Towards a new approach of neurophysiology in clinical psychiatry: Functional magnetic resonance imaging neurofeedback applied to emotional dysfunctions | Vers une nouvelle déclinaison de la neurophysiologie clinique en psychiatrie : le neurofeedback par imagerie par résonance magnétique fonctionnelle appliqué aux dysfonctions des processus émotionnels
Neurophysiologie Clinique/Clinical Neurophysiology. 2012-04-01; 42(3): 79-94
DOI: 10.1016/j.neucli.2011.12.002
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1. Neurophysiol Clin. 2012 Apr;42(3):79-94. doi: 10.1016/j.neucli.2011.12.002. Epub
2012 Jan 14.
[Towards a new approach of neurophysiology in clinical psychiatry: functional
magnetic resonance imaging neurofeedback applied to emotional dysfunctions].
[Article in French]
Micoulaud-Franchi JA(1), Fakra E, Cermolacce M, Vion-Dury J.
Author information:
(1)Solaris, pôle de psychiatrie universitaire, CHU Sainte-Marguerite, 270,
boulevard Sainte-Marguerite, 13009 Marseille, France.
Emotions color in a singular way our everyday life and constitute important
determinants of human cognition and behavior. Emotional regulation is an
essential process involved in neuropathophysiology and therapeutic efficacy in
many psychiatric disorders. Yet, traditional psychiatric therapeutic has focused
on symptomatic rather than neurophysiological criteria. Therefore, it was
proposed to teach patients to modify their own brain activity directly, in order
to obtain a therapeutic effect. These techniques, which are named neurofeedback,
were originally developed using electroencephalography. Recent technical advances
in fMRI enable real-time acquisition, and open opportunities to its utilization
in neurofeedback. This seems particularly interesting in emotion regulation,
which, at a neurofunctional level, lies on cortico-limbic pathways that, in great
parts, were previously identified by traditional fMRI paradigms. This emotion
regulation plays a central role in the etiopathogeny psychiatric, especially
depressive and anxious, disorders. It is possible to devise new therapeutic
strategies and research approach for addressing directly the neurophysiological
processes of emotion regulation by integrating the neurofunctional activities of
a subject. These prospects seem to be in line with the neurophenomenology
project, which proposes to establish a link between subjective experiences and
objective neurophysiological measures.
Copyright © 2012 Elsevier Masson SAS. All rights reserved.
DOI: 10.1016/j.neucli.2011.12.002
PMID: 22500698 [Indexed for MEDLINE]