Top-Level Managers’ Psychophysical Recovery Investigated Through Different Psychophysiological Parameters Benefits From Training Based on Muscle Relaxation and Self-monitoring of HRV-Biofeedback
DOI:
https://doi.org/10.15540/nr.11.1.43Keywords:
Top-level managers, Stress Response, Progressive Muscle Relaxation, Heart Rate Variability, BiofeedbackAbstract
Objective. The present study aimed to verify whether training based on progressive muscle relaxation (PMR) and self-monitoring of heart rate variability biofeedback (HRV-BFB) could lead to a significant reduction of psychophysical stress among top-level managers, measured on different physiological parameters related to the stress response. Methods. Thirty-four top-level managers, after completing the Symptom Questionnaire (SQ), were subjected to a psychophysiological stress profile (PSP) to describe the psychophysiological activation (Skin Conductance, surface Electromyography, Heart Rate, and Peripheral Temperature were registered in three phases: baseline, stress, and recovery). Following the intervention with PMR and HRV-BFB, SQ and PSP were readministered. Results. A condition of psychophysical stress was detected through SQ and PSP in the total sample at T0. The intervention allowed participants to reduce their psychological symptoms. Furthermore, muscular tension and skin conductance levels were significantly lower in the recovery phase of the PSP administered at T1. Additionally, a reduction in the reactivity to stress was observed in the HR value postintervention. Conclusion. Combining PMR and HRV-BFB therapy can reduce distress symptoms and improve responses to stress. It's cost-effective and offers many benefits, making it a widely recommended intervention.
References
Alabdulgader, A. A. (2012). Coherence: A novel nonpharmacological modality for lowering blood pressure in hypertensive patients. Global Advances in Integrative Medicine and Health, 1(2), 56–64. https://doi.org/10.7453/gahmj.2012.1.2.011
Bali, A., & Jaggi, A. S. (2015). Clinical experimental stress studies: Methods and assessment. Reviews in the Neurosciences, 26(5), 555–579. https://doi.org/10.1515/revneuro-2015-0004
Barreto, M. F. C., Galdino, M. J. Q., Fernandes, F. G., Martins, J. T., Marziale, M. H. P., & Haddad, M. d. C. F. L. (2022). Workaholism and burnout among stricto sensu graduate professors. Revista de Saúde Pública, 56, 48. https://doi.org/10.11606/s1518-8787.2022056003883
Benasi, G., Fava, G. A., & Rafanelli, C. (2020). Kellner’s Symptom Questionnaire, a highly sensitive patient-reported outcome measure: Systematic review of clinimetric properties. Psychotherapy and Psychosomatics, 89(2), 74–89. https://doi.org/10.1159/000506110
Bregman, N. J., & McAllister, H. A. (1983). Constraints on the Yerkes-Dodson law in skin temperature biofeedback. International Journal of Neuroscience, 21(3–4), 183–189. https://doi.org/10.3109/00207458308986137
Brinkmann, A. E., Press, S. A., Helmert, E., Hautzinger, M., Khazan, I., & Vagedes, J. (2020). Comparing effectiveness of HRV-biofeedback and mindfulness for workplace stress reduction: A randomized controlled trial. Applied Psychophysiology and Biofeedback, 45(4), 307–322. https://doi.org/10.1007/s10484-020-09477-w
Cacioppo, J. T., Tassinary, L. G., & Berntson, G. G. (Eds.). (2007). Handbook of psychophysiology (3rd ed.). Cambridge University Press. https://doi.org/10.1017/CBO9780511546396
Cannon, W. B. (1932). The wisdom of the body. W. W. Norton & Co.
Chrousos, G. P., & Boschiero, D. (2019). Clinical validation of a non-invasive electrodermal biofeedback device useful for reducing chronic perceived pain and systemic inflammation. Hormones, 18(2), 207–213. https://doi.org/10.1007/s42000-019-00098-5
Cooper, C., & Dewe, P. (2008). Well-being—Absenteeism, presenteeism, costs and challenges. Occupational Medicine, 58(8), 522–524. https://doi.org/10.1093/occmed/kqn124
De Witte, N. A. J., Buyck, I., & Van Daele, T. (2019). Combining biofeedback with stress management interventions: A systematic review of physiological and psychological effects. Applied Psychophysiology and Biofeedback, 44(2), 71–82. https://doi.org/10.1007/s10484-018-09427-7
Dillon, D. G., Gurdasani, D., Riha, J., Ekoru, K., Asiki, G., Mayanja, B. N., Levitt, N. S., Crowther, N. J., Nyirenda, M., Njelekela, M., Ramaiya, K., Nyan, O., Adewole, O. O., Anastos, K., Azzoni, L., Boom, W. H., Compostella, C., Dave, J. A., Dawood, H., Erikstrup, C., … Sandhu, M. S. (2013). Association of HIV and ART with cardiometabolic traits in sub-Saharan Africa: A systematic review and meta-analysis. International Journal of Epidemiology, 42(6), 1754–1771. https://doi.org/10.1093/ije/dyt198
Fava, G. A., Kellner, R., Perini, G. I., Fava, M., Michelacci, L., Munari, F., Evangelisti, L. P., Grandi, S., Bernardi, M., & Mastrogiacomo, I. (1983). Italian validation of the Symptom Rating Test (SRT) and Symptom Questionnaire (SQ). The Canadian Journal of Psychiatry. La Revue Canadienne de Psychiatrie, 28(2), 117–123. https://doi.org/10.1177/070674378302800208
Ferendiuk, E., Biegańska, J. M., Kazana, P., & Pihut, M. (2019). Progressive muscle relaxation according to Jacobson in treatment of the patients with temporomandibular joint disorders. Folia Medica Cracoviensia, 59(3), 113–122. https://doi.org/10.24425/fmc.2019.131140
Fuller, G. D. (1979). Biofeedback methods and procedures in clinical practice. San Francisco, CA: Biofeedback Press.
Ghorbannejad, S., Mehdizadeh Tourzani, Z., Kabir, K., & Yazdkhasti, M. (2022). The effectiveness of Jacobson's progressive muscle relaxation technique on maternal, fetal and neonatal outcomes in women with non-severe preeclampsia: A randomized clinical trial. Heliyon, 8(6), e09709. https://doi.org/10.1016/j.heliyon.2022.e09709
Goessl, V. C., Curtiss, J. E., & Hofmann, S. G. (2017). The effect of heart rate variability biofeedback training on stress and anxiety: A meta-analysis. Psychological Medicine, 47(15), 2578–2586. https://doi.org/10.1017/S0033291717001003
Golombek, U. (2001). Progressive Muskelentspannung nach Jacobson in einer psychiatrisch-psychotherapeutischen Abteilung - empirische Ergebnisse [Progressive muscle relaxation (PMR) according to Jacobson in a department of psychiatry and psychotherapy - empirical results]. Psychiatrische Praxis, 28(8), 402–404. https://doi.org/10.1055/s-2001-18615
Hoareau, V., Godin, C., Dutheil, F., & Trousselard, M. (2021). The effect of stress management programs on physiological and psychological components of stress: The influence of baseline physiological state. Applied Psychophysiology and Biofeedback, 46(3), 243–250. https://doi.org/10.1007/s10484-021-09508-0
Istepanian, R. S. H., Jovanov, E., & Zhang, Y. T. (2004). Introduction to the special section on M-Health: Beyond seamless mobility and global wireless health-care connectivity. IEEE Transactions on Information Technology in Biomedicine, 8(4), 405–414. https://doi.org/10.1109/titb.2004.840019
Jarczok, M. N., Jarczok, M., Mauss, D., Koenig, J., Li, J., Herr, R. M., & Thayer, J. F. (2013). Autonomic nervous system activity and workplace stressors—A systematic review. Neuroscience and Biobehavioral Reviews, 37(8), 1810–1823. https://doi.org/10.1016/j.neubiorev.2013.07.004
Jiménez Morgan, S., & Molina Mora, J. A. (2017). Effect of heart rate variability biofeedback on sport performance, a systematic review. Applied Psychophysiology and Biofeedback, 42(3), 235–245. https://doi.org/10.1007/s10484-017-9364-2
Lalanza, J. F., Lorente, S., Bullich, R., García, C., Losilla, J.-M., & Capdevila, L. (2023). Methods for heart rate variability biofeedback (HRVB): A systematic review and guidelines. Applied Psychophysiology and Biofeedback, 48, 275–297. https://doi.org/10.1007/s10484-023-09582-6
Lehrer, P. M., & Gevirtz, R. (2014). Heart rate variability biofeedback: How and why does it work? Frontiers in Psychology, 5, 756. https://doi.org/10.3389/fpsyg.2014.00756
Lehrer, P. M., Vaschillo, E., & Vaschillo, B. (2000). Resonant frequency biofeedback training to increase cardiac variability: Rationale and manual for training. Applied Psychophysiology and Biofeedback, 25(3), 177–191. https://doi.org/10.1023/a:1009554825745
Malik, M., Bigger, J. T., Camm, A. J., Kleiger, R. E., Malliani, A., Moss, A. J., & Schwartz, P. J. (1996). Heart rate variability: Standards of measurement, physiological interpretation, and clinical use. European Heart Journal, 17(3), 354–381. http://doi.org/10.1093/oxfordjournals.eurheartj.a014868
Maslach, C. (1982). Burnout: The cost of caring. Englewood Cliffs, NJ: Prentice-Hall.
McGuigan, F. J. (1978). Interview with Edmund Jacobson. Biofeedback and Self-regulation, 3(3), 287–300. https://doi.org/10.1007/BF00999297
McCraty, R. (2016). Science of the heart, Volume 2: Exploring the role of the heart in human performance. HeartMath Institute.
McCraty, R., & Shaffer, F. (2015). Heart rate variability: New perspectives on physiological mechanisms, assessment of self-regulatory capacity, and health risk. Global Advances in Integrateive Medicine and Health, 4(1), 46–61. https://doi.org/10.7453/gahmj.2014.073
National Institute for Occupational Safety and Health (NIOSH). (1999). Stress at Work. Centers for Disease Control and Prevention, U. S. Department of Health and Human Services. Publication No. 99-101, 26.
Reneau, M. (2020). Heart rate variability biofeedback to treat fibromyalgia: An integrative literature review. Pain Management Nursing, 21(3), 225–232. https://doi.org/10.1016/j.pmn.2019.08.001
Rucci, P., De Marco, P., & Bivi, R. (1994). Il Symptom Questionnaire come strumento di screening nei contesti sanitari di base. Epidemiology and Psychiatric Sciences. Epidemiologia E Psichiatria Sociale, 3(1), 31–37. https://doi.org/10.1017/S1121189X00009295
Russo, M. A., Santarelli, D. M., & O’Rourke, D. (2017). The physiological effects of slow breathing in the healthy human. Breathe, 13(4), 298–309. https://doi.org/10.1183/20734735.009817
Saito, R., Sawamura, D., Yoshida, K., & Sakai, S. (2021). Relationship between the proficiency level and anxiety-reducing effect in a one-time heart rate variability biofeedback: A randomized controlled trial. Medicine, 100(45), e27742. https://doi.org/10.1097/MD.0000000000027742
Schäfer, S. K., Ihmig, F. R., Lara H., K. A., Neurohr, F., Kiefer, S., Staginnus, M., Lass-Hennemann, J., & Michael, T. (2018). Effects of heart rate variability biofeedback during exposure to fear-provoking stimuli within spider-fearful individuals: Study protocol for a randomized controlled trial. Trials, 19(1), Article 184. https://doi.org/10.1186/s13063-018-2554-2
Schoenberg, P. L. A., & David, A. S. (2014). Biofeedback for psychiatric disorders: A systematic review. Applied Psychophysiology and Biofeedback, 39(2), 109–135. https://doi.org/10.1007/s10484-014-9246-9
Selye, H. A. (1950). Stress and the general adaptation syndrome. British Medical Journal, 1(4667), 1383–1392. https://doi.org/10.1136/bmj.1.4667.1383
Semerci, R., Öztürk, G., Akgün Kostak, M., Elmas, S., İhsan Danacı, A., & Musbeg, S. (2021). The effect of progressive muscle relaxation exercises on compassion satisfaction, burnout, and compassion fatigue of nurse managers. Perspectives in Psychiatric Care, 57(3), 1250–1256. https://doi.org/10.1111/ppc.12681
Shaffer, F., & Meehan, Z. M. (2022). An undergraduate program with heart: Thirty years of Truman HRV research. Applied Psychophysiology and Biofeedback, 47(4), 317–326. https://doi.org/10.1007/s10484-022-09543-5
Siegrist, J., & Bollmann, U. (2023). Promoting good and sustainable work in occupational health education Occupational Medicine, 73(2), 61–65. https://doi.org/10.1093/occmed/kqac018
Skagert, K., Dellve, L., & Ahlborg, G. (2012). A prospective study of managers' turnover and health in a healthcare organization. Journal of Nursing Management, 20(7), 889–899. https://doi.org/10.1111/j.1365-2834.2011.01347.x
Van Bogaert, P., Adriaenssens, J., Dilles, T., Martens, D., Van Rompaey, B., & Timmermans, O. (2014). Impact of role-, job- and organizational characteristics on Nursing Unit Managers' work related stress and well-being. Journal of Advanced Nursing, 70(11), 2622–2633. https://doi.org/10.1111/jan.12449
Windthorst, P., Mazurak, N., Kuske, M., Hipp, A., Giel, K. E., Enck, P., Nieß, A., Zipfel, S., & Teufel, M. (2017). Heart rate variability biofeedback therapy and graded exercise training in management of chronic fatigue syndrome: An exploratory pilot study. Journal of Psychosomatic Research, 93, 6–13. https://doi.org/10.1016/j.jpsychores.2016.11.014
Zucker, T. L., Samuelson, K. W., Muench, F., Greenberg, M. A., & Gevirtz, R. N. (2009). The effects of respiratory sinus arrhythmia biofeedback on heart rate variability and posttraumatic stress disorder symptoms: A pilot study. Applied Psychophysiology and Biofeedback, 34(2), 135–143. https://doi.org/10.1007/s10484-009-9085-2
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