Critical validation studies of neurofeedback.

The field of neurofeedback training has proceeded largely without validation. In this article the authors review studies directed at validating sensory motor rhythm, beta and alpha-theta protocols for improving attention, memory, and music performance in healthy participants. Importantly, benefits were demonstrable with cognitive and neurophysiologic measures that were predicted on the basis of regression models of learning to enhance sensory motor rhythm and beta activity. The first evidence of operant control over the alpha-theta ratio is provided, together with remarkable improvements in artistic aspects of music performance equivalent to two class grades in conservatory students. These are initial steps in providing a much needed scientific basis to neurofeedback.

[1]  J. Lubar,et al.  Operant conditioning of EEG rhythms and ritalin in the treatment of hyperkinesis , 1979, Biofeedback and self-regulation.

[2]  T. Egner,et al.  Ecological validity of neurofeedback: modulation of slow wave EEG enhances musical performance , 2003, Neuroreport.

[3]  M B Sterman,et al.  Suppression of seizures in an epileptic following sensorimotor EEG feedback training. , 1972, Electroencephalography and clinical neurophysiology.

[4]  C. Spielberger,et al.  Manual for the State-Trait Anxiety Inventory , 1970 .

[5]  H. Flor,et al.  A spelling device for the paralysed , 1999, Nature.

[6]  A. Steptoe Stress, Coping and Stage Fright in Professional Musicians , 1989 .

[7]  Niels Birbaumer,et al.  Frontal interhemispheric asymmetry: self regulation and individual differences in humans , 1997, Neuroscience Letters.

[8]  E. Saxby,et al.  Alpha-theta brainwave neurofeedback training: an effective treatment for male and female alcoholics with depressive symptoms. , 1995, Journal of clinical psychology.

[9]  M. Tansey,et al.  EMG and EEG biofeedback training in the treatment of a 10-year-old hyperactive boy with a developmental reading disorder , 1983, Biofeedback and self-regulation.

[10]  J Hasan,et al.  Quantitative topographic electroencephalographic mapping during drowsiness and sleep onset. , 1995, Journal of clinical neurophysiology : official publication of the American Electroencephalographic Society.

[11]  D. W. Goodwin,et al.  The EEG after alcohol administration in men at risk for alcoholism. , 1983, Archives of general psychiatry.

[12]  J A Pressner,et al.  Effect of contingent and noncontingent feedback and subject expectancies on electroencephalogram biofeedback training. , 1977, Journal of consulting and clinical psychology.

[13]  Aribert Rothenberger,et al.  Training of slow cortical potentials in attention-deficit/hyperactivity disorder: evidence for positive behavioral and neurophysiological effects , 2004, Biological Psychiatry.

[14]  Aaron Williamon,et al.  Musical ExcellenceStrategies and Techniques to Enhance Performance , 2004 .

[15]  M. Bertini,et al.  The boundary between wakefulness and sleep: quantitative electroencephalographic changes during the sleep onset period , 2001, Neuroscience.

[16]  Thomas Elbert,et al.  Self-Regulation of The Brain and Behavior , 1984 .

[17]  Werner Lutzenberger,et al.  BIOFEEDBACK OF EVENT‐RELATED SLOW POTENTIALS OF THE BRAIN , 1981 .

[18]  L. Thompson,et al.  Neurofeedback Combined with Training in Metacognitive Strategies: Effectiveness in Students with ADD , 1998, Applied psychophysiology and biofeedback.

[19]  Dietrich Lehmann,et al.  Psychobiology of altered states of consciousness. , 2013, Psychological bulletin.

[20]  M. Sterman,et al.  Instrumental conditioning of sensorimotor cortex EEG spindles in the waking cat. , 1968 .

[21]  T. Egner,et al.  EEG Biofeedback of low beta band components: frequency-specific effects on variables of attention and event-related brain potentials , 2004, Clinical Neurophysiology.

[22]  M. Sterman,et al.  Comparison of EEG correlates of reinforcement, internal inhibition and sleep. , 1967, Electroencephalography and clinical neurophysiology.

[23]  R. Chabot,et al.  Quantitative electroencephalographic profiles of children with attention deficit disorder , 1996, Biological Psychiatry.

[24]  E. Peniston,et al.  Alpha-theta brainwave training and beta-endorphin levels in alcoholics. , 1989, Alcoholism, clinical and experimental research.

[25]  John H. Gruzelier,et al.  Differentiation of hypnosis and relaxation by analysis of narrow band theta and alpha frequencies , 2001, The International journal of clinical and experimental hypnosis.

[26]  J. Kamiya,et al.  Anxiety change through electroencephalographic alpha feedback seen only in high anxiety subjects. , 1978, Science.

[27]  J. Lubar,et al.  EEG and behavioral changes in a hyperkinetic child concurrent with training of the sensorimotor rhythm (SMR) , 1976, Biofeedback and self-regulation.

[28]  W. Klimesch Memory processes, brain oscillations and EEG synchronization. , 1996, International journal of psychophysiology : official journal of the International Organization of Psychophysiology.

[29]  C M Gómez,et al.  Frequency analysis of the EEG during spatial selective attention. , 1998, The International journal of neuroscience.

[30]  R. Hales,et al.  J Neuropsychiatry Clin Neurosci , 1992 .

[31]  K. M. Rice,et al.  Biofeedback as a placebo: anxiety reduction facilitated by training in either suppression or enhancement of alpha brainwaves. , 1981, Journal of consulting and clinical psychology.

[32]  M. Orne,et al.  Some Factors in the Feedback Control of Human Alpha Rhythm , 1974, Psychosomatic medicine.

[33]  M. Posner,et al.  The attention system of the human brain. , 1990, Annual review of neuroscience.

[34]  D. M. Green,et al.  Signal detection theory and psychophysics , 1966 .

[35]  C A Mann,et al.  Quantitative analysis of EEG in boys with attention-deficit-hyperactivity disorder: controlled study with clinical implications. , 1992, Pediatric neurology.

[36]  E. Donchin,et al.  Is the P300 component a manifestation of context updating? , 1988, Behavioral and Brain Sciences.

[37]  R. Kristeva-Feige,et al.  Effects of attention and precision of exerted force on beta range EEG-EMG synchronization during a maintained motor contraction task , 2002, Clinical Neurophysiology.

[38]  M. Sterman,et al.  ELECTROPHYSIOLOGICAL CORRELATES AND NEURAL SUBSTRATES OF ALIMENTARY BEHAVIOR IN THE CAT * , 1969, Annals of the New York Academy of Sciences.

[39]  J. Lubar,et al.  Electroencephalographic biofeedback of SMR and beta for treatment of attention deficit disorders in a clinical setting , 1984, Biofeedback and self-regulation.

[40]  M B Sterman,et al.  Neuropsychological Assessment of Subjects with Uncontrolled Epilepsy: Effects of EEG Feedback Training , 1988, Epilepsia.

[41]  The Temporal Dynamics of Electroencephalographic Responses to Alpha/Theta Neurofeedback Training in Healthy Subjects , 2004 .

[42]  M. Sterman,et al.  Biofeedback Training of the Sensorimotor Electroencephalogram Rhythm in Man: Effects on Epilepsy , 1974, Epilepsia.

[43]  T. Egner,et al.  The effects of neurofeedback training on the spectral topography of the electroencephalogram , 2004, Clinical Neurophysiology.

[44]  M B Sterman,et al.  EEG correlates of sleep: evidence for separate forebrain substrates. , 1967, Brain research.

[45]  C M Gómez,et al.  Temporal evolution of alpha and beta bands during visual spatial attention. , 2001, Brain research. Cognitive brain research.

[46]  E. John,et al.  The clinical role of computerized EEG in the evaluation and treatment of learning and attention disorders in children and adolescents. , 2001, The Journal of neuropsychiatry and clinical neurosciences.

[47]  B. Brown Recognition of aspects of consciousness through association with EEG alpha activity represented by a light signal. , 1970, Psychophysiology.

[48]  Werner Lutzenberger,et al.  Operant Control of Slow Brain Potentials: A Tool in the Investigation of the Potential’s Meaning and Its Relation to Attentional Dysfunction , 1984 .

[49]  Robert J Barry,et al.  EEG analysis in Attention-Deficit/Hyperactivity Disorder: a comparative study of two subtypes , 1998, Psychiatry Research.

[50]  W. Klimesch,et al.  Theta synchronization during episodic retrieval: neural correlates of conscious awareness. , 2001, Brain research. Cognitive brain research.

[51]  Joel F. Lubar,et al.  EEG Biofeedback for the Enhancement of Attentional Processing in Normal College Students , 1995 .

[52]  Werner Lutzenberger,et al.  Neurofeedback Treatment for Attention-Deficit/Hyperactivity Disorder in Children: A Comparison with Methylphenidate , 2003, Applied psychophysiology and biofeedback.

[53]  R. Barry,et al.  Electroencephalogram differences in two subtypes of attention-deficit/hyperactivity disorder. , 2001, Psychophysiology.

[54]  M. Sterman,et al.  Effects of Central Cortical EEG Feedback Training on Incidence of Poorly Controlled Seizures , 1978, Epilepsia.

[55]  T. Egner,et al.  The effect of training distinct neurofeedback protocols on aspects of cognitive performance. , 2003, International journal of psychophysiology : official journal of the International Organization of Psychophysiology.

[56]  E. Peniston,et al.  Alcoholic personality and alpha-theta brainwave training. , 1990 .

[57]  N. Jokić-begić,et al.  Electroencephalographic comparison of veterans with combat-related post-traumatic stress disorder and healthy subjects. , 2001, International journal of psychophysiology : official journal of the International Organization of Psychophysiology.

[58]  M. Sterman,et al.  Basic Concepts and Clinical Findings in the Treatment of Seizure Disorders with EEG Operant Conditioning , 2000, Clinical EEG.

[59]  Werner Lutzenberger,et al.  Cortical self-regulation in patients with epilepsies , 1993, Epilepsy Research.

[60]  A. Williamon Physiological self-regulation: biofeedback and neurofeedback , 2004 .

[61]  Michael Linden,et al.  A controlled study of the effects of EEG biofeedback on cognition and behavior of children with attention deficit disorder and learning disabilities , 1996 .

[62]  L. Aftanas,et al.  Human anterior and frontal midline theta and lower alpha reflect emotionally positive state and internalized attention: high-resolution EEG investigation of meditation , 2001, Neuroscience Letters.

[63]  E. Peniston,et al.  Alpha-Theta Brainwave Neuro-Feedback for Vietnam Veterans with Combat­ Related Post-Traumatic Stress Disorder , 1991 .

[64]  A. Chen,et al.  New perspectives in EEG/MEG brain mapping and PET/fMRI neuroimaging of human pain. , 2001, International journal of psychophysiology : official journal of the International Organization of Psychophysiology.

[65]  M. Sterman,et al.  Physiological origins and functional correlates of EEG rhythmic activities: Implications for self-regulation , 1996, Biofeedback and self-regulation.

[66]  Tobias Egner,et al.  Physiological self-regulation: biofeedback and neurofeedback , 2004 .

[67]  Tobias Egner,et al.  EEG Signature and Phenomenology of Alpha/theta Neurofeedback Training Versus Mock Feedback , 2002, Applied psychophysiology and biofeedback.

[68]  C. Philips Biofeedback and self-control: T. Barber et al. (Eds.): Aldine Press, Atherton, 1971 , 1973 .

[69]  H. Petsche,et al.  Synchronization between prefrontal and posterior association cortex during human working memory. , 1998, Proceedings of the National Academy of Sciences of the United States of America.

[70]  J. Winson,et al.  The meaning of dreams. , 1990, Scientific American.

[71]  Vincent J Monastra,et al.  Assessing attention deficit hyperactivity disorder via quantitative electroencephalography: an initial validation study. , 1999, Neuropsychology.

[72]  J. Lubar,et al.  Evaluation of the effectiveness of EEG neurofeedback training for ADHD in a clinical setting as measured by changes in T.O.V.A. scores, behavioral ratings, and WISC-R performance , 1995, Biofeedback and self-regulation.

[73]  J Gruzelier,et al.  Learned control of slow potential interhemispheric asymmetry in schizophrenia. , 1998, International journal of psychophysiology : official journal of the International Organization of Psychophysiology.

[74]  A. Burgess,et al.  Short duration synchronization of human theta rhythm during recognition memory , 1997, Neuroreport.

[75]  T. Egner,et al.  Learned self-regulation of EEG frequency components affects attention and event-related brain potentials in humans , 2001, Neuroreport.

[76]  Vincent J Monastra,et al.  The Effects of Stimulant Therapy, EEG Biofeedback, and Parenting Style on the Primary Symptoms of Attention-Deficit/Hyperactivity Disorder , 2002, Applied psychophysiology and biofeedback.

[77]  J. Lubar,et al.  The development of a quantitative electroencephalographic scanning process for attention deficit-hyperactivity disorder: reliability and validity studies. , 2001, Neuropsychology.

[78]  Thomas R. Rossiter,et al.  A Comparison of EEG Biofeedback and Psychostimulants in Treating Attention Deficit/Hyperactivity Disorders , 1995 .

[79]  A. Ludwig Altered states of consciousness. , 1966, Archives of general psychiatry.

[80]  T. Hökfelt,et al.  Substance P mRNA is present in a population of CGRP-immunoreactive cholinergic postganglionic sympathetic neurons of the cat: evidence from combined in situ hybridization and immunohistochemistry , 1989, Neuroscience Letters.

[81]  M. Tansey,et al.  Ten-year stability of EEG biofeedback results for a hyperactive boy who failed fourth grade perceptually impaired class , 1993, Biofeedback and self-regulation.

[82]  David Vernon,et al.  Neurofeedback as a Treatment for ADHD: A Methodological Review with Implications for Future Research , 2004 .

[83]  Carlos M. Gómez,et al.  Temporal evolution of α and β bands during visual spatial attention , 2001 .