Emotion self-regulation training in major depressive disorder using simultaneous real-time fMRI and EEG neurofeedback

•Simultaneous real-time fMRI and EEG neurofeedback (rtfMRI-EEG-nf) was used in MDD.•Amygdala fMRI activity and its connectivity with rACC were significantly enhanced.•Frontal alpha and high-beta EEG asymmetries were significantly increased during nf.•MDD patients showed significant mood improvements...

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Veröffentlicht in:NeuroImage clinical 2020-01, Vol.27, p.102331-102331, Article 102331
Hauptverfasser: Zotev, Vadim, Mayeli, Ahmad, Misaki, Masaya, Bodurka, Jerzy
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Sprache:eng
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Zusammenfassung:•Simultaneous real-time fMRI and EEG neurofeedback (rtfMRI-EEG-nf) was used in MDD.•Amygdala fMRI activity and its connectivity with rACC were significantly enhanced.•Frontal alpha and high-beta EEG asymmetries were significantly increased during nf.•MDD patients showed significant mood improvements after the rtfMRI-EEG-nf training.•The rtfMRI-EEG-nf may have potential for treatment of MDD. Simultaneous real-time fMRI and EEG neurofeedback (rtfMRI-EEG-nf) is an emerging neuromodulation approach, that enables simultaneous volitional regulation of both hemodynamic (BOLD fMRI) and electrophysiological (EEG) brain activities. Here we report the first application of rtfMRI-EEG-nf for emotion self-regulation training in patients with major depressive disorder (MDD). In this proof-of-concept study, MDD patients in the experimental group (n = 16) used rtfMRI-EEG-nf during a happy emotion induction task to simultaneously upregulate two fMRI and two EEG activity measures relevant to MDD. The target measures included BOLD activities of the left amygdala (LA) and left rostral anterior cingulate cortex (rACC), and frontal EEG asymmetries in the alpha band (FAA, [7.5–12.5] Hz) and high-beta band (FBA, [21–30] Hz). MDD patients in the control group (n = 8) were provided with sham feedback signals. An advanced procedure for improved real-time EEG-fMRI artifact correction was implemented. The experimental group participants demonstrated significant upregulation of the LA BOLD activity, FAA, and FBA during the rtfMRI-EEG-nf task, as well as significant enhancement in fMRI connectivity between the LA and left rACC. Average individual FAA changes during the rtfMRI-EEG-nf task positively correlated with depression and anhedonia severities, and negatively correlated with after-vs-before changes in depressed mood ratings. Temporal correlations between the FAA and FBA time courses and the LA BOLD activity were significantly enhanced during the rtfMRI-EEG-nf task. The experimental group participants reported significant mood improvements after the training. Our results suggest that the rtfMRI-EEG-nf may have potential for treatment of MDD.
ISSN:2213-1582
2213-1582
DOI:10.1016/j.nicl.2020.102331