Self-regulation of stress-related large-scale brain network balance using real-time fMRI neurofeedback

It has recently been shown that acute stress affects the allocation of neural resources between large-scale brain networks, and the balance between the executive control network and the salience network in particular. Maladaptation of this dynamic resource reallocation process is thought to play a m...

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Main Authors: Florian Krause, Nikos Kogias, Martin Krentz, Michael Lührs, Rainer Goebel, Erno J. Hermans
Format: Article
Language:English
Published: Elsevier 2021-11-01
Series:NeuroImage
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1053811921008004
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author Florian Krause
Nikos Kogias
Martin Krentz
Michael Lührs
Rainer Goebel
Erno J. Hermans
author_facet Florian Krause
Nikos Kogias
Martin Krentz
Michael Lührs
Rainer Goebel
Erno J. Hermans
author_sort Florian Krause
collection DOAJ
description It has recently been shown that acute stress affects the allocation of neural resources between large-scale brain networks, and the balance between the executive control network and the salience network in particular. Maladaptation of this dynamic resource reallocation process is thought to play a major role in stress-related psychopathology, suggesting that stress resilience may be determined by the retained ability to adaptively reallocate neural resources between these two networks. Actively training this ability could hence be a potentially promising way to increase resilience in individuals at risk for developing stress-related symptomatology. Using real-time functional Magnetic Resonance Imaging, the current study investigated whether individuals can learn to self-regulate stress-related large-scale network balance. Participants were engaged in a bidirectional and implicit real-time fMRI neurofeedback paradigm in which they were intermittently provided with a visual representation of the difference signal between the average activation of the salience and executive control networks, and tasked with attempting to self-regulate this signal. Our results show that, given feedback about their performance over three training sessions, participants were able to (1) learn strategies to differentially control the balance between SN and ECN activation on demand, as well as (2) successfully transfer this newly learned skill to a situation where they (a) did not receive any feedback anymore, and (b) were exposed to an acute stressor in form of the prospect of a mild electric stimulation. The current study hence constitutes an important first successful demonstration of neurofeedback training based on stress-related large-scale network balance – a novel approach that has the potential to train control over the central response to stressors in real-life and could build the foundation for future clinical interventions that aim at increasing resilience.
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spelling doaj.art-3cf684f0343b4ea1a4a0c1333e48ece82022-12-21T19:52:14ZengElsevierNeuroImage1095-95722021-11-01243118527Self-regulation of stress-related large-scale brain network balance using real-time fMRI neurofeedbackFlorian Krause0Nikos Kogias1Martin Krentz2Michael Lührs3Rainer Goebel4Erno J. Hermans5Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Nijmegen, the Netherlands; Corresponding author.Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Nijmegen, the NetherlandsDonders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Nijmegen, the NetherlandsDepartment of Cognitive Neuroscience, Maastricht University, Maastricht, the Netherlands; Department of Research and Development, Brain Innovation B.V., Maastricht, the NetherlandsDepartment of Cognitive Neuroscience, Maastricht University, Maastricht, the Netherlands; Department of Research and Development, Brain Innovation B.V., Maastricht, the NetherlandsDonders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Nijmegen, the NetherlandsIt has recently been shown that acute stress affects the allocation of neural resources between large-scale brain networks, and the balance between the executive control network and the salience network in particular. Maladaptation of this dynamic resource reallocation process is thought to play a major role in stress-related psychopathology, suggesting that stress resilience may be determined by the retained ability to adaptively reallocate neural resources between these two networks. Actively training this ability could hence be a potentially promising way to increase resilience in individuals at risk for developing stress-related symptomatology. Using real-time functional Magnetic Resonance Imaging, the current study investigated whether individuals can learn to self-regulate stress-related large-scale network balance. Participants were engaged in a bidirectional and implicit real-time fMRI neurofeedback paradigm in which they were intermittently provided with a visual representation of the difference signal between the average activation of the salience and executive control networks, and tasked with attempting to self-regulate this signal. Our results show that, given feedback about their performance over three training sessions, participants were able to (1) learn strategies to differentially control the balance between SN and ECN activation on demand, as well as (2) successfully transfer this newly learned skill to a situation where they (a) did not receive any feedback anymore, and (b) were exposed to an acute stressor in form of the prospect of a mild electric stimulation. The current study hence constitutes an important first successful demonstration of neurofeedback training based on stress-related large-scale network balance – a novel approach that has the potential to train control over the central response to stressors in real-life and could build the foundation for future clinical interventions that aim at increasing resilience.http://www.sciencedirect.com/science/article/pii/S1053811921008004Real-time fMRINeurofeedbackLarge-scale brain networksStressResilience
spellingShingle Florian Krause
Nikos Kogias
Martin Krentz
Michael Lührs
Rainer Goebel
Erno J. Hermans
Self-regulation of stress-related large-scale brain network balance using real-time fMRI neurofeedback
NeuroImage
Real-time fMRI
Neurofeedback
Large-scale brain networks
Stress
Resilience
title Self-regulation of stress-related large-scale brain network balance using real-time fMRI neurofeedback
title_full Self-regulation of stress-related large-scale brain network balance using real-time fMRI neurofeedback
title_fullStr Self-regulation of stress-related large-scale brain network balance using real-time fMRI neurofeedback
title_full_unstemmed Self-regulation of stress-related large-scale brain network balance using real-time fMRI neurofeedback
title_short Self-regulation of stress-related large-scale brain network balance using real-time fMRI neurofeedback
title_sort self regulation of stress related large scale brain network balance using real time fmri neurofeedback
topic Real-time fMRI
Neurofeedback
Large-scale brain networks
Stress
Resilience
url http://www.sciencedirect.com/science/article/pii/S1053811921008004
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