment, and 1 month post-treatment. At the end-of-program follow-up point, patients whose therapy programs included a short-term program of mindfulness and biofeedback practices (OBT and CT groups) showed the best results in reducing anxiety, somatic symptoms, and increasing mindfulness factors. The results were maintained during a one-month follow-up period. The results warrant a larger study to identify predictors of therapy.

General Information

Keywords: mindfulness, anxiety disorders, biofeedback, neurofeedback, meditation, adaptive biofeedback, formal meditations

Journal rubric: Applied Research

Article type: scientific article

DOI: https://doi.org/10.17759/cpse.2025140110

Received 27.09.2024

Accepted

Published

For citation: Ruzinova, V.M., Kiseleva, M.G., Vovel, B.A., Kushu, Z.R. (2025). Short-term program of mindfulness-based therapy for anxiety disorders using biofeedback: a pilot study. Clinical Psychology and Special Education, 14(1), 169–183. (In Russ.). https://doi.org/10.17759/cpse.2025140110

© Ruzinova V.M., Kiseleva M.G., Vovel B.A., Kushu Z.R., 2025

License: CC BY-NC 4.0

References

  1. Golubev, A.M., Dorosheva, E.A. (2018). Psychometrical characteristics and applied features of a Russian version of Five Facet Mindfulness Questionnaire (FFMQ). Siberian journal of psychology, 69, 46—68. (In Russ.). https://doi.org/10.17223/17267080/69/3
  2. Dement'eva, N.F. (1981). Anxiety affect in the clinic of mental illness. Methodological recommendations. Moscow. (In Russ.).
  3. World mental health report: transforming mental health for all. Executive summary. (2022). Geneva: World Health Organization.
  4. Zaharov, S.M., Skomorohov, A.A. (2013). Rehabilitation possibilities of biofeedback method using psychophysiological devices “Reakor” and “Reakor-T”. In: Proceedings of the conference “Actual Problems of Medical and Psychological Rehabilitation”. Rostov-on-Don. (In Russ.).
  5. Nizova, A.B. (2006). Treatment of patients with psychogenic depression using biofeedback: Diss. Cand. Sci. (Psychology). State Scientific Center for Social and Forensic Psychiatry. Moscow. (In Russ.).
  6. Pavlenko, V.B., Cherny, S.V., Gubkina, D.G. (2009). EEG-correlates of anxiety, anxiety and emotional stability in healthy adults. Neurophysiology, 41(5), 400—408. (In Russ.).
  7. Pavlov, S.V., Reva, N.V. (2017). Neurophysiologic and cardiovascular effects of unevaluated perception of negative stimuli. An experimental study. In: Proceedings of the III International Congress of the Association for Cognitive Behavioral Psychotherapy: collection of scientific articles, 73—74. Saint-Petersburg: Publ. SINEL. (In Russ.).
  8. Poskotinova, L.V, Krivonogova, E.V., Ovsyankina, M.A., Mel'nikova, A.V. (2015). Types of autonomic nervous system reactivity and anxiety dynamics during heart rate variability biofeedback in teachers. Journal of Medical and Biological Research, 4, 90—98. (In Russ.). https://doi.org/10.17238/issn2308-3174.2015.4.90
  9. Pugovkina, O.D., Shil'nikova, Z. (2014). The concept of mindfulness: nonspecific factor of psychological wellbeing [Electronic resource]. Journal of Modern Foreign Psychology, 3(2), 18—28. (In Russ.). URL: https://psyjournals.ru/journals/jmfp/archive/2014_n2/70100 (accessed: 18.03.2025)
  10. Smetankin, A.A. (2003). Biofeedback method in heart respiratory arrhythmia — way to normalization of central regulation of respiratory and cardio-vascular systems interaction. Saint-Petersburg: Publ. NOU Institut BOS. (In Russ.).
  11. Sukhorukov, V.I. (1992). Some peculiarities of mastering the skill of mental self-regulation of heart rhythm with the help of biofeedback devices in neurotic patients. In: Non-drug treatment methods in clinical medicine, 40—42. Kharkov: Publ. GIDU V. (In Russ.).
  12. Baer, R.A., Smith, G.T., Allen, K.B. (2004). Assessment of mindfulness by self-report: The Kentucky Inventory of Mindfulness Skills. Assessment, 11(3), 191—206. https://doi.org/10.1177/1073191104268029
  13. Baer, R.A., Smith, G.T., Hopkins, J., Krietemeyer, J., Toney, L. (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment, 13(1), 27—45. https://doi.org/10.1177/1073191105283504
  14. Balconi, M., Fronda, G., Crivelli, D. (2019). Effects of technology-mediated mindfulness practice on stress: psychophysiological and self-report measures. Stress, 22(2), 200—209. https://doi.org/1080/10253890.2018.1531845
  15. Brown, K.W., Ryan, R.M., Creswell, J.D. (2009). Mindfulness: Theoretical foundations and evidence for its salutary effects. Psychological Inquiry, 18(4), 211—237. https://doi.org/1080/10478400701598298
  16. Blanck, P., Perleth, S., Heidenreich, T., Kröger, P., Ditzen, B., Bents, H., Mander, J. (2018). Effects of mindfulness exercises as stand-alone intervention on symptoms of anxiety and depression: Systematic review and meta-analysis. Behaviour research and therapy, 102, 25—35. https://doi.org/10.1016/j.brat.2017.12.002
  17. Desrosiers, A., Vine, V., Klemanski, D.H., Nolen‐Hoeksema, S. (2013). Mindfulness and emotion regulation in depression and anxiety: common and distinct mechanisms of action. Depression and anxiety, 30(7), 654—661. https://doi.org/1002/da.22124
  18. Hamilton, M. (1959). The assessment of anxiety states by rating. The British journal of medical psychology, 32(1), 50—55. https://doi.org/10.1111/j.2044-8341.1959.tb00467.x
  19. Rice, K.M., Blanchard, E.B. (1982). Biofeedback in the treatment of anxiety disorders. Clinical psychology review, 2(4), 557—577. https://doi.org/10.1016/0272-7358(82)90030-7
  20. Rice, K.M., Blanchard, E.B., Purcell, M. (1993). Biofeedback treatments of generalized anxiety disorder: preliminary results. Biofeedback and Self-regulation, 18, 93—105. https://doi.org/10.1007/BF01848110
  21. Russo, G.M., Balkin, R.S., Lenz, A.S. (2022). A meta‐analysis of neurofeedback for treating anxiety‐spectrum disorders. Journal of Counseling & Development, 100(3), 236—251. https://doi.org/10.1002/jcad.12424
  22. Weerdmeester, J., van Rooij, M. M., Engels, R. C., Granic, I. (2020). An integrative model for the effectiveness of biofeedback interventions for anxiety regulation: Viewpoint. Journal of medical Internet research, 22(7), art. e14958. https://doi.org/10.2196/14958

Information About the Authors

Vera M. Ruzinova, Postgraduate Student, Department of Pedagogy and Medical Psychology, Institute of Psychological and Social Work, Medical Psychologist of the Psychotherapeutic Department of the University Clinical Hospital No. 3 of the Clinical Center, I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation, ORCID: https://orcid.org/0009-0007-5720-5014, e-mail: veraruzinova7@gmail.com

Mary G. Kiseleva, Doctor of Psychology, Head of the Department of Pedagogy and Medical Psychology, I.M. Sechenov First Moscow State Medical University, Moscow, Russian Federation, ORCID: https://orcid.org/0000-0002-9984-1090, e-mail: kiseleva_m_g@staff.sechenov.ru

Beatrisa A. Vovel, Doctor of Medicine, Professor, Department of Psychiatry and Psychosomatics, Director, N.V. Sklifosovskiy Institute of Clinical Medicine, I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation, ORCID: https://orcid.org/0000-0003-1667-5355, e-mail: volel_b_a@staff.sechenov.ru

Zarina R. Kushu, Postgraduate Student, Department of Pedagogy and Medical Psychology, Institute of Psychological and Social Work, Assistant at the Department of Pedagogy and Medical Psychology, I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation, ORCID: https://orcid.org/0000-0002-7747-4437, e-mail: zarina.kushu.99@mail.ru

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