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Neurofeedback as a treatment for trauma-affected refugees - A pilot study

Research aim:

  1. To assess the recruitment and retention rate in a diverse sample of refugees offered neurofeedback as an adjunct therapy.
  2. To assess patients' perceived satisfaction as well as potential discomfort related to the neurofeedback intervention.
  3. To measure changes in symptoms during treatment to evaluate preliminary indications of treatment effects, and to inform a power calculation for a potential randomized controlled trial.

Design: A pilot study, designed to evaluate the feasibility and indications of effectiveness of neurofeedback

Population: 40 trauma-affected refugees referred to treatment at CTP

Methods: Participants will receive neurofeedback after the first or second treatment phase at CTP. Phase one includes 6 sessions with an MD for psychoeducation and possible medication, and phase two includes 12-20 sessions of trauma-focused psychotherapy. The primary outcome will be measured using the Harvard Trauma Questionnaire (HTQ), with secondary measures including the HSCL-25, SDS, WHO-5, Ham-D, and Ham-A. These scales will be administered at baseline and after 12 sessions. EEG will be recorded at the beginning and end of each session for 3 minutes using a 21-electrode cap. Qualitative interviews with 5-6 patients will explore their experiences with neurofeedback.

Primary investigator: Erik Vindbjerg, Psychologist, PhD and Sigrid Zeuthen Hannemose, MD

Supervisors: Jessica Carlsson, MD, PhD

Collaborative partners: Søren Bo Andersen, Kasper Eskelund, the Department of Military Psychology Department, Danish Veteran Centre, Copenhagen.

 

Publications

Hannemose, S. Z., Laugesen Attardo, H., Vindbjerg, E., & Carlsson, J. (2024). Exploring expectations of neurofeedback treatment among trauma-affected refugees. Nordic Journal of Psychiatry, 78(1), 46-53.

Reiter, K., Andersen, S. B., & Carlsson, J. (2016). Neurofeedback treatment and posttraumatic stress disorder: Effectiveness of neurofeedback on posttraumatic stress disorder and the optimal choice of protocol. The Journal of nervous and mental disease, 204(2), 69-77.

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