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Status: Bibliographieeintrag

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Verfasst von:Zähringer, Jenny [VerfasserIn]   i
 Ende, Gabriele [VerfasserIn]   i
 Santangelo, Philip S. [VerfasserIn]   i
 Kleindienst, Nikolaus [VerfasserIn]   i
 Ruf, Matthias [VerfasserIn]   i
 Bertsch, Katja [VerfasserIn]   i
 Bohus, Martin [VerfasserIn]   i
 Schmahl, Christian [VerfasserIn]   i
 Paret, Christian [VerfasserIn]   i
Titel:Improved emotion regulation after neurofeedback
Titelzusatz:A single-arm trial in patients with borderline personality disorder
Verf.angabe:Jenny Zaehringer, Gabriele Ende, Philip Santangelo, Nikolaus Kleindienst, Matthias Ruf, Katja Bertsch, Martin Bohus, Christian Schmahl, Christian Paret
E-Jahr:2019
Jahr:16 October 2019
Umfang:12 S.
Fussnoten:Gesehen am 23.04.2020
Titel Quelle:Enthalten in: NeuroImage: Clinical
Ort Quelle:[Amsterdam u.a.] : Elsevier, 2012
Jahr Quelle:2019
Band/Heft Quelle:24(2019) Artikel-Nummer 102032, 12 Seiten
ISSN Quelle:2213-1582
Abstract:Real-time functional magnetic resonance imaging (fMRI) neurofeedback training of amygdala hemodynamic activity directly targets a neurobiological mechanism, which contributes to emotion regulation problems in borderline personality disorder (BPD). However, it remains unknown which outcome measures can assess changes in emotion regulation and affective instability, associated with amygdala downregulation in a clinical trial. The current study directly addresses this question. Twenty-four female patients with a DSM-IV BPD diagnosis underwent four runs of amygdala neurofeedback. Before and after the training, as well as at a six-weeks follow-up assessment, participants completed measures of emotion dysregulation and affective instability at diverse levels of analysis (verbal report, clinical interview, ecological momentary assessment, emotion-modulated startle, heart rate variability, and fMRI). Participants were able to downregulate their amygdala blood oxygen-dependent (BOLD) response with neurofeedback. There was a decrease of BPD symptoms as assessed with the Zanarini rating scale for BPD (ZAN-BPD) and a decrease in emotion-modulated startle to negative pictures after training. Further explorative analyses suggest that patients indicated less affective instability, as seen by lower hour-to-hour variability in negative affect and inner tension in daily life. If replicated by an independent study, our results imply changes in emotion regulation and affective instability for several systems levels, including behavior and verbal report. Conclusions are limited due to the lack of a control group. A randomized controlled trial (RCT) will be needed to confirm effectiveness of the training.
DOI:doi:10.1016/j.nicl.2019.102032
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

kostenfrei: Volltext: https://doi.org/10.1016/j.nicl.2019.102032
 kostenfrei: Volltext: http://www.sciencedirect.com/science/article/pii/S2213158219303821
 DOI: https://doi.org/10.1016/j.nicl.2019.102032
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:Amygdala
 Borderline personality disorder
 Emotion regulation
 Neurofeedback
 Real-time fMRI
K10plus-PPN:1695792211
Verknüpfungen:→ Zeitschrift

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