{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T21:29:07Z","timestamp":1790544547369,"version":"4.1.0"},"reference-count":34,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2021,8,1]],"date-time":"2021-08-01T00:00:00Z","timestamp":1627776000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,8,1]],"date-time":"2021-08-01T00:00:00Z","timestamp":1627776000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2021,8,1]],"date-time":"2021-08-01T00:00:00Z","timestamp":1627776000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2021,8,1]],"date-time":"2021-08-01T00:00:00Z","timestamp":1627776000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2021,8,1]],"date-time":"2021-08-01T00:00:00Z","timestamp":1627776000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2021,8,1]],"date-time":"2021-08-01T00:00:00Z","timestamp":1627776000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2021,8,1]],"date-time":"2021-08-01T00:00:00Z","timestamp":1627776000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Complementary Therapies in Clinical Practice"],"published-print":{"date-parts":[[2021,8]]},"DOI":"10.1016\/j.ctcp.2021.101420","type":"journal-article","created":{"date-parts":[[2021,5,25]],"date-time":"2021-05-25T22:18:43Z","timestamp":1621981123000},"page":"101420","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":15,"special_numbering":"C","title":["Biofeedback therapeutic effects on blood pressure levels in hypertensive individuals: A systematic review and meta-analysis"],"prefix":"10.1016","volume":"44","author":[{"given":"Jos\u00e9 Edimosio","family":"Costa Vital","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2802-4093","authenticated-orcid":false,"given":"Adriele","family":"de Morais Nunes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beatriz","family":"Souza de Albuquerque Cacique New York","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barbara Dayane","family":"Araujo de Sousa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Micaele Farias","family":"Nascimento","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0327-9695","authenticated-orcid":false,"given":"Magno F.","family":"Formiga","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Tereza N.S.F.","family":"Fernandes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"3 Supl.3","key":"10.1016\/j.ctcp.2021.101420_bib1","first-page":"1","article-title":"VII diretriz brasileira de Hipertens\u00e3o arterial","volume":"107","author":"Malachias","year":"2016","journal-title":"Arq. Bras. Cardiol."},{"issue":"19","key":"10.1016\/j.ctcp.2021.101420_bib2","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1016\/j.jacc.2017.11.006","volume":"71","author":"Whelton","year":"2018","journal-title":"J. Am. Coll. Cardiol."},{"key":"10.1016\/j.ctcp.2021.101420_bib3","article-title":"First\u2010line drugs for hypertension","volume":"vol. 4","author":"Wright","year":"2018"},{"issue":"2","key":"10.1016\/j.ctcp.2021.101420_bib4","first-page":"85","article-title":"Biofeedback in medicine: who, when, why and how?","volume":"7","author":"Frank","year":"2010","journal-title":"Ment Health Fam Med, Jun."},{"issue":"6","key":"10.1016\/j.ctcp.2021.101420_bib5","doi-asserted-by":"crossref","DOI":"10.1590\/S0066-782X2009001200018","article-title":"Preval\u00eancia, controle e tratamento da hipertens\u00e3o arterial sist\u00eamica em Nobres \u2013 MT","volume":"93","author":"Ros\u00e1rio","year":"2009","journal-title":"Arq. Bras. Cardiol."},{"key":"10.1016\/j.ctcp.2021.101420_bib6","doi-asserted-by":"crossref","first-page":"2363","DOI":"10.1001\/jama.289.18.2363","article-title":"Hypertension prevalence and blood pressure levels in 6 European countries, Canada, and the United States","volume":"289","author":"Wolf-Maier","year":"2003","journal-title":"J. Am. Med. Assoc."},{"key":"10.1016\/j.ctcp.2021.101420_bib7","author":"Association for Applied Psychophysiology and Biofeedback"},{"issue":"3","key":"10.1016\/j.ctcp.2021.101420_bib8","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1080\/AC.69.3.3027833","article-title":"Biofeedback on heart rate variability in cardiac rehabilitation: practical feasibility and psycho physiological eff ects","volume":"69","author":"Climov","year":"2014","journal-title":"Acta Cardiol."},{"issue":"2","key":"10.1016\/j.ctcp.2021.101420_bib9","doi-asserted-by":"crossref","first-page":"166","DOI":"10.1097\/JCN.0000000000000239","article-title":"Effect of feedback signal on blood pressure self-regulation capability in individuals with prehypertension or stage I hypertension A randomized controlled study","volume":"31","author":"Wang","year":"2016","journal-title":"J. Cardiovasc. Nurs."},{"issue":"3","key":"10.1016\/j.ctcp.2021.101420_bib10","doi-asserted-by":"crossref","first-page":"198","DOI":"10.1097\/00005082-200505000-00012","article-title":"Biofeedback-assisted relaxation training for essential hypertension who is most likely to benefit?","volume":"20","author":"Yucha","year":"2005","journal-title":"J. Cardiovasc. Nurs."},{"issue":"3","key":"10.1016\/j.ctcp.2021.101420_bib11","doi-asserted-by":"crossref","first-page":"523","DOI":"10.1590\/S0103-51502011000300017","article-title":"PEDro: a base de dados de evid\u00eancias em fisioterapia","volume":"24","author":"Shiwa","year":"2011","journal-title":"Fisioter. Mov."},{"key":"10.1016\/j.ctcp.2021.101420_bib12","series-title":"Cochrane Handbook for Systematic Reviews of Interventions","author":"Higgins","year":"2020"},{"key":"10.1016\/j.ctcp.2021.101420_bib13","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1038\/sj.jhh.1001148","article-title":"Treating hypertension with a device that slows and regularises breathing: a randomised, double-blind controlled study","volume":"15","author":"Schein","year":"2001","journal-title":"J. Hum. Hypertens."},{"issue":"3","key":"10.1016\/j.ctcp.2021.101420_bib14","doi-asserted-by":"crossref","DOI":"10.1007\/BF01000659","article-title":"The effect of biofeedback-assisted relaxation training on blood pressure and selected biochemical parameters in patients with essential hypertension","volume":"6","author":"Mcgrady","year":"1981","journal-title":"Biofeedback Self-Regul."},{"key":"10.1016\/j.ctcp.2021.101420_bib15","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1007\/BF01000749","article-title":"Combined behavioral and pharmacological treatment of essential hypertension","volume":"10","author":"Hatch","year":"1985","journal-title":"Biofeedback Self-Regul."},{"issue":"4","key":"10.1016\/j.ctcp.2021.101420_bib16","doi-asserted-by":"crossref","first-page":"453462","DOI":"10.1016\/0022-3999(87)90003-1","article-title":"Stress management for essential hypertension: comparison with a minimally effective Treatment, predictors of response to treatment, and effects on reactivity","volume":"31","author":"Zurawski","year":"1987","journal-title":"J. Psychosom. Res."},{"key":"10.1016\/j.ctcp.2021.101420_bib17","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1097\/00006842-198903000-00005","article-title":"Behavioral treatment of essential hypertension: a comparison between cognitive therapy and biofeedback of heart rate","volume":"51","author":"Achmon","year":"1989","journal-title":"Psychosom. Med."},{"issue":"3","key":"10.1016\/j.ctcp.2021.101420_bib18","doi-asserted-by":"crossref","first-page":"355","DOI":"10.1089\/107555303765551589","article-title":"Impact of a workplace stress reduction program on blood pressure and emotional health in hypertensive employees","volume":"9","author":"Mccraty","year":"2003","journal-title":"J. Alternative Compl. Med."},{"issue":"5","key":"10.1016\/j.ctcp.2021.101420_bib19","doi-asserted-by":"crossref","first-page":"547","DOI":"10.1089\/acm.2007.6289","article-title":"Blood pressure biofeedback exerts intermediate-term effects on blood pressure and pressure reactivity in individuals with mild hypertension: a randomized controlled study","volume":"13","author":"Tsai","year":"2007","journal-title":"J. Alternative Compl. Med."},{"issue":"4","key":"10.1016\/j.ctcp.2021.101420_bib20","doi-asserted-by":"crossref","first-page":"1033","DOI":"10.1161\/HYPERTENSIONAHA.109.146233","article-title":"Behavioral neurocardiac training in hypertension A randomized, controlled trial","volume":"55","author":"Nolan","year":"2010","journal-title":"Hypertension"},{"key":"10.1016\/j.ctcp.2021.101420_bib21","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1007\/s10484-009-9126-x","article-title":"Internet-based biofeedback-assisted relaxation training in the treatment of hypertension: a pilot study","volume":"35","author":"Olsson","year":"2010","journal-title":"Appl. Psychophysiol. Biofeedback"},{"issue":"4","key":"10.1016\/j.ctcp.2021.101420_bib22","doi-asserted-by":"crossref","first-page":"644","DOI":"10.1097\/HJH.0b013e3283370e20","article-title":"Biofeedback for hypertension: a systematic review","volume":"28","author":"Greenhalgh","year":"2010","journal-title":"J. Hypertens."},{"issue":"10","key":"10.1016\/j.ctcp.2021.101420_bib23","doi-asserted-by":"crossref","DOI":"10.1097\/HJH.0000000000000298","article-title":"Clinical effectiveness of stress-reduction techniques in patients with hypertension: systematic review and meta-analysis","volume":"32","author":"Nagele","year":"2014","journal-title":"J. Hypertens."},{"issue":"2","key":"10.1016\/j.ctcp.2021.101420_bib24","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1089\/acm.2010.0607","article-title":"Heart rate variability biofeedback decreases blood pressure in prehypertensive subjects by improving autonomic function and baroreflex","volume":"18","author":"Lin","year":"2012","journal-title":"J. Alternative Compl. Med."},{"key":"10.1016\/j.ctcp.2021.101420_bib25","author":"Shanthi"},{"key":"10.1016\/j.ctcp.2021.101420_bib26","doi-asserted-by":"crossref","first-page":"1867","DOI":"10.1001\/archinte.162.16.1867","article-title":"Overweight and obesity as determinants of cardiovascular risk: the Framingham experience","volume":"162","author":"Wilson","year":"2002","journal-title":"Arch. Intern. Med."},{"key":"10.1016\/j.ctcp.2021.101420_bib27","doi-asserted-by":"crossref","first-page":"704","DOI":"10.1016\/j.amjmed.2009.05.001","article-title":"The time has come for physicians to take notice: the impact of psychosocial stressors on the heart","volume":"122","author":"Figueredo","year":"2009","journal-title":"Am. J. Med."},{"issue":"15","key":"10.1016\/j.ctcp.2021.101420_bib28","doi-asserted-by":"crossref","first-page":"2578","DOI":"10.1017\/S0033291717001003","article-title":"The effect of heart rate variability biofeedback training on stress and anxiety: a meta-analysis","volume":"47","author":"Goessl","year":"2017","journal-title":"Psychol. Med."},{"issue":"1","key":"10.1016\/j.ctcp.2021.101420_bib29","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1161\/01.HYP.0000250984.14992.64","article-title":"Heightened functional neural activation to psychological stress covaries with exaggereted blood pressure reactivity","volume":"49","author":"Gianaros","year":"2007","journal-title":"Hypertension"},{"key":"10.1016\/j.ctcp.2021.101420_bib30","series-title":"Press\u00e3o alta e stress: O que fazer agora? Um guia de vida para o hipertenso. Campinas: Papirus","author":"Lipp","year":"2007"},{"key":"10.1016\/j.ctcp.2021.101420_bib31","first-page":"50","article-title":"Quality of life and treatment adherence in hypertensive patients: systematic review with meta-analysis","volume":"22","author":"Souza","year":"2016","journal-title":"Rev. Saude Publica"},{"issue":"1 supl.1","key":"10.1016\/j.ctcp.2021.101420_bib32","first-page":"1","volume":"95","author":"Sociedade Brasileira de Cardiologia\/Sociedade Brasileira de Hipertens\u00e3o\/Sociedade Brasileira de Nefrologia","year":"2010","journal-title":"VI Diretrizes Brasileiras de Hipertens\u00e3o. Arq Bras Cardiol"},{"issue":"35","key":"10.1016\/j.ctcp.2021.101420_bib33","article-title":"Internet-based biofeedback-assisted relaxation training in the treatment of hypertension: a pilot study","volume":"2","author":"Olsson","year":"2010","journal-title":"Appl. Psychophysiol. Biofeedback"},{"issue":"2","key":"10.1016\/j.ctcp.2021.101420_bib34","article-title":"Biofeedback therapy in cardiovascular disease: rationale and research overview","volume":"75","author":"Moravec","year":"2008","journal-title":"Cleve. Clin. J. Med."}],"container-title":["Complementary Therapies in Clinical Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1744388121001195?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1744388121001195?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T18:53:23Z","timestamp":1761677603000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1744388121001195"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,8]]},"references-count":34,"alternative-id":["S1744388121001195"],"URL":"https:\/\/doi.org\/10.1016\/j.ctcp.2021.101420","relation":{},"ISSN":["1744-3881"],"issn-type":[{"value":"1744-3881","type":"print"}],"subject":[],"published":{"date-parts":[[2021,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Biofeedback therapeutic effects on blood pressure levels in hypertensive individuals: A systematic review and meta-analysis","name":"articletitle","label":"Article Title"},{"value":"Complementary Therapies in Clinical Practice","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ctcp.2021.101420","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2021 Elsevier Ltd. All rights reserved.","name":"copyright","label":"Copyright"}],"article-number":"101420"}}