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A Protocol for the Administration of Real-Time fMRI Neurofeedback Training
Published on: August 24, 2017
A Pilot Study of Neurofeedback for Chronic PTSD
Mark Gapen1,2, Bessel A van der Kolk3,4,5, Ed Hamlin6,7,8
1Trauma Center at Justice Resource Institute (JRI), 1269 Beacon Street, Brookline, MA, 02446, USA. mark.gapen@gmail.com.
Neurofeedback shows promise for treating posttraumatic stress disorder (PTSD) in multiply-traumatized individuals. This pilot study found significant reductions in PTSD symptoms and improved affect regulation after 40 sessions.
Area of Science:
- Neuroscience
- Clinical Psychology
Background:
- EEG Biofeedback, or neurofeedback, has a long history but limited clinical impact.
- Evidence for neurofeedback efficacy is substantial for ADHD but limited for other disorders like PTSD.
- Treatment-resistant PTSD in multiply-traumatized individuals remains a significant clinical challenge.
Purpose of the Study:
- To conduct a proof-of-concept pilot study on neurofeedback for treatment-resistant PTSD.
- To investigate the efficacy of neurofeedback in reducing PTSD symptoms.
- To assess neurofeedback's impact on affect regulation in this population.
Main Methods:
- 40 sessions of neurofeedback training administered twice weekly.
- Random assignment of sensor placements (T4-P4 or T3-T4).
- Assessment of PTSD symptoms using the Davidson Trauma Scale and affect regulation via the Inventory of Altered Self-Capacities.
Main Results:
- Significant reduction in PTSD symptoms (Davidson Trauma Scale scores decreased from 69.14 to 49.26).
- Significant improvements in affect regulation (Inventory of Altered Self-Capacities-Affect Dysregulation scores decreased from 23.63 to 17.20).
- Neurofeedback preceded gains in affect regulation.
Conclusions:
- Neurofeedback is a viable pilot intervention for treatment-resistant PTSD in multiply-traumatized individuals.
- The findings support further research into neurofeedback for PTSD.
- Future research should focus on larger trials and refining treatment protocols.
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