This article describes a performance enhancement/resilience training program developed and implemented for both pre- and postdeployment ROTC cadets at California State University, Fullerton. The program integrates a psychophysiological stress profile, multimodal biofeedback training, and a skills-based group educational program to modulate stress reactivity and promote autonomic nervous system flexibility. Heart rate variability biofeedback training receives special emphasis. The impetus for the program and practical guidelines for using biofeedback with military personnel are presented.Abstract

An Infiniti™ system training screen with a breath pacer bar, which is used to determine resonance frequency. The relatively smooth line represents respiration, whereas the jagged line represents heart rate variability.

Trainer Scott Moore and ROTC cadets Minh Pham and Robert Fisher during a resilience training session.

Cadet Minh Pham working with multimodality feedback.

Karen Quigley, PhD, associate director for research at the War Related Illness and Injury Study Center (WRIISC); Masahito Sakakibara, PhD; Wunmi Osinubi, PhD; Evengy Vaschillo, PhD; Bronya Vaschillo, MD; Maureen Haney, MS; Maria Karavidas, PsyD; and Harry Campbell at the WRIISC in East Orange, New Jersey.

Scott Moore, Cadet Minh Pham, Maureen Haney, and Cadet Robert Fisher following completion of the performance enhancement/resilience training program.

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