Application of functional connectivity neurofeedback in patients with treatment-resistant depression: A preliminary report

Functional connectivity neurofeedback (FCNef) is a technique that modulates synchronous neural activity through training and is being investigated as a potential novel treatment for patients suffering from treatment-resistant depression (TRD). An FCNef protocol, based on the analysis of resting-stat...

Full description

Bibliographic Details
Main Authors: Masahiro Takamura, Go Okada, Toshiharu Kamishikiryo, Eri Itai, Miyuki Kato, Tomokazu Motegi, Jessica Elizabeth Taylor, Toshinori Yoshioka, Mitsuo Kawato, Yasumasa Okamoto
Format: Article
Language:English
Published: Elsevier 2023-12-01
Series:Journal of Affective Disorders Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666915323001828
_version_ 1797526168833884160
author Masahiro Takamura
Go Okada
Toshiharu Kamishikiryo
Eri Itai
Miyuki Kato
Tomokazu Motegi
Jessica Elizabeth Taylor
Toshinori Yoshioka
Mitsuo Kawato
Yasumasa Okamoto
author_facet Masahiro Takamura
Go Okada
Toshiharu Kamishikiryo
Eri Itai
Miyuki Kato
Tomokazu Motegi
Jessica Elizabeth Taylor
Toshinori Yoshioka
Mitsuo Kawato
Yasumasa Okamoto
author_sort Masahiro Takamura
collection DOAJ
description Functional connectivity neurofeedback (FCNef) is a technique that modulates synchronous neural activity through training and is being investigated as a potential novel treatment for patients suffering from treatment-resistant depression (TRD). An FCNef protocol, based on the analysis of resting-state functional imaging data from a large cohort of depressed individuals, has been proposed to promote negative functional connectivity between the dorsolateral prefrontal cortex and the posterior cingulate cortex (DLPFC-PCC FC). This study aimed to assess the therapeutic efficacy and practicality of the protocol in a small sample of TRD patients. Of the six patients recruited, five completed the FCNef sessions. Depression and rumination scores significantly improved post-treatment, however, there were no significant changes in DLPFC-PCC FC. The study demonstrated efficacy of FCNef in ameliorating depressive symptoms, yet, it also indicated that the training itself may be burdensome for depressed patients, as evidenced by participants reporting fatigue (one of whom dropped out). Thus, a more efficient and less burdensome protocol is needed for future investigations and applications.
first_indexed 2024-03-10T09:25:24Z
format Article
id doaj.art-2d533eb058c5480fa4aeec5b72196716
institution Directory Open Access Journal
issn 2666-9153
language English
last_indexed 2024-03-10T09:25:24Z
publishDate 2023-12-01
publisher Elsevier
record_format Article
series Journal of Affective Disorders Reports
spelling doaj.art-2d533eb058c5480fa4aeec5b721967162023-11-22T04:49:03ZengElsevierJournal of Affective Disorders Reports2666-91532023-12-0114100644Application of functional connectivity neurofeedback in patients with treatment-resistant depression: A preliminary reportMasahiro Takamura0Go Okada1Toshiharu Kamishikiryo2Eri Itai3Miyuki Kato4Tomokazu Motegi5Jessica Elizabeth Taylor6Toshinori Yoshioka7Mitsuo Kawato8Yasumasa Okamoto9Department of Psychiatry and Neurosciences, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-Ku, Hiroshima 734-8553, Japan; Department of Neurology, Faculty of Medicine, Shimane University, Izumo, JapanDepartment of Psychiatry and Neurosciences, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-Ku, Hiroshima 734-8553, Japan; Corresponding author.Department of Psychiatry and Neurosciences, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-Ku, Hiroshima 734-8553, JapanDepartment of Psychiatry and Neurosciences, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-Ku, Hiroshima 734-8553, JapanDepartment of Psychiatry and Neurosciences, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-Ku, Hiroshima 734-8553, JapanBrain Information Communication Research Laboratory Group, Advanced Telecommunications Research Institute International, Kyoto, JapanBrain Information Communication Research Laboratory Group, Advanced Telecommunications Research Institute International, Kyoto, JapanBrain Information Communication Research Laboratory Group, Advanced Telecommunications Research Institute International, Kyoto, Japan; XNef Inc., Kyoto, JapanBrain Information Communication Research Laboratory Group, Advanced Telecommunications Research Institute International, Kyoto, Japan; XNef Inc., Kyoto, JapanDepartment of Psychiatry and Neurosciences, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-Ku, Hiroshima 734-8553, JapanFunctional connectivity neurofeedback (FCNef) is a technique that modulates synchronous neural activity through training and is being investigated as a potential novel treatment for patients suffering from treatment-resistant depression (TRD). An FCNef protocol, based on the analysis of resting-state functional imaging data from a large cohort of depressed individuals, has been proposed to promote negative functional connectivity between the dorsolateral prefrontal cortex and the posterior cingulate cortex (DLPFC-PCC FC). This study aimed to assess the therapeutic efficacy and practicality of the protocol in a small sample of TRD patients. Of the six patients recruited, five completed the FCNef sessions. Depression and rumination scores significantly improved post-treatment, however, there were no significant changes in DLPFC-PCC FC. The study demonstrated efficacy of FCNef in ameliorating depressive symptoms, yet, it also indicated that the training itself may be burdensome for depressed patients, as evidenced by participants reporting fatigue (one of whom dropped out). Thus, a more efficient and less burdensome protocol is needed for future investigations and applications.http://www.sciencedirect.com/science/article/pii/S2666915323001828FMRIFunctional connectivity neurofeedbackTreatment resistant depressionDorsolateral prefrontal cortexPosterior cingulate cortex
spellingShingle Masahiro Takamura
Go Okada
Toshiharu Kamishikiryo
Eri Itai
Miyuki Kato
Tomokazu Motegi
Jessica Elizabeth Taylor
Toshinori Yoshioka
Mitsuo Kawato
Yasumasa Okamoto
Application of functional connectivity neurofeedback in patients with treatment-resistant depression: A preliminary report
Journal of Affective Disorders Reports
FMRI
Functional connectivity neurofeedback
Treatment resistant depression
Dorsolateral prefrontal cortex
Posterior cingulate cortex
title Application of functional connectivity neurofeedback in patients with treatment-resistant depression: A preliminary report
title_full Application of functional connectivity neurofeedback in patients with treatment-resistant depression: A preliminary report
title_fullStr Application of functional connectivity neurofeedback in patients with treatment-resistant depression: A preliminary report
title_full_unstemmed Application of functional connectivity neurofeedback in patients with treatment-resistant depression: A preliminary report
title_short Application of functional connectivity neurofeedback in patients with treatment-resistant depression: A preliminary report
title_sort application of functional connectivity neurofeedback in patients with treatment resistant depression a preliminary report
topic FMRI
Functional connectivity neurofeedback
Treatment resistant depression
Dorsolateral prefrontal cortex
Posterior cingulate cortex
url http://www.sciencedirect.com/science/article/pii/S2666915323001828
work_keys_str_mv AT masahirotakamura applicationoffunctionalconnectivityneurofeedbackinpatientswithtreatmentresistantdepressionapreliminaryreport
AT gookada applicationoffunctionalconnectivityneurofeedbackinpatientswithtreatmentresistantdepressionapreliminaryreport
AT toshiharukamishikiryo applicationoffunctionalconnectivityneurofeedbackinpatientswithtreatmentresistantdepressionapreliminaryreport
AT eriitai applicationoffunctionalconnectivityneurofeedbackinpatientswithtreatmentresistantdepressionapreliminaryreport
AT miyukikato applicationoffunctionalconnectivityneurofeedbackinpatientswithtreatmentresistantdepressionapreliminaryreport
AT tomokazumotegi applicationoffunctionalconnectivityneurofeedbackinpatientswithtreatmentresistantdepressionapreliminaryreport
AT jessicaelizabethtaylor applicationoffunctionalconnectivityneurofeedbackinpatientswithtreatmentresistantdepressionapreliminaryreport
AT toshinoriyoshioka applicationoffunctionalconnectivityneurofeedbackinpatientswithtreatmentresistantdepressionapreliminaryreport
AT mitsuokawato applicationoffunctionalconnectivityneurofeedbackinpatientswithtreatmentresistantdepressionapreliminaryreport
AT yasumasaokamoto applicationoffunctionalconnectivityneurofeedbackinpatientswithtreatmentresistantdepressionapreliminaryreport