Real-Time fMRI Neurofeedback in Patients With Tobacco Use Disorder During Smoking Cessation: Functional Differences and Implications of the First Training Session in Regard to Future Abstinence or Relapse.

craving neurofeedback real-time fMRI therapy success tobacco use disorder

Journal

Frontiers in human neuroscience
ISSN: 1662-5161
Titre abrégé: Front Hum Neurosci
Pays: Switzerland
ID NLM: 101477954

Informations de publication

Date de publication:
2019
Historique:
received: 20 11 2018
accepted: 08 02 2019
entrez: 20 3 2019
pubmed: 20 3 2019
medline: 20 3 2019
Statut: epublish

Résumé

One of the most prominent symptoms in addiction disorders is the strong desire to consume a particular substance or to show a certain behavior (craving). The strong association between craving and the probability of relapse emphasizes the importance of craving in the therapeutic process. Former studies have demonstrated that neuromodulation using real-time fMRI (rtfMRI) neurofeedback (NF) can be used as a treatment modality in patients with tobacco use disorder. The aim of the present project was to determine whether it is possible to predict the outcome of NF training plus group psychotherapy at the beginning of the treatment. For that purpose, neuronal responses during the first rtfMRI NF session of patients who remained abstinent for at least 3 months were compared to those of patients with relapse. All patients were included in a certified smoke-free course and took part in three NF sessions. During the rtfMRI NF sessions tobacco-associated and neutral pictures were presented. Subjects were instructed to reduce their neuronal responses during the presentation of smoking cues in an individualized region of interest for craving [anterior cingulate cortex (ACC), insula or dorsolateral prefrontal cortex]. Patients were stratified to different groups [abstinence (

Identifiants

pubmed: 30886575
doi: 10.3389/fnhum.2019.00065
pmc: PMC6409331
doi:

Types de publication

Journal Article

Langues

eng

Pagination

65

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Auteurs

Susanne Karch (S)

Department of Psychiatry and Psychotherapy, University Hospital, Ludwig Maximilian University of Munich, Munich, Germany.

Marco Paolini (M)

Department of Radiology, University Hospital, Ludwig Maximilian University of Munich, Munich, Germany.

Sarah Gschwendtner (S)

Department of Psychiatry and Psychotherapy, University Hospital, Ludwig Maximilian University of Munich, Munich, Germany.

Hannah Jeanty (H)

Department of Psychiatry and Psychotherapy, University Hospital, Ludwig Maximilian University of Munich, Munich, Germany.

Arne Reckenfelderbäumer (A)

Department of Psychiatry and Psychotherapy, University Hospital, Ludwig Maximilian University of Munich, Munich, Germany.

Omar Yaseen (O)

Department of Psychiatry and Psychotherapy, University Hospital, Ludwig Maximilian University of Munich, Munich, Germany.

Maximilian Maywald (M)

Department of Psychiatry and Psychotherapy, University Hospital, Ludwig Maximilian University of Munich, Munich, Germany.

Christina Fuchs (C)

Department of Psychiatry and Psychotherapy, University Hospital, Ludwig Maximilian University of Munich, Munich, Germany.

Boris-Stephan Rauchmann (BS)

Department of Psychiatry and Psychotherapy, University Hospital, Ludwig Maximilian University of Munich, Munich, Germany.
Department of Radiology, University Hospital, Ludwig Maximilian University of Munich, Munich, Germany.

Agnieszka Chrobok (A)

Department of Psychiatry and Psychotherapy, University Hospital, Ludwig Maximilian University of Munich, Munich, Germany.

Andrea Rabenstein (A)

Department of Psychiatry and Psychotherapy, University Hospital, Ludwig Maximilian University of Munich, Munich, Germany.

Birgit Ertl-Wagner (B)

Department of Radiology, University Hospital, Ludwig Maximilian University of Munich, Munich, Germany.

Oliver Pogarell (O)

Department of Psychiatry and Psychotherapy, University Hospital, Ludwig Maximilian University of Munich, Munich, Germany.

Daniel Keeser (D)

Department of Psychiatry and Psychotherapy, University Hospital, Ludwig Maximilian University of Munich, Munich, Germany.
Department of Radiology, University Hospital, Ludwig Maximilian University of Munich, Munich, Germany.

Tobias Rüther (T)

Department of Psychiatry and Psychotherapy, University Hospital, Ludwig Maximilian University of Munich, Munich, Germany.

Classifications MeSH