Evidence map›Paper›PMID 32004893›Full record

ArticlePsychiatry research2020

Real-time fMRI neurofeedback reduces auditory hallucinations and modulates resting state connectivity of involved brain regions: Part 2: Default mode network -preliminary evidence.

Clemens C C Bauer, Kana Okano, Satrajit S Ghosh, Yoon Ji Lee, Helena Melero, Carlo de Los Angeles, Paul G Nestor, Elisabetta C Del Re, Georg Northoff, Margaret A Niznikiewicz and 1 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Psychiatry research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06542640 (Identifying Mechanisms of Response to Therapeutic Intervention in Clinical High Risk), which is not on this map. Cited by 44 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 2 pooled it
5.2field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06542640 narecruitingnot on this mapstarted 2024, after this paper: background citation

Identifying Mechanisms of Response to Therapeutic Intervention in Clinical High Risk (CHR) for Psychosis: a Bridge to Treatment

TypeinterventionalSponsorBeth Israel Deaconess Medical CenterRan2024 to 2027Enrolled300ConditionsPsychosis, Schizophrenia-Like, Healthy ControlsArmsMb-rt-fMRI-NFB, Sham mb-rt-fMRI-NFB, rTMS, Sham rTMS
3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 2 syntheses or guidelines pooled it, 85 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Trial
  10. Trial
  11. Article
  12. Article
  13. A protocol formedRxiv : the preprint server for health sciences · 2025
    Article
  14. Article
  15. Review
  16. Closed-Loop Systems and Real-Time Neurofeedback in Mindfulness Meditation Research.Biological psychiatry. Cognitive neuroscience and neuroimaging · 2025
    Review
  17. Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 7 institutions in 3 countries.

Clemens C C BauerDepartment of Brain and Cognitive Sciences and McGovern Institute for Brain Research, Massachusetts Institute of Technology. Cambridge, MA 02139, USA; Northeastern University, Boston, MA 02139, USA. Electronic address: cccbauer@mit.edu.
Kana OkanoDepartment of Brain and Cognitive Sciences and McGovern Institute for Brain Research, Massachusetts Institute of Technology. Cambridge, MA 02139, USA.
Satrajit S GhoshDepartment of Brain and Cognitive Sciences and McGovern Institute for Brain Research, Massachusetts Institute of Technology. Cambridge, MA 02139, USA.
Yoon Ji LeeNortheastern University, Boston, MA 02139, USA.
Helena MeleroNortheastern University, Boston, MA 02139, USA; Medical Image Analysis Laboratory (LAIMBIO), Rey Juan Carlos University, Madrid, Spain.
Carlo de Los AngelesDepartment of Brain and Cognitive Sciences and McGovern Institute for Brain Research, Massachusetts Institute of Technology. Cambridge, MA 02139, USA.
Paul G NestorHarvard Medical School. Boston, MA 02115, USA; Boston VA Healthcare System. Boston, MA 02130, USA; University of Massachusetts, Boston, Boston MA 02215, USA.
Elisabetta C Del ReHarvard Medical School. Boston, MA 02115, USA; Boston VA Healthcare System. Boston, MA 02130, USA; Psychiatry Neuroimaging Laboratory, Department of Psychiatry, Brigham and Women's Hospital, and Harvard Medical School, Boston, MA, USA.
Georg NorthoffMind, Brain Imaging and Neuroethics Research Unit, The Royal's Institute of Mental Health Research, University of Ottawa, Ottawa, ON, Canada.
Margaret A NiznikiewiczHarvard Medical School. Boston, MA 02115, USA; Boston VA Healthcare System. Boston, MA 02130, USA; Beth Israel Deaconess Medical Center. Boston, MA 02215, USA.
Susan Whitfield-GabrieliDepartment of Brain and Cognitive Sciences and McGovern Institute for Brain Research, Massachusetts Institute of Technology. Cambridge, MA 02139, USA; Northeastern University, Boston, MA 02139, USA.
Massachusetts Institute of Technology · USHarvard University · USMcGovern Institute for Brain Research · USNortheastern University · USUniversidad Rey Juan Carlos · ESUniversity of Massachusetts Boston · USUniversity of Ottawa · CA

Funding

VENTRICLES, CORPUS CALLOSUM, SYMPTOMS & MIR137 IN LARGE N STUDY OF SCHIZOPHRENIAR21MH109819 · NIMH · HARVARD MEDICAL SCHOOL · PI DEL RE, ELISABETTA C. · 2016 to 2017
$431k
Real time fMRI feedback and auditory processing in schizophreniaR21MH094509 · NIMH · HARVARD MEDICAL SCHOOL · PI NIZNIKIEWICZ, MARGARET A · 2013 to 2014
$389k
Genetic Topography of Brain Morphology in Relation to Language in Large N Study of SchizophreniaR03MH122759 · NIMH · HARVARD MEDICAL SCHOOL · PI DEL RE, ELISABETTA C. · 2021 to 2022
$130k
NIMH NIH HHS R03 MH122759NIMH NIH HHS R21 MH094509NIMH NIH HHS R21 MH109819
6 · The paper itself

Abstract

Auditory hallucinations (AHs) are one of the most distressing symptoms of schizophrenia (SZ) and are often resistant to medication. Imaging studies of individuals with SZ show hyperactivation of the default mode network (DMN) and the superior temporal gyrus (STG). Studies in SZ show DMN hyperconnectivity and reduced anticorrelation between DMN and the central executive network (CEN). DMN hyperconnectivity has been associated with positive symptoms such as AHs while reduced DMN anticorrelations with cognitive impairment. Using real-time fMRI neurofeedback (rt-fMRI-NFB) we trained SZ patients to modulate DMN and CEN networks. Meditation is effective in reducing AHs in SZ and to modulate brain network integration and increase DMN anticorrelations. Consequently, patients were provided with meditation strategies to enhance their abilities to modulate DMN/CEN. Results show a reduction of DMN hyperconnectivity and increase in DMNCEN anticorrelation. Furthermore, the change in individual DMN connectivity significantly correlated with reductions in AHs. This is the first time that meditation enhanced through rt-fMRI-NFB is used to reduce AHs in SZ. Moreover, it provides the first empirical evidence for a direct causal relation between meditation enhanced rt-fMRI-NFB modulation of DMNCEN activity and post-intervention modulation of resting state networks ensuing in reductions in frequency and severity of AHs.

Indexed as

AdultBrainBrain MappingFemaleHallucinationsHumansMagnetic Resonance ImagingMaleMeditationMiddle AgedNerve NetNeurofeedbackProof of Concept StudyRestSchizophreniaAuditory hallucinationsDefault mode networkMindfulness meditationReal-time neurofeedbackSchizophrenia

Identifiers

PMID32004893
PMCPMC7046150
OpenAlexW2999180074

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.