TY - JOUR AU - Fink, Madeleine AU - Pasche, Saskia AU - Schmidt, Kira AU - Tewes, Mitra AU - Schuler, Martin AU - Mülley, Bernhard W AU - Schadendorf, Dirk AU - Scherbaum, Norbert AU - Kowalski, Axel AU - Skoda, Eva-Maria AU - Teufel, Martin TI - Neurofeedback Treatment Affects Affective Symptoms, But Not Perceived Cognitive Impairment in Cancer Patients: Results of an Explorative Randomized Controlled Trial. JO - Integrative cancer therapies VL - 22 SN - 1534-7354 CY - Thousand Oaks, Calif. PB - Sage M1 - DKFZ-2023-00190 SP - 153473542211499 - PY - 2023 AB - EEG biofeedback (NF) is an established therapy to enable individuals to influence their own cognitive-emotional state by addressing changes in brainwaves. Psycho-oncological approaches of NF in cancer patients are rare and effects are hardly studied.The aim of this explorative, randomized controlled trial was to test the effectiveness of an alpha and theta NF training protocol, compared to mindfulness based therapy as an established psycho-oncological treatment.Of initially 62 screened patients, 56 were included (inclusion criteria were cancer independent of tumor stage, age >18 years, German speaking; exclusion criteria suicidal ideation, brain tumor). Randomization and stratification (tumor stage) was conducted by a computer system. Participants got 10 sessions over 5 weeks, in (a) an NF intervention (n = 21; 13 female, 8 male; MAge = 52.95(10 519); range = 31 to 73 years)) or (b) a mindfulness group therapy as control condition (CG; n = 21; ie, 15 female, 6 male; MAge = 50.33(8708); range = 32 to 67 years)). Outcome parameters included self-reported cognitive impairment (PCI) as primary outcome, and secondary outcomes of emotional distress (DT, PHQ-8, GAD-7), fatigue (MFI-20), rumination (RSQ), quality of life (QoL, EORTC-30 QoL), self-efficacy (GSE), and changes in EEG alpha, and theta-beta band performance in the NF condition.No changes in cognitive impairment were found (P = .079), neither in NF nor CG. High affective distress was evident, with 70.7 KW - Humans KW - Male KW - Female KW - Adolescent KW - Neurofeedback KW - Quality of Life KW - Affective Symptoms KW - Cognitive Dysfunction KW - Neoplasms: psychology KW - Mindfulness KW - EEG biofeedback (Other) KW - alpha band (Other) KW - anxiety (Other) KW - cancer (Other) KW - depression (Other) KW - distress (Other) KW - mindfulness (Other) KW - neurofeedback (Other) KW - quality of life (Other) KW - self-efficacy (Other) LB - PUB:(DE-HGF)16 C6 - pmid:36691908 DO - DOI:10.1177/15347354221149950 UR - https://inrepo02.dkfz.de/record/212482 ER -