The self-regulating brain and neurofeedback: experimental science and clinical promise
Open accessAbstract
Neurofeedback, one of the primary examples of self-regulation, designates a collection of techniques that train the brain and help to improve its function. Since coming on the scene in the 1960s, electroencephalography-neurofeedback has become a treatment vehicle for a host of mental disorders; however, its clinical effectiveness remains controversial. Modern imaging technologies of the living human brain (e.g., real-time functional magnetic resonance imaging) and increasingly rigorous research protocols that utilize such methodologies begin to shed light on the underlying mechanisms that may facilitate more effective clinical applications. In this paper we focus on recent technological advances in the field of human brain imaging and discuss how these modern methods may influence the field of neurofeedback. Toward this end, we outline the state of the evidence and sketch out future directions to further explore the potential merits of this contentious therapeutic prospect.
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By learning to self-upregulate isolated regions, participants learn to co-regulate other areas interconnected with the target region, suggesting modulation of entire networks.
“Importantly, by learning to self-upregulate isolated regions, participants learn to co-regulate other areas interconnected with the target region, suggesting modulation of entire networks (Emmert et al., 2016; Thibault et al., 2016).”
From Cognitive Neuroscience of Attention Deficit Hyperactivity Disorder (ADHD) and Its Clinical Translation (2018) · cites this paper as Thibault et al., 2016
The Functional Connectivity section (page unavailable) reports that neurofeedback targeting the premotor cortex altered brain connectivity, and that other studies found post-training connectivity changes. This supports possible network-level effects, but the cited passages do not establish that participants learned to co-regulate interconnected areas when upregulating an isolated target; the Future Steps section treats concurrent regulation of multiple signals as a question for further study. (LLM, conf=0.84)
Experimental — accuracy not yet measuredBOLD self-regulation can be achieved in less than 40 min in healthy adults.
“The BOLD self-regulation can be achieved in less than 40 min (Thibault et al., 2016) in healthy adults.”
From Cognitive Neuroscience of Attention Deficit Hyperactivity Disorder (ADHD) and Its Clinical Translation (2018) · cites this paper as Thibault et al., 2016
In other psychiatric and neurological disorders, rtfMRI-NF has shown some clinical potential, showing generalization to NF-free transfer runs and longer-term beneficial effects on cognitive and behavior symptoms of up to several months.
“In other psychiatric and neurological disorders rtfMRI-NF has shown some clinical potential (Thibault et al., 2015, 2016), showing generalization to NF-free transfer runs and longer-term beneficial effects on cognitive and behavior symptoms of up to several months (Zilverstand et al., 2015).”
From Cognitive Neuroscience of Attention Deficit Hyperactivity Disorder (ADHD) and Its Clinical Translation (2018) · cites this paper as Thibault et al., 2016
The ability to learn to self-regulate brain activation appears to be much faster with rtfMRI-NF than EEG-NF.
“the ability to learn to self-regulate brain activation appears to be much faster with rtfMRI-NF than EEG-NF (Thibault et al., 2016),”
From Cognitive Neuroscience of Attention Deficit Hyperactivity Disorder (ADHD) and Its Clinical Translation (2018) · cites this paper as Thibault et al., 2016
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“The failure to replicate the original findings may relate to the inflated likelihood of false positives when employing small sample sizes e a general concern across the neurosciences (Button et al., 2013).”
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- Authors
- Thibault, R. T., Lifshitz, M., & Raz, A.
- Affiliations
- McGill University (CA)
- Lady Davis Institute for Medical Research (CA)
- Corresponding author
- Raz, Amir
- Venue
- Cortex
- Publisher
- Elsevier BV
- Published
- 2016-01
- Volume
- 74
- Pages
- 247-261
- ISSN
- 0010-9452 (ISSN-L)
- OpenAlex
- W2217885751
- Cited by
- 272
- References
- 139
- Citations by year
- 2026: 21 · 2025: 24 · 2024: 36 · 2023: 17 · 2022: 21 · 2021: 23 · 2020: 32 · 2019: 23 · 2018: 27 · 2017: 34 · 2016: 12 · 2015: 2
- FWCI
- 2.46
- Type
- journal article
- Language
- en
- Open access
- Locations
- Cortex (publishedVersion)
- PubMed (publishedVersion)
- eScholarship@McGill (McGill) (submittedVersion)
- Funders
- Canada Research Chair program (950-226108)
- Discovery (386156-2010)
- Discovery Acceleration (396050-2010)
- Natural Sciences and Engineering Research Council of Canada (NSERC)
- Canadian Institutes of Health Research (MPE-117645)
- BIAL Foundation (118/14)
- Fonds de recherche du Québec – Nature et technologies (FRQNT)
- Mind and Life Institute (2011-01-005)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › EEG and Brain-Computer Interfaces
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Life Sciences › Neuroscience › Neurology › Transcranial Magnetic Stimulation Studies
- Keywords
- neurofeedback, self-regulation, EEG, neuroimaging, mental illness, clinical effectiveness, brain training
- MeSH terms
- Self-Control, Brain, Brain Mapping, Humans, Neurofeedback, Neuroimaging
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