The Use of EEG-Based Neurofeedback Method in the Treatment of Posttraumatic Stress Disorder

Yıl 2020, Cilt: 10 Sayı: 1, 123 - 130, 31.01.2020

Anzel Bahadır

https://doi.org/10.33631/duzcesbed.660176

Cited By: 2

Öz

Post-traumatic
stress disorder is a mental disorder that can develop following
life-threatening traumatic events. Electroencephalography-based neurofeedback
is a non-invasive method that aims to modify electroencephalography wave
activity patterns specific to different states of consciousness and emotion by
biofeedback within the framework of operant conditioning to achieve the desired
skills. This method is used as an alternative treatment for many
neuropsychiatric diseases involving post-traumatic stress disorder. In this
review, Pubmed, EMBASE, EBSCOhost, ULAKBIM databases were searched and 14
studies were evaluated using different neurofeedback treatment protocols to
evaluate the effectiveness of electroencephalography-based neurofeedback method
in the treatment of post-traumatic stress disorder. Findings showed that
electroencephalography-based neurofeedback method has significantly different
positive effects on the treatment of post-traumatic stress disorder and the
improvement of symptoms depending on specific treatment protocols. More
comprehensive controlled studies should be aimed at intended for sustained
positive effect of electroencephalography-based neurofeedback treatment to put
forward the exact mechanisms of electroencephalography-based neurofeedback
method on post-traumatic stress disorder treatment and to determine
standardized treatment protocols specific to the individual and /or symptoms of
the disorder, also taking into using medication therapist-patient
characteristics, and other therapeutic processes, including other factors that
may affect post- traumatic stress disorder treatment.

Anahtar Kelimeler

Electroencephalography biofeedback, neurofeedback, treatment protocols, post-traumatic stress disorder, psychotherapy

Travma Sonrası Stres Bozukluğunun Tedavisinde EEG-Dayalı Nörofeedback Yönteminin Kullanımı

Öz

Travma
Sonrası Stres Bozukluğu, hayatı tehdit edici travmatik olayları takiben
gelişebilen mental bir bozukluktur. Elektroensefalografi dayalı nörofeedback,
farklı bilinç ve duygu durumlarına özgü elektroensefalografi dalga aktivitesi
modellerinin, kişinin istenilen becerileri elde etmesi için edimsel (operant)
koşullanma çerçevesi içinde biyofeedback yolu ile değiştirilmesini amaçlayan,
girişimsel olmayan bir yöntemdir. Bu yöntem, travma sonrası stres bozukluğunu
da içeren birçok nöropskiyatrik hastalıklarda alternatif tedavi yöntemi olarak
kullanılmaktadır. Bu derlemede, travma sonrası stres bozukluğu tedavisinde
elektroensefalografi dayalı nörofeedback yöntemin etkinliğini değerlendirmek
için, Pubmed, EMBASE, EBSCOhost, ULAKBİM veri tabanları taranmış ve farklı
nörofeedback tedavi protokolleri kullanan 14 çalışma incelenmiştir. Bu inceleme
sonucu, farklı tedavi protokollerine bağlı olarak, özgün olası etki
mekanizmaları üzerinden elektroensefalografi dayalı nörofeedback yönteminin
uygulanmasının, travma sonrası stres bozukluğu tedavisi ve semptomlarının
iyileştirilmesi üzerinde anlamlı derecede olumlu etkiler gösterdiği
belirlenmiştir. Elektroensefalografi dayalı nörofeedback yöntemimin, travma
sonrası stres bozukluğu tedavisi üzerinde kesin etki mekanizmalarını ortaya
koyabilmek ve bireye ve/veya hastalığın semptomlarına özgü standardize tedavi
protokollerini belirleyebilmek, ilaç kullanımı, terapist-hasta özellikleri ve
diğer terapötik süreçleri gibi travma sonrası stres bozukluğu tedavisine etki
edebilecek diğer faktörleri de hesaba katarak, elektroensefalografi dayalı
nörofeedback tedavisinin uzun süreli olumlu etkisinin araştırılmasına yönelik,
daha kapsamlı kontrollü çalışmaların yapılması hedeflenmelidir.

Anahtar Kelimeler

Elektroensefalografi biyofeedback, nörofeedback, tedavi protokolleri, travma sonrası stres bozukluğu, psikoterapi

Kaynakça

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