Individual- and Connectivity-Based Real-Time fMRI Neurofeedback to Modulate Emotion-Related Brain Responses in Patients with Depression: A Pilot Study.
Maximilian MaywaldMarco PaoliniBoris-Stephan RauchmannChristian GerzJan Lars HeppeAnnika WolfLinda LerchenbergerIgor TominschekSophia StöckleinPaul ReidlerNadja TschentscherBirgit Ertl-WagnerOliver PogarellDaniel KeeserSusanne KarchPublished in: Brain sciences (2022)
Increased neural activation in the insula and vmPFC in MDD suggests an increased emotional reaction in patients with MDD. The activation of the mOFC could be associated with improved control-strategies and association-learning processes. The increased lOFC activation could indicate a stronger sensitivity to failed NF attempts in MDD. A stronger involvement of visual processing areas in HC may indicate better adaptation to negative emotional stimuli after repeated presentation. Overall, the rtfMRI NF had an impact on neurobiological mechanisms, but not on psychometric measures in patients with MDD.