J Korean Acad Nurs.  2018 Apr;48(2):208-220. 10.4040/jkan.2018.48.2.208.

The Effects of Neurofeedback Training on Physical, Psychoemotional Stress Response and Self-Regulation for Late Adolescence: A Non-Randomized Trial

Affiliations
  • 1College of Nursing, Kyungpook National University, Daegu, Korea. wanjupark@knu.ac.kr

Abstract

PURPOSE
The aim of this study was to analyze the effects of neurofeedback training for reducing stress and enhancing self-regulation in late adolescence to identify the possibility of use for nursing intervention.
METHODS
A nonequivalent control group pre-post quasi-experimental design was used. Participants were 78 late adolescents assigned to the experimental group (n=39) that received the neurofeedback training and the control group (n=39). Data were collected on heart rate variability (HRV) and skin conductance level (SCL) to assess stress-biomarker response. The questionnaire contained 164 items from: Positive and Negative Affect Schedule (PANAS), Symptom Checklist-90-Revised (SCL-90-R) and Self-regulatory Ability scale. The neurofeedback training was based on the general adaptation syndrome and body-mind medicine. The intervention was conducted in a total of 10 sessions for 30 minutes per session with high-beta, theta and sensory motor rhythm training on scalp at central zero.
RESULTS
There were significant difference in standard deviation of normal to normal interval (p=.036) in HRV and SCL (p=.029) of stress-biomarker response between the two groups. Negative affect (p=.036) in PANAS and obsessive compulsive (p=.023) and depression (p < .001) in SCL-90-R were statistically significant. Self-regulation mode (p=.004) in self-regulation ability scale showed a significant difference between the two groups.
CONCLUSION
The results indicated that the neurofeedback training is effective in stress-biomarkers, psychoemotional stress response and self-regulation. Therefore, neurofeedback training using neuroscientific approach based on brain-mind-body model can be used as an effective nursing intervention for late adolescents in clinics and communities for effective stress responses.

Keyword

Neurofeedback; Stress, Physiological; Stress, Psychological; Self-control; Adolescent

MeSH Terms

Adolescent*
Appointments and Schedules
Depression
General Adaptation Syndrome
Heart Rate
Humans
Neurofeedback*
Nursing
Scalp
Self-Control*
Skin
Stress, Physiological
Stress, Psychological
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