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. 2018 Jan 25;8:313. doi: 10.3389/fpsyt.2017.00313

Table 1.

Characteristics of the included studies (N = 10).

Reference, N (sex), medicated (yes/no) Protocol, electrode position, number of sessions Control group (yes/no), moment of measurement Change in EEG-parameters investigated by Behavioral change investigated by Criterion established for EEG-learning (yes/no) Results
(1) Symptom change
↑ improvements (p < 0.05)
<> = no change
(2) Change in EEG-frequencies
↑ sign. increase in mean frequency
↓ sign. decrease in mean frequency
<> = no change
(3) Results concerning for EEG-learning
ADHD/ADD

Arns et al. (46), N = 21, ♂/♀, yes (some patients) QEEG-Informed protocols: beta ↑/theta ↓/alpha ↓; or beta ↓; or SMR ↑/theta ↓ (+possibly alpha ↑); or SMR ↑; individual electrode position; mean number of sessions 33.62 No, pre-training, mid-training and post-training Changes in power in IAF, SMR, beta frequency bands and ERP measures MINI PLUS/MINI PLUS KID, BDI (inattention, hyperactivity/impulsivity, depression scores) No
  • (1)

    Inattention ↑, hyperactivity/impulsivity ↑, depressive symptoms ↑. Response rate was 76% (16 out of 21) on behavioral measures

  • (2)

    SMR power ↓, alpha, beta <>a


Mayer et al. (45); Mayer et al. (44),b N = 24, ♂/♀, yes SCP ↓↑; Cz; 30 sessions No, pre-, mid-, post-training and 6 months follow-up Changes in CNV mean amplitude with Go/NoGo ERP task ADHD-SB, WRI, FEA, FERT Yes: learners/non-learners based on ability to differentiate between negativation/positivation in transfer condition of last 3 sessions
  • (1)

    Self-rated ADHD symptoms ↑, third-party rated ADHD symptoms ↑, depressive symptoms ↑, state and trait anxiety ↑, reaction time and reaction time variability ↑

  • (2)

    CNV showed a trend of increase over time

  • (3)

    13 learners vs 11 non-learners. Trend toward larger improvements of self-rated ADHD symptoms in learners. Higher improvements of self-rated symptoms for learners at follow-upc


Schönenberg et al. (40), N = 113, ♂/♀, yes Theta (4–8 Hz) ↓; beta (13–21 Hz) ↑; 30 sessions Yes: sham-NFB/meta-cognitive group therapy (MCT), pre-training, mid-training, post-training and follow-up Changes in mean theta/beta ratio CAARS, BDI-II, STAI-state, FPTM-23, TAP, Stroop, CPT, INKA No
  • (1)

    Inattention ↑, hyperactivity ↑, impulsivity ↑, anxiety symptoms ↑, depression ↑, TAP flexibility ↑, reaction time <>, no superiority of NFB as compared to control groups

  • (2)

    Theta/Beta ratio <>d


Substance-use disorder

Arani et al. (18), N = 20, ♂, yes Alpha (8–11 Hz) ↓/theta (5–8 Hz) ↑, after crossover alpha + theta ↑ while delta (2–5 Hz) ↓ at Pz; SMR (12–15 Hz) ↑ at Cz; 30 sessions Yes: control group, no NFB, pre- and post-training Changes in power of delta, theta, alpha, SMR, and high beta SCL-90, HCQ No
  • (1)

    SCL-90: somatization, obsession, interpersonal sensitivity, psychosis, hostility, total score ↑,e HCQ: anticipation for positive outcome, desire to use, relief from withdrawal ↑, intention and plan to use <>

  • (2)

    Delta ↓ (central and frontal), theta ↓ (central area), alpha ↓ (parietal and frontal areas), SMR ↑ (frontal, central area)


Horrell et al. (47), N = 10, ♂/♀, no SMR (12–15 Hz) ↑ at C3/theta (4–7 Hz) ↓ at F3; 12 sessions No, pre- and post-training Changes in mean amplitude of theta, SMR frequency and ERP measures BDI-II (PTSS and depressions scores), PSS-R, cue reactivity test, drug testing No
  • (1)

    Cue reactivity test: reaction time <>, accuracy <>, depression/stress ↑, drug testing: positive drug testing ↑a

  • (2)

    SMR ↑ (mean increase 17%), theta <>

    Cue reactivity test: gamma responses to drug cues ↓


Lackner et al. (48), N = 25, ♂, yes Alpha (8–12 Hz) ↑ at Pz; theta (4–7 Hz) ↑ at Fz; 12 sessions Yes: TAU, pre- and post-training and 6 months-follow-up Changes in absolute and relative band power for theta, alpha and beta frequency band ACQ-R, BDI-V, BSI, FKV-lis, FPTM-23, PPR, SOC, perceived control over EEG, belief in efficacy of training No
  • (1)

    No significant results for behavioral outcome measures posttreatment, perceived control of EEG ↑, belief in efficacy of training ↑

  • (2)

    Trend towards higher alpha, theta power ↑, beta <>f

    No significant effects found at follow-up


Schizophrenia

Gruzelier et al. (49), N = 25, ♂/♀, yes SCP ↑↓; C3/C4; 10 sessions No, improvements within and between sessions Changes in self- regulation of interhemispheric negativity over course of training Yes: good vs average performers based on visual inspection of performance in NFB-sessions, first 5 sessions vs last 5 sessions
  • (2)

    Ability of patients to learn self-regulation of interhemispheric negativity

  • (3)

    Good performers had lateral shifts about twice as large as average performers (p < 0.058)a


Nan et al. (50), N = 1, ♀, yes IAF ↑, beta 2 (20–30 Hz) ↓, 12.5 h in 4 days No, pre and post-training Mean relative amplitude in individual theta, alpha, sigma band, beta 1 (16–20 Hz) Short-term memory test
  • (1)

    Memory↑

  • (2)

    Trend to increased IAB amplitude, trend toward decrease in relative beta 2 amplitudeg


Schneider et al. (14), N = 24, ♂, yes (patients only) SCP ↑↓; Cz; 20 sessions for patients, 5 for health controls Yes: two groups, both receiving NFB:
  1. schizophrenic patients

  2. Healthy controls, pre and post-training

Changes in mean differentiation of SCP over course of training Yes: learning success defined as mean difference between required negativity increase and negative suppression
  • (3)

    Patients were less efficient in SCP self-regulation than controls, patients were only able achieve differentiation of feedback trials comparable to controls in the last three sessions of traininga


Psychopathy

Konicar et al. (27), N = 14, ♂ SCP ↑↓; Fcz; 25 sessions No, pre- and post-training Changes in mean differentiation of SCP for first 6 sessions vs last 6 sessions FAF, BPAQ, BIS/BAS, Flanker Test Learning investigated, but no criteria as to group patients
  • (1)

    Physical aggression ↑, behavioral approach ↑, reaction time ↑, commission errors ↑

  • (2)

    Increase in SCP differentiation, but not for transfer conditions

  • (3)

    Learning progress over the whole 25 training sessions showed a significant increase of SCP differentiation for the feedback condition as well as for the transfer condition over timea

aNo effect sizes given.

bThe articles by Mayer et al. (44, 45) refer to the same study. Description is based on Mayer et al. (45).

cCohens’d effect size d = 1.09.

dEffect size within-participant 1:00 for NFB, 1:51 for sham, and 1:41 for mct.

eEffect sizes for significant results on the SCL-90 η2 ranged from 0.4 to 0.75. Effect sizes for HCQ ranged from η2 = 0.32 to 0.45.

fη2 for absolute alpha 0.139, theta 0.111.

gNo effect sizes given, forward digit test improved from 7 to 9, backward digit test improved from 5 to 6.

N, number of participants based on initial inclusion; IAF, individual alpha frequency; MINI/MINI KID, structured ADHD interview; BDI-(II–V), German version of Beck Depression Interview; ADHD-SB, Current ADHD questionnaire as part of HASE; WRI, ADHD Wender–Reimherr Interview; FEA, ADHD symptom questionnaire; FERT, questionnaire to assess expectancy with regard to treatment; CAARS, Conners’ Adult Rating Scale; STAI, Anxiety questionnaire; FPTM-23, Therapy Motivation Questionnaire; CPT, continuous performance test; INKA, inventory for complex attention; SCL-90, Symptom Checklist-90; HCQ-45, Heroin Craving Questionnaire; PSS-R, Posttraumatic Symptom Scale—Self Report; ACQ-R, Alcohol Craving Questionnaire Revised Form; BSI, Brief Symptom Inventory; PPR, Posttraumatic Growth Inventory; SOC, Sense of Coherence Scale; FAF, Assessment of aggressiveness factors; BPAQ, Buss–Perry Aggression Questionnaire; BIS/BAS, Behavior-Inhibition/Behavior-Activation System Questionnaire; ADHD, attention-deficit hyperactivity disorder; SCP, slow cortical potential; EEG, electroencephalographic; ERP, event-related potential; CNV, contingent negative variation; SMR, sensori motor rhythm.