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This study examined the effects of sequential prefrontal alpha-theta neurofeedback training on abstinence self-efficacy, mindfulness, and brain electroencephalography (EEG) activity in adults with Alcohol Use Disorder (AUD). Participants in the experimental group received 24 sessions of neurofeedback over 8 weeks (3 sessions per week, 30 minutes per session), while a control group received no intervention. EEG and self-report measures were assessed at baseline and post-intervention.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Sequential Prefrontal Alpha-Theta Neurofeedback | Experimental | 24 sessions of sequential prefrontal alpha-theta neurofeedback training over 8 weeks (3 sessions/week, 30 min/session). Each session: 5 min alpha feedback (8-12 hertz [Hz]) followed by 25 min theta feedback (4-7 Hz) at Fp1/Fp2, delivered via ocean wave and birdsong audio while eyes closed. Device: Power Nap (Neuro21, Korea). |
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| Control - No Intervention | No Intervention | Participants continued usual daily activities for 8 weeks without any intervention. Pre- and post-test assessments (EEG and self-report measures) were conducted. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Sequential Prefrontal Alpha-Theta Neurofeedback Training | Behavioral | Operant conditioning-based neurofeedback: 5 min alpha (8-12 Hz) + 25 min theta (4-7 Hz) at prefrontal sites Fp1/Fp2 per session; 24 sessions over 8 weeks supervised by a certified practitioner. Audio feedback (ocean waves for alpha, birdsong for theta) delivered via Power Nap device (Neuro21, Korea) while participants remained eyes-closed and seated. |
| Measure | Description | Time Frame |
|---|---|---|
| Abstinence Self-Efficacy | Total score on the Alcohol Abstinence Self-Efficacy Scale (AASE; Korean adaptation), a 20-item scale with four subscales (Negative Affect, Social/Positive Emotions, Physical and Other Concerns, Withdrawal and Urges), each rated 0-4; higher scores indicate greater confidence in maintaining abstinence. | Baseline (Week 0) and post-intervention (Week 8) |
| Measure | Description | Time Frame |
|---|---|---|
| Mindfulness | Total score on the Mindfulness Scale (20 items, 4 subscales: Decentered Attention, Nonjudgmental Acceptance, Present-Moment Awareness, Attentional Focus), rated 1-5 (reverse-scored); higher scores indicate greater mindfulness. | Baseline (Week 0) and post-intervention (Week 8) |
| EEG Relative Power |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Neurofeedback Training Centre | Seoul | South Korea |
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| ID | Term |
|---|---|
| D000437 | Alcoholism |
| ID | Term |
|---|---|
| D019973 | Alcohol-Related Disorders |
| D019966 | Substance-Related Disorders |
| D064419 | Chemically-Induced Disorders |
| D001523 | Mental Disorders |
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Relative spectral power (% of total power) across delta (1-4 Hz), theta (4-8 Hz), alpha (8-12 Hz), beta (13-30 Hz), and sensorimotor rhythm (SMR; 12-15 Hz) bands at prefrontal sites (Fp1, Fp2), measured using eyes-closed resting EEG with the NeuroBrain system. |
| Baseline (Week 0) and post-intervention (Week 8) |