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Neurofeedback en psychiatrie : une technique du présent ? [Neurofeedback: one of today's techniques in psychiatry?]

Martijn Arns 1 Jean-Marie Batail 2, 3 Stéphanie Bioulac 4 Marco Congedo 5 Christophe Daudet 6 Dominique Drapier 3 Thomas Fovet 7 Renaud Jardri 8 Le van Quyen 9 Fabien Lotte 10, 11 David Mehler 12, 13 Jean-Arthur Micoulaud 4 Diane Purper-Ouakil 14, 15 François Benoît Vialatte 16, 17
1 Utrecht University [Utrecht]
2 Centre Hospitalier Guillaume Régnier [Rennes]
3 Comportement et noyaux gris centraux = Behavior and Basal Ganglia [Rennes]
4 SANPSY - Sommeil, Attention et Neuropsychiatrie [Bordeaux]
5 GIPSA-VIBS - GIPSA - Vision and Brain Signal Processing
GIPSA-DIS - Département Images et Signal
6 UB - Université de Bordeaux
7 CHRU Lille - Centre Hospitalier Régional Universitaire [Lille]
8 SCALab - Sciences Cognitives et Sciences Affectives (SCALab) - UMR 9193
9 ICM - Institut du Cerveau et de la Moëlle Epinière = Brain and Spine Institute
10 LaBRI - Laboratoire Bordelais de Recherche en Informatique
11 Potioc - Popular interaction with 3d content
LaBRI - Laboratoire Bordelais de Recherche en Informatique, Inria Bordeaux - Sud-Ouest
12 School of Psychology [Cardiff University]
13 University of Münster
14 Analyse Phenotypique, Developpementale et Genetique des Comportements Addictifs
15 CR Saint-Antoine - Centre de Recherche Saint-Antoine
16 ESPCI Paris - Ecole Superieure de Physique et de Chimie Industrielles de la Ville de Paris
17 PSL - Université Paris sciences et lettres
Abstract : ObjectivesNeurofeedback is a technique that aims to teach a subject to regulate a brain parameter measured by a technical interface to modulate his/her related brain and cognitive activities. However, the use of neurofeedback as a therapeutic tool for psychiatric disorders remains controversial. The aim of this review is to summarize and to comment the level of evidence of electroencephalogram (EEG) neurofeedback and real-time functional magnetic resonance imaging (fMRI) neurofeedback for therapeutic application in psychiatry.MethodLiterature on neurofeedback and mental disorders but also on Brain Computer Interfaces (BCI) used in the field of neurocognitive science has been considered by the group of expert of the NExT (Neurofeedback Evaluation & Training) section of the French Association of Biological Psychiatry and Neuropsychopharmacology (AFPBN).ResultsResults show a potential efficacy of EEG-neurofeedback in the treatment of attentional-deficit/hyperactivity disorder (ADHD) in children, even if this is still debated. For other mental disorders, there is too limited research to warrant the use of EEG-neurofeedback in clinical practice. Regarding fMRI-neurofeedback, the level of evidence remains too weak, for now, to justify clinical use. The literature review highlights various unclear points, such as indications (psychiatric disorders, pathophysiologic rationale), protocols (brain signals targeted, learning characteristics), and techniques (EEG, fMRI, signal processing). ConclusionThe field of neurofeedback involves psychiatrists, neurophysiologists and researchers in the field of brain-computer-interfaces. Future studies should determine the criteria for optimizing neurofeedback sessions. A better understanding of the learning processes underpinning neurofeedback could be a key element to develop the use of this technique in clinical practice.
Keywords : EEG Neurofeedback Brain-computer interaction ADHD fMRI
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Submitted on : Tuesday, December 13, 2016 - 5:06:25 PM
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CNRS | UNIV-PARIS7 | LABRI | UNIV-RENNES1 | INRIA | CNGC | GIPSA | UGA | PARISTECH | UR1-UFR-SVE | USPC | GIPSA-DIS | UNIV-RENNES | SCALAB | UNIV-LILLE | SORBONNE-UNIVERSITE | ICM | SU-MEDECINE | U938 | UNIV-BORDEAUX | UNIV-PARIS | PSL | ESPCI-PSL | ESPCI | SU-TI

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Martijn Arns, Jean-Marie Batail, Stéphanie Bioulac, Marco Congedo, Christophe Daudet, et al.. Neurofeedback en psychiatrie : une technique du présent ? [Neurofeedback: one of today's techniques in psychiatry?]. L'Encéphale, Elsevier Masson, 2017, 43 (2), pp.135-145. ⟨10.1016/j.encep.2016.11.003⟩. ⟨hal-01415897⟩

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