Department of Physical Medicine, Rehabilitation and Occupational Medicine, Medical University of Vienna, Währinger Gürtel 18-20, 1090, Vienna, Austria.
Wien Klin Wochenschr. 2022 Jan;134(Suppl 1):69-76. doi: 10.1007/s00508-021-01977-x. Epub 2021 Dec 6.
The aim of this systematic review was to focus on the effect of biofeedback on smoking cessation.
This review was conducted following the PRISMA guidelines. Peer-reviewed original articles including biofeedback and/or neurofeedback training as an intervention for smoking cessation were included. The PubMed, MEDLINE, Web of Science, Scopus, and Cochrane Library databases were screened for trials published up to July 2021. The effects on smoking rates and smoking behavior, and biofeedback/neurofeedback training measures are summarized here.
In total, three articles fulfilled the inclusion criteria. The total Downs and Black checklist scores ranged from 11 to 23 points, showing that the articles were of poor to good methodological quality. The included studies were heterogeneous, both in terms of treatment protocols and in terms of outcome parameters. Pooling of data for a meta-analysis was not possible. Therefore, we were limited to describing the included studies. The included biofeedback study demonstrated that skin temperature training might improve the patients' ability to raise their skin temperature aiming at stress alleviation. All three studies reported positive effects of biofeedback/neurofeedback in supporting smokers to quit. Furthermore, individualized electroencephalography neurofeedback training showed promising results in one study in modulating craving-related responses.
The results of the present review suggest that biofeedback/neurofeedback training might facilitate smoking cessation by changing behavioral outcomes. Although the investigated studies contained heterogeneous methodologies, they showed interesting approaches that could be further investigated and elaborated. To improve the scientific evidence, prospective randomized controlled trials are needed to investigate biofeedback/neurofeedback in clinical settings for smoking cessation.
本系统评价的目的是关注生物反馈对戒烟的影响。
本研究遵循 PRISMA 指南进行。纳入了将生物反馈和/或神经反馈训练作为戒烟干预措施的同行评审原始文章。对截至 2021 年 7 月发表的试验，在 PubMed、MEDLINE、Web of Science、Scopus 和 Cochrane Library 数据库中进行了筛选。这里总结了吸烟率和吸烟行为的影响，以及生物反馈/神经反馈训练措施。
共有 3 篇文章符合纳入标准。Downs 和 Black 清单总评分范围为 11 至 23 分，表明这些文章的方法学质量较差到较好。纳入的研究在治疗方案和结果参数方面存在异质性。由于数据无法进行荟萃分析，因此我们仅限于描述纳入的研究。纳入的生物反馈研究表明，皮肤温度训练可能会提高患者缓解压力时升高皮肤温度的能力。三项研究均报告了生物反馈/神经反馈在支持吸烟者戒烟方面的积极效果。此外，一项研究表明，个体化脑电图神经反馈训练在调节与渴望相关的反应方面显示出有前途的结果。
本综述的结果表明，生物反馈/神经反馈训练可能通过改变行为结果来促进戒烟。尽管所调查的研究包含了不同的方法学，但它们显示了有趣的方法，这些方法可以进一步研究和阐述。为了提高科学证据水平，需要在临床环境中进行前瞻性随机对照试验，以研究生物反馈/神经反馈在戒烟中的应用。
