Plastic modulation of PTSD resting‐state networks and subjective wellbeing by EEG neurofeedback
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Objective: Electroencephalographic ( EEG ) neurofeedback training has been shown to produce plastic modulations in salience network and default mode network functional connectivity in healthy individuals. In this study, we investigated whether a single session of neurofeedback training aimed at the voluntary reduction of alpha rhythm (8–12 Hz) amplitude would be related to differences in EEG network oscillations, functional MRI ( fMRI ) connectivity, and subjective measures of state anxiety and arousal in a group of individuals with post‐traumatic stress disorder (PTSD). Method: Twenty‐one individuals with PTSD related to childhood abuse underwent 30 min of EEG neurofeedback training preceded and followed by a resting‐state fMRI scan. Results: Alpha desynchronizing neurofeedback was associated with decreased alpha amplitude during training, followed by a significant increase (‘rebound’) in resting‐state alpha synchronization. This rebound was linked to increased calmness, greater salience network connectivity with the right insula, and enhanced default mode network connectivity with bilateral posterior cingulate, right middle frontal gyrus, and left medial prefrontal cortex. Conclusion: Our study represents a first step in elucidating the potential neurobehavioural mechanisms mediating the effects of neurofeedback treatment on regulatory systems in PTSD . Moreover, it documents for the first time a spontaneous EEG ‘rebound’ after neurofeedback, pointing to homeostatic/compensatory mechanisms operating in the brain.
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EEG-neurofeedback has shown promising clinical effects in a wide variety of conditions including internalizing disorders.
“In any case, EEG-NFB has shown promising clinical effects in a wide various of conditions [130–135] including IDs [102, 136–155].”
Alpha-targeted neurofeedback has been shown to normalize SN and DMN connectivity and diminish symptom severity in PTSD and relieve sensory hyper-sensitivities.
“Alpha-targeted neurofeedback has been shown to normalize SN and DMN connectivity and diminish symptom severity in PTSD ( Kluetsch et al., 2014 ; Nicholson et al., 2016 , 2020a ; van der Kolk et al., 2016 ; Ros et al., 2017 ; Rogel et al., 2020 ) and relieve sensory hyper-sensitivities ( Hamed et al., 2022 ).”
From The brain-body disconnect: A somatic sensory basis for trauma-related disorders (2022) · cites this paper as Kluetsch et al., 2014
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- Authors
- Kluetsch, R. C., Ros, T., Théberge, J., Frewen, P. A., Calhoun, V. D., Schmahl, C., Jetly, R., & Lanius, R. A.
- Affiliations
- Heidelberg University (DE)
- University of Geneva (CH)
- Lawson Health Research Institute (CA)
- Western University (CA)
- Mind Research Network (US)
- Canadian Armed Forces (CA)
- Corresponding author
- Lanius, R. A.
- Venue
- Acta Psychiatrica Scandinavica
- Publisher
- Wiley
- Published
- 2013-11-25
- Volume
- 130
- Issue
- 2
- Pages
- 123-136
- ISSN
- 0001-690X (ISSN-L)
- 1600-0447
- PMC
- PMC4442612
- OpenAlex
- W2163890131
- Cited by
- 183
- References
- 90
- Citations by year
- 2026: 11 · 2025: 14 · 2024: 10 · 2023: 12 · 2022: 14 · 2021: 15 · 2020: 22 · 2019: 20 · 2018: 15 · 2017: 17 · 2016: 15 · 2015: 11 · 2014: 7
- FWCI
- 12.22
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Acta Psychiatrica Scandinavica (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Canadian Institutes for Military and Veteran Health Research (W7714-125624/001/SV)
- Lawson Health Research Institute (IRF-17-11)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Life Sciences › Neuroscience › Cognitive Neuroscience › Functional Brain Connectivity Studies
- Life Sciences › Neuroscience › Cognitive Neuroscience › EEG and Brain-Computer Interfaces
- Keywords
- post-traumatic stress disorder, neurofeedback, resting-state functional connectivity, salience network, default mode network, childhood abuse, subjective well-being, state anxiety, arousal, insula, posterior cingulate cortex, medial prefrontal cortex
- MeSH terms
- Adult, Alpha Rhythm, Anxiety, Arousal, Cerebral Cortex, Female, Humans, Magnetic Resonance Imaging, Male, Middle Aged, Nerve Net, Neuronal Plasticity, Stress Disorders, Post-Traumatic, Treatment Outcome, Neurofeedback, Connectome
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.
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