Neurofeedback in Depression

Neurofeedback in Depression We are seeking volunteers for research on the treatment of depression. What is the study about? What would you have to do? What are the benefits for you?

People who have only somewhat recovered from depression with standard treatments and continue to experience depressive symptoms such as excessive self-blame are at an increased risk of further depressive episodes. Therefore, there is an urgent need to understand the mechanisms by which self-blame affects depression and to develop novel alternative treatments, especially for people whose depression has not responded fully to antidepressants and talking therapies. The aim of this research project is to understand self-blaming emotions in major depressive disorder and to test the clinical benefits of a novel treatment approach. When agreeing to participate, you would be asked questions about psychiatric, medical and neurological symptoms by using questionnaires and interviews. We would also use tests, some of them on a computer to test your cognitive, emotional and social skills. Following this assessment you will then be allocated to one of 2 treatment groups which may either involve magnetic resonance imaging (MRI) during neurofeedback training or a solely psychological intervention. The imaging is done on a normal Magnetic Resonance Imaging Scanner. There is no radiation or injections or any other medical procedure involved and if all precautions are taken, there are no known long-term risks of the imaging procedure. You will receive 3 treatment sessions whereby your mood will be assessed before and after each session. Following all treatment sessions, your mental health and cognitive functioning will be assessed at a follow-up appointment. There are no documented direct benefits for you. It is you who will benefit the progress of medical research. You can make an important contribution to a better understanding and treatment of depression by participating in our research project. However, we can reimburse your travel costs and time taken and we will give you access to the results of all tests performed including a copy of your brain image of you had been allocated to the MRI-neurofeedback group. If you wish, you will receive regular updates on the progress of the study and new results published by our group. If we detect any abnormalities on your brain scan or obtain important diagnostic information, we will inform you and your general practitioner. If you are interested in participating, please contact us by e-mail or phone. We would then schedule a 15 minute phone interview to see whether there are any conditions which would make it impossible for us to include you into the study. Some of them you could already check for yourself:

You need to
- be right-handed
- be proficient in English
- live in the Greater London Area or within 2 hours travel distance
- be 18 years or older
- have no history of or current substance or alcohol abuse
- have no history of bipolar disorder or hypomania
- still experience significant or major symptoms over the past 6 weeks despite receiving treatment

24/05/2025

For anyone interested in linking classical psychopathology and phenomenology of symptoms (Jaspers, Kraepelin) in mood disorders, with modern symptom network analyses and cognitive neuroscience of anterior temporal and su...

22/04/2025

Many congratulations Anita Snowdon-Farrell on her first paper from her PhD which confirms the hypothesised role of oxytocin in attachment styles using a systematic review in humans, wonderful also to see that Chiara Atta...

13/05/2024

Congratulations to Daniele Poricelli, our MSc Affective Disorder project student, who has published his MSc thesis which showed in 168 participants recruited from the general population via social media that online self-...

01/02/2024

Click here for 10-15 min pre-screening survey on Microsoft Forms

17/12/2022

tinyurl.com/LithiumSurvey
We are looking for volunteers who have taken lithium as a supplement to complete a 10-15 minute online questionnaire.
If you think you might know someone who could share their experiences, please do send the link above their way. Thank you in advance for your help!

12/10/2022

Would you like to take part in a study exploring a possible new treatment for depression?

Complete the online pre-screening questionnaire here --> https://universityofsussex.eu.qualtrics.com/jfe/form/SV_6D9B50oS3KBw3jM

---------------------------------
WHAT IS THE STUDY ABOUT?

Depression is a debilitating condition that is often considered to be the most common cause of disability in the world. We have previously identified that feelings of low self-worth are a central feature of depression. Unfortunately, many current treatments do not address low self-worth specifically, and this might result in patients not responding as well as they could. Therefore, it would be beneficial to further investigate which areas of the brain are responsible for regulating excessive self-blaming emotions, in order to develop better therapies and tools for managing the disorder.

In this study, we aim to use a brain-scanning technique called ‘fMRI neurofeedback’ to try to change the brain activity of depressed individuals in these identified areas towards a healthier pattern. We will also ask participants to complete some clinical / psychological questionnaires and assessments.

---------------------------------
WHAT WOULD YOU HAVE TO DO?

Upon completing an initial electronic / telephone consultation, you will be invited to the University of Sussex for three separate visits, each roughly two weeks apart. During Visit 1, you will undergo further screening assessments to confirm eligibility. Following this, we will collect information about your clinical and psychological symptoms through questionnaires and interviews. Before Visit 2, you will have been allocated into an Intervention A or Intervention B group (without your knowing). At Visit 2, you will undergo a magnetic resonance imaging (MRI) scan with neurofeedback. We do not know which neurofeedback intervention (A or B) will be most beneficial for depression.

For both groups, as you lie in the scanner, you will be asked to raise the level of a thermometer-like graphic that will be presented to you on a screen, which represents your brain activity detected by the scanner in real-time (this is what we mean by neurofeedback). By trial-and-error, you will hopefully learn ways of thinking that help to increase the level of the thermometer, which will likely be achieved by reducing feelings of guilt.

During Visit 3, we will conduct another set of clinical and psychological questionnaires and assessments to identify any changes in symptoms. We will also send a couple of very short online questionnaires to complete on Week 2 and Week 4 following Visit 3. Overall, it is our hope that some participants will show healthier brain activity patterns and increased self-esteem following neurofeedback.

---------------------------------
WHAT ARE THE BENEFITS FOR YOU?

There will be no direct benefits to taking part in this study, because a single neurofeedback session is very unlikely to have any long-term effects, but your participation will help us to understand more about depression and how it could be treated. You will also have the opportunity to take home a picture of your brain from the scanning session, and you will receive some monetary compensation for your time, inconvenience and any discomfort caused.

---------------------------------
HOW DO YOU SIGN UP?

If you are interested in participating, please complete this online pre-screening questionnaire to check your initial eligibility for participation in the study: https://universityofsussex.eu.qualtrics.com/jfe/form/SV_6D9B50oS3KBw3jM

You can also contact us by email or telephone (see details below) for further information.

Some of the eligibility criteria you can check for yourself now. You need to:
• be proficient in English
• live within 2 hours travel of the University of Sussex
• have online access
• be aged 18 or over
• have no current, or history of, alcohol or substance abuse
• have no current, or history of, bipolar disorder or hypomania
• be experiencing significant and stable symptoms over the past 6 weeks
• prove an insufficient response to previous treatment (e.g. antidepressants)

---------------------------------
CONTACT DETAILS

Mr Alex Nagle
PhD student
Telephone: 07513 268142
Email: a.nagle@bsms.ac.uk

Dr James Stone
Reader in Psychiatry
Honorary Consultant in Liaison Psychiatry
Telephone: 01273 873833
Email: j.stone@bsms.ac.uk

After publishing our previous neurofeedback trial, we are now embarking on a new neurofeedback trial in depression, agai...
12/10/2022

After publishing our previous neurofeedback trial, we are now embarking on a new neurofeedback trial in depression, again focussing on self-blame - please see Alex Nagle's post who is undertaking his PhD in Brighton, I am a co-supervisor. The project is led by Drs James Stone and Alessandro Colasanti in Brighton.

Would you like to take part in a study exploring a possible new treatment for depression?

Complete the online pre-screening questionnaire here --> https://universityofsussex.eu.qualtrics.com/jfe/form/SV_6D9B50oS3KBw3jM

---------------------------------
WHAT IS THE STUDY ABOUT?

Depression is a debilitating condition that is often considered to be the most common cause of disability in the world. We have previously identified that feelings of low self-worth are a central feature of depression. Unfortunately, many current treatments do not address low self-worth specifically, and this might result in patients not responding as well as they could. Therefore, it would be beneficial to further investigate which areas of the brain are responsible for regulating excessive self-blaming emotions, in order to develop better therapies and tools for managing the disorder.

In this study, we aim to use a brain-scanning technique called ‘fMRI neurofeedback’ to try to change the brain activity of depressed individuals in these identified areas towards a healthier pattern. We will also ask participants to complete some clinical / psychological questionnaires and assessments.

---------------------------------
WHAT WOULD YOU HAVE TO DO?

Upon completing an initial electronic / telephone consultation, you will be invited to the University of Sussex for three separate visits, each roughly two weeks apart. During Visit 1, you will undergo further screening assessments to confirm eligibility. Following this, we will collect information about your clinical and psychological symptoms through questionnaires and interviews. Before Visit 2, you will have been allocated into an Intervention A or Intervention B group (without your knowing). At Visit 2, you will undergo a magnetic resonance imaging (MRI) scan with neurofeedback. We do not know which neurofeedback intervention (A or B) will be most beneficial for depression.

For both groups, as you lie in the scanner, you will be asked to raise the level of a thermometer-like graphic that will be presented to you on a screen, which represents your brain activity detected by the scanner in real-time (this is what we mean by neurofeedback). By trial-and-error, you will hopefully learn ways of thinking that help to increase the level of the thermometer, which will likely be achieved by reducing feelings of guilt.

During Visit 3, we will conduct another set of clinical and psychological questionnaires and assessments to identify any changes in symptoms. We will also send a couple of very short online questionnaires to complete on Week 2 and Week 4 following Visit 3. Overall, it is our hope that some participants will show healthier brain activity patterns and increased self-esteem following neurofeedback.

---------------------------------
WHAT ARE THE BENEFITS FOR YOU?

There will be no direct benefits to taking part in this study, because a single neurofeedback session is very unlikely to have any long-term effects, but your participation will help us to understand more about depression and how it could be treated. You will also have the opportunity to take home a picture of your brain from the scanning session, and you will receive some monetary compensation for your time, inconvenience and any discomfort caused.

---------------------------------
HOW DO YOU SIGN UP?

If you are interested in participating, please complete this online pre-screening questionnaire to check your initial eligibility for participation in the study: https://universityofsussex.eu.qualtrics.com/jfe/form/SV_6D9B50oS3KBw3jM

You can also contact us by email or telephone (see details below) for further information.

Some of the eligibility criteria you can check for yourself now. You need to:
• be proficient in English
• live within 2 hours travel of the University of Sussex
• have online access
• be aged 18 or over
• have no current, or history of, alcohol or substance abuse
• have no current, or history of, bipolar disorder or hypomania
• be experiencing significant and stable symptoms over the past 6 weeks
• prove an insufficient response to previous treatment (e.g. antidepressants)

---------------------------------
CONTACT DETAILS

Mr Alex Nagle
PhD student
Telephone: 07513 268142
Email: a.nagle@bsms.ac.uk

Dr James Stone
Reader in Psychiatry
Honorary Consultant in Liaison Psychiatry
Telephone: 01273 873833
Email: j.stone@bsms.ac.uk

18/07/2022

A new study from the Institute of Psychiatry, Psychology & Neuroscience (IoPPN) at King’s College London and the European Brain Council has found “substantial and concerning” gaps in the level of care being provided to people with depression and warns that those able to access care are “stag...

Our new paper on the role of worthlessness in depression shows that it is independent of symptoms such as a loss of plea...
23/05/2022

Our new paper on the role of worthlessness in depression shows that it is independent of symptoms such as a loss of pleasure, highlighting that it needs to be specifically targeted when treating depression.

BackgroundDespite common dissatisfaction with the syndromic heterogeneity of major depression, investigations into its symptom structure are scarce. Self-worthlessness/inadequacy is a distinctive and consistent symptom of major depression across cultures.AimsWe investigated whether self-worthlessnes...

Check out this blog about our work on neurofeedback in depression, thanks to all our participants. We hope it is reasona...
04/04/2022

Check out this blog about our work on neurofeedback in depression, thanks to all our participants. We hope it is reasonably clearly written.

Can we use a brain training approach to tackle it?

Recent news coverage on our neurofeedback study in depressionJaeckle et al. 2021 which provides a discussion of the impl...
14/01/2022

Recent news coverage on our neurofeedback study in depression
Jaeckle et al. 2021 which provides a discussion of the implications.
Thanks again to all of our participants and collaborators.

Neurofeedback training might help to improve the effectiveness of certain psychological interventions for patients with depression, according to new research. But the findings indicate that fMRI neurofeedback might not be effective for patients with the newly-classified anxious distress subtype of d...

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