![]() ![]() NFB has shown promise in alleviating overall symptoms of posttraumatic stress disorder (PTSD) ( 16). could show in their meta-analysis on BFB including seven studies (321 patients) that BFB training significantly reduced pain intensity compared to controls with a large effect ( 2). In a patient case study, duration of the headaches and decreased intensity were related to increased alpha activity (8–12 Hz) ( 15). In the context of psychosomatic illnesses (i.e., somatoform/functional disorders, somatopsychic disorders, eating disorders, posttraumatic stress disorders, depressive disorders), several studies examined the use of BFB, e.g., to affect pain perception. However, BFB has been rarely investigated in the specialty of psychosomatic medicine, the core idea of which is that mind and body both contribute an essential part to human function and which represents an independent specialty in Germany ( 13, 14). The most common use of feedback-based therapies is in fields such as epilepsy ( 5), migraine ( 6), strokes ( 7), attention deficit / hyperactivity disorder ( 8), autism spectrum disorder ( 9), major depression and anxiety disorders ( 10), as well as addiction ( 11) and psychotic disorders ( 12). The effectiveness of BFB has been investigated in several somatic and mental health disorders. Typically, BFB is provided on parameters like muscle tone, respiratory rate, heart rate, skin conductance, skin surface temperature, or brain activity (i.e., neurofeedback, NFB) ( 4). Biofeedback (BFB) as psychophysiological therapy is taught through cognitive changes ( 2), such as improving self-efficacy ( 3) or learning coping strategies. Nevertheless, more research needs to be done about suitable biofeedback protocols for this patient clientele.įeedback is an essential component in psychotherapeutic interventions: it facilitates learning, increases motivation, and modifies thoughts or behavior ( 1). Consequently, the implementation of a manualized biofeedback treatment should be considered. Not only should personnel resources be planned and available in advance of implementation but also be the workflow for biofeedback practitioners as easy and quality of biofeedback treatment as high as possible. However, biofeedback practitioners were enabled to expand their own competencies and take over a therapeutic part of the inpatient treatment.ĭiscussion: Even though patient satisfaction and staff motivation are high, the implementation of biofeedback in an inpatient unit requires special actions to be taken. Qualitative interviews showed high acceptance in biofeedback practitioners but revealed several challenges that were encountered during the implementation process, e.g., increased workload due to additional tasks, organizational and structural difficulties. Quantitative questionnaires revealed high satisfaction and acceptance in patients regarding biofeedback treatment. Results: In total, 40 patients and 10 biofeedback practitioners were included. Data analysis was conducted using either descriptive statistics or Mayring’s qualitative content analysis. After 6 months during implementation, qualitative interviews were conducted with biofeedback practitioners, i.e., staff nurses, examining acceptance and feasibility. ![]() Quantitative questionnaires measured patients’ acceptance and satisfaction with biofeedback treatment after receiving 10 sessions in addition to treatment as usual. Methods: The evaluation of the implementation process was investigated using a convergent parallel mixed methods approach (following MMARS guidelines). The aim of this pilot study is the evaluation of additional biofeedback treatment in an inpatient psychosomatic-psychotherapeutic unit to derive clinical implications and recommendations for the future implementation of biofeedback offers. ![]() The implementation of an additional treatment option in inpatient settings holds special requirements. While biofeedback is heavily researched in outpatient settings, it has been rarely investigated in psychosomatic inpatient settings. Introduction: Feedback-based therapies such as biofeedback have a benefit in patients with mental health disorders. 4Department of Psychology, IB University of Applied Health and Social Sciences, Berlin, Germany.2Center for Translational Neuro-and Behavioral Sciences (C-TNBS), University of Duisburg-Essen, Essen, Germany.1Department for Psychosomatic Medicine and Psychotherapy, LVR-University Hospital Essen, University of Duisburg-Essen, Essen, Germany.Kira Schmidt 1,2 *, Drazena Barac-Dammeyer 1,2, Axel Kowalski 3,4, Per Teigelack 1,2, Corinna Pfeiffer 1,2, Anita Robitzsch 1,2, Nora Dörrie 1,2, Eva-Maria Skoda 1,2, Alexander Bäuerle 1,2, Madeleine Fink 1,2 and Martin Teufel 1,2 ![]()
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