Evidence map›Paper›PMID 37722238›Full record

Trial reportPsychiatry research2023

Neurofeedback for obsessive compulsive disorder: A randomized, double-blind trial.

Mariela Rance, Zhiying Zhao, Brian Zaboski, Stephen A Kichuk, Emma Romaker, William N Koller, Christopher Walsh, Cheyenne Harris-Starling, Suzanne Wasylink, Thomas Adams and 3 more

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Psychiatry research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02206945 (Neurofeedback of Activity in the Orbitofrontal Cortex for OCD), which is not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
5.0field-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.

NCT02206945 nacompletednot on this map

Neurofeedback of Activity in the Orbitofrontal Cortex for OCD

TypeinterventionalSponsorYale UniversityRan2015 to 2021Enrolled44ConditionsObsessive-Compulsive DisorderArmsneurofeedback, control feedback
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Brain-computer interface: an update for the clinicians.Frontiers in human neuroscience · 2026
    Review
  5. Article
  6. Article
  7. Neurofeedback: new territories and neurocognitive mechanisms of endogenous neuromodulation.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2024
    Article
  8. Article
  9. Article
  10. 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

13 authors at 3 institutions in 2 countries.

Mariela RanceDepartment of Radiology and Biomedical Imaging, Yale School of Medicine, New Haven, CT, USA.
Zhiying ZhaoDepartment of Radiology and Biomedical Imaging, Yale School of Medicine, New Haven, CT, USA; Centre for Cognitive and Brain Sciences, University of Macau, Macau SAR, China.
Brian ZaboskiDepartment of Psychiatry, Yale School of Medicine, New Haven, CT, USA.
Stephen A KichukDepartment of Psychiatry, Yale School of Medicine, New Haven, CT, USA.
Emma RomakerDepartment of Radiology and Biomedical Imaging, Yale School of Medicine, New Haven, CT, USA; Department of Psychiatry, Yale School of Medicine, New Haven, CT, USA.
William N KollerDepartment of Radiology and Biomedical Imaging, Yale School of Medicine, New Haven, CT, USA.
Christopher WalshDepartment of Radiology and Biomedical Imaging, Yale School of Medicine, New Haven, CT, USA.
Cheyenne Harris-StarlingDepartment of Radiology and Biomedical Imaging, Yale School of Medicine, New Haven, CT, USA.
Suzanne WasylinkDepartment of Psychiatry, Yale School of Medicine, New Haven, CT, USA.
Thomas AdamsDepartment of Psychiatry, Yale School of Medicine, New Haven, CT, USA; Department of Psychology, University of Kentucky, Lexington, KY, USA.
Patricia GrunerDepartment of Psychiatry, Yale School of Medicine, New Haven, CT, USA.
Christopher PittengerDepartment of Psychiatry, Yale School of Medicine, New Haven, CT, USA; Child Study Center, Yale School of Medicine, New Haven, CT, USA; Department of Psychology, Yale University, New Haven, CT, USA; Center for Brain and Mind Health, Yale School of Medicine, New Haven, CT, USA.
Michelle HampsonDepartment of Radiology and Biomedical Imaging, Yale School of Medicine, New Haven, CT, USA; Department of Psychiatry, Yale School of Medicine, New Haven, CT, USA; Child Study Center, Yale School of Medicine, New Haven, CT, USA; Department of Biomedical Engineering, Yale School of Engineering and Applied Science, New Haven, CT, USA. Electronic address: michelle.hampson@yale.edu.
Yale University · USUniversity of Kentucky · USUniversity of Macau · MO

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Biofeedback of activity in the orbitofrontal cortex for OCDR01MH100068 · NIMH · YALE UNIVERSITY · PI HAMPSON, MICHELLE · 2014 to 2018
$2.5M
Patient Oriented Research and Mentorship and Training in Functional Neuroimaging of Obsessive-Compulsive DisorderK24MH121571 · NIMH · YALE UNIVERSITY · PI PITTENGER, CHRISTOPHER JOHN · 2020 to 2024
$900k
Dissecting Causal Reasoning Abnormalities in Obsessive-Compulsive Disorder (OCD)K23MH115206 · NIMH · YALE UNIVERSITY · PI GRUNER, PATRICIA A. · 2018 to 2021
$788k
NCATS NIH HHS UL1 TR001863NIMH NIH HHS K23 MH115206NIMH NIH HHS K24 MH121571NIMH NIH HHS R01 MH100068
6 · The paper itself

Abstract

We aim to develop fMRI neurofeedback as a treatment for obsessive compulsive disorder (OCD). In prior work, we found that providing neurofeedback of activity in the anterior prefrontal cortex (aPFC) improved control over contamination anxiety in a subclinical population. Here, we present the results of a randomized, double-blind clinical trial (NCT02206945) testing this intervention in patients with OCD. We recruited patients with primary symptoms in the fear-of-harm/checking or contamination/washing domains. During neurofeedback, they viewed symptom provocative images and attempted to up- and down-regulate the aPFC during different blocks of time. The active group received two sessions of neurofeedback and the control group received yoked sham feedback. The primary outcome measure was the Yale-Brown Obsessive-Compulsive Symptom scale. The secondary outcome was control over aPFC. Thirty-six participants completed feedback training (18 active, 18 control). The active group had a slightly but significantly greater reduction of obsessive-compulsive symptoms after neurofeedback compared to the control group (p<.05) but no significant differences in control over the aPFC. These data demonstrate that neurofeedback targeting the aPFC can reduce symptoms in OCD. Future investigations should seek to optimize the training protocol to yield larger effects and to clarify the mechanism of action.

Indexed as

NeurofeedbackObsessive-Compulsive DisorderAnxietyDouble-Blind MethodHumansPrefrontal CortexTreatment OutcomeBiofeedbackNeurofeedbackObsessive compulsive disorderOCDrt-fMRI

Identifiers

PMID37722238
PMCPMC10695074
OpenAlexW4386401798

What OpenQuestion holds

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LicenceTDM
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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.