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A Protocol for the Administration of Real-Time fMRI Neurofeedback Training
Published on: August 24, 2017
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Pilot Study Using Neurofeedback as a Tool to Reduce Surgical Resident Burnout
Ian M Kratzke1, Alana Campbell2, Mae N Yefimov3
1Department of Surgery, University of North Carolina, Chapel Hill, NC.
Journal of the American College of Surgeons
|October 6, 2020
Summary
Neurofeedback training significantly improved cognitive workload in surgical residents experiencing burnout and depression. This brain self-regulation technique also positively impacted personal growth areas like sleep and stress.
Area of Science:
- Neuroscience
- Medical Education
- Psychiatry
Background:
- Burnout is a significant issue among surgical residents.
- Neurofeedback offers a potential method for enhancing brain self-regulation skills.
Purpose of the Study:
- To evaluate the effects of neurofeedback on cognitive workload and personal growth in surgical residents with burnout and depression.
Main Methods:
- A prospective study involving 15 surgical residents with burnout and depression.
- Ten residents received 8 weeks of neurofeedback, while 5 served as controls.
- Cognitive workload was assessed using electroencephalogram (EEG) during working memory tasks; personal growth areas were self-reported.
Main Results:
- The neurofeedback group showed significant improvement in cognitive workload (p < 0.01) post-intervention, unlike the control group.
- A strong correlation (r=0.98) was found between the number of neurofeedback sessions and improvements in personal growth areas.
- Burnout levels correlated with EEG patterns suggesting post-traumatic stress disorder.
Conclusions:
- Neurofeedback intervention led to a notable reduction in cognitive workload, indicating improved neural efficiency.
- The findings suggest neurofeedback may be a valuable tool for addressing burnout and enhancing well-being in surgical residents.

