Systematic review and meta-analysis of the effects of EEG neurofeedback combined with pharmacological treatment on the positive and negative symptoms in patients with schizophrenia
Yiyi Duan,
No information about this author
Shirley Xin Li,
No information about this author
Shuqi Jia
No information about this author
et al.
Frontiers in Psychiatry,
Journal Year:
2025,
Volume and Issue:
16
Published: March 28, 2025
To
evaluate
the
efficacy
of
EEG
neurofeedback
(EEG-NF)
combined
with
pharmacological
treatment
on
positive
and
negative
symptoms
in
schizophrenia.
Randomized
controlled
trials
(RCTs)
were
searched
CNKI,
Wanfang,
VIP,
PubMed,
Web
Science,
Cochrane,
Embase
databases
until
January
25,
2025.
Literature
quality
was
assessed
using
PEDro
CRED-NF
checklists.
Meta-analysis
publication
bias
tests
performed
RevMan
5.4.1
Stata
18.0,
respectively,
evidence
evaluated
via
GRADEpro.
Fourteen
studies
(1371
patients)
included.
EEG-NF
significantly
improved
(SMD=-0.87)
(SMD=-1.28).
Subgroup
analysis
showed
greater
improvement
patients
aged
≥45
years
(positive:
SMD=-1.05;
negative:
SMD=-1.64).
For
symptoms,
better
outcomes
observed
intervention
periods
≥8
weeks,
frequency
≥4
times/week,
disease
duration
≥5
(SMD=-1.04,
-0.94,
-0.94).
seen
<5
(SMD=-1.34,
-1.68,
-1.26).
Mental
emotional
disorders
regimens
targeting
sensorimotor
rhythm
(SMR)
beta
waves
significant
both
(SMD=-0.98)
(SMD=-1.49).
effectively
improves
schizophrenia
symptoms.
A
regimen
sessions/week
for
SMR
waves,
is
recommended.
However,
may
limit
generalizability
findings.
Future
research
should
prioritize
larger-scale,
multicenter
to
long-term
mechanisms.
www.crd.york.ac.uk,
identifier
CRD42024593505.
Language: Английский
Can Amygdala-Derived-EEG-fMRI-Pattern (EFP) Neurofeedback Treat Sleep Disturbances in PTSD?
Aron Tendler,
No information about this author
Yaki Stern,
No information about this author
Tal Harmelech
No information about this author
et al.
Brain Sciences,
Journal Year:
2025,
Volume and Issue:
15(3), P. 297 - 297
Published: March 12, 2025
Background:
Sleep
disturbances
are
a
core
feature
of
post-traumatic
stress
disorder
(PTSD),
affecting
up
to
90%
patients
and
often
persisting
after
standard
PTSD
treatment.
As
all
the
current
interventions
have
limitations,
amygdala-targeted
neuromodulation
may
offer
novel
treatment
pathway.
Methods:
Secondary
analysis
prospective,
single-arm
trial
(n
=
58)
was
carried
out
evaluating
Prism™
amygdala-derived-EEG-fMRI-Pattern
neurofeedback
(Amyg-EFP-NF).
outcomes
were
assessed
using
Clinician-Administered
Scale
(CAPS-5)
sleep
item,
Checklist
(PCL-5)
Patient
Health
Questionnaire
(PHQ-9)
items
at
baseline,
post-treatment,
3-month
follow-up.
Treatment
consisted
15
sessions
over
8
weeks.
Results:
At
3-months’
follow-up,
63.79%
participants
demonstrated
clinically
meaningful
reduction
in
(≥1
point
CAPS-5
Item
20).
improvement
showed
moderate
correlation
with
overall
symptom
(r
0.484,
p
<
0.001)
balanced
pattern
(−15.1%
early,
−9.1%
late).
responders
sustained
across
multiple
measures
significant
increases
cognitive
reappraisal
(mean
change:
+2.57
±
1.0,
0.006),
while
non-responders
initial
but
un-sustained
trauma-related
dreams.
Conclusions:
Amyg-EFP-NF
shows
preliminary
promise
for
treating
PTSD-related
disturbances.
Our
exploratory
analyses
suggest
distinct
temporal
patterns
potential
associations
enhanced
capacity
that
warrant
rigorous
investigation
future
randomized
controlled
trials.
Language: Английский
Neurofeedback in Psychiatry: A Decade of Clinical and Neuroimaging Insights
Justin Raj,
No information about this author
Nishant Goyal,
No information about this author
Reethu Raphy
No information about this author
et al.
Research Square (Research Square),
Journal Year:
2025,
Volume and Issue:
unknown
Published: May 9, 2025
Abstract
Background
Neurofeedback
(NF)
has
emerged
as
a
promising
neuromodulation
therapy
in
psychiatry,
offering
real-time
feedback
to
help
patients
self-regulate
brain
activity.
Over
the
past
decade,
NF
applications
across
psychiatric
disorders
have
been
extensively
studied.
Objective
We
systematically
reviewed
research
psychiatry
(2015–2025),
including
all
study
types,
evaluate
clinical
outcomes,
mechanisms,
training
protocols,
and
neuroimaging
findings
ADHD,
depression,
anxiety
disorders,
PTSD,
schizophrenia.
Methods
A
comprehensive
literature
search
identified
studies
using
EEG,
fMRI,
or
other
modalities.
included
randomized
trials,
open-label
studies,
case
series,
meta-analyses.
Data
on
symptom
neurophysiological
measures
were
synthesized.
Results
Across
was
generally
associated
with
improvements.
In
trials
meta-analyses
report
moderate
improvements
attention
impulsivity
that
often
persist
at
follow-up.
Depression
EEG
fMRI
show
reductions,
though
sample
sizes
remain
modest.
Anxiety-spectrum
demonstrate
significant
meta-analytic
effect
nearing
one
standard
deviation.
PTSD
shows
robust
evidence,
meta-analysis
of
17
supporting
sustained
Schizophrenia
suggest
can
reduce
positive
negative
symptoms,
particularly
SMR
beta
protocols.
Neuroimaging
confirms
NF-induced
activity
connectivity
changes
paralleling
Conclusions
durable
benefits
minimal
adverse
effects,
its
potential
an
adjunctive
treatment.
However,
methodological
variability
warrants
further
rigorous
optimizing
controls,
mechanistic
investigations.
Language: Английский
Getting stress-related disorders under control: the untapped potential of neurofeedback
Trends in Neurosciences,
Journal Year:
2024,
Volume and Issue:
47(10), P. 766 - 776
Published: Sept. 10, 2024
Language: Английский
Toward Neuroscientific Understanding in Posttraumatic Growth: Scoping Review Identifying Electrophysiological Neurofeedback Training Targets for Brain-based Research
Neuroscience & Biobehavioral Reviews,
Journal Year:
2024,
Volume and Issue:
167, P. 105926 - 105926
Published: Oct. 18, 2024
Improved
neural
understanding
of
posttraumatic
growth
(PTG)
is
required
for
effective
trauma
care.
PTG
the
advantageous
psychological
change
some
individuals
derive
from
their
struggle
to
overcome
trauma.
This
comprehensive
review
critically
examined
limited
research,
identify
electrophysiological
training
targets
future
research
examining
neurofeedback
enhance
PTG,
and
provides
novel
insights
into
emerging
theory
PTG.
PRISMA-ScR
(Preferred
Reporting
Items
Systematic
reviews
Meta-Analyses
extension
Scoping
Reviews)
informed
process.
Findings
studies
N=8
(participants
N=765)
revealed
was
correlated
with
left-lateralised
alpha
frequency
power
patterns.
Specifically,
associated
lower
left
frontal
power,
higher
central
parietal
power.
Differences
between
may
different
components
PTG-related
circuitry,
or
represent
variations
in
sub-factor
strength,
mechanistic
differences
studies,
potential
confounding
presence
stress
disorder
(PTSD).
While
has
been
PTSD
existing
literature,
PTSD.
Therefore,
upregulation
delivered
over
sensorimotor
cortex
brain,
around
EEG
electrode
C3,
presented
most
promising
target.
Language: Английский