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Abstract #0512

Real-time fMRI Neurofeedback of the Amygdala Enhances Amygdala-orbitofrontal Connectivity and Lateralized EEG Coherence in Veterans with Combat-related PTSD

Vadim Zotev1, Raquel Phillips1, Masaya Misaki1, Chung Ki Wong1, Brent Wurfel1, Matthew Meyer1,2, Frank Krueger1,3, Matthew Feldner1,4, and Jerzy Bodurka1,5

1Laureate Institute for Brain Research, Tulsa, OK, United States, 2Laureate Psychiatric Clinic and Hospital, Tulsa, OK, United States, 3Neuroscience Dept., George Mason University, Fairfax, VA, United States, 4Dept. of Psychological Science, University of Arkansas, Fayetteville, AR, United States, 5College of Engineering, Stephenson School of Biomedical Engineering, University of Oklahoma, Tulsa, OK, United States

We have performed a study of emotion regulation training in veterans with combat-related PTSD using real-time fMRI neurofeedback (rtfMRI-nf) with simultaneous EEG. Eighteen PTSD patients learned to upregulate their left amygdala activity using rtfMRI-nf during a positive emotion induction task based on retrieval of happy autobiographical memories. Enhancement in the amygdala-orbitofrontal functional connectivity during the rtfMRI-nf task showed positive correlation with severity of PTSD symptoms. Enhancement in left-lateralized upper alpha EEG coherence also positively correlated with PTSD severity. These results suggest that the rtfMRI-nf of the amygdala has the potential to correct the functional connectivity deficiencies specific to PTSD.

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