Neurofeedback Beta Down Training in Women With High State-Trait Anxiety and Elevated Beta Patterns in Temporal Lobes: A Pilot Study

Authors

  • Juan Pablo Aristizabal Colombian
  • Antonio Pereira Jr
  • Bruno Duarte Gomes
  • Paulo Roney Kilpp Goulart
  • Wânia Cristina de Souza
  • Fernando A. Rocha

DOI:

https://doi.org/10.15540/nr.11.3.284

Keywords:

Neurofeedback, State-Trait Anxiety, Temporal lobes, Electroencephalogram (EEG)

Abstract

This study intends to evaluate the effect of neurofeedback beta downtraining in the treatment of anxiety as a personality trait, measured in the State-Trait Anxiety Inventory (STAI), and to estimate the changes in the beta and high-beta rhythms in the left (T3) and right (T4) temporal lobes. An intrasubject analysis was carried out with six right-handed female university students who were submitted to a control and experimental condition (five neurofeedback seasons). In the results, it was observed that no significant changes were presented in the control stage. In turn, a significant reduction in the scores of the inventory was found in the experimental stage. On the other hand, even though in the experimental stage there was a decrease in the relative power of the beta and high-beta frequency bands, this was statistically significant in the beta band in T3 and T4 and in the high-beta band in T3. In conclusion, according to the results, neurofeedback had a significant effect on both reducing anxiety as a state and a personality trait, as well as reducing beta and high-beta patterns in the temporal lobes. The need for more studies with greater methodological rigor that can reassert or refute these results is noted.

References

Barreto, J. E. F., & Silva, L. P. E. (2010). Sistema límbico e as emoções – Uma revisão anatômica. Revista Neurociências, 18(3), 386–394. https://doi.org/10.34024/rnc.2010.v18.8466

Barrós-Loscertales, A., Meseguer, V., Sanjuán, A., Belloch, V., Parcet, M. A., Torrubia, R., & Ávila, C. (2006). Behavioral inhibition system activity is associated with increased amygdala and hippocampal gray matter volume: A voxel-based morphometry study. NeuroImage, 33(3), 1011–1015. https://doi.org/10.1016/j.neuroimage.2006.07.025

Biaggio, A., Natalicio, L., & Spielberger, C. (1977). Desenvolvimento da forma experimental em português do Inventário de Ansiedade Traço-Estado (IDATE)•, de Spielberger. Centro Editor de Psicologia Aplicada - CEPA, 31–44.

Bielas, J., & Michalczyk, Ł. (2021). Beta neurofeedback training improves attentional control in the elderly. Psychological Reports, 124(1), 54–69. https://doi.org/10.1177/0033294119900348

Chen, T.-C., & Lin, I.-M. (2020). The learning effects and curves during high beta down-training neurofeedback for patients with major depressive disorder. Journal of Affective Disorders, 266, 235–242. https://doi.org/10.1016/j.jad.2020.01.175

Choi, Y.-J., Choi, E.-J., & Ko, E. (2023). Neurofeedback effect on symptoms of posttraumatic stress disorder: A systematic review and meta-analysis. Applied Psychophysiology and Biofeedback, 48(3), 259–274. https://doi.org/10.1007/s10484-023-09593-3

Coben, R., & Evans, J. (Eds.) (2011). Neurofeedback and neuromodulation techniques and applications. Elsevier. https://doi.org/10.1016/C2009-0-64101-5

Davidson, R. J. (1988). EEG Measures of cerebral asymmetry. Conceptual and methodological issues. International Journal of Neuroscience, 39(1–2), 71–89. https://doi.org/10.3109/00207458808985694

Davidson, R. J. (1992). Anterior cerebral asymmtry and the nature of emotion. Brain and Cognition, 20(1), 125–151. https://doi.org/10.1016/0278-2626(92)90065-T

Davidson, R. J., Marshall, J. R., Tomarken, A. J., & Henriques, J. B. (2000). While a phobic waits: Regional brain electrical and autonomic activity in social phobics during anticipation of public speaking. Biological Psychiatry, 47(2), 85–95. https://doi.org/10.1016/S0006-3223(99)00222-X

Dessy, E., Mairesse, O., van Puyvelde, M., Cortoos, A., Neyt, X., & Pattyn, N. (2020). Train your brain? Can we really selectively train specific EEG frequencies with neurofeedback training. Frontiers in Human Neuroscience, 14, Article 22. https://doi.org/10.3389/fnhum.2020.00022

Faller, J., Cummings, J., Saproo, S., & Sajda, P. (2019). Regulation of arousal via online neurofeedback improves human performance in a demanding sensory-motor task. Psychological and Cognitive Sciences, 116(15), 7598–7598. https://doi.org/10.1073/pnas.1904484116

Fioravanti-Bastos, A., Cheniaux, E., & Fernandez-Landeira, J. (2011). Development and validation of a short-form version of the Brazilian State-Trait Anxiety Inventory. Psicologia: Reflexão e Crítica, 24(3), 486–494. https://doi.org/10.1590/S0102-79722011000300009

Forte, G., Favieri, F., Oliha, E. O., Marotta, A., & Casagrande, M. (2021). Anxiety and attentional processes: The role of resting heart rate variability. Brain Sciences, 11(4), Article 480. https://doi.org/10.3390/brainsci11040480

Gadea, M., Aliño, M., Hidalgo, V., Espert, R., & Salvador, A. (2020). Effects of a single session of SMR neurofeedback training on anxiety and cortisol levels. Neurophysiologie Clinique, 50(3), 167–173. https://doi.org/10.1016/j.neucli.2020.03.001

Garcia, F., Diaz del Campo, P., Casqueiro, R., Suarez, V., Garcia, A., & Pozo, M. (2007). Guía de práctica clínica para el manejo de pacientes con trastornos de ansiedad en Atención Primaria. Unidad de Evaluación de Tecnologías Sanitarias. Agencia Laín Entralgo.

Gordeev, S. A. (2007). Brain bioelectrical activity at a high anxiety level in humans. Human Physiology, 33(4), 388–393. https://doi.org/10.1134/S0362119707040020

Habib, L. R., Barcelos, G., Lacerda, A. B. M. de, Melo, R. M. de, Ribeiro, P. J. da S., & Filgueiras, A. (2023). Neurofeedback como proposta de intervenção para performance no tiro esportivo: Um estudo de caso. Revista Brasileira de Psicologia Do Esporte, 12(1), 53–69. https://doi.org/10.31501/rbpe.v12i1.11685

Hammond, D. (2003). QEEG-guided neurofeedback in the treatment of obsessive compulsive disorder. Journal of Neurotherapy, 7(2), 25–52. https://doi.org/10.1300/j184v07n02_03

Hammond, D. C. (2005). Neurofeedback treatment of depression and anxiety. Journal of Adult Development, 12(2–3), 131–137. https://doi.org/10.1007/s10804-005-7029-5

Hampson, M., Ruiz, S., & Ushiba, J. (2020). Neurofeedback. NeuroImage, 218, Article 116473. https://doi.org/10.1016/j.neuroimage.2019.116473

Jones, M. S., & Hitsman, H. (2018). QEEG guided neurofeedback treatment for anxiety symptoms. NeuroRegulation, 5(3), 85–85. https://doi.org/10.15540/nr.5.3.85

Kamali, A., Milosavljevic, S., Gandhi, A., Lano, K. R., Shobeiri, P., Sherbaf, F. G., Sair, H. I., Riascos, R. F., & Hasan, K. M. (2023). The cortico-limbo-thalamo-cortical circuits: An update to the original papez circuit of the human limbic system. Brain Topography, 36, 371–389. https://doi.org/10.1007/s10548-023-00955-y

Kamiya, J. (2011). The first communications about operant conditioning of the EEG. Journal of Neurotherapy, 15(1), 65–73. https://doi.org/10.1080/10874208.2011.545764

Kazdin, A. (2017). Research design in clinical psychology (5th ed.). Pearson.

Kerson, C., Sherman, R., & Kozlowski, G. (2009). Alpha suppression and symmetry training for generalized anxiety symptoms. Journal of Neurotherapy, 13(3), 146–155. https://doi.org/10.1080/10874200903107405

Klem, G., Lüders, H., Jasper, H., & Elger, C. (1999). The ten-twenty electrode system of the International Federation. In Recommendations for the practice of clinical neurophysiology: Guidelines of the International Federation of Clinical Physiology (pp. 3–6). Elsevier Science B. V.

Kopańska, M., Ochojska, D., Mytych, W., Lis, M. W., & Banaś-Ząbczyk, A. (2022). Development of a brain wave model based on the quantitative analysis of EEG and EEG biofeedback therapy in patients with panic attacks during the COVID-19 pandemic. Scientific Reports, 12(1), Article 14908. https://doi.org/10.1038/s41598-022-19068-w

Larsen, S., & Sherlin, L. (2013). Neurofeedback: An emerging technology for treating central nervous system dysregulation. Psychiatric Clinics of North America, 36(1), 163–168. https://doi.org/10.1016/j.psc.2013.01.005

Lee, S.-H., & Park, G.-H. (2011). Psychophysiological markers of anxiety disorders and anxiety symptoms. In V. V. Kalinin (Ed.), Anxiety disorders. InTech. https://doi.org/10.5772/20164

Mennella, R., Patron, E., & Palomba, D. (2017). Frontal alpha asymmetry neurofeedback for the reduction of negative affect and anxiety. Behavior Research and Therapy, 92, 32–40. https://doi.org/10.1016/j.brat.2017.02.002

Micoulaud-Franchi, J. A., Jeunet, C., Pelissolo, A., & Ros, T. (2021). EEG neurofeedback for anxiety disorders and post-traumatic stress disorders: A blueprint for a promising brain-based therapy. Current Psychiatry Reports, 23(12), Article 84. https://doi.org/10.1007/s11920-021-01299-9

Moore, N. C. (2005). The neurotherapy of anxiety disorders. Journal of Adult Development, 12(2–3), 147–154. https://doi.org/10.1007/s10804-005-7031-y

Nowlis, D. P., & Kamiya, J. (1970). The control of electroencephalographic alpha rhythms through auditory feedback and the associated mental activity. Psychophysiology, 6(4), 476–484. https://doi.org/10.1111/j.1469-8986.1970.tb01756.x

Othmer, S. (2009). Neuromodulation technologies: An attempt at classification. In T. Budzynski, H. Budzynski, J. Evans, & A. Abarbanel (Eds.), Introduction to quantitative EEG and Neurofeedback: Advanced theory and applications (2nd ed., pp. 453–472). Academic Press/Elsevier.

Patil, A., Lin, C., Lee, S.-H., Huang, H.-W., Wu, S.-C., Madathil, D., & Huang, C.-M. (2023). Review of EEG-based neurofeedback as a therapeutic intervention to treat depression. Psychiatry Research: Neuroimaging, 329, Article 111591. https://doi.org/10.1016/j.pscychresns.2023.111591

Podea, D., & Ratoi, F. (2011). Anxiety disorders. In Á. Szirmai (Ed.), Anxiety and related disorders (p. 35) InTech. https://doi.org/10.5772/intechopen.84023

Price, N., & Budzynski, T. (2009). Anxiety, EEG patterns, and neurofeedback. In T. Budzynski, H. Budzynski, J. Evans, & A. Abarbanel (Eds.), Introduction to quantitative EEG and neurofeedback: Advanced theory and applications (2nd ed, pp. 453–472). Academic Press/Elsevier.

Ribas, V. R., De Souza, M. V., Tulio, V. W., Pavan, M. D. S., Castagini, G. A., Guerra, R. D. M., Oliveira, D. C. L. de, Regis, C. L. S., Nóbrega, J. de A., & Martins, H. A. de L. (2017). Treatment of depression with quantitative electroencephalography (QEEG) of the TQ-7 neurofeedback system increases the level of attention of patients. Journal of Neurological Disorders, 5(3), Article 340. https://doi.org/10.4172/2329-6895.1000340

Ribas, V. R., Ribas, R. de M. G., & Martins, H. A. de L. (2016). The learning curve in neurofeedback of Peter Van Deusen: A review article. Dementia & Neuropsychologia, 10(2), 98–103. https://doi.org/10.1590/S1980-5764-2016DN1002005

Ribas, V. R., Ribas, R. de M. G., de Oliveira, D. C. L., Regis, C. L. S., do Nascimento Filho, P., Sales, T. de S. R., Martins, H. A. de L., & Van Deusen, P. (2016). The functioning of the brain trained by neurofeedback with behavioral techniques from learning curve perspective. Journal of Psychology and Psychotherapy Research, 3, 12–19. https://doi.org/10.12974/2313-1047.2016.03.02.3

Ribas, V. R., Ribas, R. G., Nóbrega, J. de A., Nóbrega, M. V. da, Espécie, J. A. de A., Calafange, M. T., Calafange, C. de O. M., & Martins, H. A. de L. (2018). Pattern of anxiety, insecurity, fear, panic and/or phobia observed by quantitative electroencephalography (QEEG). Dementia & Neuropsychologia, 12(3), 264–271. https://doi.org/10.1590/1980-57642018dn12-030007

Rodríguez Landa, J. F., Bernal Morales, B., & Gutiérrez García, A. G. (2012). Estres, miedo y ansiedad y depresion. In G. Coria-Ávila (Ed.), Neurofisiología de la conducta (1st ed., pp. 136–165). Universidad Veracruzana.

Santana, C. C., & Bião, M. A. S. (2018). Eficácia do neurofeedback no tratamento da ansiedade patológica e transtornos ansiosos: Revisão sistemática da literatura. Psicologia, Saúde & Doenças, 19(2), 234–242. https://doi.org/10.15309/18psd190206

Solano, G. do C., & Basile, L. F. H. (2020). Neurofeedback na reabilitação dos sintomas cognitivos pôs lesões cerebrais traumáticas em paciente submetido à remoção cirúrgica / Neurofeedback in the rehabilitation of cognitive symptoms caused traumatic brain injuries in a patient submitted to surgical removal. Brazilian Journal of Health Review, 3(5), 14762–14773. https://doi.org/10.34119/bjhrv3n5-269

Spielberger, C. (Ed.) (1966). Theory and research on anxiety. In Anxiety and behavior (pp. 3–20). Academic Press Inc. https://doi.org/10.1016/B978-1-4832-3131-0.50006-8

Spielberger, C., Gorsuch, R., Lushene, R., Vagg, P., & Jacobs, G. (1983). Manual for the State-Trait Anxiety Inventory. Consulting Psychologists Press. https://doi.org/10.1037/t06496-000

Sterman, M. B., & Friar, L. (1972). Suppression of seizures in an epileptic following sensorimotor EEG feedback training. Electroencephalography and Clinical Neurophysiology, 33(1), 89–95. https://doi.org/10.1016/0013-4694(72)90028-4

Thompson, M., & Thompson, L. (2007). Neurofeedback for stress management. In P. M. Lehrer, R. L. Woolfolk, & W. E. Sime (Eds.), Principles and practice of stress management (3rd ed., pp. 249–287). The Guilford Press.

Verbitskii, E. V. (2019). Interaction between anxiety and sleep in experimental studies and clinical practice. Neuroscience and Behavioral Physiology, 49(1), 7–12. https://doi.org/10.1007/s11055-018-0683-4

Wheelock, M. D., Goodman, A. M., Harnett, N. G., Wood, K. H., Mrug, S., Granger, D. A., & Knight, D. C. (2021). Sex-related differences in stress reactivity and cingulum white matter. Neuroscience, 459, 118–128. https://doi.org/10.1016/j.neuroscience.2021.02.014

White, N., & Richards, L. (2009). Alpha–theta neurotherapy and the neurobehavioral treatment of addictions, mood disorders and trauma. In T. Budzynski, H. Budzynski, J. Evans, & A. Abarbanel (Eds.), Introduction to quantitative EEG and neurofeedback: Advanced theory and applications (2nd ed, pp. 453–472). Academic Press/Elsevier.

World Health Organization. (‎2017)‎. Depression and other common mental disorders: Global health estimates. World Health Organization. https://www.who.int/publications/i/item/depression-global-health-estimates

Yu, M. (2021). Removal methods of EMG artifacts from EEG signals. Journal of Physics: Conference Series, 1920(1), Article 012076. https://doi.org/10.1088/1742-6596/1920/1/012076

Yucha, C., & Montgomery, D. (2008). Evidence-based practice in biofeedback and neurofeedback. Association for Applied Psychophysiology and Biofeedback.

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2024-09-30

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