Key result
Combined biofeedback and neurofeedback is linked to lower exhaled carbon monoxide and oxidative stress in smokers.
Why the study?
The study aimed to evaluate a multi-visit combined biofeedback and neurofeedback intervention for smoking cessation, validate feedback learning, and document effects on resting-state functional connectivity networks.
Does combined biofeedback and neurofeedback training improve smoking status, behavior, and brain plasticity in smokers?
Observational (n=17)
No
Does combined biofeedback and neurofeedback training improve smoking status, behavior, and brain plasticity in smokers?
Combined biofeedback and neurofeedback training positively affects the clinical and behavioral status of smokers and leads to positive reorganization of resting-state networks.
May support adjunctive use in smoking cessation; hypothesis-generating and requires randomized confirmation.
Introduction: Investigations of biofeedback (BF) and neurofeedback (NF) training for nicotine addiction have been long documented to lead to positive gains in smoking status, behavior and to changes in brain activity. We aimed to: (a) evaluate a multi-visit combined BF/NF intervention as an alternative smoking cessation approach, (b) validate training-induced feedback learning, and (c) document effects on resting-state functional connectivity networks (rsFCN); considering gender and degree of nicotine dependence in a longitudinal design.Methods: We analyzed clinical, behavioral, and electrophysiological data from 17 smokers who completed five BF and 20 NF sessions and three evaluation stages. Possible neuroplastic effects were explored comparing whole-brain rsFCN by phase-lag index (PLI) for different brain rhythms. PLI connections with significant change across time were investigated according to different resting-state networks (RSNs).Results: Improvements in smoking status were observed as exhaled carbon monoxide levels, Total Oxidative Stress, and Fageström scores decreased while Vitamin E levels increased across time. BF/NF promoted gains in anxiety, self-esteem, and several aspects of cognitive performance. BF learning in temperature enhancement was observed within sessions. NF learning in theta/alpha ratio increase was achieved across baselines and within sessions. PLI network connections significantly changed across time mainly between or within visual, default mode and frontoparietal networks in theta and alpha rhythms, while beta band RSNs mostly changed significantly after BF sessions.Discussion: Combined BF/NF training positively affects the clinical and behavioral status of smokers, displays benefit in smoking harm reduction, plays a neuroprotective role, leads to learning effects and to positive reorganization of RSNs across time.Clinical Trial Registration:https://clinicaltrials.gov/ct2/show/NCT02991781.
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Pandria et al. (2023) conducted an observational in Nicotine addiction (n=17). Combined biofeedback and neurofeedback training was evaluated on Smoking status (exhaled carbon monoxide, Total Oxidative Stress, Fagerström scores). Combined biofeedback and neurofeedback training in smokers decreased exhaled carbon monoxide levels, total oxidative stress, and Fagerström scores across the 13-week intervention.
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