Clicca qui per scaricare

Utilità del neurofeedback in associazione alla terapia cognitivo-comportamentale nel trattamento dello spettro impulsivocompulsivo: dati preliminari di uno studio sperimentale naturalistico
Titolo Rivista: QUADERNI DI PSICOTERAPIA COGNITIVA 
Autori/Curatori: Enrico Maria Valenti, Alessandro Zarfati, Maria Sole Nicoli, Margherita Onofri, Claudio Imperatori, Benedetto Farina, Cecilia La Rosa, Paola Castelli Gattinara, Antonio Onofri 
Anno di pubblicazione:  2018 Fascicolo: 43 Lingua: Italiano 
Numero pagine:  21 P. 5-25 Dimensione file:  117 KB
DOI:  10.3280/QPC2018-043001
Il DOI è il codice a barre della proprietà intellettuale: per saperne di più:  clicca qui   qui 


Nel presente lavoro è stata approfondita l’utilità terapeutica del neurofeedback in associazione alla terapia cognitivo-comportamentale, nel trattamento di pazienti con disturbi dello spettro impulsivo-compulsivo. Allo studio hanno preso parte 19 soggetti che hanno condotto 10 sedute di alpha/theta training, in associazione con sedute di terapia cognitivo-comportamentale. A seguito del protocollo di neurofeedback è stato riscontrato un incremento delle capacità di mentalizzazione, una riduzione della disregolazione emotiva e una riduzione della sintomatologia impulsiva legata alla pianificazione. È stata osservata, inoltre, un’associazione tra l’indice di apprendimento al neurofeedback e il miglioramento sintomatologico. Tali risultati suggeriscono l’utilità di questa tecnica di neuromodulazione in associazione con la terapia cognitivo-comportamentale tradizionale nel trattamento di pazienti con disturbi dello spettro impulsivo-compulsivo.


Keywords: Neurofeedback, terapia cognitivo-comportamentale, alpha/theta training, spettro impulsivo-compulsivo.

  1. Scott W.C., Kaiser D., Othmer S., Sideroff S.I. (2005). Effects of an EEG biofeedback protocol on a mixed substance abusing population. The American Journal of Drug and Alcohol Abuse, 31(3): 455-469., 10.1081/ADA-20005680DOI: 10.1081/ADA-20005680
  2. Semerari A., Carcione A., Dimaggio G., Nicolò G., Procacci M. (2007). Understanding minds: different functions and different disorders? The contribution of psychotherapy research. Psychotherapy Research, 17(1): 106-119., 10.1080/1050330050053695DOI: 10.1080/1050330050053695
  3. Semerari A., Colle L., Pellecchia G., Buccione I., Carcione A., Dimaggio G., Nicolo G., Procacci M., Pedone R. (2014). Metacognitive dysfunctions in personality disorders: correlations with disorder severity and personality styles. Journal of Personality Disorders, 28(6): 751-766.
  4. Sherlin L.H., Arns M., Lubar J., Heinrich H., Kerson C., Strehl U., Sterman M.B. (2011). Neurofeedback and basic learning theory: Implications for research and practice. Journal of Neurotherapy, 15: 292-304., 10.1080/10874208.2011.62308DOI: 10.1080/10874208.2011.62308
  5. Skarderud F. (2007). Eating one’s words: Part III. Mentalisation-based psychotherapy for anorexia nervosa – an outline for a treatment and training manual. European Eating Disorders Review, 15(5): 323-339.
  6. Skodol A.E., Oldham J.M. (1996). Phenomenology, differential diagnosis, and comorbidity of the impulsive-compulsive spectrum of disorder. In: Oldham J.M., Hollander E., Skodol A.E. (eds.), Impulsivity and compulsivity. Arlington, VA: American Psychiatric Association, pp. 1-36.
  7. American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders – DSM-5 (5th ed.). Arlington: American Psychiatric Publishing.
  8. Allen J.G., Fonagy P., Bateman A.W. (2008). Mentalizing in Clinical Practice. Washington, DC: American Psychiatric Publishing.
  9. Sokhadze T.M., Cannon R.L., Trudeau D.L. (2008). EEG biofeedback as a treatment for substance use disorders: review, rating of efficacy, and recommendations for further research. Applied Psychophysiology and Biofeedback, 33(1): 1-28.
  10. Thatcher R.W. (2014). Advances in assessment and treatment of ADHD using network analyses. Biofeedback, 42: 58-67., 10.5298/1081-5937-42.2.0DOI: 10.5298/1081-5937-42.2.0
  11. Arani F.D., Rostami R., Nostratabadi M. (2010). Effectiveness of neurofeedback training as a treatment for opioid-dependent patients. Clinical EEG and Neuroscience, 41(3): 170-177., 10.1177/15500594100410031DOI: 10.1177/15500594100410031
  12. Van Doren J., Arns M., Heinrich H., Vollebregt M.A., Strehl U., Loo S.K. (2018). Sustained effects of neurofeedback in ADHD: a systematic review and meta-analysis. European Child & Adolescent Psychiatry, 1-13.
  13. Bartholdy S., Musiat P., Campbell I.C., Schmidt U. (2013). The potential of neurofeedback in the treatment of eating disorders: a review of the literature. European Eating Disorders Review: the Journal of the Eating Disorders Association, 21(6): 456-463.
  14. Vernon D.J. (2005). Can neurofeedback training enhance performance? An evaluation of the evidence with implications for future research. Applied Psychophysiology and Biofeedback, 30(4): 347-364.
  15. Boynton T. (2001). Applied Research Using Alpha/theta Training for Enhancing Creativity and Well-Being. Journal of Neurotherapy, 5(1/2): 5-18.
  16. Weiskopf N. (2012). Real-time fMRI and its application to neurofeedback. NeuroImage, 62(2): 682-692.
  17. Cate R., Khademi M., Judd P., Miller H. (2013a). Deficits in mentalization: a risk factor for future development of eating disorders among pre-adolescent girls. Advances in Eating Disorders: Theory, Research and Practice, 1(3): 187-194., 10.1080/21662630.2013.79449DOI: 10.1080/21662630.2013.79449
  18. Cate R., Khademi M., Judd P., Miller H. (2013b). Deficits in mentalization: a risk factor for future development of eating disorders among pre-adolescent girls. Advances in Eating Disorders: Theory, Research and Practice, 1: 187-194., 10.1080/21662630.2013.79449DOI: 10.1080/21662630.2013.79449
  19. Wyckoff S., Birbaumer N. (2013). Neurofeedback. In: Hofmann S.G. (ed.), The Wiley Handbook of Cognitive Behavioral Therapy. Malden, MA and Oxford: Wiley-Blackwell, vol. 1, pp. 273-310.
  20. Cohen J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). NJ: Erlbaum: Hillsdale.
  21. Cosenza M., Ciccarelli M., Nigro G. (2019). The steamy mirror of adolescent gamblers: Mentalization, impulsivity, and time horizon. Addictive Behaviors, 89: 156-162.
  22. Dehghani-Arani F., Rostami R., Nadali H. (2013). Neurofeedback training for opiate addiction: improvement of mental health and craving. Applied Psychophysiology and Biofeedback, 38(2): 133-141.
  23. Derogatis L.R. (1977). The SCL-90 manual: scoring, administration and procedures for the SCL-90. Baltimore, MD: Clinical Psychometric Research.
  24. Dimaggio G., Carcione A., Nicolo G., Conti L., Fiore D., Pedone R., Popolo R., Procacci M., Semerari A. (2009). Impaired decentration in personality disorder: a series of single cases analysed with the Metacognition Assessment Scale. Clinical Psychology & Psychotherapy, 16(5): 450-462.
  25. Dimaggio G., Lysaker P.H. (2015). Metacognition and mentalizing in the psychotherapy of patients with psychosis and personality disorders. Journal of Clinical Psychology, 71(2): 117-124.
  26. Egner T., Strawson E., Gruzelier J.H. (2002). EEG signature and phenomenology of alpha/theta neurofeedback training versus mock feedback. Applied Psychophysiology and Biofeedback, 27(4): 261-270., 10.1023/A:102106341655DOI: 10.1023/A:102106341655
  27. Fahrion S.L., Walters E.D., Coyne L., Allen T. (1992). Alterations in EEG amplitude, personality factors, and brain electrical mapping after alpha-theta brainwave training: a controlled case study of an alcoholic in recovery. Alcoholism, Clinical and Experimental Research, 16(3): 547-552.
  28. Farina B., Della Marca G., Maestoso G., Amoroso N., Valenti E.M., Carbone G.A., Massullo C., Contardi A., Imperatori C. (2018). The association among default mode network functional connectivity, mentalization, and psychopathology in a nonclinical sample: an eLORETA study. Psychopathology, 51(1): 16-23., 10.1159/00048551DOI: 10.1159/00048551
  29. Fonagy P., Allison E. (2014). The role of mentalizing and epistemic trust in the therapeutic relationship. Psychotherapy, 51(3): 372-380.
  30. Fonagy P., Bateman A.W. (2006). Mechanisms of change in mentalization-based treatment of BPD. Journal of Clinical Psychology, 62(4): 411-430.
  31. Fossati A., Di Ceglie A., Acquarini E., Barratt E.S. (2001). Psychometric properties of an Italian version of the Barratt Impulsiveness Scale-11 (BIS-11) in nonclinical subjects. Journal of Clinical Psychology, 57(6): 815-828.
  32. Gevensleben H., Kleemeyer M., Rothenberger L.G., Studer P., Flaig-Rohr A., Moll G.H., Rothenberger A., Heinrich H. (2014). Neurofeedback in ADHD: further pieces of the puzzle. Brain Topography, 27(1): 20-32.
  33. Giromini L., Velotti P., de Campora G., Bonalume L., Cesare Zavattini G. (2012). Cultural adaptation of the difficulties in emotion regulation scale: reliability and validity of an Italian version. Journal of Clinical Psychology, 68(9): 989-1007.
  34. Gratz K.L., Roemer L. (2004). Multidimensional assessment of emotion regulation and dysregulation: development, fact structure, and initial validation of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment, 26(1): 41-54., 10.1023/B:JOBA.0000007455.08539.9DOI: 10.1023/B:JOBA.0000007455.08539.9
  35. Gruzelier J.H. (2009). A theory of alpha/theta neurofeedback, creative performance enhancement, long distance functional connectivity and psychological integration. Cognitive Processing, 10(1): 101-109.
  36. Gruzelier J.H. (2014a). EEG-neurofeedback for optimising performance. I: a review of cognitive and affective outcome in healthy participants. Neuroscience and Biobehavioral Reviews, 44: 124-141.
  37. Gruzelier J.H. (2014b). EEG-neurofeedback for optimising performance. II: creativity, the performing arts and ecological validity. Neuroscience and Biobehavioral Reviews, 44: 142-158.
  38. Hammond D.C. (2006). What is Neurofeedback? Journal of Neurotherapy, 10(4): 25-36.
  39. Harrison A., Sullivan S., Tchanturia K., Treasure J. (2009). Emotion recognition and regulation in anorexia nervosa. Clinical Psychology & Psychotherapy, 16(4): 348-356.
  40. Hausberg M.C., Schulz H., Piegler T., Happach C.G., Klopper M., Brutt A.L., Sammet I., Andreas S. (2012). Is a self-rated instrument appropriate to assess mentalization in patients with mental disorders? Development and first validation of the mentalization questionnaire (MZQ). Psychotherapy research: journal of the Society for Psychotherapy Research, 22(6): 699-709., 10.1080/10503307.2012.70932DOI: 10.1080/10503307.2012.70932
  41. Heatherton T.F., Wagner D.D. (2011). Cognitive neuroscience of self-regulation failure. Trends in Cognitive Sciences, 15(3): 132-139.
  42. Hopfinger J.B., Buonocore M.H., Mangun G.R. (2000). The neural mechanisms of top-down attentional control. Nature Neuroscience, 3(3): 284-291., 10.1038/7299DOI: 10.1038/7299
  43. Hyatt C.J., Calhoun V.D., Pearlson G.D., Assaf M. (2015). Specific default mode subnetworks support mentalizing as revealed through opposing network recruitment by social and semantic FMRI tasks. Human Brain Mapping, 36(8): 3047-3063.
  44. Imperatori C., Della Marca G., Amoroso N., Maestoso G., Valenti E.M., Massullo C., Carbone G.A., Contardi A., Farina B. (2017). Alpha/theta neurofeedback increases mentalization and default mode network connectivity in a non-clinical sample. Brain Topography, 30(6): 822-831.
  45. Imperatori C., Mancini M., Della Marca G., Valenti E.M., Farina B. (2018). Feedback-based treatments for eating disorders and related symptoms: a systematic review of the literature. Nutrients, 10(11).
  46. Imperatori C., Valenti E.M., Marca G.D., Amoroso N., Massullo C., Carbone G., Maestoso G., Quintiliani M.I., Contardi A., Farina B. (2016). Coping food craving with neurofeedback. Evaluation of the usefulness of alpha/theta training in a non-clinical sample. International Journal of Psychophysiology, 112: 89-97.
  47. Inanc L., Altintas M. (2018). Are mentalizing abilities and insight related to the severity of obsessive-compulsive disorder. Psychiatry Investigation, 15(9): 843-851.
  48. Innamorati M., Imperatori C., Harnic D., Erbuto D., Patitucci E., Janiri L., Lamis D.A., Pompili M., Tamburello S., Fabbricatore M. (2017). Emotion regulation and mentalization in people at risk for food addiction. Behavioral Medicine, 43(1): 21-30., 10.1080/08964289.2015.103683DOI: 10.1080/08964289.2015.103683
  49. Lansbergen M.M., van Dongen-Boomsma M., Buitelaar J.K., Slaats-Willemse D. (2011). ADHD and EEG-neurofeedback: a double-blind randomized placebo-controlled feasibility study. Journal of Neural Transmission, 118(2): 275-284.
  50. Laska K.M., Gurman A.S., Wampold B.E. (2014). Expanding the lens of evidence-based practice in psychotherapy: a common factors perspective. Psychotherapy, 51(4): 467-481.
  51. Linden D.E., Habes I., Johnston S.J., Linden S., Tatineni R., Subramanian L., Sorger B., Healy D., Goebel R. (2012). Real-time self-regulation of emotion networks in patients with depression. PloS One, 7(6): e38115.
  52. Lombardo M.V., Chakrabarti B., Bullmore E.T., Wheelwright S.J., Sadek S.A., Suckling J., Baron-Cohen S. (2010). Shared neural circuits for mentalizing about the self and others. Journal of Cognitive Neuroscience, 22(7): 1623-1635.
  53. Mars R.B., Neubert F.X., Noonan M.P., Sallet J., Toni I., Rushworth M.F. (2012). On the relationship between the “default mode network” and the “social brain”. Frontiers in Human Neuroscience, 6: 189.
  54. Medina-Pradas C., Navarro J.B., Álvarez-Moya E.M., Grau A., Obiols J.E. (2012). Emotional theory of mind in eating disorders. International Journal of Clinical and Health Psychology, 12: 189-202.
  55. Patton J.H., Stanford M.S., Barratt E.S. (1995). Factor structure of the Barratt impulsiveness scale. Journal of Clinical psychology, 51(6): 768-774.
  56. Pellecchia G., Moroni F., Colle L., Semerari A., Carcione A., Fera T., Fiore D., Nicolo G., Pedone R., Procacci M. (2018). Avoidant personality disorder and social phobia: Does mindreading make the difference? Comprehensive Psychiatry, 80: 163-169.
  57. Peniston E.G., Kulkosky P.J. (1989). Alpha-theta brainwave training and beta-endorphin levels in alcoholics. Alcoholism, Clinical and Experimental Research, 13(2): 271-279.
  58. Peniston E.G., Kulkosky P.J. (1991). Alpha-theta brainwave neurofeedback therapy for Vietnam veterans with combat-related posttraumatic stress disorder. Medical Psychotherapy, 4: 47-60.
  59. Raymond J., Varney C., Parkinson L.A., Gruzelier J.H. (2005). The effects of Alpha/theta neurofeedback on personality and mood. Cognitive Brain Research, 23(2-3): 287-292.
  60. Rostami R., Dehghani-Arani F. (2015). Neurofeedback training as a new method in treatment of crystal methamphetamine dependent patients: a preliminary study. Applied Psychophysiology and Biofeedback, 40(3): 151-161.
  61. Sarno I., Preti E., Prunas A., Madeddu F. (2011). SCL-90-R Symptom Checklist-90-R: adattamento italiano. Firenze: Giunti, Organizzazioni Speciali.
  62. Savov S., Atanassov N. (2013). Deficits of affect mentalization in patients with drug addiction: theoretical and clinical aspects. ISRN Addiction, 2013: 250751., 10.1155/2013/25075DOI: 10.1155/2013/25075
  63. Saxby E., Peniston E.G. (1995). Alpha-theta brainwave neurofeedback training: an effective treatment for male and female alcoholics with depressive symptoms. Journal of Clinical Psychology, 51(5): 685-693.
  64. Sayin A., Oral N., Utku C., Baysak E., Candansayar S. (2010). Theory of mind in obsessive-compulsive disorder: comparison with healthy controls. European Psychiatry, 25(2): 116-122.
  65. Schoenberg P.L., David A.S. (2014). Biofeedback for psychiatric disorders: a systematic review. Applied Psychophysiology and Biofeedback, 39(2): 109-135.

Enrico Maria Valenti, Alessandro Zarfati, Maria Sole Nicoli, Margherita Onofri, Claudio Imperatori, Benedetto Farina, Cecilia La Rosa, Paola Castelli Gattinara, Antonio Onofri, in "QUADERNI DI PSICOTERAPIA COGNITIVA" 43/2018, pp. 5-25, DOI:10.3280/QPC2018-043001

   

FrancoAngeli è membro della Publishers International Linking Association associazione indipendente e no profit per facilitare l'accesso degli studiosi ai contenuti digitali nelle pubblicazioni professionali e scientifiche