Effects of Neurofeedback Training on Anxiety Symptoms Among University Students
Open accessAbstract
Previous studies reported that university students are a population at risk of that mental health problems. The most common intervention for anxiety disorders are pharmacological and/or nonpharmacological strategies such as psychotherapies. Besides that, there is a growing interest neurofeedback training for various mental health conditions including depression, Post Traumatic Stress Disorder (PTSD), stress and anxiety. Therefore, the objective of this study is to determine the effectiveness of neurofeedback training in reducing symptoms of anxiety. A quasi-experimental study with a pretest-posttest design was employed in this study. Thirty eight students (M= 22.47 years, SD= .69 years) with moderate and severe anxiety symptoms based on the Beck Anxiety Inventory (BAI) and Generalized Anxiety Disorder-7 (GAD-7) were randomly assigned to either neurofeedback training or waiting list. The neurofeedback group undergone a total of 20 neurofeedback training (3 sessions per week). The post test results indicated that neurofeedback training significantly reduce symptoms of anxiety in the neurofeedback group than those of in the waiting list group in both BAI and the GAD-7 instruments with effect size ranged from .49 to .62. Wilcoxon signed–rank test was conducted to assess the statistical differences between the pre-scores and post-scores of BAI and GAD-7 measurements within the NFT group. Significant differences within the NFT group was found between the pre-test and post-test scores in the BAI and GAD-7 measurements. In general, the current study suggest that neurofeedback was an effective treatment for anxiety symptoms among university students.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
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?
Previous studies demonstrated significant success with a frequency of two sessions per week.
“This is based on previous studies that demonstrated significant success with a frequency of two sessions per week.24–26”
Cites
An inventory for measuring clinical anxiety: Psychometric properties.
Beck, A. T., Epstein, N., Brown, G., & Steer, R. A. (1988) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.56.6.893 · Cited by 14,407 · see citing works
Anxiety disorders in primary care: prevalence, impairment, comorbidity, and detection
Kroenke, K., Spitzer, R. L., Williams, J. B. W., Monahan, P. O., & Löwe, B. (2007) · Annals of Internal Medicine · doi:10.7326/0003-4819-146-5-200703060-00004 · Cited by 4,741 · see citing works
(2011) · Cited by 2,032 · see citing works
Prevalence and correlates of depression, anxiety, and suicidality among university students
Eisenberg, D., Gollust, S. E., Golberstein, E., & Hefner, J. L. (2007) · American Journal of Orthopsychiatry · doi:10.1037/0002-9432.77.4.534 · Cited by 1,592 · see citing works
Social consequences of psychiatric disorders, I: Educational attainment
(1995) · American Journal of Psychiatry · doi:10.1176/ajp.152.7.1026 · Cited by 1,370 · see citing works
The Global Prevalence of Anxiety Among Medical Students: A Meta-Analysis
Tian-Ci Quek, T., Wai-San Tam, W., X. Tran, B., Zhang, M., Zhang, Z., Su-Hui Ho, C., & Chun-Man Ho, R. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16152735 · Cited by 990 · cited 2× · see citing works
“A previous meta-analysis conducted on global prevalence of anxiety among medical students indicated anxiety was most prevalent among medical students from the Middle East and Asia [15].”
BackgroundInfluentialFreshmen adaptation to university life: Depressive symptoms, stress, and coping
Dyson, R., & Renk, K. (2006) · Journal of Clinical Psychology · doi:10.1002/jclp.20295 · Cited by 930 · cited 1× · see citing works
“Studies showed that university students are vulnerable to mental health problem because they are in a phase of adapting to a new environment such as independent living, decision making, financial management, academic challenges and coping with new social life [8][9][10][11].”
BackgroundA systematic review of reviews on the prevalence of anxiety disorders in adult populations
Remes, O., Brayne, C., van der Linde, R., & Lafortune, L. (2016) · Brain and Behavior · doi:10.1002/brb3.497 · Cited by 802 · see citing works
Correlates of depression, anxiety and stress among Malaysian university students
Shamsuddin, K., Fadzil, F., Ismail, W. S. W., Shah, S. A., Omar, K., Muhammad, N. A., Jaffar, A., Ismail, A., & Mahadevan, R. (2013) · Asian Journal of Psychiatry · doi:10.1016/j.ajp.2013.01.014 · Cited by 576 · see citing works
EEG-Neurofeedback as a Tool to Modulate Cognition and Behavior: A Review Tutorial
Enriquez‐Geppert, S., Huster, R. J., & Herrmann, C. S. (2017) · Frontiers in Human Neuroscience · doi:10.3389/fnhum.2017.00051 · Cited by 526 · cited 1× · see citing works
“Neurofeedback training operate using operant conditioning technique [33][34] by altering the brainwaves at certain location of the brain which are related to emotional or behavioural problem [35].”
MethodCognitive-behavioral therapy for anxiety disorders: An update on the empirical evidence
Kaczkurkin, A. N., & Foa, E. B. (2015) · Dialogues in Clinical Neuroscience · doi:10.31887/dcns.2015.17.3/akaczkurkin · Cited by 523 · cited 1× · see citing works
“Many controlled studies reported the efficacy of CBT for most anxiety disorders [24][25].”
BackgroundThe metabolic syndrome: requiescat in pace
Reaven, G. M. (2005) · Clinical Chemistry · doi:10.1373/clinchem.2005.048611 · Cited by 427 · see citing works
Heller, W., Etienne, M. A., & Miller, G. A. (1995) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.104.2.327 · Cited by 264 · cited 2× · see citing works
“A study reported that anxious individuals in their study showed a larger asymmetry in the left hemisphere and selective increase in the right parietal activity [31].”
BackgroundCurrent diagnosis and treatment of anxiety disorders.
Bystritsky, A., Khalsa, S. S., Cameron, M., & Schiffman, J. E. (2013) · Europe PMC (PubMed Central) · Cited by 249 · see citing works
Neurofeedback with anxiety and affective disorders
菊池, 知. (2005) · Child and Adolescent Psychiatric Clinics of North America · doi:10.1016/j.chc.2004.07.008 · Cited by 222 · cited 3× · see citing works
“It was known that anxiety disorders have to do with functional brain abnormalities [22][30][31].”
BackgroundMethodDugas, M. J., Brillon, P., Savard, P., Turcotte, J., Gaudet, A., Ladouceur, R., Leblanc, R., & Gervais, N. J. (2010) · Behavior Therapy · doi:10.1016/j.beth.2008.12.004 · Cited by 216 · cited 1× · see citing works
“Therefore, CBT is widely implemented as the primary options of psychotherapy for anxiety disorders [26][27][28].”
BackgroundWong, J., Cheung, E. P. T., Chan, K. K., Kamela, K. M., & Tang, S. W. (2006) · Australian & New Zealand Journal of Psychiatry · doi:10.1111/j.1440-1614.2006.01883.x · Cited by 204 · see citing works
Hammond, D. C. (2007) · Journal of Neurotherapy · doi:10.1300/j184v10n04_04 · Cited by 203 · see citing works
The Diagnosis and Treatment of Anxiety Disorders
Ströhle, A., Gensichen, J. S., & Domschke, K. (2018) · Deutsches Ärzteblatt international · doi:10.3238/arztebl.2018.0611 · Cited by 194 · see citing works
Pharmacological treatment of anxiety disorders: Current treatments and future directions
Farach, F. J., Pruitt, L. D., Jun, J. J., Jerud, A. B., Zoellner, L. A., & Roy‐Byrne, P. (2012) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2012.07.009 · Cited by 183 · see citing works
What learning theories can teach us in designing neurofeedback treatments
Strehl, U. (2014) · Frontiers in Human Neuroscience · doi:10.3389/fnhum.2014.00894 · Cited by 137 · see citing works
Dachew, B. A., Azale Bisetegn, T., & Berhe Gebremariam, R. (2015) · PLOS ONE · doi:10.1371/journal.pone.0119464 · Cited by 136 · see citing works
Validation of the GAD-7 (Malay version) among women attending a primary care clinic in Malaysia
Sidik, S. M., Arroll, B., & Goodyear‐Smith, F. (2012) · Journal of Primary Health Care · doi:10.1071/hc12005 · Cited by 130 · cited 2× · see citing works
“This study employed the GAD-7 (Malay Version) by [44].”
BackgroundMethodAnxiety in healthy humans is associated with orbital frontal chemistry
Grachev, I. D., & Apkarian, A. V. (2000) · Molecular Psychiatry · doi:10.1038/sj.mp.4000778 · Cited by 81 · cited 2× · see citing works
“It was known that anxiety disorders have to do with functional brain abnormalities [22][30][31].”
BackgroundWalking versus biofeedback: a comparison of acute interventions for stressed students
Meier, N. F., & Welch, A. S. (2015) · Anxiety Stress & Coping · doi:10.1080/10615806.2015.1085514 · Cited by 61 · cited 1× · see citing works
“The alarming numbers of university students in particular facing mental health problems such as stress, anxiety and depression make them a population at risk [49].”
BackgroundMental Health Problems in University Students: A Prevalence Study
Saleem, S., Mahmood, Z., & Naz, M. (2013) · Cited by 54 · see citing works
Treatment of Anxiety Disorder with Neurofeedback: Case Study
Moradi, A., Pouladi, F., Pishva, N., Rezaei, B., Torshabi, M., & Mehrjerdi, Z. A. (2011) · Procedia - Social and Behavioral Sciences · doi:10.1016/j.sbspro.2011.10.021 · Cited by 31 · cited 3× · see citing works
“Another study done by [39] to examine the effects”
BackgroundMethodResultNeurotherapy and Neurofeedback: Brain-Based Treatment for Psychological and Behavioral Problems
Chapin, T. J., & Russell‐Chapin, L. A. (2013) · Cited by 28 · see citing works
Brief Biofeedback Intervention on Anxious Freshman University Students
Chaló, P., Pereira, A., Batista, P., & Sancho, L. (2017) · Applied Psychophysiology and Biofeedback · doi:10.1007/s10484-017-9361-5 · Cited by 26 · cited 1× · see citing works
“Continuous stress can lead to serious mental health such as anxiety and depression which may affect their future after university life [10][12][13].”
BackgroundUsing Neurofeedback to Lower Anxiety Symptoms Using Individualized qEEG Protocols: A Pilot Study
Dreis, S., Gouger, A., Perez, E., Russo, G. M., Fitzsimmons, M. R., & Jones, M. S. (2015) · NeuroRegulation · doi:10.15540/nr.2.3.137 · Cited by 16 · cited 1× · see citing works
“This result is consistent with other studies done by other researchers on different samples and different neurofeedback protocol [39], [45], [46], [47].”
ResultA neurofeedback protocol to improve mild anxiety and sleep quality
Gomes, J. S., Ducos, D. V., Akiba, H. T., & Dias, Á. M. (2016) · Brazilian Journal of Psychiatry · doi:10.1590/1516-4446-2015-1811 · Cited by 14 · see citing works
Blaskovits, F., Tyerman, J. J., & Luctkar‐Flude, M. (2017) · The JBI Database of Systematic Reviews and Implementation Reports · doi:10.11124/jbisrir-2016-003118 · Cited by 12 · cited 2× · see citing works
“sweating, sexual dysfunction, diarrhoea, constipation, urination problems, and other side effects [20][21] Even though Benzodiazepines is safer that barbiturate, it is not recommended for routine use because it can also cause other side effects such as withdrawal, forgetfulness, confusion and worsened the anxiety diso…”
BackgroundBiofeedback and Anxiety Disorders: A Critical Review of EMG, EEG, and HRV Feedback
Tabachnick, L. (2015) · Cited by 10 · see citing works
Cognitive–behavioral treatment of anxiety disorders: model and current issues
Hambrick, J. P., Comer, J. S., & Albano, A. M. (2010) · Cambridge University Press eBooks · doi:10.1017/cbo9780511777578.020 · Cited by 4 · see citing works
Treatment of Generalized Anxiety Disorders: Unmet Needs
Dılbaz, N., & Enez, A. (2013) · InTech eBooks · doi:10.5772/53453 · Cited by 3 · cited 2× · see citing works
“Generally, the interventions for anxiety disorders are pharmacotherapy or/and psychotherapy depending on the severity of the condition [17][18].”
BackgroundHosseini, S. M., Fathi-Ashtiani, A., Rabiei, M., Noohi, S., & Fajrak, H. (2016) · Majallah-i ṭibb-i niẓāmī · Cited by 2 · see citing works
Neurofeedback for Anxiety Symptoms Among University Students
Mutang, J. A., Seok, C. B., & Hashmi, S. I. (2018) · International Journal of Engineering & Technology · doi:10.14419/ijet.v7i3.22.17119 · Cited by 1 · cited 10× · see citing works
“Better pattern of brainwaves can be obtained with consistent feedback and training [37].”
BackgroundInfluentialSelf-citation
Flagged first, then by citations
Cited by
Sorted by citations
Tosti, B., Corrado, S., Mancone, S., Libero, T. D., Carissimo, C., Cerro, G., Rodio, A., da Silva, V. F., Coimbra, D. R., Andrade, A., et al. (2024) · Brain Sciences · doi:10.3390/brainsci14101036 · Cited by 34 · 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
Thematic Analysis to Measure Social Anxiety among Students
Razak, N. A., Ma’amor, H., Ahmad, M. F., & Rashid, N. M. (2023) · Information Management and Business Review · doi:10.22610/imbr.v15i4(si)i.3621 · Cited by 1 · see citing works
“Specifically, a recent study involving 1,821 university students across Malaysia revealed that the prevalence of anxiety among this population was as high as 29% (Mutang et al., 2021).”
BackgroundResultKarl, M., Göke, H. L., Kowalski, A., Dörrie, N., Skoda, E., Bäuerle, A., Teufel, M., & Schmidt, K. (2025) · Psychiatry International · doi:10.3390/psychiatryint6010028 · Cited by 1 · see citing works
Mostafavi, N. (2024) · International Journal of Psychological Studies · doi:10.5539/ijps.v16n2p8
“According to the studies reported through the literature, anxious thoughts exerts negative impacts on many aspects of a person’ life (Mukhtar et al., 2021; Mutang et al., 2021; Stinson et al. 2020; Yüksel & Yılmaz, 2020).”
BackgroundResultInfluential
- Authors
- Mutang, J. A., Seok, C. B., & Ee, G. T.
- Corresponding author
- Mutang, Jasmine Adela
- Venue
- Advances in Social Science, Education and Humanities Research
- Publisher
- Atlantis Press
- Published
- 2021
- Volume
- 530
- ISSN
- 2352-5398 (ISSN-L)
- OpenAlex
- W3158651089
- Cited by
- 5
- References
- 37
- Citations by year
- 2025: 1 · 2024: 3 · 2023: 1
- FWCI
- 1.11
- Type
- conference paper
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by-nc
- Locations
- Advances in Social Science, Education and Humanities Research/Advances in social science, education and humanities research (publishedVersion, cc-by-nc)
- UMS Institutional Repository (Universiti Malaysia Sabah) (submittedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Life Sciences › Neuroscience › Cognitive Neuroscience › EEG and Brain-Computer Interfaces
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Keywords
- neurofeedback, anxiety symptoms, university students, generalized anxiety disorder, Beck Anxiety Inventory, GAD-7, non-pharmacological treatment, student mental health
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