Fig. 1: Real-time fMRI neurofeedback paradigm first published in [28]. | Translational Psychiatry

Fig. 1: Real-time fMRI neurofeedback paradigm first published in [28].

From: Posterior cingulate cortex downregulation training using fMRI neurofeedback in adolescents with early life adversity exposure: a randomized, single-blind trial

Fig. 1

a The experimental protocol consisted of eight fMRI runs, including an anatomical scan, Resting State scan 1 (Rest-1), Observe (OBS), three Neurofeedback runs (NF-1, NF-2, NF-3), a Transfer run (TRS), and Resting State scan 2 (Rest-2). During Rest runs (lasting 6 min), the participants were instructed to clear their minds and not to think about anything in particular while fixating at the display screen. OBS, NF-1, NF-2, NF-3, and TRS runs each lasted 6 min and 56 s. They started with a 66-s rest block, followed by alternating Focus-on-Breath (Mindfulness Training condition; 70 s), Describe (Active baseline condition; 20 s), and Rest (Baseline condition; 30 s) blocks. During the Focus condition, participants were instructed to pay attention to the physical sensations of their breath, not trying to change it in any way, and if their attention were to wander to something else, to gently bring it back to their breath. In the Describe condition, participants were presented with various adjectives, which they had to mentally categorize as descriptive or not descriptive of them. During the Rest condition, the participants were presented with the cue “Rest” and asked to relax while looking at the display screen. No neurofeedback was provided (no bars displayed) during the Rest and Describe conditions or during the entire OBS and TRS runs. b During the Focus condition, participants viewed a screen with neurofeedback bars (blue) and target bars (green). The participants were told that the blue bar may change with their experience of focusing on the breath, and that their goal to was to make the blue bar match the green bar as often as possible. The target bar remained the same height across neurofeedback runs. c Posterior cingulate cortex (PCC, MNI coordinates: x = −5, y = −55, z = 23) was selected as the targeted (ROI, spheres of 7-mm radius) for the real-time fMRI neurofeedback (rtfMRI-nf) training.

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