Long-term improvements in executive functions after frontal-midline theta neurofeedback in a (sub)clinical group

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Názov: Long-term improvements in executive functions after frontal-midline theta neurofeedback in a (sub)clinical group
Autori: Diede Smit, Cecilia Dapor, Janneke Koerts, Oliver M. Tucha, Rene J. Huster, Stefanie Enriquez-Geppert
Zdroj: Front Hum Neurosci
Frontiers in Human Neuroscience, Vol 17 (2023)
Informácie o vydavateľovi: Frontiers Media SA, 2023.
Rok vydania: 2023
Predmety: subjective cognitive complaints, conflict monitoring, executive (dys)functions, working memory updating, response inhibition, Neurosciences. Biological psychiatry. Neuropsychiatry, neurofeedback, frontal-midline theta, set-shifting, RC321-571, Neuroscience
Popis: Impairments in executive functions (EFs) are common across disorders and can greatly affect daily functioning. Frontal-midline (FM) theta neurofeedback (NF) has been shown effective in enhancing EFs in healthy adults, prompting interest in exploring its potential as an alternative treatment for EFs in (sub)clinical samples. This study aims to determine the effects of FM theta NF on EFs in a sample of 58 adults (aged 20–60 years) with pronounced subjective EF complaints in daily life. Using a pre/post/follow-up design with a sham NF group, the present study assessed upregulation of FM theta in an eight-session individualized FM theta NF training and its immediate and long-term transfer effects on objective and subjective measures of EFs. These included behavioral performance on EF tasks assessing working memory updating (N-back task), set-shifting (Switching task), conflict monitoring (Stroop task), and response inhibition (Stop-signal task), as well as FM theta power during these tasks, and subjective EFs in daily life (BRIEF-A). The results indicate that there are only differences in FM theta self-upregulation between the NF group and sham group when non-responders are excluded from the analysis. Regarding behavioral transfer effects, NF-specific improvements are found in working memory updating reaction time (RT) and conflict monitoring RT variability at 6-month follow-up, but not immediately after the NF training. The effects on FM theta power during the EF tasks and subjective changes in EFs in daily life were not specific to the NF training. As a next step, research should identify the best predictors to stratify NF training, as well as explore ways to improve NF responsiveness, for instance by increasing neuroplasticity.
Druh dokumentu: Article
Other literature type
ISSN: 1662-5161
DOI: 10.3389/fnhum.2023.1163380
Prístupová URL adresa: https://pubmed.ncbi.nlm.nih.gov/37362947
https://doaj.org/article/cd629d0a9e2a4dabb8fbdd3dcead96c1
https://research.rug.nl/en/publications/767e78ec-38bd-4f1f-83a7-ff7c3ecb8abe
https://hdl.handle.net/11370/767e78ec-38bd-4f1f-83a7-ff7c3ecb8abe
https://doi.org/10.3389/fnhum.2023.1163380
Rights: CC BY
Prístupové číslo: edsair.doi.dedup.....0219eaa5197b05db807042b3afbbcc25
Databáza: OpenAIRE
Popis
Abstrakt:Impairments in executive functions (EFs) are common across disorders and can greatly affect daily functioning. Frontal-midline (FM) theta neurofeedback (NF) has been shown effective in enhancing EFs in healthy adults, prompting interest in exploring its potential as an alternative treatment for EFs in (sub)clinical samples. This study aims to determine the effects of FM theta NF on EFs in a sample of 58 adults (aged 20–60 years) with pronounced subjective EF complaints in daily life. Using a pre/post/follow-up design with a sham NF group, the present study assessed upregulation of FM theta in an eight-session individualized FM theta NF training and its immediate and long-term transfer effects on objective and subjective measures of EFs. These included behavioral performance on EF tasks assessing working memory updating (N-back task), set-shifting (Switching task), conflict monitoring (Stroop task), and response inhibition (Stop-signal task), as well as FM theta power during these tasks, and subjective EFs in daily life (BRIEF-A). The results indicate that there are only differences in FM theta self-upregulation between the NF group and sham group when non-responders are excluded from the analysis. Regarding behavioral transfer effects, NF-specific improvements are found in working memory updating reaction time (RT) and conflict monitoring RT variability at 6-month follow-up, but not immediately after the NF training. The effects on FM theta power during the EF tasks and subjective changes in EFs in daily life were not specific to the NF training. As a next step, research should identify the best predictors to stratify NF training, as well as explore ways to improve NF responsiveness, for instance by increasing neuroplasticity.
ISSN:16625161
DOI:10.3389/fnhum.2023.1163380