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The Use of EEG-Based Neurofeedback Method in the Treatment of Posttraumatic Stress Disorder

Yıl 2020, Cilt: 10 Sayı: 1, 123 - 130, 31.01.2020
https://doi.org/10.33631/duzcesbed.660176

Öz

Post-traumatic
stress disorder is a mental disorder that can develop following
life-threatening traumatic events. Electroencephalography-based neurofeedback
is a non-invasive method that aims to modify electroencephalography wave
activity patterns specific to different states of consciousness and emotion by
biofeedback within the framework of operant conditioning to achieve the desired
skills. This method is used as an alternative treatment for many
neuropsychiatric diseases involving post-traumatic stress disorder. In this
review, Pubmed, EMBASE, EBSCOhost, ULAKBIM databases were searched and 14
studies were evaluated using different neurofeedback treatment protocols to
evaluate the effectiveness of electroencephalography-based neurofeedback method
in the treatment of post-traumatic stress disorder. Findings showed that
electroencephalography-based neurofeedback method has significantly different
positive effects on the treatment of post-traumatic stress disorder and the
improvement of symptoms depending on specific treatment protocols. More
comprehensive controlled studies should be aimed at intended for sustained
positive effect of electroencephalography-based neurofeedback treatment to put
forward the exact mechanisms of electroencephalography-based neurofeedback
method on post-traumatic stress disorder treatment and to determine
standardized treatment protocols specific to the individual and /or symptoms of
the disorder, also taking into using medication therapist-patient
characteristics, and other therapeutic processes, including other factors that
may affect post- traumatic stress disorder treatment.

Kaynakça

  • 1. Marzbani H, Marateb HM, Mansouria M. Methodological note: neurofeedback: a comprehensive review on system design, methodology and clinical applications. Basic Clin Neurosci. 2016; 7(2): 143-58.
  • 2. Gruzelier JH, Thompson T, Redding E, Brandt R, Steffert T. Application of alpha/theta neurofeedback and heart rate variability training to young contemporary dancers: state anxiety and creativity. Int J Psychophysiol. 2014; 93(1): 105-11.
  • 3. Harris S. An Investigation of the effects of neurofeedback training on attention deficit-hyperactivity disorder (ADHD) symptoms, depression, anxiety, and academic self-efficacy in college students [PhD dissertations]. Orlando: University of Central Florida; 2017.
  • 4. Little BD. Evaluating the effectiveness of a school-based neurofeedback intervention on decreasing anxiety in an adolescent female. The Chicago School of Professional Psychology [PhD dissertations]. Chicago: the Chicago School of Professional Psychology; 2015.
  • 5. Schoenberg PL, David AS. Biofeedback for psychiatric disorders: a systematic review. Appl Psychophysiol Biofeed. 2014; 39(2): 109-35.
  • 6. Foldes ST, Weber DJ, Collinger JL. MEG-based neurofeedback for hand rehabilitation. J Neuroeng Rehabil. 2015; 12: 85.
  • 7. Thibault RT, MacPherson A, Lifshitz M, Roth RR, Raz A. Neurofeedback with fMRI: a critical systematic review. NeuroImage. 2018; 172: 786-807.
  • 8. Liu N, Cliffer S, Pradhan AH, Lightbody A, Hall SS, Reiss AL. Optical-imaging-based neurofeedback to enhance therapeutic intervention in adolescents with autism: Methodology and initial data. Neurophotonics. 2017; 4(1): 011003.
  • 9. Mano M, Lécuyer A, Bannier E, Perronnet L, Noorzadeh S, Barillot C. How to build a hybrid neurofeedback platform combining EEG and fMRI. Front Neurosci. 2017; 11: 140.
  • 10. Demos JN. Getting started with neurofeedback (1st ed, Vol 1). New York: W.W. Norton & Company; 2005.
  • 11. Vernon DJ. Can neurofeedback training enhance performance? an evaluation of the evidence with implications for future research. Appl Psychophysiol Biofeedback. 2005; 30(4): 347-64.
  • 12. Hammond DC. What is neurofeedback: an update. J Neurother. 2011; 15(4): 305-36.
  • 13. Chiba T, Kanazawa T, Koizumi A, Ide K, Taschereau-Dumouchel V, Boku S, et al. Current status of neurofeedback for post-traumatic stress disorder: a systematic review and the possibility of decoded neurofeedback. Front Hum Neurosci. 2019; 13: 233.
  • 14. Askovic M, Watters AJ, Aroche J, Harris AWF. Neurofeedback as an adjunct therapy for treatment of chronic posttraumatic stress disorder related to refugee trauma and torture experiences: two case studies. Australas Psychiatry. 2017; 25(4): 358-63.
  • 15. Noohi S, Miraghaie AM, Arabi A, Nooripour R. Effectiveness of neuro-feedback treatment with alpha/theta method on PTSD symptoms and their executing function. Biomed Res. 2017; 28(5): 2019-27.
  • 16. Ros T, Frewen P, Théberge J, Michela A, Kluetsch R, Mueller A, Candrian G, Jetly R, Vuilleumier P, Lanius RA. Neurofeedback tunes scale-free dynamics in spontaneous brain activity. Cereb Cortex. 2017; 27(10): 4911-22.
  • 17. van der Kolk BA, Hodgdon H, Gapen M, Musicaro R, Suvak MK, Hamlin E, et al. A randomized controlled study of neurofeedback for chronic PTSD. PLoS One. 2016; 11(12): e0166752.
  • 18. Nicholson AA, Ros T, Frewen PA, Densmore M, Théberge J, Kluetsch RC, et al. Alpha oscillation neurofeedback modulates amygdala complex connectivity and arousal in posttraumatic stress disorder. Neuroimage Clin. 2016; 12: 506-16.
  • 19. Gapen M, van der Kolk BA, Hamlin E, Hirshberg L, Suvak M, Spinazzola J. A Pilot study of neurofeedback for chronic PTSD. Appl Psychophysiol Biofeedback. 2016; 41(3): 251-61.
  • 20. Rastegar N, Dolatshahi B, Rezaei ED. The Effect of neurofeedback training on increasing sustained attention in veterans with posttraumatic stress disorder. J Pract Clin Psychol. 2016; 4(2): 97-104.
  • 21. Kluetsch RC, Ros T, Théberge J, Frewen PA, Calhoun VD, Schmahl C, et al. Plastic modulation of PTSD resting-state networks and subjective wellbeing by EEG neurofeedback. Acta. Psychiatr Scand. 2014; 130(2): 123-36.
  • 22. Nelson DV, Esty ML. Neurotherapy of traumatic brain injury/posttraumatic stress symptoms in OEF/OIF veterans. J Neuropsychiatry Clin Neurosci. 2012; 24(2): 237-40.
  • 23. Othmer S, Othmer S. Post traumatic stress disorder—the neurofeedback remedy. Biofeedback. 2009; 37(1): 3-4.
  • 24. Smith WD. The effect of neurofeedback training on PTSD symptoms of depression and attention problems among military veterans [PhD dissertations]. Minneapolis: Capella University; 2008.
  • 25. Pop-Jordanova N, Zorcec T. Child trauma, attachment and biofeedback mitigation. Prilozi. 2004; 25(1-2): 103-14.
  • 26. Peniston EG, Marrinan DA, Deming WA, Kulkosky PJ. EEG alpha-theta brainwave synchronization in Vietnam theater veterans with combat-related post-traumatic stress disorder and alcohol abuse. Adv Med Psychother. 1993; 6: 37-50.
  • 27. Peniston EG, Kulkosky PJ. Alpha-theta brainwave neuro-feedback for Vietnam veterans with combat- related post-traumatic stress disorder. Med Psychother. 1991; 4: 47-60.
  • 28. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (DSM-5®). Arlington: American Psychiatric Pub; 2013.
  • 29. Schnurr PP, Friedman MJ, Engel CC, Foa EB, Shea MT, Chow BK, et al. Cognitive behavioral therapy for posttraumatic stress disorder in women: a randomized controlled trial. JAMA. 2007; 297(8): 820-30.
  • 30. Dempster T. An investigation into the optimum training paradigm for alpha electroencephalographic biofeedback [PhD dissertations]. Canterbury: Canterbury Christ Church University; 2012.
  • 31. Egner T, Gruzelier JH. EEG biofeedback of low beta band components: frequency-specific effects on variables of attention and event-related brain potentials. Clin Neurophysiol. 2004; 115(1): 131-9.
  • 32. Gruzelier J. A theory of alpha/theta neurofeedback, creative performance enhancement, long distance functional connectivity and psychological integration. Cogn Process. 2009; 10(1): 101-9.
  • 33. Surmeli T, Ertem A, Eralp E, Kos IH. Schizophrenia and the efficacy of qEEG-guided neurofeedback treatment: a clinical case series. Clin EEG Neurosci. 2012; 43(2): 133-44.
  • 34. Ros T, Theberge J, Frewen PA, Kluetsch R, Densmore M, Calhoun VD, Lanius RA. Mind over chatter: Plastic up-regulation of the fMRI salience network directly after EEG neurofeedback. Neuroimage.2013; 65: 324-35.
  • 35. Jokic-begi´c N, Begi´c, D. Quantitative electroencephalogram (qEEG) in combat veterans with post-traumatic stress disorder (PTSD). Nord J Psychiatry. 2003; 57(5): 351-5.
  • 36. Wahbeh H, Oken BS. Peak high-frequency HRV and peak alpha frequency higher in PTSD. Appl Psychophysiol Biofeedback. 2013; 38(1): 57-69.
  • 37. Reiter K, Andersen SB, Carlsson J. Neurofeedback treatment and posttraumatic stress disorder: effectiveness of neurofeedback on posttraumatic stress disorder and the optimal choice of protocol. J Nerv Ment Dis. 2016; 204(2): 69-77.
  • 38. Ghaziri J, Tucholka A, Larue V, Blanchette-Sylvestre M, Reyburn G, Gilbert G, et al. Neurofeedback training induces changes in white and gray matter. Clin EEG Neurosci. 2013; 44(4): 265-72.
  • 39. Niv S. Clinical efficacy and potential mechanisms of neurofeedback. Pers Individual Differences. 2013; 54(6): 676-86.
  • 40. Menon V. Large-scale brain networks and psychopathology: a unifying triple network model. Trends Cogn Sci. 2011; 15(10): 483-506.

Travma Sonrası Stres Bozukluğunun Tedavisinde EEG-Dayalı Nörofeedback Yönteminin Kullanımı

Yıl 2020, Cilt: 10 Sayı: 1, 123 - 130, 31.01.2020
https://doi.org/10.33631/duzcesbed.660176

Öz

Travma
Sonrası Stres Bozukluğu, hayatı tehdit edici travmatik olayları takiben
gelişebilen mental bir bozukluktur. Elektroensefalografi dayalı nörofeedback,
farklı bilinç ve duygu durumlarına özgü elektroensefalografi dalga aktivitesi
modellerinin, kişinin istenilen becerileri elde etmesi için edimsel (operant)
koşullanma çerçevesi içinde biyofeedback yolu ile değiştirilmesini amaçlayan,
girişimsel olmayan bir yöntemdir. Bu yöntem, travma sonrası stres bozukluğunu
da içeren birçok nöropskiyatrik hastalıklarda alternatif tedavi yöntemi olarak
kullanılmaktadır. Bu derlemede, travma sonrası stres bozukluğu tedavisinde
elektroensefalografi dayalı nörofeedback yöntemin etkinliğini değerlendirmek
için, Pubmed, EMBASE, EBSCOhost, ULAKBİM veri tabanları taranmış ve farklı
nörofeedback tedavi protokolleri kullanan 14 çalışma incelenmiştir. Bu inceleme
sonucu, farklı tedavi protokollerine bağlı olarak, özgün olası etki
mekanizmaları üzerinden elektroensefalografi dayalı nörofeedback yönteminin
uygulanmasının, travma sonrası stres bozukluğu tedavisi ve semptomlarının
iyileştirilmesi üzerinde anlamlı derecede olumlu etkiler gösterdiği
belirlenmiştir. Elektroensefalografi dayalı nörofeedback yöntemimin, travma
sonrası stres bozukluğu tedavisi üzerinde kesin etki mekanizmalarını ortaya
koyabilmek ve bireye ve/veya hastalığın semptomlarına özgü standardize tedavi
protokollerini belirleyebilmek, ilaç kullanımı, terapist-hasta özellikleri ve
diğer terapötik süreçleri gibi travma sonrası stres bozukluğu tedavisine etki
edebilecek diğer faktörleri de hesaba katarak, elektroensefalografi dayalı
nörofeedback tedavisinin uzun süreli olumlu etkisinin araştırılmasına yönelik,
daha kapsamlı kontrollü çalışmaların yapılması hedeflenmelidir.

Kaynakça

  • 1. Marzbani H, Marateb HM, Mansouria M. Methodological note: neurofeedback: a comprehensive review on system design, methodology and clinical applications. Basic Clin Neurosci. 2016; 7(2): 143-58.
  • 2. Gruzelier JH, Thompson T, Redding E, Brandt R, Steffert T. Application of alpha/theta neurofeedback and heart rate variability training to young contemporary dancers: state anxiety and creativity. Int J Psychophysiol. 2014; 93(1): 105-11.
  • 3. Harris S. An Investigation of the effects of neurofeedback training on attention deficit-hyperactivity disorder (ADHD) symptoms, depression, anxiety, and academic self-efficacy in college students [PhD dissertations]. Orlando: University of Central Florida; 2017.
  • 4. Little BD. Evaluating the effectiveness of a school-based neurofeedback intervention on decreasing anxiety in an adolescent female. The Chicago School of Professional Psychology [PhD dissertations]. Chicago: the Chicago School of Professional Psychology; 2015.
  • 5. Schoenberg PL, David AS. Biofeedback for psychiatric disorders: a systematic review. Appl Psychophysiol Biofeed. 2014; 39(2): 109-35.
  • 6. Foldes ST, Weber DJ, Collinger JL. MEG-based neurofeedback for hand rehabilitation. J Neuroeng Rehabil. 2015; 12: 85.
  • 7. Thibault RT, MacPherson A, Lifshitz M, Roth RR, Raz A. Neurofeedback with fMRI: a critical systematic review. NeuroImage. 2018; 172: 786-807.
  • 8. Liu N, Cliffer S, Pradhan AH, Lightbody A, Hall SS, Reiss AL. Optical-imaging-based neurofeedback to enhance therapeutic intervention in adolescents with autism: Methodology and initial data. Neurophotonics. 2017; 4(1): 011003.
  • 9. Mano M, Lécuyer A, Bannier E, Perronnet L, Noorzadeh S, Barillot C. How to build a hybrid neurofeedback platform combining EEG and fMRI. Front Neurosci. 2017; 11: 140.
  • 10. Demos JN. Getting started with neurofeedback (1st ed, Vol 1). New York: W.W. Norton & Company; 2005.
  • 11. Vernon DJ. Can neurofeedback training enhance performance? an evaluation of the evidence with implications for future research. Appl Psychophysiol Biofeedback. 2005; 30(4): 347-64.
  • 12. Hammond DC. What is neurofeedback: an update. J Neurother. 2011; 15(4): 305-36.
  • 13. Chiba T, Kanazawa T, Koizumi A, Ide K, Taschereau-Dumouchel V, Boku S, et al. Current status of neurofeedback for post-traumatic stress disorder: a systematic review and the possibility of decoded neurofeedback. Front Hum Neurosci. 2019; 13: 233.
  • 14. Askovic M, Watters AJ, Aroche J, Harris AWF. Neurofeedback as an adjunct therapy for treatment of chronic posttraumatic stress disorder related to refugee trauma and torture experiences: two case studies. Australas Psychiatry. 2017; 25(4): 358-63.
  • 15. Noohi S, Miraghaie AM, Arabi A, Nooripour R. Effectiveness of neuro-feedback treatment with alpha/theta method on PTSD symptoms and their executing function. Biomed Res. 2017; 28(5): 2019-27.
  • 16. Ros T, Frewen P, Théberge J, Michela A, Kluetsch R, Mueller A, Candrian G, Jetly R, Vuilleumier P, Lanius RA. Neurofeedback tunes scale-free dynamics in spontaneous brain activity. Cereb Cortex. 2017; 27(10): 4911-22.
  • 17. van der Kolk BA, Hodgdon H, Gapen M, Musicaro R, Suvak MK, Hamlin E, et al. A randomized controlled study of neurofeedback for chronic PTSD. PLoS One. 2016; 11(12): e0166752.
  • 18. Nicholson AA, Ros T, Frewen PA, Densmore M, Théberge J, Kluetsch RC, et al. Alpha oscillation neurofeedback modulates amygdala complex connectivity and arousal in posttraumatic stress disorder. Neuroimage Clin. 2016; 12: 506-16.
  • 19. Gapen M, van der Kolk BA, Hamlin E, Hirshberg L, Suvak M, Spinazzola J. A Pilot study of neurofeedback for chronic PTSD. Appl Psychophysiol Biofeedback. 2016; 41(3): 251-61.
  • 20. Rastegar N, Dolatshahi B, Rezaei ED. The Effect of neurofeedback training on increasing sustained attention in veterans with posttraumatic stress disorder. J Pract Clin Psychol. 2016; 4(2): 97-104.
  • 21. Kluetsch RC, Ros T, Théberge J, Frewen PA, Calhoun VD, Schmahl C, et al. Plastic modulation of PTSD resting-state networks and subjective wellbeing by EEG neurofeedback. Acta. Psychiatr Scand. 2014; 130(2): 123-36.
  • 22. Nelson DV, Esty ML. Neurotherapy of traumatic brain injury/posttraumatic stress symptoms in OEF/OIF veterans. J Neuropsychiatry Clin Neurosci. 2012; 24(2): 237-40.
  • 23. Othmer S, Othmer S. Post traumatic stress disorder—the neurofeedback remedy. Biofeedback. 2009; 37(1): 3-4.
  • 24. Smith WD. The effect of neurofeedback training on PTSD symptoms of depression and attention problems among military veterans [PhD dissertations]. Minneapolis: Capella University; 2008.
  • 25. Pop-Jordanova N, Zorcec T. Child trauma, attachment and biofeedback mitigation. Prilozi. 2004; 25(1-2): 103-14.
  • 26. Peniston EG, Marrinan DA, Deming WA, Kulkosky PJ. EEG alpha-theta brainwave synchronization in Vietnam theater veterans with combat-related post-traumatic stress disorder and alcohol abuse. Adv Med Psychother. 1993; 6: 37-50.
  • 27. Peniston EG, Kulkosky PJ. Alpha-theta brainwave neuro-feedback for Vietnam veterans with combat- related post-traumatic stress disorder. Med Psychother. 1991; 4: 47-60.
  • 28. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (DSM-5®). Arlington: American Psychiatric Pub; 2013.
  • 29. Schnurr PP, Friedman MJ, Engel CC, Foa EB, Shea MT, Chow BK, et al. Cognitive behavioral therapy for posttraumatic stress disorder in women: a randomized controlled trial. JAMA. 2007; 297(8): 820-30.
  • 30. Dempster T. An investigation into the optimum training paradigm for alpha electroencephalographic biofeedback [PhD dissertations]. Canterbury: Canterbury Christ Church University; 2012.
  • 31. Egner T, Gruzelier JH. EEG biofeedback of low beta band components: frequency-specific effects on variables of attention and event-related brain potentials. Clin Neurophysiol. 2004; 115(1): 131-9.
  • 32. Gruzelier J. A theory of alpha/theta neurofeedback, creative performance enhancement, long distance functional connectivity and psychological integration. Cogn Process. 2009; 10(1): 101-9.
  • 33. Surmeli T, Ertem A, Eralp E, Kos IH. Schizophrenia and the efficacy of qEEG-guided neurofeedback treatment: a clinical case series. Clin EEG Neurosci. 2012; 43(2): 133-44.
  • 34. Ros T, Theberge J, Frewen PA, Kluetsch R, Densmore M, Calhoun VD, Lanius RA. Mind over chatter: Plastic up-regulation of the fMRI salience network directly after EEG neurofeedback. Neuroimage.2013; 65: 324-35.
  • 35. Jokic-begi´c N, Begi´c, D. Quantitative electroencephalogram (qEEG) in combat veterans with post-traumatic stress disorder (PTSD). Nord J Psychiatry. 2003; 57(5): 351-5.
  • 36. Wahbeh H, Oken BS. Peak high-frequency HRV and peak alpha frequency higher in PTSD. Appl Psychophysiol Biofeedback. 2013; 38(1): 57-69.
  • 37. Reiter K, Andersen SB, Carlsson J. Neurofeedback treatment and posttraumatic stress disorder: effectiveness of neurofeedback on posttraumatic stress disorder and the optimal choice of protocol. J Nerv Ment Dis. 2016; 204(2): 69-77.
  • 38. Ghaziri J, Tucholka A, Larue V, Blanchette-Sylvestre M, Reyburn G, Gilbert G, et al. Neurofeedback training induces changes in white and gray matter. Clin EEG Neurosci. 2013; 44(4): 265-72.
  • 39. Niv S. Clinical efficacy and potential mechanisms of neurofeedback. Pers Individual Differences. 2013; 54(6): 676-86.
  • 40. Menon V. Large-scale brain networks and psychopathology: a unifying triple network model. Trends Cogn Sci. 2011; 15(10): 483-506.
Toplam 40 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm Derlemeler
Yazarlar

Anzel Bahadır 0000-0003-0390-8164

Yayımlanma Tarihi 31 Ocak 2020
Gönderilme Tarihi 16 Aralık 2019
Yayımlandığı Sayı Yıl 2020 Cilt: 10 Sayı: 1

Kaynak Göster

APA Bahadır, A. (2020). Travma Sonrası Stres Bozukluğunun Tedavisinde EEG-Dayalı Nörofeedback Yönteminin Kullanımı. Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 10(1), 123-130. https://doi.org/10.33631/duzcesbed.660176
AMA Bahadır A. Travma Sonrası Stres Bozukluğunun Tedavisinde EEG-Dayalı Nörofeedback Yönteminin Kullanımı. DÜ Sağlık Bil Enst Derg. Ocak 2020;10(1):123-130. doi:10.33631/duzcesbed.660176
Chicago Bahadır, Anzel. “Travma Sonrası Stres Bozukluğunun Tedavisinde EEG-Dayalı Nörofeedback Yönteminin Kullanımı”. Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 10, sy. 1 (Ocak 2020): 123-30. https://doi.org/10.33631/duzcesbed.660176.
EndNote Bahadır A (01 Ocak 2020) Travma Sonrası Stres Bozukluğunun Tedavisinde EEG-Dayalı Nörofeedback Yönteminin Kullanımı. Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 10 1 123–130.
IEEE A. Bahadır, “Travma Sonrası Stres Bozukluğunun Tedavisinde EEG-Dayalı Nörofeedback Yönteminin Kullanımı”, DÜ Sağlık Bil Enst Derg, c. 10, sy. 1, ss. 123–130, 2020, doi: 10.33631/duzcesbed.660176.
ISNAD Bahadır, Anzel. “Travma Sonrası Stres Bozukluğunun Tedavisinde EEG-Dayalı Nörofeedback Yönteminin Kullanımı”. Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 10/1 (Ocak 2020), 123-130. https://doi.org/10.33631/duzcesbed.660176.
JAMA Bahadır A. Travma Sonrası Stres Bozukluğunun Tedavisinde EEG-Dayalı Nörofeedback Yönteminin Kullanımı. DÜ Sağlık Bil Enst Derg. 2020;10:123–130.
MLA Bahadır, Anzel. “Travma Sonrası Stres Bozukluğunun Tedavisinde EEG-Dayalı Nörofeedback Yönteminin Kullanımı”. Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, c. 10, sy. 1, 2020, ss. 123-30, doi:10.33631/duzcesbed.660176.
Vancouver Bahadır A. Travma Sonrası Stres Bozukluğunun Tedavisinde EEG-Dayalı Nörofeedback Yönteminin Kullanımı. DÜ Sağlık Bil Enst Derg. 2020;10(1):123-30.