2006 · The mechanismResonance makes heart rate and blood pressure swing far more
Breathing at each person's resonant frequency produced large oscillations in heart rate, blood pressure and vascular tone. Resonant frequency varied with height and sex, and stayed constant across 10 training sessions.
Vaschillo, Vaschillo & Lehrer. Applied Psychophysiology and Biofeedback, 31(2), 129 to 142. doi.org/10.1007/s10484-006-9009-3
2003 · The baroreflexTraining increased baroreflex gain
HRV biofeedback training at resonance increased baroreflex gain, a measure of how strongly the blood pressure reflex responds, along with lung function measures.
Lehrer et al. Psychosomatic Medicine, 65(5), 796 to 805.
2014 · How it worksThe best-supported explanation: a stronger baroreflex
This review concluded the most supported mechanism is strengthening of baroreflex-related regulation, with vagal signals to frontal brain areas proposed as a further pathway.
Lehrer & Gevirtz. Frontiers in Psychology, 5, 756. doi.org/10.3389/fpsyg.2014.00756
2017 · Stress and anxietyA large reduction in self-reported stress and anxiety
Across 24 studies and 484 participants, HRV biofeedback produced a large reduction in self-reported stress and anxiety compared with control conditions.
Goessl, Curtiss & Hofmann. Psychological Medicine, 47(15), 2578 to 2586. doi.org/10.1017/S0033291717001003
2020 · 58 randomised trialsBenefits for emotional health and performance
A meta-analysis of 58 randomised controlled studies found a small-to-moderate overall benefit. The largest effects were for anxiety, depression, anger, and athletic and artistic performance.
Lehrer et al. Applied Psychophysiology and Biofeedback, 45(3), 109 to 129. doi.org/10.1007/s10484-020-09466-z
2022 · 223 studiesSlow breathing raises vagally mediated HRV
A systematic review and meta-analysis of 223 studies found voluntary slow breathing increased vagally mediated HRV during practice, immediately after a session, and after multi-session programmes.
Laborde et al. Neuroscience and Biobehavioral Reviews. doi.org/10.1016/j.neubiorev.2022.104711
2023 · The brainChanges in emotion-regulation networks
In a randomised trial of 106 young adults, five weeks of daily training that increased heart-rate oscillations raised connectivity between the left amygdala and the medial prefrontal cortex, regions involved in regulating emotion.
Nashiro et al. Cognitive, Affective and Behavioral Neuroscience, 23(1), 66 to 83. Publication record
2020 · The methodHow resonance frequency is assessed
A practical guide to finding a person's resonance frequency by comparing heart-rate responses across a series of slow breathing paces, the principle the Resonant app is built on.
Shaffer & Meehan. Frontiers in Neuroscience, 14, 570400. doi.org/10.3389/fnins.2020.570400
In performance and health psychology, HRV biofeedback is taught by clinicians such as Dr Inna Khazan, a clinical psychologist on the faculty of Harvard Medical School and author of The Clinical Handbook of Biofeedback.