Real-time fMRI neurofeedback training of the amygdala activity with simultaneous EEG in veterans with combat-related PTSD

TL;DR

This study demonstrates that real-time fMRI neurofeedback targeting the amygdala can improve emotion regulation and reduce PTSD symptoms in combat veterans, with concurrent EEG providing additional insights.

Contribution

First controlled study showing that rtfMRI neurofeedback of the amygdala reduces PTSD severity and enhances prefrontal-amygdala connectivity in veterans.

Findings

80% of experimental group showed meaningful PTSD symptom reduction

Enhanced amygdala-prefrontal connectivity correlated with symptom improvement

EEG coherence changes correlated with initial PTSD severity

Abstract

Posttraumatic stress disorder (PTSD) is a chronic and disabling neuropsychiatric disorder characterized by insufficient top-down modulation of the amygdala activity by the prefrontal cortex. Real-time fMRI neurofeedback (rtfMRI-nf) is an emerging method with potential for modifying the amygdala-prefrontal interactions. We report the first controlled emotion self-regulation study in veterans with combat-related PTSD utilizing rtfMRI-nf of the amygdala activity. PTSD patients in the experimental group (EG, n=20) learned to upregulate BOLD activity of the left amygdala (LA) using rtfMRI-nf during a happy emotion induction task. PTSD patients in the control group (CG, n=11) were provided with a sham rtfMRI-nf. The study included three rtfMRI-nf training sessions, and EEG recordings were performed simultaneously with fMRI. PTSD severity was assessed using the Clinician-Administered PTSD Scale (CAPS). The EG participants showed a significant reduction in total CAPS ratings, including significant reductions in avoidance and hyperarousal symptoms. Overall, 80% of the EG participants demonstrated clinically meaningful reductions in CAPS ratings, compared to 38% in the CG. During the first session, fMRI connectivity of the LA with the orbitofrontal cortex and the dorsolateral prefrontal cortex (DLPFC) was progressively enhanced, and this enhancement significantly and positively correlated with initial CAPS ratings. Left-lateralized enhancement in upper alpha EEG coherence also exhibited a significant positive correlation with the initial CAPS. Reduction in PTSD severity between the first and last rtfMRI-nf sessions significantly correlated with enhancement in functional connectivity between the LA and the left DLPFC. Our results demonstrate that the rtfMRI-nf of the amygdala activity has the potential to correct the amygdala-prefrontal functional connectivity deficiencies specific to PTSD.