Table 3 Statistics of training success contrasts on insula self-regulation and associated functional connectivity changes.

From: Self-navigating the “Island of Reil”: a systematic review of real-time fMRI neurofeedback training of insula activity

Study

Up/Down

EG vs. CG

First vs. Transfer

First vs. Last

Regulate vs. Rest

Functional connectivity

Across runs

Transfer

EG

EG

CG

EG

CG

Region

Findings

Berman et al. [84]

Up

/

/

NS

NS

/

/

/

dmPFC

p < 0.0001

Böttinger et al. [71]

Up

/

/

/

NS

/

/

/

/

/

Buyukturkoglu et al. [72]

Down

/

/

NS

NS

/

-

/

/

/

Caria et al. [85]

Up

-

-

NS

p < 0.012

NS

/

/

/

/

Caria et al. [86]

Up

NS

/

/

p = 0.012a

MI (p = 0.034)

/

/

/

/

Emmert et al. [91]

Down

/

/

/

p < 0.05

/

/

/

vlPFC

p < 0.05

Frank et al. [80]

Up

/

/

/

p < 0.05

/

/

/

MCC/MTC

p < 0.001

Johnston et al. [81]

Up

/

/

/

p < 0.029

/

p = 0.002

/

/

/

Kadosh et al. [83]

Up/Down

/

/

/

NS

/

p = 0.023

/

Amygdalab

p = 0.001c

Kanel et al. [88]

Up

NS

p = 0.018

NS

p = 0.041

NS

/

/

/

/

Karch et al. [75]

Down

/

/

/

p = 0.048

NS

/

/

mPFC/dlPFC

p < 0.05

Karch et al. [76]

Down

/

/

/

/

/

p < 0.05

/

/

/

Karch et al. [77]

Down

NS

/

/

/

/

/

/

/

/

Lawrence et al. [87]

Up

-

/

/

p = 0.03a

NS

/

/

/

/

Linden et al. [73]

Up

/

/

/

p = 0.04

/

/

/

/

/

Mehler et al. [74]

Up

NS

NS

p = 0.023

-

-

p < 0.05

/

/

/

Popovova et al. [90]

Up

NS

NS

p = 0.0008

p = 0.005

p = 0.013

/

/

/

/

Rana et al. [78]

Down

/

/

-

p < 0.05

/

/

/

/

/

Rance et al. [93]

Up/Down

/

/

/

p < 0.05

/

p < 0.05

/

/

/

Ruiz et al. [70]

Up

/

/

NS

p = 0.02

/

/

/

mPFC/Amygdalab

p < 0.01

Sitaram et al. [79]

Up

/

/

/

NS

/

/

/

PCCb

p < 0.05

Veit et al. [92]

Up/Down

/

/

/

NS

/

p < 0.001

/

dmPFC/vlPFC

p < 0.001 c

Yao et al. [82]

Up

p = 0.041

p = 0.006

/

p = 0.011

NS

/

/

dlPFC/dmPFC/IPL

p < 0.001

Zhang et al. [89]

Up

p = 0.018

p = 0.031

/

NS

/

/

/

vmPFC/ACC/aPFC

p < 0.005

Zilverstand et al. [47]

Down

p < 0.05

/

/

p < 0.05

NS

p < 0.05

NS

/

/

  1. CG control group receiving sham feedback from unrelated region, EG experimental group receiving real feedback from the insula, MI the control group used emotional imagery without feedback, NS not significant, Transfer no feedback.
  2. -Did not report.
  3. aSignificant interaction effects.
  4. bGranger Causality Modeling.
  5. cSignificant effects of functional connectivity was found in up-regulation.