Cited by 96Attention Deficit Hyperactivity DisorderNeural and Behavioral Psychology StudiesEEG and Brain-Computer Interfaces

fMRI neurofeedback training for increasing anterior cingulate cortex activation in adult attention deficit hyperactivity disorder. An exploratory randomized, single-blinded study

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Zilverstand, Anna, Sorger, Bettina, Slaats-Willemse, Dorine, Kan, Cornelis C., Goebel, Rainer, Buitelaar, Jan K.·2017·PLoS ONE

Abstract

Attention Deficit Hyperactivity Disorder (ADHD) is characterized by poor cognitive control/attention and hypofunctioning of the dorsal anterior cingulate cortex (dACC). In the current study, we investigated for the first time whether real-time fMRI neurofeedback (rt-fMRI) training targeted at increasing activation levels within dACC in adults with ADHD leads to a reduction of clinical symptoms and improved cognitive functioning. An exploratory randomized controlled treatment study with blinding of the participants was conducted. Participants with ADHD (n = 7 in the neurofeedback group, and n = 6 in the control group) attended four weekly MRI training sessions (60-min training time/session), during which they performed a mental calculation task at varying levels of difficulty, in order to learn how to up-regulate dACC activation. Only neurofeedback participants received continuous feedback information on actual brain activation levels within dACC. Before and after the training, ADHD symptoms and relevant cognitive functioning was assessed. Results showed that both groups achieved a significant increase in dACC activation levels over sessions. While there was no significant difference between the neurofeedback and control group in clinical outcome, neurofeedback participants showed stronger improvement on cognitive functioning. The current study demonstrates the general feasibility of the suggested rt-fMRI neurofeedback training approach as a potential novel treatment option for ADHD patients. Due to the study's small sample size, potential clinical benefits need to be further investigated in future studies. TRIAL REGISTRATION: ISRCTN12390961.

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  1. [16]Goebel R, Zilverstand A, Sorger B. Real-time fMRI-based brain–computer interfacing for neurofeedback therapy and compensation of lost motor functions. Imaging Med. 2010; 2: 407– 15.
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Authors
Zilverstand, A., Sorger, B., Slaats-Willemse, D., Kan, C. C., Goebel, R., & Buitelaar, J. K.
Affiliations
  • Maastricht University (NL)
  • Radboud University Nijmegen (NL)
  • Radboud University Medical Center (NL)
  • Netherlands Institute for Neuroscience (NL)
Corresponding author
  • Zilverstand, Anna
  • Sorger, Bettina
  • Slaats-Willemse, Dorine
  • Kan, Cornelis C.
  • Goebel, Rainer
  • Buitelaar, Jan K.
Venue
PLoS ONE
Published
2017-01-26
Volume
12
Issue
1
Pages
e0170795
ISSN
1932-6203 (ISSN-L)
OpenAlex
W2580125444
Cited by
96
References
70
Citations by year
2026: 3 · 2025: 6 · 2024: 9 · 2023: 4 · 2022: 10 · 2021: 19 · 2020: 16 · 2019: 11 · 2018: 9 · 2017: 9
FWCI
10.09
Type
journal article
Language
en
Open access
Locations
  • PLoS ONE (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Research Publications (Maastricht University) (publishedVersion, cc-by)
  • KNAW research portal (Royal Academy of Art and Sciences (KNAW)) (publishedVersion, other-oa)
  • Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • Figshare (submittedVersion, cc-by)
  • Radboud Repository (Radboud University) (submittedVersion)
  • Radboud Repository (Radboud University) (submittedVersion, other-oa)
  • Research Publications (Maastricht University) (submittedVersion, other-oa)
Funders
  • Ministerie van Economische Zaken (SSM06011)
  • Nederlandse Organisatie voor Wetenschappelijk Onderzoek (Rubicon fellowship 446-14-015)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
  • Life Sciences › Neuroscience › Cognitive Neuroscience › EEG and Brain-Computer Interfaces
Keywords
attention deficit hyperactivity disorder, real-time fMRI neurofeedback, dorsal anterior cingulate cortex, cognitive control, cognitive function
MeSH terms
Adult, Attention Deficit Disorder with Hyperactivity, Brain Mapping, Cognition, Female, Gyrus Cinguli, Humans, Magnetic Resonance Imaging, Male, Middle Aged, Neuropsychological Tests, Cognitive Behavioral Therapy, Single-Blind Method, Neurofeedback

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