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Çelik MN, Aldemir R, Sürmeli R, Kale İ, Tokmakçı M, Muhcu M. Electroencephalographic Changes in Pregnant Women with Hyperemesis Gravidarum: A Case-Control Study. Z Geburtshilfe Neonatol 2024; 228:232-239. [PMID: 38081216 DOI: 10.1055/a-2211-6922] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/13/2024]
Abstract
OBJECTIVE Electroencephalogram (EEG), which is frequently used in the clinical practice of neurology, has also been investigated in eating disorders and some cortical dysfunctions have been reported. Based on this, we aimed to investigate EEG changes in pregnant women with hyperemesis gravidarum (HEG). MATERIALS AND METHODS This case-control study was conducted on 66 pregnant women who applied to the Umraniye Training and Research Hospital, Department of Obstetrics and Gynecology. The study group consisted of 34 pregnant women diagnosed with HEG. The control group consisted of 32 healthy pregnant women who were matched with the HEG group in terms of age and gestational week. EEGs of the participants were performed with a Micromed Brain Rapid EEG device in the Neurology Department of Umraniye Training and Research Hospital. In EEGs, all channels were selected as bipolar and samples of 18 channels (Fp2-F4, F4-C4, C4-P4, P4-O2, Fp2-F8, F8-T4, T4-T6, T6-O2, Fz-Cz, Cz-Pz, Fp1-F3, F3-C3, C3-P3, P3-O1, Fp1-F7, F7-T3, T3-T5, and T5-O1) were obtained. EEG signals were sampled with a sampling frequency of 200 Hz and digitized with 12-bit resolution. EEG signals were converted to EDF (European Data Format) extension files using the MATLAB software program and analyzed using statistical features on the time and frequency axis. HEG and control groups were compared in terms of signals obtained from these 18 selected channels. RESULTS Both groups were similar in terms of mean age, gestational age, and parity (p>0.05). Among the 18 channels, significant changes were detected between the two groups only in the theta, beta, and gamma bands in the C4-P4 channel and the delta, beta, and gamma bands in the T4-T6 channel (p<0.05). No significant changes were detected in the channels and bands. CONCLUSION Theta, beta, and gamma band abnormalities in the centro-parietal area of the right hemisphere and delta, beta, and gamma band abnormalities in the temporal area of the right hemisphere were observed on HEG. However, it is unclear whether abnormalities in EEG are primary changes responsible for the development of HEG or secondary to metabolic and hormonal changes resulting from HEG itself.
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Affiliation(s)
- Meryem Nur Çelik
- Obstetrics and Gynecology, Umraniye Training and Research Hospital, Istanbul, Turkey
| | - Ramazan Aldemir
- Vocational School of Technical Sciences, Biomedical Device Technology Program, Kayseri University, Kayseri, Turkey
| | - Reyhan Sürmeli
- Neurology, Umraniye Training and Research Hospital, Istanbul, Turkey
| | - İbrahim Kale
- Obstetrics and Gynecology, Umraniye Training and Research Hospital, Istanbul, Turkey
| | - Mahmut Tokmakçı
- Department of Biomedical Engineering, Erciyes University Faculty of Engineering, Kayseri, Turkey
| | - Murat Muhcu
- Obstetrics and Gynecology, Maternal Fetal Unit, Umraniye Training and Research Hospital, Istanbul, Turkey
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Zakers A, Cimolai V. Complementary and Integrative Medicine and Eating Disorders in Youth: Traditional Yoga, Virtual Reality, Light Therapy, Neurofeedback, Acupuncture, Energy Psychology Techniques, Art Therapies, and Spirituality. Child Adolesc Psychiatr Clin N Am 2023; 32:421-450. [PMID: 37147045 DOI: 10.1016/j.chc.2022.08.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 05/07/2023]
Abstract
Eating disorders (EDs) are a non-heterogeneous group of illnesses with significant physical and mental comorbidity and mortality associated with maladaptive coping. With the exception of lisdexamfetamine (Vyvanse) for binge eating disorder, no medications have been effective for the core symptoms of ED. ED requires a multimodal approach. Complementary and integrative medicine (CIM) can be helpful as an adjunct. The most promising CIM interventions are traditional yoga, virtual reality, eye movement desensitization and reprocessing, Music Therapy, and biofeedback/neurofeedback.
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Affiliation(s)
- Aleema Zakers
- MPH Georgia Institute of Technology, Moorhouse School of Medicine, Emory School of Medicine, 750 Ferst Drive, Atlanta, GA 30332, USA.
| | - Valentina Cimolai
- Private Practice, Bloom Psychiatry and Wellness and Mindful Healing Group, 1245 Court Street, Clearwater, FL 33756, USA
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Hiluy JC, David IA, Daquer AFC, Duchesne M, Volchan E, Appolinario JC. A Systematic Review of Electrophysiological Findings in Binge-Purge Eating Disorders: A Window Into Brain Dynamics. Front Psychol 2021; 12:619780. [PMID: 33995178 PMCID: PMC8116794 DOI: 10.3389/fpsyg.2021.619780] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2020] [Accepted: 03/29/2021] [Indexed: 12/18/2022] Open
Abstract
Binge-purge eating disorders (BP-ED), such as bulimia nervosa and binge eating disorder, may share some neurobiological features. Electroencephalography (EEG) is a non-invasive measurement modality that may aid in research and diagnosis of BP-ED. We conducted a systematic review of the literature on EEG findings in BP-ED, seeking to summarize and analyze the current evidence, as well as identify shortcomings and gaps to inform new perspectives for future studies. Following PRISMA Statement recommendations, the PubMed, Embase, and Web of Science databases were searched using terms related to “electroencephalography” and “binge-purge” eating disorders. Of 555 articles retrieved, 15 met predefined inclusion criteria and were included for full-text analysis. Eleven studies investigated EEG by means of event-related potentials (ERP) in BP-ED individuals: 7 using eating disorder-related stimuli (i.e., food, body image) and 4 using non-eating disorder-related stimuli (i.e., facial expressions or auditory clicks). These studies found significant differences in the N200, P200, P300, and LPP components in BP-ED participants compared to controls, indicating that this population exhibits impairments in selective attention, attentional allocation/processing, and allocation of motivational or emotion-based attention. Five studies investigated EEG using frequency analysis; reporting significant differences in beta activity in fronto-temporal and occipito-temporo-parietal areas in BP-ED individuals compared to controls, revealing a dysfunctional brain network. However, the small number of studies, the heterogeneity of samples, study paradigms, stimulus types, and the lack of an adequate assessment of neuropsychological parameters are some limitations of the current literature. Although some EEG data are promising and consistent with neuroimaging and neuropsychological findings in individuals with BP-ED, future studies need to overcome current methodological shortcomings.
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Affiliation(s)
- Joao C Hiluy
- Obesity and Eating Disorders Group, Institute of Psychiatry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| | - Isabel A David
- Laboratory of Behavioral Neurophysiology, Physiology and Pharmacology Department, Biomedical Institute, Federal Fluminense University, Niteroi, Brazil
| | - Adriana F C Daquer
- Obesity and Eating Disorders Group, Institute of Psychiatry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.,State Institute of Diabetes and Endocrinology, Rio de Janeiro, Brazil
| | - Monica Duchesne
- Obesity and Eating Disorders Group, Institute of Psychiatry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.,State Institute of Diabetes and Endocrinology, Rio de Janeiro, Brazil
| | - Eliane Volchan
- Carlos Chagas Filho Institute of Biophysics, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| | - Jose C Appolinario
- Obesity and Eating Disorders Group, Institute of Psychiatry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.,State Institute of Diabetes and Endocrinology, Rio de Janeiro, Brazil
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The song of Anorexia Nervosa: a specific evoked potential response to musical stimuli in affected participants. Eat Weight Disord 2021; 26:807-816. [PMID: 32372322 DOI: 10.1007/s40519-020-00898-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/15/2019] [Accepted: 03/31/2020] [Indexed: 10/24/2022] Open
Abstract
PURPOSE Research applying electroencephalography (EEG) to Anorexia Nervosa (AN) is still limited, even though in other psychiatric disorders EEG has permitted to find out the hallmarks of the disorder. The aim of the study was to explore whether EEG basal activity and reactivity to musical stimulation differ in participants with AN as compared to healthy subjects (HS). METHODS Twenty female participants (respectively 10 with AN and 10 healthy controls) were administered a battery of psychometric tests and underwent EEG under three different conditions: (1) at baseline; (2) after a generic music stimulation; and (3) after a favorite musical stimulation. RESULTS In participants with AN, basal EEG showed the higher absolute amplitude of cortical slow waves (theta) in the parieto-occipital and temporal derivations, with a deficit in the beta band. In AN, there was a higher N100 latency and a reduced P300 latency compared to HS. While the N100 and P300 latencies were sensitive to the musical stimulus in HS, there was no difference after music stimulation in AN. CONCLUSION These data suggest that AN is accompanied by a state of brain hyperarousal with abnormal reactivity to environmental stimuli, similar to the state of HS after musical stimulation. If confirmed, this finding may have treatment implications. LEVEL OF EVIDENCE III, Evidence obtained from well-designed cohort or case-control analytic studies.
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Miraglia F, Vecchio F, Alù F, Orticoni A, Judica E, Cotelli M, Rossini PM. Brain sources' activity in resting state before a visuo-motor task. J Neural Eng 2021; 18. [PMID: 33601343 DOI: 10.1088/1741-2552/abe7ba] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2020] [Accepted: 02/18/2021] [Indexed: 11/12/2022]
Abstract
Objective In modern neuroscience, the underlying mechanisms of the elaboration and reaction to different kinds of stimuli of the brain hemispheres remain still very challenging to understand, together with the possibility to anticipate certain behaviors to improve the performance. Approach The purpose of the present study was to investigate the brain rhythms characteristics of EEG recordings and in particular, their interhemispheric differences in resting state condition before a visuo-motor task in a population of healthy adults. During the task, subjects were asked to react to a sequence of visual cues as quick as possible. The reaction times (RTs) to the task were measured, collected and correlated with the EEG signals recorded in a resting state condition immediately preceding the task. The EEG data were analyzed in the space of cortical sources of EEG rhythms by the computation of the Global Spectra Power Density (GSPD) in the left and in the right hemisphere, and of an index of brain Laterality L. Main results The results showed a negative correlation between the RTs and the GSPD in the central areas in the left and in the right hemisphere in both eyes open and eyes closed conditions. A close to significant and negative correlation was found in the parietal areas. Furthermore, RTs negatively correlated with L in the central areas in eyes closed condition. The results showed a negative correlation between the RTs and the GSPD in the central areas in the left and in the right hemisphere in both eyes open and eyes closed conditions. Significance The correlations between the brain activity before a task and the RTs to the task can represent an interesting tool for exploring the brain state characterization for the upcoming tasks performance.
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Affiliation(s)
- Francesca Miraglia
- Brain Connectivity Laboratory, Department of Neuroscience and Neurorehabilitation, IRCCS San Raffaele Pisana, Via di Val Cannuta, 247, Roma, 00166, ITALY
| | - Fabrizio Vecchio
- Brain Connectivity Laboratory, Department of Neuroscience and Neurorehabilitation, IRCCS San Raffaele Pisana, Via di Val Cannuta, 247, Roma, Lazio, 00166, ITALY
| | - Francesca Alù
- Brain Connectivity Laboratory, Department of Neuroscience and Neurorehabilitation, IRCCS San Raffaele Pisana, Via di Val Cannuta, 247, Roma, Lazio, 00166, ITALY
| | - Alessandro Orticoni
- Brain Connectivity Laboratory, Department of Neuroscience and Neurorehabilitation, IRCCS San Raffaele Pisana, Via di Val Cannuta, 247, Roma, Lazio, 00166, ITALY
| | - Elda Judica
- Department of Neurorehabilitation Sciences, Casa di Cura del Policlinico SpA, Via Giuseppe Dezza, 48, Milano, Lombardia, 20144, ITALY
| | - Maria Cotelli
- Neuropsychology Unit, IRCCS Centro San Giovanni di Dio Fatebenefratelli, Via Pilastroni, 4, Brescia, Lombardia, 25125, ITALY
| | - Paolo Maria Rossini
- Brain Connectivity Laboratory, Department of Neuroscience and Neurorehabilitation, IRCCS San Raffaele Pisana, Via di Val Cannuta, 247, Roma, Lazio, 00166, ITALY
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Imperatori C, Massullo C, Carbone GA, Farina B, Colmegna F, Riboldi I, Giacomo ED, Clerici M, Dakanalis A. Electroencephalographic (EEG) alterations in young women with high subclinical eating pathology levels: a quantitative EEG study. Eat Weight Disord 2020; 25:1631-1642. [PMID: 31667777 DOI: 10.1007/s40519-019-00801-w] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/19/2019] [Accepted: 10/17/2019] [Indexed: 12/16/2022] Open
Abstract
PURPOSE To explore electroencephalographic (EEG) alterations in young women with different eating disorder (ED) psychopathology levels. METHODS Thirty-seven young women completed general and ED psychopathology (i.e., the ED Examination Questionnaire; EDE-Q) measures. EEG power spectra data were investigated in two conditions: (a) 5 min of resting state (RS) and (b) 5 min of RS after a single taste of a milkshake (ML-RS). EEG analyses were performed using exact Low-Resolution Electromagnetic Tomography software (eLORETA). RESULTS Cluster analysis performed on the EDE-Q responses revealed a group of 17 women with high levels of ED pathology falling into the subclinical (i.e., sub-threshold) EDs category and a group of 20 women with low levels of ED pathology (controls). In the RS conditions, no significant modifications were observed between groups. Compared to controls, women with subclinical EDs showed an increase in theta activity in the parieto-occipital areas in the ML-RS condition. After controlling for body mass index and general psychopathology, theta activity in these brain structures was positively associated with EDE-Q global and subscale (restraint, shape and weight concern) scores. CONCLUSIONS Our results may reflect the neurophysiological substrate of ED psychopathology core features like shape/weight concerns. Previous brain imaging and qEEG studies with full-syndrome ED patients also underscored the involvement of parieto-occipital areas in ED pathophysiology. These studies also found brain alterations in the RS condition, not observed here. This is notable given that full-syndrome and subclinical EDs are considered as different manifestations of the same disease along a severity spectrum. LEVEL OF EVIDENCE Level V, cross-sectional, electroencephalographic, descriptive study.
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Affiliation(s)
- Claudio Imperatori
- Department of Human Sciences, European University of Rome, Via degli Aldobrandeschi 190, 00163, Rome, Italy
| | - Chiara Massullo
- Department of Human Sciences, European University of Rome, Via degli Aldobrandeschi 190, 00163, Rome, Italy
| | - Giuseppe Alessio Carbone
- Department of Human Sciences, European University of Rome, Via degli Aldobrandeschi 190, 00163, Rome, Italy
| | - Benedetto Farina
- Department of Human Sciences, European University of Rome, Via degli Aldobrandeschi 190, 00163, Rome, Italy
| | - Fabrizia Colmegna
- Department of Psychiatry, San Gerardo Hospital, ASST Monza, Via G. B. Pergolesi 33, 20900, Monza, Italy
| | - Ilaria Riboldi
- Department of Medicine and Surgery, University of Milano Bicocca, Via Cadore 48, 20900, Monza, Italy
| | - Ester Di Giacomo
- Department of Psychiatry, San Gerardo Hospital, ASST Monza, Via G. B. Pergolesi 33, 20900, Monza, Italy.,Department of Medicine and Surgery, University of Milano Bicocca, Via Cadore 48, 20900, Monza, Italy
| | - Massimo Clerici
- Department of Psychiatry, San Gerardo Hospital, ASST Monza, Via G. B. Pergolesi 33, 20900, Monza, Italy.,Department of Medicine and Surgery, University of Milano Bicocca, Via Cadore 48, 20900, Monza, Italy
| | - Antonios Dakanalis
- Department of Medicine and Surgery, University of Milano Bicocca, Via Cadore 48, 20900, Monza, Italy.
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Mele G, Alfano V, Cotugno A, Longarzo M. A broad-spectrum review on multimodal neuroimaging in bulimia nervosa and binge eating disorder. Appetite 2020; 151:104712. [DOI: 10.1016/j.appet.2020.104712] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2019] [Revised: 03/25/2020] [Accepted: 04/09/2020] [Indexed: 12/17/2022]
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Abstract
INTRODUCTION Brain rate is parameter correlated to brain electric and metabolic activity. AIM The aim of this study was to analyze the results obtained for brain rate parameter as an indicator for general mental arousal in anxious patients and to compare them with results of healthy young people matched in age and gender, as well as with anorectic and hyperactive children. MATERIAL AND METHODS The diagnosis for all examinees was made according two statistic manuals (DMSIV- R and ICD-10), medical history, neuropsychological assessment, biochemical analysis and QEEG. In this study we examined the spectra power of the brain waves through quantified EEG (QEEG). The obtained results were exported to brain rate software and then calculated for each region separately. The QEEG spectra power data and the brain rate data were analyzed using Statistica software. RESULTS According to sagittal and lateral topography maximal values of brain rate parameter were obtained in group of healthy individuals and in group of anorectic patients. The lowest results were obtained in group of hyperactive children for all three regions. CONCLUSIONS The general conclusion will be that pathological conditions in childhood, analyzed in this research, can be defined as conditions of hypoarausal and this can be specific sign of brain dysfunction.
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Lackner N, Unterrainer HF, Skliris D, Shaheen S, Dunitz-Scheer M, Wood G, Scheer PJZ, Wallner-Liebmann SJ, Neuper C. EEG neurofeedback effects in the treatment of adolescent anorexia nervosa. Eat Disord 2016; 24:354-74. [PMID: 27027700 DOI: 10.1080/10640266.2016.1160705] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
A pre-post design including 22 females was used to evaluate the effectiveness of neurofeedback in the treatment of adolescent anorexia nervosa. Resting EEG measures and a psychological test-battery assessing eating behavior traits, clinical symptoms, emotionality, and mood were obtained. While both the experimental (n = 10) and control group (n = 12) received their usual maintenance treatment, the experimental group received 10 sessions of individual alpha frequency training over a period of 5 weeks as additional treatment. Significant training effects were shown in eating behavior traits, emotion regulation, and in relative theta power in the eyes closed condition. Although the results are limited due to the small sample size, these are the first empirical data demonstrating the benefits of neurofeedback as a treatment adjunct in individuals with anorexia nervosa.
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Affiliation(s)
- Nina Lackner
- a Department of Neuropsychology , Karl-Franzens University Graz , Graz , Austria.,b Department of Psychiatry , Medical University Graz , Graz , Austria
| | - Human-Friedrich Unterrainer
- b Department of Psychiatry , Medical University Graz , Graz , Austria.,c Center for Integrative Addiction Research (CIAR), Grüner Kreis Society , Vienna , Austria
| | - Dimitris Skliris
- a Department of Neuropsychology , Karl-Franzens University Graz , Graz , Austria
| | - Sandra Shaheen
- d Department of Psychiatry , Harvard University Medical School , Boston , Massachusetts , USA
| | - Marguerite Dunitz-Scheer
- e Psychosomatic & Psychotherapeutic Unit, Department for General Pediatrics , Medical University Graz , Graz , Austria
| | - Guilherme Wood
- a Department of Neuropsychology , Karl-Franzens University Graz , Graz , Austria
| | - Peter Jaron Zwi Scheer
- e Psychosomatic & Psychotherapeutic Unit, Department for General Pediatrics , Medical University Graz , Graz , Austria
| | | | - Christa Neuper
- a Department of Neuropsychology , Karl-Franzens University Graz , Graz , Austria
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Hestad KA, Weider S, Nilsen KB, Indredavik MS, Sand T. Increased frontal electroencephalogram theta amplitude in patients with anorexia nervosa compared to healthy controls. Neuropsychiatr Dis Treat 2016; 12:2419-2423. [PMID: 27703359 PMCID: PMC5036600 DOI: 10.2147/ndt.s113586] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
OBJECTIVE To conduct a blind study of quantitative electroencephalogram-band amplitudes in patients with anorexia nervosa (AN) and healthy controls. METHODS Twenty-one patients with AN and 24 controls were examined with eyes-closed 16-channel electroencephalogram. Main variables were absolute alpha, theta, and delta amplitudes in frontal, temporal, and posterior regions. RESULTS There were no significant differences between the AN patients and controls regarding absolute regional band amplitudes in μV. Borderline significance was found for anterior theta (P=0.051). Significantly increased left and right frontal electrode theta amplitude was found in AN patients (F3, P=0.014; F4, P=0.038) compared to controls. Significant differences were also observed for secondary variables: lower values for relative parietooccipital delta and frontocentral alpha activity among AN patients than among controls. CONCLUSION We observed slight excess frontal theta and lower relative alpha and delta amplitudes among AN patients than among controls. This pattern is possibly related to a slight frontal lobe dysfunction in AN, or it may reflect increased attention/vigilance or another state-related change in patients with AN compared to healthy controls.
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Affiliation(s)
- Knut A Hestad
- Department of Research, Innlandet Hospital Trust, Brumunddal, Norway; Department of Public Health, Hedmark University of Applied Sciences, Elverum, Norway; Department of Psychology, Faculty of Social Sciences and Technology Management, Norwegian University of Science and Technology (NTNU), Trondheim, Norway
| | - Siri Weider
- Department of Psychology, Faculty of Social Sciences and Technology Management, Norwegian University of Science and Technology (NTNU), Trondheim, Norway; Department of Psychiatry, Specialised Unit for Eating Disorder Patients, Levanger Hospital, Health Trust Nord-Trøndelag, Levanger, Norway
| | - Kristian Bernhard Nilsen
- Department of Neuroscience, Norwegian University of Science and Technology (NTNU), Trondheim, Norway; Department of Work Psychology and Physiology, National Institute of Occupational Health, Oslo, Norway; Department of Neurology, Section for Clinical Neurophysiology, Oslo University Hospital, Ullevål, Oslo, Norway
| | - Marit Sæbø Indredavik
- Regional Centre for Child and Youth Mental Health and Child Welfare, Faculty of Medicine, Norwegian University of Science and Technology (NTNU), Trondheim, Norway; Department of Child and Adolescent Psychiatry, St Olavs Hospital, Trondheim University Hospital, Trondheim, Norway
| | - Trond Sand
- Department of Neurology, Section for Clinical Neurophysiology, Oslo University Hospital, Ullevål, Oslo, Norway; Department of Neurology and Clinical Neurophysiology, St Olavs Hospital, Trondheim University Hospital, Trondheim, Norway
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Del Percio C, Triggiani AI, Marzano N, Valenzano A, De Rosas M, Petito A, Bellomo A, Lecce B, Mundi C, Infarinato F, Soricelli A, Limatola C, Cibelli G, Babiloni C. Poor desynchronisation of resting-state eyes-open cortical alpha rhythms in obese subjects without eating disorders. Clin Neurophysiol 2013; 124:1095-105. [DOI: 10.1016/j.clinph.2013.01.001] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2012] [Revised: 12/27/2012] [Accepted: 01/01/2013] [Indexed: 10/27/2022]
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Abstract
Clinical applications of electroencephalography (EEG) are used with different objectives, EEG being a noninvasive and painless procedure. In respect of eating disorders, in the 1950s a new line of study about the neurological bases of anorexia nervosa was started and has since been developed. The purpose of this review is to update the existing literature data on the main findings in respect of EEG in eating disorders by means of a search conducted in PubMed. Despite the fact that weight gain tends to normalize some brain dysfunctions assessed by means of EEG, the specific effect of gaining weight remains controversial. Different studies have reported that cortical dysfunctions can be found in patients with anorexia nervosa even after weight gain, whereas others have reported a normalization of EEG in respect of the initial reduced alpha/ increased beta power in those patients with refeeding. Findings of studies that have analyzed the possible relationship between eating disorders and depression, based on sleep EEG disturbances, do not support the idea of eating disorders as a variant of depression or affective disorders. Some EEG findings are very consistent with previous neuroimaging results on patients with anorexia nervosa, reporting neural disturbances in response to stimuli that are relevant to the pathology (eg, stimuli like food exposure, different emotional situations, or body images).
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Nir RR, Sinai A, Moont R, Harari E, Yarnitsky D. Tonic pain and continuous EEG: prediction of subjective pain perception by alpha-1 power during stimulation and at rest. Clin Neurophysiol 2011; 123:605-12. [PMID: 21889398 DOI: 10.1016/j.clinph.2011.08.006] [Citation(s) in RCA: 80] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2011] [Revised: 08/03/2011] [Accepted: 08/03/2011] [Indexed: 01/01/2023]
Abstract
OBJECTIVE Pain neurophysiology has been chiefly characterized via event-related potentials (ERPs), which are exerted using brief, phase-locked noxious stimuli. Striving for objectively characterizing clinical pain states using more natural, prolonged stimuli, tonic pain has been recently associated with the individual peak frequency of alpha oscillations. This finding encouraged us to explore whether alpha power, reflecting the magnitude of the synchronized activity within this frequency range, will demonstrate a corresponding relationship with subjective perception of tonic pain. METHODS Five-minute-long continuous EEG was recorded in 18 healthy volunteers under: (i) resting-state; (ii) innocuous temperature; and (iii) psychophysically-anchored noxious temperature. Numerical pain scores (NPSs) collected during the application of tonic noxious stimuli were tested for correlation with alpha-1 and alpha-2 power. RESULTS NPSs and alpha power remained stable throughout the recording conditions (Ps⩾0.381). In the noxious condition, alpha-1 power obtained at the bilateral temporal scalp was negatively correlated with NPSs (Ps⩽0.04). Additionally, resting-state alpha-1 power recorded at the bilateral temporal scalp was negatively correlated with NPSs reported during the noxious condition (Ps⩽0.038). CONCLUSIONS Current findings suggest alpha-1 power may serve as a direct, objective and experimentally stable measure of subjective perception of tonic pain. Furthermore, resting-state alpha-1 power might reflect individuals' inherent tonic pain responsiveness. SIGNIFICANCE The relevance of alpha-1 power to tonic pain perception may deepen the understanding of the mechanisms underlying the processing of prolonged noxious stimulation.
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Affiliation(s)
- Rony-Reuven Nir
- Department of Neurology, Rambam Health Care Campus, Haifa, Israel
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14
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Babiloni C, Percio CD, Triggiani AI, Marzano N, Valenzano A, Petito A, Bellomo A, Soricelli A, Lecce B, Mundi C, Limatola C, Cibelli G. Attention cortical responses to enlarged faces are reduced in underweight subjects: An electroencephalographic study. Clin Neurophysiol 2011; 122:1348-59. [DOI: 10.1016/j.clinph.2010.12.001] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2010] [Revised: 10/01/2010] [Accepted: 12/01/2010] [Indexed: 11/29/2022]
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Abstract
PURPOSE OF REVIEW Imaging studies that demonstrate loss of brain substance help explain why people with anorexia nervosa have cognitive deficits and may help to elucidate the cognitive style found in many patients. It is not known whether a neurobiological vulnerability predisposes to anorexia nervosa or if this is associated with maintenance of symptoms once the illness develops. RECENT FINDINGS Evidence emerging from functional neuro-imaging studies raise the possibility of a biological abnormality that may predispose to anorexia nervosa. Studies have found abnormal functioning in the frontal, limbic, occipital, striatal and cerebellar regions that may persist after recovery. However, most recent cross-sectional and prospective studies indicate improved cerebral activity and mixed findings in regards to neurocognitve function with recovery from anorexia nervosa. SUMMARY The elucidation of the neurobiology of anorexia nervosa has benefited from recent advances in neuro-imaging and cognitive neuroscience. Further research is needed to examine the degree to which abnormalities are a consequence of starvation or are caused by a putative anorexia nervosa endophenotype.
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Hatch A, Madden S, Kohn MR, Clarke S, Touyz S, Gordon E, Williams LM. EEG in adolescent anorexia nervosa: impact of refeeding and weight gain. Int J Eat Disord 2011; 44:65-75. [PMID: 20063377 DOI: 10.1002/eat.20777] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
OBJECTIVE To examine resting awake EEG in adolescent AN participants before and after refeeding to determine if EEG abnormalities in Anorexia Nervosa (AN) are reversible. METHOD In 37 adolescent first admission AN patients and 45 healthy controls, EEG was recorded during short duration "eyes open" and "eyes closed" awake resting conditions. Repeat testing occurred in 28 AN participants after refeeding and subsequent weight gain. RESULTS In "eyes open," underweight AN participants exhibit reduced relative alpha power and increased beta power in frontal brain regions. A significant increase in alpha, and decrease in beta and delta power was observed within participants after refeeding. In "eyes closed", underweight AN participants had elevated theta in parietal-occipital regions which remained after refeeding. DISCUSSION EEG abnormalities (reduced alpha/increased beta power) in AN normalizes with refeeding, while increased theta power persists in parietal-occipital regions in an eyes closed context.
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Affiliation(s)
- Ainslie Hatch
- The Brain Dynamics Centre, Westmead Millennium Institute and University of Sydney, Westmead Hospital, Westmead, Sydney, New South Wales 2145, Australia.
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Tammela LI, Pääkkönen A, Karhunen LJ, Karhu J, Uusitupa MIJ, Kuikka JT. Brain electrical activity during food presentation in obese binge-eating women. Clin Physiol Funct Imaging 2010; 30:135-40. [DOI: 10.1111/j.1475-097x.2009.00916.x] [Citation(s) in RCA: 43] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
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Tamaki M, Matsuoka T, Nittono H, Hori T. Activation of fast sleep spindles at the premotor cortex and parietal areas contributes to motor learning: A study using sLORETA. Clin Neurophysiol 2009; 120:878-86. [DOI: 10.1016/j.clinph.2009.03.006] [Citation(s) in RCA: 75] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2007] [Revised: 03/06/2009] [Accepted: 03/10/2009] [Indexed: 11/26/2022]
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