Cancer patients’ age-related benefits from mobile neurofeedback-therapy in quality of life and self-efficacy: a clinical waitlist control study
Open accessAbstract
Abstract Electroencephalographic neurofeedback (EEG NF) can improve quality of life (QoL) and reduce distress by modifying the amplitude of selected brain frequencies. This study aims to investigate the effects of NF therapy on QoL and self-efficacy in cancer patients and to explore age-related reactions. In a waitlist control paradigm, psychometric data (EORTC QLQ-C30, General Self-Efficacy Scale) of 20 patients were collected at three different time points, each five weeks apart. An outpatient 10-session NF intervention (mobile) was conducted between the second and third measurement point. QoL and self-efficacy changed significantly over time (QoL: F(2,36) = 5.294, p < .05, η2 = .227; Self-efficacy: F(2,26) = 8.178, p < .05, η2 = .386). While QoL increased in younger patients, older patients initially showed a decrease in QoL, which then increased during intervention. Younger patients did not differ from older patients in QoL in both waitlist control (T0-T1) and intervention phase (T1–T2). QoL in older patients significantly differed between waitlist control and intervention phase (Z = − 2.023, p < .05, d = 1.085). Self-efficacy increased in both age categories. Younger and older patients did not differ in self-efficacy in waitlist control, but in intervention phase (F(1,16) = 7.014, p < .05, η2 = .319). The current findings suggest that NF therapy is a promising treatment modality for improving QoL in cancer patients. Our study reveals NF being a tool to influence self-efficacy, which should receive more appreciation in clinical care. However, the effect of NF in different age groups as well as the influence on further cancer-related symptoms should be investigated in future research.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Based on a previous study of our study group on NFB treatment in the outpatient setting, the expected dropout rate is 13%.
“Based on a previous study of our study group on NFB treatment in the outpatient setting, we expect a dropout rate of 13%.43 Therefore, we will include 31 participants in the study.”
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Sung, H., Ferlay, J., Siegel, R. L., Laversanne, M., Soerjomataram, I., Jemal, A., & Bray, F. (2021) · CA: A Cancer Journal for Clinicians · doi:10.3322/caac.21660 · Cited by 108,699 · see citing works
Self-efficacy: The exercise of control
Bandura, A., Freeman, W. H., & Lightsey, R. (1999) · Journal of Cognitive Psychotherapy · doi:10.1891/0889-8391.13.2.158 · Cited by 46,835 · see citing works
Aaronson, N. K., Ahmedzai, S., Bergman, B., Bullinger, M., Cull, A., Duez, N. J., Filiberti, A., Flechtner, H., Fleishman, S. B., Haes, J. C. J. M. D., et al. (1993) · JNCI Journal of the National Cancer Institute · doi:10.1093/jnci/85.5.365 · Cited by 16,005 · see citing works
Introduction to Robust Estimation and Hypothesis Testing
Wilcox, R. R. (2012) · Elsevier eBooks · doi:10.1016/c2010-0-67044-1 · Cited by 2,086 · see citing works
Marzbani, H., Marateb, H., & Mansourian, M. (2016) · Basic and Clinical Neuroscience Journal · doi:10.15412/j.bcn.03070208 · Cited by 484 · see citing works
Cordova, M. J., Andrykowski, M. A., Kenady, D. E., McGrath, P. C., Sloan, D. A., & Redd, W. H. (1995) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.63.6.981 · Cited by 466 · see citing works
Ros, T., Enriquez-Geppert, S., Zotev, V., Young, K. D., Wood, G., Whitfield-Gabrieli, S., Wan, F., Vuilleumier, P., Vialatte, F., Van De Ville, D., et al. (2020) · Brain · doi:10.1093/brain/awaa009 · Cited by 399 · see citing works
The Cancer Patient and Quality of Life
Bottomley, A. (2002) · The Oncologist · doi:10.1634/theoncologist.7-2-120 · Cited by 378 · see citing works
Alpha rhythms as physiological and abnormal phenomena
Niedermeyer, E. (1997) · International Journal of Psychophysiology · doi:10.1016/s0167-8760(97)00754-x · Cited by 376 · see citing works
Haenschel, C., Baldeweg, T., Croft, R. J., Whittington, M. A., & Gruzelier, J. H. (2000) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.120162397 · Cited by 355 · see citing works
Thalamic structures and associated cognitive functions: Relations with age and aging
Fama, R., & Sullivan, E. V. (2015) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2015.03.008 · Cited by 323 · see citing works
Strijkstra, A. M., Beersma, D. G. M., Drayer, B., Halbesma, N., & Daan, S. (2003) · Neuroscience Letters · doi:10.1016/s0304-3940(03)00033-8 · Cited by 318 · see citing works
Functional Impact of Breast Cancer by Age at Diagnosis
Kroenke, C. H., ROSNER, B. A., Chen, W. Y., Kawachi, I. I., Colditz, G. A., & Holmes, M. D. (2004) · Journal of Clinical Oncology · doi:10.1200/jco.2004.04.173 · Cited by 304 · see citing works
Champion, V. L., Wagner, L. I., Monahan, P. O., Daggy, J., Smith, L., Cohee, A., Ziner, K. W., Haase, J. E., Miller, K. D., Pradhan, K., et al. (2014) · Cancer · doi:10.1002/cncr.28737 · Cited by 278 · cited 1× · see citing works
“Furthermore, younger patients showed greater personal growth (Champion et al., 2014).”
BackgroundBerichts zum Krebsgeschehen in Deutschland 2016
Koch-Institut, R. (2017) · Publication server of the Robert Koch Institute (Robert Kock Institute) · doi:10.17886/epibull-2017-005 · Cited by 237 · see citing works
Brown, D., McMillan, D. C., & Milroy, R. (2004) · Cancer · doi:10.1002/cncr.20777 · Cited by 232 · see citing works
Chirico, A., Lucidi, F., Merluzzi, T. V., Alivernini, F., Laurentiis, M. D., Botti, G., & Giordano, A. (2017) · Oncotarget · doi:10.18632/oncotarget.15758 · Cited by 221 · see citing works
Cancer survivors’ self-efficacy to self-manage in the year following primary treatment
Foster, C. L., Breckons, M., Cotterell, P., Barbosa, D., Calman, L. A., Corner, J. L., Fenlon, D., Foster, R., Grimmett, C., Richardson, A. M., et al. (2014) · Journal of Cancer Survivorship · doi:10.1007/s11764-014-0384-0 · Cited by 207 · see citing works
Age-specific detriments to quality of life among breast cancer patients one year after diagnosis
Arndt, V., Merx, H., Stürmer, T., Stegmaier, C., Ziegler, H., & Brenner, H. (2004) · European Journal of Cancer · doi:10.1016/j.ejca.2003.12.007 · Cited by 206 · see citing works
Hopwood, P., Haviland, J., Mills, J., Sumo, G., & Bliss, J. M. (2007) · The Breast · doi:10.1016/j.breast.2006.11.003 · Cited by 206 · see citing works
Merluzzi, T. V., & Martinez Sanchez, M. A. (1997) · Health Psychology · doi:10.1037/0278-6133.16.2.163 · Cited by 172 · see citing works
Age differences in the psychosocial problems encountered by breast cancer patients.
Mor, V., Malin, M., & Allen, S. L. (1994) · PubMed · Cited by 152 · see citing works
Self-efficacy, adjustment style and well-being in breast cancer patients: a longitudinal study
Rottmann, N., Dalton, S. O., Christensen, J., Frederiksen, K., & Johansen, C. (2010) · Quality of Life Research · doi:10.1007/s11136-010-9653-1 · Cited by 148 · see citing works
Merluzzi, T. V., & Sanchez, M. A. M. (1997) · Health Psychology · doi:10.1037//0278-6133.16.2.163 · Cited by 146 · see citing works
Kong, F., Jirtle, R. L., Huang, D. H., Clough, R. W., & Anscher, M. S. (1999) · Cancer · doi:10.1002/(sici)1097-0142(19991101)86:9 · Cited by 133 · see citing works
Kostka, T., & Jachimowicz, V. (2010) · Quality of Life Research · doi:10.1007/s11136-010-9601-0 · Cited by 121 · see citing works
Micoulaud-Franchi, J.-A., McGonigal, A., Lopez, R., Daudet, C., Kotwas, I., & Bartolomei, F. (2015) · Neurophysiologie Clinique/Clinical Neurophysiology · doi:10.1016/j.neucli.2015.10.077 · Cited by 111 · see citing works
Quality of Life of Breast Cancer Survivors
Sammarco, A. (2009) · Cancer Nursing · doi:10.1097/ncc.0b013e31819e23b7 · Cited by 92 · see citing works
The Effect of EEG Biofeedback on Reducing Postcancer Cognitive Impairment
Alvarez, J., Meyer, F. L., Granoff, D. L., & Lundy, A. C. (2013) · Integrative Cancer Therapies · doi:10.1177/1534735413477192 · Cited by 82 · see citing works
A Systematic Review of the Safety and Effect of Neurofeedback on Fatigue and Cognition
Luctkar-Flude, M., & Groll, D. (2015) · Integrative Cancer Therapies · doi:10.1177/1534735415572886 · Cited by 69 · see citing works
The use of EEG Biofeedback/Neurofeedback in psychiatric rehabilitation
Markiewicz, R. (2017) · Psychiatria Polska · doi:10.12740/pp/68919 · Cited by 69 · see citing works
Prinsloo, S., Novy, D. M., Driver, L., Lyle, R. R., Ramondetta, L. M., Eng, C., McQuade, J. L., Lopez, G., & Cohen, L. G. (2017) · Cancer · doi:10.1002/cncr.30649 · Cited by 68 · see citing works
Prinsloo, S., Novy, D. M., Driver, L., Lyle, R. R., Ramondetta, L. M., Eng, C., Lopez, G., Li, Y., & Cohen, L. G. (2018) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2018.01.010 · Cited by 59 · see citing works
Kang, D., Kim, N., Choi, E., Yoon, J. H., Lee, S., Lee, J. E., Nam, S. J., Han, W., Noh, D., & Cho, J. (2017) · Psycho-Oncology · doi:10.1002/pon.4408 · Cited by 38 · see citing works
Baik, S. H., Oswald, L., Buitrago, D., Buscemi, J., Iacobelli, F., Perez-Tamayo, A., Guitelman, J., Diaz, A., Penedo, F., & Yanez, B. (2020) · International Journal of Behavioral Medicine · doi:10.1007/s12529-020-09890-9 · Cited by 35 · see citing works
Neuromodulation of Cancer Pain
Prinsloo, S., Gabel, S., Lyle, R. R., & Cohen, L. G. (2013) · Integrative Cancer Therapies · doi:10.1177/1534735413477193 · Cited by 30 · see citing works
Quality of life assessment in esophagectomy patients
Alghamedi, A., Buduhan, G., Tan, L., Srinathan, S., Sulman, J., Darling, G. E., & Kidane, B. (2018) · Annals of Translational Medicine · doi:10.21037/atm.2017.11.38 · Cited by 29 · see citing works
Patterns, correlates, and prognostic significance of quality of life following breast cancer
DiSipio, T., Hayes, S. C., Battistutta, D., Newman, B. M., & Janda, M. (2010) · Psycho-Oncology · doi:10.1002/pon.1816 · Cited by 28 · see citing works
Infra-Low-Frequency Neurofeedback for Optimum Performance
Othmer, S., & Othmer, S. (2016) · Biofeedback · doi:10.5298/1081-5937-44.2.07 · Cited by 24 · see citing works
A Systematic Review of the Effect of Neurofeedback in Cancer Patients
Hetkamp, M., Bender, J., Rheindorf, N., Kowalski, A., Lindner, M., Knispel, S., Beckmann, M., Tagay, S., & Teufel, M. (2019) · Integrative Cancer Therapies · doi:10.1177/1534735419832361 · Cited by 24 · see citing works
Praxisbuch Biofeedback und Neurofeedback
Haus, K.-M., Held, C., Kowalski, A., Krombholz, A., Nowak, M., Schneider, E., Strauß, G., & Wiedemann, M. (2013) · doi:10.1007/978-3-642-30179-7 · Cited by 23 · cited 1× · see citing works
“However, in most NF protocols the active electrode is placed at Cz (Haus et al., 2013), measuring activity in the somatosensory cortex, including attention, mental processing, calmness, emotion and empathy (Marzbani et al.”
BackgroundKidane, B., Sulman, J., Xu, W., Kong, Q. Q., Wong, R. K. S., Knox, J. J., & Darling, G. E. (2016) · European Journal of Cardio-Thoracic Surgery · doi:10.1093/ejcts/ezw264 · Cited by 17 · see citing works
Kiaei, M., Ferdosi, M. H., Moradi, R., Chelongar, Q., Ahmadzadeh, & Bahmanziari, N. (2016) · DOAJ (DOAJ: Directory of Open Access Journals) · Cited by 13 · see citing works
Sarvghadi, P., Ghaffari, A., & Rostami, H. R. (2019) · International Journal of Therapy and Rehabilitation · doi:10.12968/ijtr.2018.0088 · Cited by 13 · see citing works
Morita (2000) · doi:10.1002/(sici)1099-1611(200003/04)9:2
Flagged first, then by citations
Cited by
Sorted by citations
Vester, S., Muhr, A., Meier, J. K.-H., Süß, C., Kummer, P., & Künzel, J. (2023) · Frontiers in Oncology · doi:10.3389/fonc.2023.1273430 · Cited by 36 · see citing works
Neurofeedback for Cognitive Enhancement, Intervention and Brain Plasticity
Klutz, D. (2023) · Journal of Biomedical and Sustainable Healthcare Applications · doi:10.53759/0088/jbsha202303005 · Cited by 34 · see citing works
Fink, M., Pasche, S., Schmidt, K., Tewes, M., Schüler, M., Mülley, B. W., Schadendorf, D., Scherbaum, N., Kowalski, A., Skoda, E., et al. (2023) · Integrative Cancer Therapies · doi:10.1177/15347354221149950 · Cited by 12 · see citing works
Li, J., Gu, A., Tang, N., Li, M., & Liu, Y. (2025) · Journal of Future Foods · doi:10.1016/j.jfutfo.2024.10.009 · Cited by 12 · see citing works
Schmidt, K., Barac-Dammeyer, D., Kowalski, A., Teigelack, P., Pfeiffer, C., Robitzsch, A., Dörrie, N., Skoda, E.-M., Bäuerle, A., Fink, M., et al. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1140880 · Cited by 7 · see citing works
Schmidt, K. L., Kowalski, A., Schweda, A., Dörrie, N., Skoda, E. M., Bäuerle, A., & Teufel, M. (2024) · BMJ Open · doi:10.1136/bmjopen-2023-079098 · Cited by 3 · see citing works
Fink, M., Schmidt, K., Kowalski, A., Pasche, S., Albrot, C., Krawutschke, M., Schweig, T., Tewes, M., Skoda, E., Teufel, M., et al. (2024) · Frontiers in Psychology · doi:10.3389/fpsyg.2024.1395032 · Cited by 3 · see citing works
Self-efficacy as a Predictor of Self-Management Capacity in Cancer Patients
Abbass, Z. (2024) · Academia Open · doi:10.21070/acopen.9.2024.10305
- Authors
- Schmidt, K., Krawutschke, M., Kowalski, A., Pasche, S., Bialek, A., Schweig, T., Weismüller, B., Tewes, M., Schuler, M., Hamacher, R., Müller, B. W., Schadendorf, D., Skoda, E.-M., Teufel, M., & Fink, M.
- Affiliations
- Essen University Hospital (DE)
- University of Duisburg-Essen (DE)
- Bielefeld University (DE)
- German Cancer Research Center (DE)
- University of Wuppertal (DE)
- Corresponding author
- Schmidt, Kira
- ORCID
- Venue
- Applied Psychophysiology and Biofeedback
- Published
- 2022-11-18
- Volume
- 48
- Issue
- 2
- Pages
- 217-227
- ISSN
- 0363-3586 (ISSN-L)
- 1090-0586
- 1573-3270
- PMC
- PMC9676905
- OpenAlex
- W4309582461
- Cited by
- 8
- References
- 45
- Citations by year
- 2025: 1 · 2024: 3 · 2023: 4
- FWCI
- 0.84
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Applied Psychophysiology and Biofeedback (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- Essen University Medicine Foundation
- Wiedenfeld-Stiftung
- Universitätsklinikum Essen
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Life Sciences › Neuroscience › Cognitive Neuroscience › EEG and Brain-Computer Interfaces
- Social Sciences › Psychology › Social Psychology › Music Therapy and Health
- Keywords
- cancer patients, quality of life, self-efficacy, age differences, waitlist control, EORTC QLQ-C30, General Self-Efficacy Scale, cancer-related distress
- MeSH terms
- Aged, Humans, Neoplasms, Quality of Life, Surveys and Questionnaires, Neurofeedback
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review