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Updated: Feb 7, 2026

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A Protocol for the Administration of Real-Time fMRI Neurofeedback Training
Published on: August 24, 2017
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Placebo hampers ability to self-regulate brain activity: A double-blind sham-controlled neurofeedback study
Silvia Erika Kober1, Matthias Witte2, Sandra Grinschgl3
1Institute of Psychology, University of Graz, Austria; BioTechMed-Graz, Austria.
Neuroimage
|July 17, 2018
Summary
Neurofeedback (NF) self-regulation is impacted by placebo effects. Expecting brain stimulation during NF actually hinders the ability to self-regulate brain signals, challenging current theories.
Area of Science:
- Neuroscience
- Psychology
- Neurofeedback research
Background:
- Unspecific effects on neurofeedback (NF) performance are poorly understood.
- Skepticism exists regarding NF's therapeutic outcomes, with some attributing them to placebo and psychosocial factors.
Purpose of the Study:
- To investigate how unspecific factors influence neural self-regulation during NF.
- To explore the mechanisms by which these unspecific factors impact NF performance.
Main Methods:
- A sham transcranial direct current stimulation (tDCS) was used as an active placebo intervention.
- The study manipulated expectations of positive effects from brain stimulation to influence NF performance.
Main Results:
- The expectation of receiving brain stimulation negatively interfered with the ability to self-regulate sensorimotor rhythm (SMR) in EEG.
- Placebo effects were found to reduce neurofeedback performance.
Conclusions:
- Placebo significantly reduces neurofeedback performance.
- Findings challenge existing theories on the role of unspecific effects in neurofeedback.
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