neurofeedback

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Indications

Contraindications

  • little support for benefit in ADHD[5]

Procedure

  • deploys a brain-computer interface to train self-regulation of brain activity using real-time audiovisual feedback of brain activity
  • electroencephalogram (EEG)-based neurofeedback is the most common
    • 2 EEG neurofeedback protocols have typically been used
      • frequency band training aims to decrease the power of theta activity (4-7 Hz) or increase the power of beta activity (13-39 Hz) to promote attention
      • event-related slow cortical potential regulation aims to increase or decrease negative potential shifts linked to cortical activation & cognitive preparation
  • newer & less common
  • neurofeeback builds on evidence from learning theories
  • neurofeeback protocols are premised on the notion that by learning to self- regulate or normalize brain activity, one can alleviate behavioral symptoms & related impairments

Notes

  • cognitive behavioral therapy focuses on changing thought patterns & behaviors through structured therapeutic techniques
  • neurofeedback aims to train self-regulation of brain activity through real-time feedback mechanisms

More general terms

Additional terms

References

  1. Larsen S, Sherlin L. Neurofeedback: an emerging technology for treating central nervous system dysregulation. Psychiatr Clin North Am. 2013 Mar;36(1):163-8. PMID: https://www.ncbi.nlm.nih.gov/pubmed/23538085 Review.
  2. Sitaram R, Ros T, Stoeckel L et al Closed-loop brain training: the science of neurofeedback. Nat Rev Neurosci. 2017 Feb;18(2):86-100. doi:http://dx.doi.org/ 10.1038/nrn.2016.164. Epub 2016 Dec 22. PMID: https://www.ncbi.nlm.nih.gov/pubmed/28003656 Review.
  3. Papo D. Neurofeedback: Principles, appraisal, and outstanding issues. Eur J Neurosci. 2019 Jun;49(11):1454-1469. PMID: https://www.ncbi.nlm.nih.gov/pubmed/30570194 Review.
  4. Jump up to: 4.0 4.1 MacDuffie KE, MacInnes J, Dickerson KC et al Single session real-time fMRI neurofeedback has a lasting impact on cognitive behavioral therapy strategies. Neuroimage Clin. 2018 Jun 9;19:868-875. PMID: https://www.ncbi.nlm.nih.gov/pubmed/29922575 PMCID: PMC6005804 Free PMC article.
  5. Jump up to: 5.0 5.1 Westwood SJ, Aggensteiner PM, Kaiser A et al Neurofeedback for Attention-Deficit/Hyperactivity Disorder: A Systematic Review and Meta-Analysis. JAMA Psychiatry. 2024 Dec 11. PMID: https://www.ncbi.nlm.nih.gov/pubmed/39661381 https://jamanetwork.com/journals/jamapsychiatry/fullarticle/2827733