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Personality and psychophysiological self-regulation influence individual efficacy of neurofeedback in tension-type headache

Published online by Cambridge University Press:  13 August 2021

G. Arina ,
O. Dobrushina ,
E. Shvetsova ,
G. Meshkov ,
S. Martunov  and
E. Fyodorova
G. Arina
Affiliation:
Psychology, Lomonosov Moscow State University, Moscow, Russian Federation
O. Dobrushina
Affiliation:
Neurology, International Institute of Psychosomatic Health, Moscow, Russian Federation
E. Shvetsova
Affiliation:
Psychology, Lomonosov Moscow State University, Moscow, Russian Federation
G. Meshkov
Affiliation:
Data Science, International Institute of Psychosomatic Health, Moscow, Russian Federation
S. Martunov
Affiliation:
Psychology, International Institute of Psychosomatic Health, Moscow, Russian Federation
E. Fyodorova*
Affiliation:
Psychology, Lomonosov Moscow State University, Moscow, Russian Federation
*
*Corresponding author.

Abstract

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Introduction

Due to limited efficacy and side effects of pharmacological therapy in tension-type headache (TTH), alternative approaches are feasible. Neurofeedback is a noninvasive neuromodulation technique increasingly used in practice, but, however, there is limited research on its efficacy.

Objectives

To evaluate the efficacy of neurofeedback in TTH and to reveal the factors moderating treatment effects.

Methods

We analyzed the data from a pilot phase of an ongoing single case design cross-over sham-controlled study. Four females with TTH underwent 10 sessions of neurofeedback and 10 sessions of sham-neurofeedback in a randomized order. Participants filled a detailed headache diary 3 weeks before, during and 3 weeks after the treatment. At enrollment, we evaluated the personality factors with the MMPI, and performed a specially developed test on psychophysiological regulation of breath.

Results

Significant reduction of headache frequency and intensity was observed in 2 of 4 participants (responders). The responders were characterized by normal MMPI profile and, the same time, by lower baseline abilities for psychophysiological self-regulation. The non-responders had high MMPI profile (accentuation) and also higher abilities for psychophysiological self-regulation.

Conclusions

On the base of preliminary data, we suggest that neurofeedback may be feasible in TTH patients with lowered abilities for in psychophysiological self-regulation. Accentuation of personality traits may interfere with the efficacy of neurofeedback.

Keywords

tension-type headacheNeurofeedbackPersonalitypsychophysiological self-regulation
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S491 - S492
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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