Neuromodulation of brain activation associated with addiction: A review of real-time fMRI neurofeedback studies

Martz, Meghan E.; Hart, Tabatha; Heitzeg, Mary M.; Peltier, Scott

doi:10.1016/j.nicl.2020.102350

Cited by 32 publications

(16 citation statements)

References 83 publications

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“…Thus, the identification of core processes and their interactions in nonsubstance addictive behaviors is necessary not only for understanding their addictive potential but also for potentially using them as targets for clinical interventions (e.g., Dong & Potenza, 2014). Promising evidence for the usefulness of mindfulness and neurofeedback techniques in tackling the neurocognitive mechanisms of behavioral addictions stems from research in the context of SUDs (for reviews, see Garland & Howard, 2018; Martz et al, 2020; Sunder & Bohnen, 2017) where both techniques are considered successful in treating addictions.…”

mentioning

confidence: 99%

A preregistered, systematic review considering mindfulness-based interventions and neurofeedback for targeting affective and cognitive processes in behavioral addictions.

Brandtner¹,

Antons²,

King³

et al. 2022

Clinical Psychology: Science and Practice

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Psychological core processes that underpin disorders due to addictive behaviors, including craving, inhibitory control, maladaptive decision-making, and cognitive biases, are important factors to target and modify in interventions. Mindfulness-based and neurofeedback techniques have been particularly promising interventions. The aim of the present systematic review (PROSPERO ID: CRD42020200113) was to evaluate the research evidence on their effectiveness for behavioral addictions. Empirical intervention studies in the realm of nonsubstance addictive behaviors fulfilled the inclusion criteria, which led to 15 studies and 297 participants being included in this review among PubMed, Scopus, and Web of Knowledge. Results suggest that mindfulness-based interventions are effective in reducing mental distress and craving reactions. Reductions in craving levels were reported in four of six studies with biggest effects for mindfulness-based cognitive therapy and mindfulness-enhanced cognitive behavioral therapy. Successful reductions in mental distress were identified in five of seven studies that used diverse mindfulness-based techniques. However, no more than one study on mindfulness-based interventions reporting improvements in self-control, inhibitory control, maladaptive decision-making, and cognitive biases could be identified. No research could be found on neurofeedback. This review highlights the potential of mindfulness interventions for these disorders, and the specific mechanisms of therapeutic change warrant further investigation.

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confidence: 99%

A preregistered, systematic review considering mindfulness-based interventions and neurofeedback for targeting affective and cognitive processes in behavioral addictions.

Brandtner¹,

Antons²,

King³

et al. 2022

Clinical Psychology: Science and Practice

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“… Soekadar et al, 2021 provide an overview of studies using fNIRS and multimodal (fMRIS/MEG) neurofeedback in clinical populations, and suggest that hybrid neurofeedback combining a number of bio-signals is of particular interest and need of further study. Additional reviews in the current issue support the clinical utility of neurofeedback for treatment of addiction ( Martz et al, 2020 ), particularly smoking cessation ( Pandria et al, 2020 ), and more generally in psychiatric conditions ( Tursic et al, 2020 ). All reviews come to the same conclusion; namely that clinical trials using large samples, appropriate controls, and reproducible methods are strongly needed to move the field of clinical neurofeedback forward.…”

Section: Reviewsmentioning

confidence: 95%

Editorial: Clinical Neurofeedback

Young

Johansen‐Berg²

2022

NeuroImage: Clinical

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“…Surprisingly, to date no review has systematically summarized progress in the field of rtfMRI-based insula modulation. Previous reviews primarily focus on general progress in the field of rtfMRI (e.g., Paret et al, 2019; Thibault et al, 2018; Weiskopf, 2012), the general therapeutic potential of rtfMRI NF training in mental disorders (e.g., Dudek and Dodell-Feder, 2021; Tursic et al, 2020) or in specific disorders such as addiction (Martz et al, 2020), schizophrenia (Gandara et al, 2020) and eating disorders (Bartholdy et al, 2013), except two reviews specifically focusing on progress of rtfMRI NF training on the amygdala during emotion regulation (Barreiros et al, 2019) and in MDD (Young et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

Self-navigating the “Island of Reil”: a systematic review of real-time fMRI neurofeedback training of insula activity

Zhang

Becker

et al. 2022

Preprint

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Real-time fMRI (rtfMRI) neurofeedback (NF) is a novel noninvasive technique that permits individuals to voluntarily control brain activity or connectivity, with demonstrated feasibility in experimental and therapeutic applications. The crucial role of the insula in emotional and salience processing makes it a popular target in rtfMRI studies although there is no systematic review of their efficacy. To promote our understanding of mechanisms underlying insula regulation and thereby facilitate therapeutic translation, the present review identified 22 preclinical and clinical studies and found that rtfMRI-based NF training is efficient for modulating insula activity (> 86%) and its associated behavioral and neural changes. Based on findings, continuous feedback for multiple training sessions, specific strategies validated before application, inclusion of a practice session, and choosing appropriate localization strategies are suggested as guidelines. We also recommend standardization of training protocol design, statistical analyses and results reports for future studies. In summary, the present review informs both fundamental research and therapeutic translation of NF training as an intervention in mental disorders, particularly those with insula dysfunction.

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Neuromodulation of brain activation associated with addiction: A review of real-time fMRI neurofeedback studies

Cited by 32 publications

References 83 publications

A preregistered, systematic review considering mindfulness-based interventions and neurofeedback for targeting affective and cognitive processes in behavioral addictions.

A preregistered, systematic review considering mindfulness-based interventions and neurofeedback for targeting affective and cognitive processes in behavioral addictions.

Editorial: Clinical Neurofeedback

Self-navigating the “Island of Reil”: a systematic review of real-time fMRI neurofeedback training of insula activity

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