Reiter Karen, Andersen Søren Bo, Carlsson Jessica
*Competence Centre for Transcultural Psychiatry, Mental Health Centre Ballerup, the Mental Health Services of the Capital Region of Denmark, Ballerup; †Psychiatric Centre Hvidovre, the Mental Health Services of the Capital Region of Denmark, Brøndby; ‡Research and Knowledge Centre, The Danish Veteran Centre, Ringsted; and §University of Copenhagen, Copenhagen, Denmark.
J Nerv Ment Dis. 2016 Feb;204(2):69-77. doi: 10.1097/NMD.0000000000000418.
Neurofeedback is an alternative, noninvasive approach used in the treatment of a wide range of neuropsychiatric disorders, including posttraumatic stress disorder (PTSD). Many different neurofeedback protocols and methods exist. Likewise, PTSD is a heterogeneous disorder. To review the evidence on effectiveness and preferred protocol when using neurofeedback treatment on PTSD, a systematic search of PubMed, PsychInfo, Embase, and Cochrane databases was undertaken. Five studies were included in this review. Neurofeedback had a statistically significant effect in three studies. Neurobiological changes were reported in three studies. Interpretation of results is, however, limited by differences between the studies and several issues regarding design. The optimistic results presented here qualify neurofeedback as probably efficacious for PTSD treatment.
神经反馈是一种用于治疗多种神经精神疾病(包括创伤后应激障碍,PTSD)的非侵入性替代方法。存在许多不同的神经反馈方案和方法。同样,PTSD是一种异质性疾病。为了回顾使用神经反馈治疗PTSD时有效性和首选方案的证据,我们对PubMed、PsychInfo、Embase和Cochrane数据库进行了系统检索。本综述纳入了五项研究。三项研究中神经反馈具有统计学显著效果。三项研究报告了神经生物学变化。然而,研究之间的差异以及设计方面的几个问题限制了结果的解释。此处呈现的乐观结果使神经反馈可能对PTSD治疗有效。