Perspect Nurs Sci.  2018 Oct;15(2):107-114. 10.16952/pns.2018.15.2.107.

Effects of Biofeedback Training on Stress, Stress Response and Academic Resilience of Nursing Students

  • 1Counselor, Korea Center on Gambling Problems Southern Gyeonggi of Korea Center, Suwon, Korea.
  • 2Professor, College of Nursing · The Research Institute of Nursing Science, Seoul National University, Seoul, Korea.


The purpose of this study was to observe the effects of biofeedback training on the perceived stress, stress response, and academic resilience of nursing students.
The research used a randomly assigned control group pretest-posttest design. The study participants were 34 senior students from the College of Nursing of S University. The study was conducted from March to April 2012. The biofeedback training conducted in this study consisted of eight sessions, each divided into two stages: 15 minutes each for breathing biofeedback training and electromyography (EMG) biofeedback training. The collected data were analyzed using SPSS version 19.0.
We found statistically significant decreases in perceived stress and EMG levels and an increase in academic resilience in the experimental group.
The results showed that the biofeedback training for the nursing students was extremely effective in reducing their levels of perceived stress and EMG while increasing academic resilience. To clarify the effects of biofeedback training on the biological stress response, participants with a higher level of stress response should be recruited in future studies.


Biofeedback; Stress; Resilience

MeSH Terms

Biofeedback, Psychology*
Stress, Physiological
Students, Nursing*


1. Bae OH, Hong SO. The study of the effect of self-differentiation degree on stress level and stress coping strategies in college students. Korean J Hum Ecol. 2008; 02. 17(1):27–34. DOI: 10.5934/KJHE.2008.17.1.027.
2. Han KS, Kim GM. Comparison to self esteem, family adaptation, health promoting behaviors, and symptoms of stress between nursing and other major university women student. J Korean Acad Psychiatr Ment Health Nurs. 2007; 03. 16(1):78–84.
3. Hong ES. Conceptual understanding of resilience and instructional suggestion. Korean J Spec Educ. 2006; 41(2):45–67.
4. Kim JH. Resilience. Koyang: Wisdomhouse;2011. p. 310.
5. Burton NW, Pakenham KI, Brown WJ. Feasibility and effectiveness of psychosocial resilience training: A pilot study of the READY program. Psychol Health Med. 2010; 05. 15(3):266–277. DOI: 10.1080/13548501003758710.
6. Lee HN, Jeong HJ, Lee KH, Lee HJ. The relationship among stress perception, stress coping, ego-resilience and happiness of university students. Korean J Couns. 2006; 7(3):701–713.
7. Reivich K, Shatte A. MS Woo SW Yoon . The resilience factor: 7 keys to finding your inner strength and overcoming life's hurdles. Anyang (KR): Mulpure;2012. p. 486.
8. Shin HC, editor. Textbook of stress science. Seoul: The Korean Society of Stress Medicine;2013.
9. Girdano DA. KS Kim KJ Kwak SJ Kim NY Yim SB Yim YS Ha . Controlling stress and tension. Seoul: Academia;2009. p. 553.
10. Kim HT, Lee JH. Application of biofeedback in psychological settings. In : 2007 Korean Psychological Association Annual Conference; 2007 Aug 22-24; Gyeongju, Korea. Seoul: Korean Psychological Assication;2007. 06. p. 94–95.
11. Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. Hillsdale (NJ): Lawrence Earlbaum Associates;1988. p. 567.
12. Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983; 12. 24(4):385–396.
13. Park J, Seo YS. Validation of the perceived stress scale (PSS) on samples of Korean University students. Korean J Psychol Gen. 2010; 09. 29(3):611–629.
14. Kim NR. A study on the development and validity of the scale of academic resilience. [dissertation]. [Seoul]: Sookmyung Women's University;2008. 146.
15. Kwon YS, Kim TH. The effet of breathing biofeedback training in the stress of nursing students in clinical practice. J Korean Acad Fundam Nurs. 1999; 08. 6(2):169–184.
16. Kim CJ, Hur HK, Kang DH, Kim BH. Effects of psychosocial stress management on stress and coping in student nurses. J Korean Acad Adult Nurs. 2004; 03. 16(1):90–101.
17. Song YS. The effect of neurofeedback training on fatigue, stress, and immune reaction in nursing students. Nurs Sci. 2006; 18(2):22–30.
18. Park MK, Lee ES. The effect of aroma inhalation method on stress responses of nursing students. J Korean Acad Nurs. 2004; 04. 34(2):344–351.
19. Lee DH. Effects of electroacupuncture intensity on heart rate variability and galvanic skin response in patients with chronic tension type headache [masters' thesis]. [Seoul]: Kyung Hee University;2011. 27.
20. Fowles DC. Electrodermal hyporeactivity and antisocial behavior: does anxiety mediate the relationship? J Affect Disord. 2000; 12. 61(3):177–189. DOI: 10.1016/S0165-0327(00)00336-0.
21. Grapperon J, Pignol AC, Vion-Dury J. [The measurement of electrodermal activity]. Encephale. 2012; 04. 38(2):149–155. French. DOI: 10.1016/j.encep.2011.05.004.
22. Ro YJ, Kim NC, Kim HS. The effects on EMG level by EMG biofeedback with progressive muscle relaxation training on tension headache. J Nurs Acad Soc. 1990; 08. 20(2):195–213.
23. Heinecke K, Weise C, Rief W. Psychophysiological effects of biofeedback treatment in tinnitus sufferers. Br J Clin Psychol. 2009; 09. 48(Pt 3):223–239. DOI: 10.1348/014466508X386207.
24. Park JY. A study on the academic resilience and the university life adaptation of non-traditional student. J Lifelong Educ. 2010; 16(4):1–29.
25. Kim DJ, Lee JS. Influence of ego-resilience and self-efficacy on satisfaction in major of nursing student. J Korean Acad Soc Nurs Educ. 2014; 05. 20(2):244–254. DOI: 10.5977/jkasne.2014.20.2.244.
26. Kang MH, Lee SH. The mediating effects of hope and ego-resilience on the relationship between adolescents' academic stress and psychological well-being. Korean J Youth Stud. 2013; 06. 20(6):265–293.
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