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Cardiac
Coherence Training
What
is cardiac coherence training?
What
is the background of cardiac coherence training?
What
are the indications for cardiac coherence training?
What
are the contraindications for cardiac coherence training?
What is cardiac
coherence training?
Cardiac coherence training (CCT) involves the use of biofeedback to control
heart rate variability (HRV)—the moment-to-moment change in heart
rate. With the help of the clinician, a person can learn to make the heart
rate fluctuation more rhythmic or coherent. The skills learned with the
use of the biofeedback can be practiced at home for relaxation and can
be used as a stress management tool during daily activities. However,
the program is much more than a simple relaxation technique-a person learns
to appreciate oneself, to substitute stressful responses with more positive
emotions, and to more freely engage ones heart and caring side.
What is the background
of cardiac
coherence training?
We have long known
that stress stimulates the sympathetic nervous system (fight-or-flight
response) and relaxation or positive emotions involve the parasympathetic
system. Much research has shown a direct connection between sympathetic
vs. parasympathetic tone and physical and mental health problems such
as heart disease, hypertension, depression, and anxiety. Additionally,
there appears to be a two-way communication system between the brain and
the nerves surrounding the heart. This system affects the body's stress
hormones and immune system. Research has shown benefits of CCT for management
of stress and anxiety symptoms, work satisfaction, and work and school
performance. Additionally, the HRV pattern associated with a stress response
may be a risk factor for complications in cardiac patients and further
research is needed about the role of CCT for these patients.
What are the indications
for cardiac coherence training?
- Cardiac coherence
training has been used most commonly for general wellness and stress
management
- Individuals who
are experiencing stress related to family, school, or work situations
- Individuals with
post-traumatic stress disorders,
depression, anxiety, and phobias
- Individuals experiencing the effects of stress on their mental or physical health or relationships
- Individuals with
health problems that can have a significant stress component such as
hypertension and coronary artery disease
What
are the contraindications for cardiac
coherence training?
There
are no specific contraindications to CCT, but individuals
with active suicidality or psychosis may require a more intensive level
of psychiatric care. Additionally, there may be technical difficulties
with the use of this form of biofeedback for individuals with cardiac
arrhythmias (irregular
heartbeat).
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