Adolescence
is
characterized
by
a
heightened
vulnerability
for
Major
Depressive
Disorder
(MDD)
onset,
and
currently,
treatments
are
only
effective
roughly
half
of
adolescents
with
MDD.
Accordingly,
novel
interventions
urgently
needed.
This
study
aims
to
establish
mindfulness-based
real-time
fMRI
neurofeedback
(mbNF)
as
non-invasive
approach
downregulate
the
default
mode
network
(DMN)
in
order
decrease
ruminatory
processes
depressive
symptoms.
Adolescents
(N=90)
current
diagnosis
MDD
ages
13-18-years-old
will
be
randomized
parallel
group,
two-arm,
superiority
trial
receive
either
15
or
30
minutes
mbNF
1:1
allocation
ratio.
Real-time
based
on
activation
frontoparietal
(FPN)
relative
DMN
displayed
participants
via
movement
ball
computer
screen
while
practice
mindfulness
scanner.
We
hypothesize
that
within-DMN
(medial
prefrontal
cortex
[mPFC]
posterior
cingulate
[PCC])
functional
connectivity
reduced
following
(Aim
1:
Target
Engagement).
Additionally,
we
30-minute
condition
show
greater
reductions
2:
Dosing
Impact
Aim
1
analyze
data
from
all
single-group,
2
leverage
assignment
parallel-group
trial.
Secondary
analyses
probe
changes
symptoms
rumination.
Results
this
determine
whether
reduces
within
among
MDD,
critically,
identify
optimal
dosing
respect
modulation
well
reduction
has
been
registered
clinicaltrials.gov,
most
recently
updated
July
6,
2023
(trial
identifier:
NCT05617495).
Brain Sciences,
Год журнала:
2024,
Номер
14(7), С. 700 - 700
Опубликована: Июль 12, 2024
Emotion
dysregulation
has
long
been
considered
a
key
symptom
in
multiple
psychiatric
disorders.
Difficulties
emotion
regulation
have
associated
with
neural
fronto-limbic
circuits.
Real-time
fMRI-based
neurofeedback
(rt-fMRI-NFB)
become
increasingly
popular
as
potential
treatment
for
emotional
disorders,
it
is
able
to
directly
target
the
impaired
However,
clinical
impact
of
these
rt-fMRI-NFB
protocols
populations
still
largely
unknown.
Here
we
provide
comprehensive
overview
primary
studies
from
2010
2023
that
used
regulation.
We
assessed
41
out
4001
original
methodological
quality
and
risk
bias
synthesised
concerning
frequency
significant
rt-fMRI-NFB-related
effects
on
behaviour
level.
Successful
modulation
brain
activity
was
reported
between
25
50
percent
study
samples,
while
samples
were
more
diverse
than
healthy
samples.
Interestingly,
behavioural
improvement
over
75
showed
improvements
0
percent.
Concerning
subsamples,
observed
up
100
major
depressive
disorder
(MDD)
post-traumatic
stress
(PTSD)
Substance
use
benefits
ranging
Neural
appeared
be
less
frequent
improvements:
most
outcomes
ranged
MDD
substance
PTSD.
Using
individualised
regions
interest
(ROIs)
training
resulted
solely
based
amygdala
or
prefrontal
cortex.
While
studies,
heterogeneous,
which
limits
current
evaluation
putative
dysregulation.
Cortica,
Год журнала:
2024,
Номер
3(1), С. 413 - 460
Опубликована: Март 20, 2024
Cet
article
propose
une
revue
narrative
exhaustive
sur
l'insula,
région
cérébrale
complexe
et
stratégiquement
située,
son
rôle
central
dans
les
interactions
corps-cerveau-comportement.
Il
souligne
l'importance
de
l'insula
la
perception
interne
(intéroception),
le
traitement
émotionnel
cognitif,
ainsi
que
diverses
fonctions
neuropsychologiques.
L'article
évoque
l'histoire
découverte
sa
structure
unique,
ses
connexions
tentaculaires
avec
d'autres
régions
cérébrales,
implication
des
sensorimotrices,
émotionnelles,
sociales,
cognitives.
aborde
également
régulation
émotionnelle,
mettant
en
lumière
interaction
cortex
préfrontal
ventromédian
temporo-pariétal.
La
se
concentre
l'impact
divers
troubles
psychiques
tels
dépression,
alimentaires,
syndrome
stress
post-traumatique,
du
spectre
autistique,
suggérant
dysfonctionnements
peuvent
être
un
dénominateur
commun
à
plusieurs
pathologies
mentales.
Des
approches
thérapeutiques
innovantes,
telles
méditation
pleine
conscience
neurofeedback
par
IRMf,
sont
discutées
comme
moyens
potentiels
d'améliorer
fonctionnalité
traiter
associés.
cruciale
poursuivre
recherche
pour
mieux
comprendre
santé
mentale
physique,
développer
stratégies
ciblées.
En
résumé,
cette
offre
perspective
complète
évidence
pivot
l'intégration
processus
corporels,
émotionnels
cognitifs,
potentiel
tant
cible
thérapeutique
psychiques.
Understanding
why
some
patients
with
depression
remain
resistant
to
antidepressant
medication
could
be
elucidated
by
investigating
their
associated
neural
features.
Although
research
has
consistently
demonstrated
abnormalities
in
the
anterior
cingulate
cortex
(ACC)
–
a
region
that
is
part
of
default
mode
network
(DMN)
-
treatment-resistant
(TRD),
considerable
gap
exists
discerning
how
these
networks
distinguish
TRD
from
treatment-sensitive
(TSD).
In
this
context,
we
aimed
evaluate
resting-state
functional
connectivity
(rsFC)
ACC
other
regions
DMN
better
understand
role
structure
pathophysiology
TRD.
35
patients,
TSD
and
38
healthy
controls
(HC)
underwent
MRI
protocol.
Seed-based
analyses
were
performed,
comparing
three
groups
for
between
two
subregions
(the
subgenual
(sgACC)
rostral
(rACC))
(p<0.05
FWE
corrected).
Furthermore,
inter-network
was
explored
independent
component
(ICA)
(p<0.01,
FDR
The
results
hyperconnectivity
rACC
posterior
relative
HC
(F(2,105)=5.335,
p<0.05).
ICA
also
found
lower
default-mode
somatomotor,
cognitive
control,
salience
limbic
system
group
compared
HC.
These
differentiate
TSD,
providing
confirmatory
evidence
preliminary
its
interactions
as
key
mechanisms
underlying
treatment
non-responsiveness.
NeuroImage Clinical,
Год журнала:
2024,
Номер
43, С. 103656 - 103656
Опубликована: Янв. 1, 2024
Understanding
why
some
patients
with
depression
remain
resistant
to
antidepressant
medication
could
be
elucidated
by
investigating
their
associated
neural
features.
Although
research
has
consistently
demonstrated
abnormalities
in
the
anterior
cingulate
cortex
(ACC)
-
a
region
that
is
part
of
default
mode
network
(DMN)
treatment-resistant
(TRD),
considerable
gap
exists
discerning
how
these
networks
distinguish
TRD
from
treatment-sensitive
(TSD).
We
aimed
evaluate
resting-state
functional
connectivity
(rsFC)
ACC
other
regions
DMN
better
understand
role
this
structure
pathophysiology
TRD.
35
patients,
TSD
and
38
healthy
controls
(HC)
underwent
MRI
protocol.
Seed-based
analyses
were
performed,
comparing
three
groups
for
between
two
subregions
(the
subgenual
(sgACC)
rostral
(rACC))
(p
<
0.05
FWE
corrected).
Furthermore,
inter-network
was
explored
independent
component
(ICA)
0.01,
FDR
The
results
hyperconnectivity
rACC
posterior
relative
HC
(F(2,105)
=
5.335,
p
0.05).
ICA
found
visual
(TRDTSD),
differentiating
clinical
groups.
These
provide
confirmatory
evidence
preliminary
its
interactions
as
key
mechanisms
underlying
treatment
non-responsiveness.
Neural Plasticity,
Год журнала:
2024,
Номер
2024(1)
Опубликована: Янв. 1, 2024
Although
previous
studies
have
shown
that
repetitive
transcranial
magnetic
stimulation
(rTMS)
can
ameliorate
addictive
behaviors
and
cravings,
the
underlying
neural
mechanisms
remain
unclear.
This
study
aimed
to
investigate
effect
of
high‐frequency
rTMS
with
left
dorsolateral
prefrontal
cortex
(L‐DLPFC)
as
a
target
region
on
smoking
addiction
in
nicotine‐dependent
individuals
by
detecting
change
spontaneous
brain
activity
reward
circuitry.
We
recruited
17
nicotine‐dependence
participants,
who
completed
10
sessions
Hz
over
2‐week
period
underwent
evaluation
several
dependence‐related
scales,
resting‐state
fMRI
scan
before
after
treatment.
Functional
connectivity
(FC)
analysis
was
conducted
reward‐related
regions
seeds,
including
ventral
tegmental
area,
bilateral
nucleus
accumbens
(NAc),
DLPFC,
amygdala.
found
that,
treatment,
showed
reduced
nicotine
dependence,
alleviated
tobacco
withdrawal
symptoms,
diminished
cravings.
The
right
NAc
increased
FC
fusiform
gyrus,
inferior
temporal
gyrus
(ITG),
calcarine
fissure
surrounding
cortex,
superior
occipital
(SOG),
lingual
cuneus.
No
significant
changes
were
observed
other
seed
regions.
Moreover,
between
ITG
well
SOG
negatively
correlated
scale
scores.
Our
findings
suggest
L‐DLPFC‐rTMS
reduces
dependence
improves
dysfunctional
circuitry
may
be
mechanism
for
its
therapeutic
target.
European Eating Disorders Review,
Год журнала:
2024,
Номер
unknown
Опубликована: Сен. 17, 2024
Abstract
Background
The
network
approach
in
the
eating
disorder
(ED)
field
has
confirmed
important
links
between
EDs
and
posttraumatic
stress
(PTSD)
symptoms.
However,
studies
including
comorbid
symptoms
are
scarce,
which
limits
our
understanding
of
potentially
connections.
We
hypothesised
that
anxiety,
depression
poor
quality
life
(QOL)
would
provide
a
more
complete
picture
central,
maintaining
factors.
Methods
Network
analysis
using
R
was
performed
2178
adult
ED
patients
(91%
female)
admitted
to
residential
treatment.
Assessments
included
Examination
Questionnaire
(EDEQ),
Eating
Disorders
Inventory
(EDI‐2),
PTSD
Checklist
for
DSM‐5
(PTSD
clusters
(PCL‐5)),
Patient
Health
(PHQ‐9),
Spielberger
State‐Trait
Anxiety
Scale
(STAI),
QOL
(EDQOL),
measure
EDs,
PTSD,
major
depression,
state‐trait
QOL,
respectively.
Results
EDI‐2
ineffectiveness
showed
highest
centrality
(expected
influence)
followed
by
interoceptive
awareness,
STAI
state
EDEQ
shape
concern,
EDQOL
psychological
subscale,
cluster
D
(hyperarousal)
Disorder
Quality
Life
physical‐cognitive
subscales
PHQ‐9
depressive,
anxiety
PCL‐5
E
(negative
alterations
mood
cognition)
bridge
expected
influence,
suggesting
their
interactive
role
ED‐PTSD
comorbidity.
Conclusions
This
is
first
interaction
include
measures
large
clinical
sample
patients.
Our
results
indicate
several
symptom
likely
maintain
comorbidity
may
be
targets
integrated
Open Journal of Philosophy,
Год журнала:
2023,
Номер
13(02), С. 336 - 341
Опубликована: Янв. 1, 2023
The
Eplerian
Life
Philosophy
is
“know
who
you
are
moment
by
moment”
which
means
knowing
where
you’re
thinking
from,
and
that
are.
There
five
locations
to
think
feel
from
including
the
head,
heart,
gut,
body,
mind.
Limit
head
anger
stress
centers
less
than
ten
seconds.
Feel
heart
with
kindness
yourself
others.
Be
in
mind
solve
problems
help
for
people
want
improve
their
lives
being
true
authentic
self
living
best
at
home,
work,
community.