实时Z-Score神经反馈训练对慢性失眠的疗效:一项单例研究

Q3 Medicine

NeuroRegulation Pub Date : 2019-06-26 DOI:10.15540/NR.6.2.93

R. Pérez-Elvira, J. A. Carrobles, Diego J. López Bote, J. Oltra-Cucarella

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引用次数: 9

摘要

目的/背景:失眠是普通人群中最常见的睡眠障碍。药物治疗在短期内显示出疗效，但一旦停止治疗，症状又会复发。在寻找具有持久效果的治疗方案时，神经反馈(NF)已成为一种治疗方案。神经反馈是操作性条件反射对大脑活动的应用。这项工作的目的是为了展示现场Z-Score NF训练(LZT)的有效性，这是NF领域的一个范例，在失眠的情况下。参与者:男性，32岁，青春期开始患有慢性失眠症。方法:使用患者高度偏好的反馈，在qeeg引导下进行30次35分钟的LZT。本研究的主要结果是患者在整个干预过程中的qEEG指标和睡眠质量的视觉模拟量表。结果:qEEG引导的LZT显示，30次NF治疗后，患者qEEG指标改善了90.63%，临床症状缓解了82.55%。结论:虽然需要更多的研究来证实基于Live Z-Score的NF对失眠是否有效，但我们的研究结果表明NF可能是治疗失眠的一种替代疗法。

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Efficacy of Live Z-Score Neurofeedback Training for Chronic Insomnia: A Single-Case Study

Objective/Background: Insomnia is the most common sleep disorder in the general population. Pharmacological treatments have shown efficacy in the short term, yet the symptoms return once the treatment has been withdrawn. In the search for treatment options with long-lasting effects, neurofeedback (NF) has arisen as a therapeutic option. Neurofeedback is the application of operant conditioning to brain activity. The aim of this work is to show the effectiveness of Live Z-Score NF training (LZT), a paradigm within the field of NF, in a case of insomnia. Participants: A 32-year-old male with chronic insomnia since his adolescence. Methods: Thirty 35-min sessions of qEEG-guided LZT using patient’s highly preferred feedback. The main outcomes of this study were the patient’s qEEG metrics and a visual analog scale of sleep quality throughout the intervention. Results: qEEG-guided LZT showed an improvement of 90.63% of the patient’s qEEG metrics and an 82.55% relief of the clinical symptoms after 30 NF sessions. Conclusions: Although more research is needed to establish that NF based on Live Z-Score is effective for insomnia, our results suggest that NF might be a therapeutic alternative for the treatment of insomnia.

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来源期刊

NeuroRegulation Medicine-Psychiatry and Mental Health

CiteScore

2.50

自引率

0.00%

发文量

审稿时长

19 weeks

期刊介绍： NeuroRegulation is a peer-reviewed journal providing an integrated, multidisciplinary perspective on clinically relevant research, treatment, reviews, and public policy for neuroregulation and neurotherapy. NeuroRegulation publishes important findings in these fields with a focus on electroencephalography (EEG), neurofeedback (EEG biofeedback), quantitative electroencephalography (qEEG), psychophysiology, biofeedback, heart rate variability, photobiomodulation, repetitive Transcranial Magnetic Simulation (rTMS) and transcranial Direct Current Stimulation (tDCS); with a focus on treatment of psychiatric, mind-body, and neurological disorders. In addition to research findings and reviews, it is important to stress that publication of case reports is always useful in furthering the advancement of an intervention for both clinical and normative functioning. We strive for high quality and interesting empirical topics presented in a rigorous and scholarly manner. The journal draws from expertise inside and outside of the International Society for Neurofeedback & Research (ISNR) to deliver material which integrates the diverse aspects of the field, to include: *basic science *clinical aspects *treatment evaluation *philosophy *training and certification issues *technology and equipment