Preliminary Feasibility and Efficacy of a Brief Motivational Intervention with Psychophysiological Feedback for Cocaine Abuse

Stotts, Angela L.; Potts, Geoffrey F.; Ingersoll, Gina; George, Mary; Martin, Laura E.

doi:10.1300/j465v27n04_02

Cited by 16 publications

(9 citation statements)

References 36 publications

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“…Several studies of brief MI with cocaine abusers (Stotts et al, 2001, 2006), including our own pilot study (Sokhadze et al, 2005), reported that cocaine dependent patients with lower initial motivation to change following brief MI intervention were more likely to achieve abstinence than those who did not receive MI intervention. Due to its brevity, MI is best suited to enhance compliance and facilitate treatment engagement (Burke et al, 2003; Miller & Rollnick, 2002; Treasure, 2004), which was one of the main rationales why we selected MI to engage patients in neurofeedback-based biobehavioral neurotherapy.…”

Section: Introductionmentioning

confidence: 82%

Neurofeedback Effects on Evoked and Induced EEG Gamma Band Reactivity to Drug-Related Cues in Cocaine Addiction

Horrell¹,

El-Baz²,

Baruth³

et al. 2010

Journal of Neurotherapy

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Introduction Preoccupation with drug and drug-related items is a typical characteristic of cocaine addicted individuals. It has been shown in multiple accounts that prolonged drug use has a profound effect on the EEG recordings of drug addicts when compared to controls during cue reactivity tests. Cue reactivity refers to a phenomenon in which individuals with a history of drug abuse exhibit excessive psychophysiological responses to cues associated with their drug of choice. One of the aims of this pilot study was to determine the presence of an attentional bias to preferentially process drug-related cues using evoked and induced gamma reactivity measures in cocaine addicts before and after biobehavioral treatment based on neurofeedback. Another aim was to show that central SMR amplitude increase and frontal theta control is possible in an experimental outpatient drug users group over 12 neurofeedback sessions. Method Ten current cocaine abusers participated in this pilot research study using neurofeedback combined with Motivational Interviewing sessions. Eight of them completed all planned pre- and post –neurofeedback cue reactivity tests with event-related EEG recording and clinical evaluations. Cue reactivity test represented a visual oddball task with images from the International Affective Picture System and drug-related pictures. Evoked and induced gamma responses to target and non-target drug cues were analyzed using wavelet analysis. Results Outpatient subjects with cocaine addiction completed the biobehavioral intervention and successfully increased SMR while keeping theta practically unchanged in 12 sessions of neurofeedback training. The addition of Motivational Interviewing helped retain patients in the study. Clinical evaluations immediately after completion of the treatment showed decreased self-reports on depression and stress scores, and urine tests collaborated reports of decreased use of cocaine and marijuana. Effects of neurofeedback resulted in a lower EEG gamma reactivity to drug-related images in a post-neurofeedback cue reactivity test. In particular, evoked gamma showed decreases in power to non-target and to a lesser extent target drug-related cues at all topographies (left, right, frontal, parietal, medial, inferior); while induced gamma power decreased globally to both target and non-target drug cues. Our findings supported our hypothesis that gamma band cue reactivity measures are sufficiently sensitive functional outcomes of neurofeedback treatment. Both evoked and induced gamma measures were found capable to detect changes in responsiveness to both target and non-target drug cues. Conclusion Our study emphasizes the utility of cognitive neuroscience methods based on EEG gamma band measures for the assessment of the functional outcomes of neurofeedback-based biobehavioral interventions for cocaine use disorders. This approach may have significant potential for identifying both physiological and clinical markers of treatment progress. The results confirmed our prediction that ...

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Section: Introductionmentioning

confidence: 82%

Neurofeedback Effects on Evoked and Induced EEG Gamma Band Reactivity to Drug-Related Cues in Cocaine Addiction

Horrell¹,

El-Baz²,

Baruth³

et al. 2010

Journal of Neurotherapy

View full text Add to dashboard Cite

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“…The goal of these training studies was to enhance attention during cognitive involvement rather than induce a relaxed state as in the previous study with alcoholics. One study employed a between-subjects design to investigate the effect of adding two sessions of neurofeedback to treatment as usual (Stotts et al, 2006). Feedback was provided from the P300 signal, as an index of cognitive involvement, while participants were attending to visual stimuli.…”

Section: Cognitive Interventionsmentioning

confidence: 99%

Cognitive interventions for addiction medicine

Zilverstand

Parvaz

Moeller

et al. 2016

Progress in Brain Research

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Neuroimaging provides a tool for investigating the neurobiological mechanisms of cognitive interventions in addiction. The aim of this review was to describe the brain circuits that are recruited during cognitive interventions, examining differences between various treatment modalities while highlighting core mechanisms, in drug addicted individuals. Based on a systematic Medline search we reviewed neuroimaging studies on cognitive behavioral therapy, cognitive inhibition of craving, motivational interventions, emotion regulation, mindfulness, and neurofeedback training in addiction. Across intervention modalities, common results included the normalization of aberrant activity in the brain’s reward circuitry, and the recruitment and strengthening of the brain’s inhibitory control network. Results suggest that different cognitive interventions act, at least partly, through recruitment of a common inhibitory control network as a core mechanism. This implies potential transfer effects between training modalities. Overall, results confirm that chronically hypoactive prefrontal regions implicated in cognitive control in addiction can be normalized through cognitive means.

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“…Angela Stotts and colleagues (Stotts, Potts, Ingersoll, George, & Martin, 2006) at the University of Texas at Houston, in collaboration with researchers at Rice University, used motivational interviewing (MI) with personalized feedback, particularly employing the ERP markers of deficiencies in selective attention task produced by cocaine abuse in crack addicts. In a randomized, controlled pilot study these authors (Sokhadze, Martin, Stotts, & Potts, 2004;Sokhadze, Potts, Martin, & Stotts, 2005;Stotts et al, 2006) evaluated the feasibility and preliminary efficacy of a brief MI intervention using EEG=ERP graphical feedback for crack cocaine abusers. Treatment-seeking cocaine abusers (N ¼ 31) were randomly assigned to a two-session MI intervention or a general educational drug counseling (control) condition.…”

Section: Integration Of Cognitive Neuroscience Approaches In Assessmementioning

confidence: 99%

EEG Biofeedback as a Treatment for Substance Use Disorders: Review, Rating of Efficacy and Recommendations for Further Research

Sokhadze¹,

Cannon²,

Trudeau³

2008

Journal of Neurotherapy

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Preliminary Feasibility and Efficacy of a Brief Motivational Intervention with Psychophysiological Feedback for Cocaine Abuse

Cited by 16 publications

References 36 publications

Neurofeedback Effects on Evoked and Induced EEG Gamma Band Reactivity to Drug-Related Cues in Cocaine Addiction

Neurofeedback Effects on Evoked and Induced EEG Gamma Band Reactivity to Drug-Related Cues in Cocaine Addiction

Cognitive interventions for addiction medicine

EEG Biofeedback as a Treatment for Substance Use Disorders: Review, Rating of Efficacy and Recommendations for Further Research

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