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Mindfulness Development via Biofeedback for Anxiety in Hospitalized Patients: A Randomized Controlled Trial

Kotelnikova Anastasia V., Ruzinova Vera M., Kiseleva Maria G., Volel Beatrice, Kukshina Anastasia A. · Brain Sciences · 2026 · Randomised controlled study

Original publication

Recorded summary

A randomised study of 188 inpatients compared biofeedback, medication and their combination. Anxiety improved more in the biofeedback arms than with medication alone in the per-protocol analysis. Registration was retrospective and the setting was inpatient care.

Recorded limitations

Auditory feedback followed EEG alpha power. A separate training stage varied audiovisual feedback with current heart rate. A psychiatrist masked to allocation rated anxiety.

Evidence and provenance

Chapter Trust Factor uses a minimum of three distinct qualifying studies. Publication records retain their own evidence and assessment.

Study design and assessment
design
Randomised controlled study
assessment
category
single-blind-rct
peer Reviewed
true
basis
A randomised study of 188 inpatients compared biofeedback, medication and their combination. Anxiety improved more in the biofeedback arms than with medication alone in the per-protocol analysis. Registration was retrospective and the setting was inpatient care.
sources

https://doi.org/10.3390/brainsci16070748

is Randomized Controlled Trial
true
masking Roles
The independent psychiatrist assessing anxiety was masked. Participants and treating therapists knew the assigned intervention.
trust Factor
score
2
scope
Paper
status
assessed
randomized Controlled Trial
true
blinding
single
peer Reviewed
true
basis
A randomised study of 188 inpatients compared biofeedback, medication and their combination. Anxiety improved more in the biofeedback arms than with medication alone in the per-protocol analysis. Registration was retrospective and the setting was inpatient care.
sources

https://pubmed.ncbi.nlm.nih.gov/42512522/ · https://doi.org/10.3390/brainsci16070748

review Scope
Existing publication-specific assessments and bibliographic indexing; no blanket full-text appraisal.
assessed At
2026-11-05
display Crosses
2
jadad
status
unassessed
score
Not recorded
evidence
evidence Type
Participant study
measurement
EEG · Heart rate / heartbeat
relationship Note
Auditory feedback followed EEG alpha power. A separate training stage varied audiovisual feedback with current heart rate. A psychiatrist masked to allocation rated anxiety.
Topics and recorded topic scores
  1. key
    language:mindfulness-biofeedback
    title
    Mindfulness Biofeedback / AR / VR / Mixed Reality
    collection
    language
    trust Score
    2
Citation snapshot and identifiers
id
pmid-42512522
doi
10.3390/brainsci16070748
pmid
42512522
citation Snapshot
Not recorded
citations By Collection
language
Not recorded
Complete approved library record
id
pmid-42512522
aliases
None recorded
title
Mindfulness Development via Biofeedback for Anxiety in Hospitalized Patients: A Randomized Controlled Trial
journal
Brain Sciences
neurotransmitters
None recorded
year
2026
authors
Kotelnikova Anastasia V., Ruzinova Vera M., Kiseleva Maria G., Volel Beatrice, Kukshina Anastasia A.
design
Randomised controlled study
identity Conflict
Not recorded
doi
10.3390/brainsci16070748
pmid
42512522
urls

https://doi.org/10.3390/brainsci16070748

collections

language

categories

Mindfulness and biofeedback

targets
None recorded
priority
1
quotes
None recorded
summary
A randomised study of 188 inpatients compared biofeedback, medication and their combination. Anxiety improved more in the biofeedback arms than with medication alone in the per-protocol analysis. Registration was retrospective and the setting was inpatient care.
limitation
Auditory feedback followed EEG alpha power. A separate training stage varied audiovisual feedback with current heart rate. A psychiatrist masked to allocation rated anxiety.
citation Count
Not recorded
study Design Assessment
category
single-blind-rct
peer Reviewed
true
basis
A randomised study of 188 inpatients compared biofeedback, medication and their combination. Anxiety improved more in the biofeedback arms than with medication alone in the per-protocol analysis. Registration was retrospective and the setting was inpatient care.
sources

https://doi.org/10.3390/brainsci16070748

is Randomized Controlled Trial
true
masking Roles
The independent psychiatrist assessing anxiety was masked. Participants and treating therapists knew the assigned intervention.
paper Trust Assessment
score
2
scope
Paper
status
assessed
randomized Controlled Trial
true
blinding
single
peer Reviewed
true
basis
A randomised study of 188 inpatients compared biofeedback, medication and their combination. Anxiety improved more in the biofeedback arms than with medication alone in the per-protocol analysis. Registration was retrospective and the setting was inpatient care.
sources

https://pubmed.ncbi.nlm.nih.gov/42512522/ · https://doi.org/10.3390/brainsci16070748

review Scope
Existing publication-specific assessments and bibliographic indexing; no blanket full-text appraisal.
assessed At
2026-11-05
display Crosses
2
citations By Collection
language
Not recorded
topics
  1. key
    language:mindfulness-biofeedback
    title
    Mindfulness Biofeedback / AR / VR / Mixed Reality
    collection
    language
    trust Score
    2
journal Key
brainsciences
journal Label
Brain Sciences
chapter Entries
  1. title
    Mindfulness Development via Biofeedback for Anxiety in Hospitalized Patients: A Randomized Controlled Trial
    doi
    10.3390/brainsci16070748
    pmid
    42512522
    journal
    Brain Sciences
    year
    2026
    authors
    Kotelnikova Anastasia V., Ruzinova Vera M., Kiseleva Maria G., Volel Beatrice, Kukshina Anastasia A.
    design
    Randomised controlled study
    urls

    https://doi.org/10.3390/brainsci16070748

    targets
    None recorded
    categories

    Mindfulness and biofeedback

    citation Count
    Not recorded
    evidence
    evidence Type
    Participant study
    measurement
    EEG · Heart rate / heartbeat
    relationship Note
    Auditory feedback followed EEG alpha power. A separate training stage varied audiovisual feedback with current heart rate. A psychiatrist masked to allocation rated anxiety.
    id
    language-biofeedback-18
    record Id
    pmid-42512522
    summary
    A randomised study of 188 inpatients compared biofeedback, medication and their combination. Anxiety improved more in the biofeedback arms than with medication alone in the per-protocol analysis. Registration was retrospective and the setting was inpatient care.
    limitation
    Auditory feedback followed EEG alpha power. A separate training stage varied audiovisual feedback with current heart rate. A psychiatrist masked to allocation rated anxiety.
    quotes
    None recorded
    source Pages
    None recorded
    study Design Assessment
    category
    single-blind-rct
    peer Reviewed
    true
    basis
    A randomised study of 188 inpatients compared biofeedback, medication and their combination. Anxiety improved more in the biofeedback arms than with medication alone in the per-protocol analysis. Registration was retrospective and the setting was inpatient care.
    sources

    https://doi.org/10.3390/brainsci16070748

    is Randomized Controlled Trial
    true
    masking Roles
    The independent psychiatrist assessing anxiety was masked. Participants and treating therapists knew the assigned intervention.
    paper Trust Assessment
    score
    2
    scope
    Paper
    status
    assessed
    randomized Controlled Trial
    true
    blinding
    single
    peer Reviewed
    true
    basis
    A randomised study of 188 inpatients compared biofeedback, medication and their combination. Anxiety improved more in the biofeedback arms than with medication alone in the per-protocol analysis. Registration was retrospective and the setting was inpatient care.
    sources

    https://pubmed.ncbi.nlm.nih.gov/42512522/ · https://doi.org/10.3390/brainsci16070748

    review Scope
    Existing publication-specific assessments and bibliographic indexing; no blanket full-text appraisal.
    assessed At
    2026-11-05
    display Crosses
    2
    collection
    language
    chapter Number
    2
    topic Id
    mindfulness-biofeedback
    topic Title
    Mindfulness Biofeedback / AR / VR / Mixed Reality
    trust Score
    2
evidence
evidence Type
Participant study
measurement
EEG · Heart rate / heartbeat
relationship Note
Auditory feedback followed EEG alpha power. A separate training stage varied audiovisual feedback with current heart rate. A psychiatrist masked to allocation rated anxiety.
jadad
status
unassessed
score
Not recorded
condition Evidence
None recorded
conditions
None recorded
topic Trust Scores

2

full Text
status
not-indexed
retrieval Available
false

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