Exploring the Efficacy of Biofeedback Training in Smoking Addiction: A SFB Pilot Study

Pandria, Niki; Maria, Karagianni; Christos, Frantzidis; Bamidis, Panagiotis D.

doi:10.3389/conf.fnhum.2016.220.00022

Cited by 2 publications

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“…The training goal at each session was to achieve temperature enhancement while receiving an audiovisual feedback. When the temperature exceeded an autoadjusted threshold, a puzzle was being formed accompanied by a pleasant auditory stimulus as described in [ 71 ]. In the posttraining phase (sessions 3 and 4), the followed procedures were identical to the baseline.…”

Section: Methodsmentioning

confidence: 99%

Exploring the Neuroplastic Effects of Biofeedback Training on Smokers

Pandria

Athanasiou

Terzopoulos

et al. 2018

Behavioural Neurology

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Smoking and stress cooccur in different stages of a nicotine addiction cycle, affecting brain function and showing additive impact on different physiological responses. Resting-state functional connectivity has shown potential in identifying these alterations. Nicotine addiction has been associated with detrimental effects on functional integrity of the central nervous system, including the organization of resting-state networks. Prolonged stress may result in enhanced activation of the default mode network (DMN). Considering that biofeedback has shown promise in alleviating physiological manifestations of stress, we aimed to explore the possible neuroplastic effects of biofeedback training on smokers. Clinical, behavioral, and neurophysiological (resting-state EEG) data were collected from twenty-seven subjects before and after five sessions of skin temperature training. DMN functional cortical connectivity was investigated. While clinical status remained unaltered, the degree of nicotine dependence and psychiatric symptoms were significantly improved. Significant changes in DMN organization and network properties were not observed, except for a significant increase of information flow from the right ventrolateral prefrontal cortex and right temporal pole cortex towards other DMN components. Biofeedback aiming at stress alleviation in smokers could play a protective role against maladaptive plasticity of connectivity. Multiple sessions, individualized interventions and more suitable methods to promote brain plasticity, such as neurofeedback training, should be considered.

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Section: Methodsmentioning

confidence: 99%

Exploring the Neuroplastic Effects of Biofeedback Training on Smokers

Pandria

Athanasiou

Terzopoulos

et al. 2018

Behavioural Neurology

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Does combined training of biofeedback and neurofeedback affect smoking status, behavior, and longitudinal brain plasticity?

Pandria

Athanasiou

Styliadis

et al. 2023

Front. Behav. Neurosci.

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Introduction: Investigations of biofeedback (BF) and neurofeedback (NF) training for nicotine addiction have been long documented to lead to positive gains in smoking status, behavior and to changes in brain activity. We aimed to: (a) evaluate a multi-visit combined BF/NF intervention as an alternative smoking cessation approach, (b) validate training-induced feedback learning, and (c) document effects on resting-state functional connectivity networks (rsFCN); considering gender and degree of nicotine dependence in a longitudinal design.Methods: We analyzed clinical, behavioral, and electrophysiological data from 17 smokers who completed five BF and 20 NF sessions and three evaluation stages. Possible neuroplastic effects were explored comparing whole-brain rsFCN by phase-lag index (PLI) for different brain rhythms. PLI connections with significant change across time were investigated according to different resting-state networks (RSNs).Results: Improvements in smoking status were observed as exhaled carbon monoxide levels, Total Oxidative Stress, and Fageström scores decreased while Vitamin E levels increased across time. BF/NF promoted gains in anxiety, self-esteem, and several aspects of cognitive performance. BF learning in temperature enhancement was observed within sessions. NF learning in theta/alpha ratio increase was achieved across baselines and within sessions. PLI network connections significantly changed across time mainly between or within visual, default mode and frontoparietal networks in theta and alpha rhythms, while beta band RSNs mostly changed significantly after BF sessions.Discussion: Combined BF/NF training positively affects the clinical and behavioral status of smokers, displays benefit in smoking harm reduction, plays a neuroprotective role, leads to learning effects and to positive reorganization of RSNs across time.Clinical Trial Registration:https://clinicaltrials.gov/ct2/show/NCT02991781.

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Exploring the Efficacy of Biofeedback Training in Smoking Addiction: A SFB Pilot Study

Cited by 2 publications

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Exploring the Neuroplastic Effects of Biofeedback Training on Smokers

Exploring the Neuroplastic Effects of Biofeedback Training on Smokers

Does combined training of biofeedback and neurofeedback affect smoking status, behavior, and longitudinal brain plasticity?

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