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Real-Time Functional Magnetic Resonance Imaging Neurofeedback for the Relief of Distressing Auditory-Verbal Hallucinations: Methodological and Empirical Advances.

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机构： [1]Institute for Mental Health, School of Psychology, University of Birmingham, Birmingham, UK. [2]Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK. [3]Department of Psychology, University of Cambridge, Cambridge, UK. [4]Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Boston, MA. [5]Department of Radiology, Xuanwu Hospital, Capital Medical University, Beijing, China. [6]Precision Brain Imaging Lab, Medical University of South Carolina, Charleston, SC. [7]Faculty of Medical Sciences, University of Groningen, AB Groningen, The Netherlands. [8]University of Lille, INSERM, CHU Lille, Lille Neuroscience and Cognition Centre (U-1172), Plasticity and Subjectivity (PSY) Team, CURE Platform, Lille, France. [9]Department of Psychology, Durham University, Durham, UK. [10]Department of Psychology, University of Roehampton, London, UK.

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关键词： neurofeedback/hallucinations/ schizophrenia/ psychotic experiences/neuroimaging

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Auditory-verbal hallucinations (AVH) are often associated with high levels of distress and disability in individuals with schizophrenia-spectrum disorders. In around 30% of individuals with distressing AVH and diagnosed with schizophrenia, traditional antipsychotic drugs have little or no effect. Thus, it is important to develop mechanistic models of AVH to inform new treatments. Recently a small number of studies have begun to explore the use of real-time functional magnetic resonance imaging neurofeedback (rtfMRI-NF) for the treatment of AVH in individuals with schizophrenia. rtfMRI-NF protocols have been developed to provide feedback about brain activation in real time to enable participants to progressively achieve voluntary control over their brain activity. We offer a conceptual review of the background and general features of neurofeedback procedures before summarizing and evaluating existing mechanistic models of AVH to identify feasible neural targets for the application of rtfMRI-NF as a potential treatment. We consider methodological issues, including the choice of localizers and practicalities in logistics when setting up neurofeedback procedures in a clinical setting. We discuss clinical considerations relating to the use of rtfMRI-NF for AVH in individuals distressed by their experiences and put forward a number of questions and recommendations about best practice. Lastly, we conclude by offering suggestions for new avenues for neurofeedback methodology and mechanistic targets in relation to the research and treatment of AVH. © The Author(s) 2020. Published by Oxford University Press on behalf of the Maryland Psychiatric Research Center.

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出版当年[2019]版：

大类 | 1 区

医学

小类 | 2 区精神病学

最新[2023]版：

大类 | 1 区

医学

小类 | 1 区精神病学

JCR分区：

出版当年[2018]版：

Q1 PSYCHIATRY

最新[2023]版：

Q1 PSYCHIATRY

影响因子： 5.3 最新[2023版] 6.8 最新五年平均 7.289 出版当年[2018版] 8.048 出版当年五年平均 6.944 出版前一年[2017版] 7.958 出版后一年[2019版]

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第一作者机构： [1]Institute for Mental Health, School of Psychology, University of Birmingham, Birmingham, UK. [2]Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.

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Real-Time Functional Magnetic Resonance Imaging Neurofeedback for the Relief of Distressing Auditory-Verbal Hallucinations: Methodological and Empirical Advances.

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