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      Consensus on the reporting and experimental design of clinical and cognitive-behavioural neurofeedback studies (CRED-nf checklist)

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      Brain

      Oxford University Press

      neurofeedback, regulation, consensus, checklist, guidelines

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          Abstract

          Neurofeedback is going through a renaissance. Advances in brain imaging and computing have renewed efforts to modify brain activity and behaviour using this technique. Here, over 80 neurofeedback researchers present a consensus-derived checklist – CRED-nf – for reporting and experimental design standards in the field.

          Abstract

          Neurofeedback has begun to attract the attention and scrutiny of the scientific and medical mainstream. Here, neurofeedback researchers present a consensus-derived checklist that aims to improve the reporting and experimental design standards in the field.

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          Most cited references 73

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          CONSORT 2010 statement: updated guidelines for reporting parallel group randomized trials.

          The CONSORT (Consolidated Standards of Reporting Trials) statement is used worldwide to improve the reporting of randomized, controlled trials. Schulz and colleagues describe the latest version, CONSORT 2010, which updates the reporting guideline based on new methodological evidence and accumulating experience.
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            Control over brain activation and pain learned by using real-time functional MRI.

            If an individual can learn to directly control activation of localized regions within the brain, this approach might provide control over the neurophysiological mechanisms that mediate behavior and cognition and could potentially provide a different route for treating disease. Control over the endogenous pain modulatory system is a particularly important target because it could enable a unique mechanism for clinical control over pain. Here, we found that by using real-time functional MRI (rtfMRI) to guide training, subjects were able to learn to control activation in the rostral anterior cingulate cortex (rACC), a region putatively involved in pain perception and regulation. When subjects deliberately induced increases or decreases in rACC fMRI activation, there was a corresponding change in the perception of pain caused by an applied noxious thermal stimulus. Control experiments demonstrated that this effect was not observed after similar training conducted without rtfMRI information, or using rtfMRI information derived from a different brain region, or sham rtfMRI information derived previously from a different subject. Chronic pain patients were also trained to control activation in rACC and reported decreases in the ongoing level of chronic pain after training. These findings show that individuals can gain voluntary control over activation in a specific brain region given appropriate training, that voluntary control over activation in rACC leads to control over pain perception, and that these effects were powerful enough to impact severe, chronic clinical pain.
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              Closed-loop brain training: the science of neurofeedback

              Neurofeedback is a psychophysiological procedure in which online feedback of neural activation is provided to the participant for the purpose of self-regulation. Learning control over specific neural substrates has been shown to change specific behaviours. As a progenitor of brain–machine interfaces, neurofeedback has provided a
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                Author and article information

                Journal
                Brain
                Brain
                brainj
                Brain
                Oxford University Press
                0006-8950
                1460-2156
                June 2020
                16 March 2020
                16 March 2020
                : 143
                : 6
                : 1674-1685
                Affiliations
                [a1 ] Departments of Neuroscience and Psychiatry, University of Geneva ; Campus Biotech, Geneva, Switzerland
                [a2 ] Department of Clinical Neuropsychology, University of Groningen , Groningen, The Netherlands
                [a3 ] Department of Biomedical Sciences of Cells & Systems, University Medical Center Groningen , Groningen, The Netherlands
                [a4 ] Laureate Institute for Brain Research , Tulsa, Oklahoma, USA
                [a5 ] University of Pittsburgh School of Medicine , Pittsburgh, PA, USA
                [a6 ] Institute of Psychology, University of Graz , Graz, Austria
                [a7 ] Massachusetts Institute of Technology , Cambridge, MA, USA
                [a8 ] Northeastern University , Boston, MA, USA
                [a9 ] Department of Electrical and Computer Engineering, Faculty of Science and Technology, University of Macau , Macau, China
                [a10 ] Campus Biotech, University of Geneva , Switzerland
                [a11 ] Institut PiPsy , Draveil, France
                [a12 ] Institute of Bioengineering, Center for Neuroprosthetics, École Polytechnique Fédérale de Lausanne (EPFL); Campus Biotech , Geneva, Switzerland
                [a13 ] Faculty of Health, Ben-Gurion University of the Negev , Beer-Sheva, Israel
                [a14 ] Beer-Sheva Mental Health Center, Israel Ministry of Health , Beer-Sheva, Israel
                [a15 ] Living Health Center for Research and Education , Istanbul, Turkey
                [a16 ] Department of Mechanical Engineering, University of Texas at Austin , Austin, TX, USA
                [a17 ] Institute for Medical Psychology and Behavioral Neurobiology, University of Tübingen , Tübingen, Germany
                [a18 ] Neurobiology and Biobehavioral Psychiatry, David Geffen School of Medicine, University of California Los Angeles , Los Angeles, CA, USA
                [a19 ] Boston University School of Medicine, Department of Pediatrics , Boston, MA, USA
                [a20 ] Department of Cognitive Neuroscience, Maastricht University , Maastricht, The Netherlands
                [a21 ] Clinical Neurotechnology Laboratory, Neuroscience Research Center (NWFZ), Department of Psychiatry and Psychotherapy (CCM), Charité - University Medicine Berlin , Berlin, Germany
                [a22 ] Institute of Biological and Medical Engineering, Pontificia Universidad Católica de Chile , Macul, Santiago, Chile
                [a23 ] Ottawa University , Surprise, Arizona, USA
                [a24 ] Department Clinical Psychology, University of Tübingen , Tübingen, Germany
                [a25 ] Department of Basic Psychological Research and Research Methods , Faculty of Psychology, University of Vienna, Vienna, Austria
                [a26 ] Department of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric Hospital, University of Zürich , Zürich, Switzerland
                [a27 ] University of Salzburg, Centre for Cognitive Neuroscience and Department of Psychology , Salzburg, Austria
                [a28 ] Department of Child and Adolescent Psychiatry, Institute of Psychiatry, Psychology and Neuroscience, King’s College London , London, UK
                [a29 ] Laseeb-ISR-IST Universidade de Lisboa , Portugal
                [a30 ] Technion, Israel Institute of Technology , Haifa, Israel
                [a31 ] Cognitive Science Department, University of California , San Diego, CA, USA
                [a32 ] Department of Psychosomatic Medicine and Psychotherapy, Central Institute of Mental Health Mannheim, Medical Faculty Mannheim/Heidelberg University , Germany
                [a33 ] National Research University Higher School of Economics , Moscow, Russia
                [a34 ] Department of Psychology, Shanghai Normal University , Shanghai, China
                [a35 ] Bitbrain® , Zaragoza, Spain
                [a36 ] SANPSY, USR 3413, Université Bordeaux, CHU de Bordeaux , Place Amelie Raba Leon, Bordeaux, France
                [a37 ] Department of Psychiatry, University of Münster , Münster, Germany
                [a38 ] Department of Psychology, University of Tennessee , Knoxville, USA
                [a39 ] Inria Bordeaux Sud-Ouest/LaBRI University of Bordeaux - CNRS-Bordeaux INP , Bordeaux, France
                [a40 ] Department of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience, Faculty of Health, Medicine and Life Sciences, Maastricht University , Maastricht, The Netherlands
                [a41 ] Department of Psychology, University of Texas at Austin , Austin, TX, USA
                [a42 ] Center for Bioelectric Interfaces of the Institute for Cognitive Neuroscience, National Research University Higher School of Economics , Moscow, Russia
                [a43 ] Department of Information and Internet Technologies of Digital Health Institute; I.M. Sechenov First Moscow State Medical University , Moscow, Russia
                [a44 ] Duke Center for Neuroengineering, Duke University , Durham, NC, USA
                [a45 ] Department of Psychiatry, Western University , London, Ontario, Canada
                [a46 ] Department of Psychology I, Psychological Intervention, Behavior Analysis and Regulation of Behavior, University of Würzburg
                [a47 ] Neuropsychology Lab, Department of Psychology, University of Oldenburg , Oldenberg, Germany
                [a48 ] Magnetic Resonance Research Center (MRRC), Department of Radiology and Biomedical Imaging, Yale University , New Haven, CT, USA
                [a49 ] Medical University of Vienna, Department of Child and Adolescent Psychiatry , Vienna, Austria
                [a50 ] JARA-Institute Molecular neuroscience and neuroimaging (INM-11), Jülich Research Centre , Jülich, Germany
                [a51 ] Department of Psychology, The University of Sheffield International Faculty , City College, Thessaloniki, Greece
                [a52 ] CLLE Lab, CNRS, Université Toulouse Jean Jaurès , Toulouse, France
                [a53 ] Faculty of Psychology and Neuroscience, Maastricht University , Maastricht, The Netherlands
                [a54 ] Multimodal imaging and Cognitive Control Lab, Department of Psychology , University of Olso, Norway
                [a55 ] Alpert Medical School, Brown University , Providence, RI, USA
                [a56 ] Electrical Engineering Department, Eindhoven University of Technology , The Netherlands
                [a57 ] Sagol Brain Institute, Wohl Institute for Advanced Imaging, Sourasky Medical Center , Tel Aviv, Israel
                [a58 ] Department of Radiology and Biomedical Imaging, Yale University School of Medicine , New Haven, CT, USA
                [a59 ] Division of Neurorehabilitation, Department of Clinical Neurosciences, University Hospital Geneva , Geneva, Switzerland
                [a60 ] Division of Functional and Restorative Neurosurgery, University of Tübingen , Tübingen, Germany
                [a61 ] Department of Psychology, Goldsmiths, University of London , London, UK
                [a62 ] Univ. Lille, INSERM U1172, CHU LILLE, Centre Lille Neuroscience & Cognition, Pôle de Psychiatrie , F-59000, Lille, France
                [a63 ] UNAM Institute of Neurobiology, National Autonomous University of Mexico , Juriquilla, Mexico
                [a64 ] Psychophysiology and Optical Imaging, Department of Psychiatry and Psychotherapy, University of Tübingen , Tübingen, Germany
                [a65 ] Department of Child and Adolescent, Psychiatry and Psychotherapy, Psychiatric Hospital, University of Zürich , Zürich, Switzerland
                [a66 ] Omneuron, Inc. , Menlo Park, CA, USA
                [a67 ] Department of Surgery, Section of Neurosurgery, University of Otago , Dunedin, New Zealand
                [a68 ] Department of Psychological Sciences Birkbeck, University of London , Bloomsbury, London, UK
                [a69 ] GIPSA-lab, CNRS, University Grenoble Alpes , Grenoble-INP, Grenoble, France
                [a70 ] School of Computing and Mathematical Sciences, University of Greenwich , London, UK
                [a71 ] Radboud University Nijmegen, Department of Clinical Psychology , Nijmegen, The Netherlands
                [a72 ] Department of Child and Adolescent Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim/Heidelberg University , Mannheim, Germany
                [a73 ] Laureate Institute for Brain Research , Tulsa, OK, USA
                [a74 ] Institute for Medical Psychology and Behavioural Neurobiology, University of Tübingen , Tübingen, Germany
                [a75 ] State Research Institute of Physiology and Basic Medicine , Novosibirsk, Russia
                [a76 ] School of Medicine, Aristotle University of Thessaloniki , Thessaloniki, Greece
                [a77 ] School of Psychology, Faculty of Health and Medical Sciences, University of Surrey , Guildford, UK
                [a78 ] Brainclinics Foundation, Research Institute Brainclinics , Nijmegen, The Netherlands
                [a79 ] School of Psychological Science, University of Bristol , Bristol, UK
                [a80 ] MRC Integrative Epidemiology Unit at the University of Bristol , Bristol, UK
                Author notes
                Correspondence to: Robert T. Thibault School of Psychological Science University of Bristol, 12a Priory Road, Bristol, BS8 1TU, UK E-mail: robert.thibault@ 123456bristol.ac.uk
                Correspondence may also be addressed to: Stefanie Enriquez-Geppert Department of Clinical and Developmental Neuropsychology, Faculty of Behavioural and Social Sciences, University of Groningen, Grote Kruisstraat 2/1, 9712 TS, Groningen, The Netherlands E-mail: s.enriquez.geppert@ 123456rug.nl
                Tomas Ros Geneva Neuroscience Center, Department of Neuroscience, University of Geneva, CH-1202 Geneva, Switzerland E-mail: tomasino.ros@ 123456gmail.com

                Tomas Ros, Stefanie Enriquez-Geppert and Robert T. Thibault contributed equally to this work. All other authors are listed in reverse alphabetical order.

                Article
                awaa009
                10.1093/brain/awaa009
                7296848
                32176800
                © The Author(s) (2020). Published by Oxford University Press on behalf of the Guarantors of Brain.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com

                Page count
                Pages: 12
                Product
                Funding
                Funded by: Fonds de la recherche en santé du Québec;
                Funded by: Center for Bioelectric Interfaces National Research University Higher School of Economics;
                Funded by: Russian Federation Government;
                Award ID: 14.641.31.0003
                Categories
                Update

                Neurosciences

                guidelines, neurofeedback, regulation, consensus, checklist

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