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Updated: Sep 23, 2025

Psychophysiological Assessment of the Effectiveness of Emotion Regulation Strategies in Childhood
Published on: February 11, 2017
Emotional Self-Regulation in Primary Education: A Heart Rate-Variability Biofeedback Intervention Programme
Aitor Aritzeta1, Ainara Aranberri-Ruiz1, Goretti Soroa2
1Department of Basic Psychological Process and Development, University of the Basque Country (UPV/EHU), 20018 San Sebastian, Spain.
This study shows that heart rate variability (HRV) biofeedback training using slow breathing significantly improves self-regulation in primary school children. The intervention effectively increased HRV, with implications for school-based wellness programs.
Area of Science:
- Pediatric Psychology
- Behavioral Medicine
- Educational Psychology
Background:
- Heart rate variability (HRV) is a key indicator of autonomic nervous system function and self-regulation.
- Biofeedback interventions offer a non-pharmacological approach to enhance physiological self-regulation.
- The application of HRV biofeedback in school settings for children is under-explored.
Purpose of the Study:
- To investigate the efficacy of a novel HRV biofeedback intervention program for improving self-regulation in primary school children.
- To assess the impact of slow-paced breathing techniques, guided by real-time HRV biofeedback, on children's physiological control.
- To determine the effectiveness of this intervention across different age groups within primary education.
Main Methods:
- A five-session HRV biofeedback intervention program was implemented with primary school students (ages 7-11).
- Participants were trained in slow-paced breathing (six breaths per minute) to increase HRV.
- Real-time feedback on HRV levels was provided during the sessions to guide participants' breathing patterns.
Main Results:
- A statistically significant increase in HRV was observed across all participants following the intervention, demonstrating a large effect size.
- The positive impact on HRV varied among different age groups within the primary school cohort.
- No significant differences in HRV improvement were found based on gender.
Conclusions:
- HRV biofeedback training through slow breathing is an effective method for enhancing self-regulation in children.
- The intervention's success suggests potential for integration into school curricula to promote student well-being.
- Further research is warranted to optimize the intervention for different age ranges and explore long-term effects in educational settings.
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