scholarly journals Effects of a Theta/Sensorimotor Rhythm Neurofeedback Training Protocol on Measures of Impulsivity, Drug Craving, and Substance Abuse in Forensic Psychiatric Patients With Substance Abuse: Randomized Controlled Trial (Preprint)

2018 ◽  
Author(s):  
Sandra Fielenbach ◽  
Franc CL Donkers ◽  
Marinus Spreen ◽  
Stefan Bogaerts
Keyword(s):  
Substance Abuse ◽  
Psychiatric Patients ◽  
Training Group ◽  
Drug Intake ◽  
Neurofeedback Training ◽  
Drug Craving ◽  
Forensic Psychiatric Patients ◽  
Sensorimotor Rhythm ◽  
Forensic Psychiatric ◽  
Training Protocol

BACKGROUND Forensic psychiatric patients are often diagnosed with psychiatric disorders characterized by high levels of impulsivity as well as comorbid substance use disorders (SUD). The combination of psychiatric disorders and SUD increases the risk of future violence. Chronic substance abuse can lead to a structural state of disinhibition, resulting in more drug taking and eventually loss of control over drug intake. When treating SUD, it is crucial to address high levels of impulsivity and lack of inhibitory control. OBJECTIVE This study set out to investigate the effects of a theta/sensorimotor rhythm (SMR) neurofeedback training protocol on levels of impulsivity, levels of drug craving, and actual drug intake in a population of forensic psychiatric patients with a diagnosis of SUD. METHODS A total of 21 participants received 20 sessions of theta/SMR neurofeedback training in combination with treatment-as-usual (TAU). Results of the intervention were compared with results from 21 participants who received TAU only. RESULTS SMR magnitude showed a significant (P=.02) increase post training for patients in the neurofeedback training group, whereas theta magnitude did not change (P=.71). Levels of drug craving as well as scores on the motor subscale of the Barratt Impulsivity Scale-11 decreased equally for patients in the neurofeedback training group and the TAU group. Other measures of impulsivity as well as drug intake did not change posttreatment (P>.05). Therefore, neurofeedback+TAU was not more effective than TAU only. CONCLUSIONS This study demonstrated evidence that forensic psychiatric patients are able to increase SMR magnitude over the course of neurofeedback training. However, at the group level, the increase in SMR activity was not related to any of the included impulsivity or drug craving measures. Further research should focus on which patients will be able to benefit from neurofeedback training at an early stage of the employed training sessions. CLINICALTRIAL Dutch National Trial Register: NTR5386; http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=5386 (Archived by WebCite at http://www.webcitation.org/6nXLQuoLl).

scholarly journals Effects of a Theta/Sensorimotor Rhythm Neurofeedback Training Protocol on Measures of Impulsivity, Drug Craving, and Substance Abuse in Forensic Psychiatric Patients With Substance Abuse: Randomized Controlled Trial

10.2196/10845 ◽  
2018 ◽  
Vol 5 (4) ◽  
pp. e10845 ◽  
Author(s):  
Sandra Fielenbach ◽  
Franc CL Donkers ◽  
Marinus Spreen ◽  
Stefan Bogaerts
Keyword(s):  
Substance Abuse ◽  
Psychiatric Patients ◽  
Training Group ◽  
Drug Intake ◽  
Neurofeedback Training ◽  
Drug Craving ◽  
Forensic Psychiatric Patients ◽  
Sensorimotor Rhythm ◽  
Forensic Psychiatric ◽  
Training Protocol

Background Forensic psychiatric patients are often diagnosed with psychiatric disorders characterized by high levels of impulsivity as well as comorbid substance use disorders (SUD). The combination of psychiatric disorders and SUD increases the risk of future violence. Chronic substance abuse can lead to a structural state of disinhibition, resulting in more drug taking and eventually loss of control over drug intake. When treating SUD, it is crucial to address high levels of impulsivity and lack of inhibitory control. Objective This study set out to investigate the effects of a theta/sensorimotor rhythm (SMR) neurofeedback training protocol on levels of impulsivity, levels of drug craving, and actual drug intake in a population of forensic psychiatric patients with a diagnosis of SUD. Methods A total of 21 participants received 20 sessions of theta/SMR neurofeedback training in combination with treatment-as-usual (TAU). Results of the intervention were compared with results from 21 participants who received TAU only. Results SMR magnitude showed a significant (P=.02) increase post training for patients in the neurofeedback training group, whereas theta magnitude did not change (P=.71). Levels of drug craving as well as scores on the motor subscale of the Barratt Impulsivity Scale-11 decreased equally for patients in the neurofeedback training group and the TAU group. Other measures of impulsivity as well as drug intake did not change posttreatment (P>.05). Therefore, neurofeedback+TAU was not more effective than TAU only. Conclusions This study demonstrated evidence that forensic psychiatric patients are able to increase SMR magnitude over the course of neurofeedback training. However, at the group level, the increase in SMR activity was not related to any of the included impulsivity or drug craving measures. Further research should focus on which patients will be able to benefit from neurofeedback training at an early stage of the employed training sessions. Trial Registration Dutch National Trial Register: NTR5386; http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=5386 (Archived by WebCite at http://www.webcitation.org/6nXLQuoLl).

The Relationships Of Clinical, Socio-demographic and Criminal Factors in a Sample of Forensic Psychiatric Patients

2016 ◽  
Vol 33 (S1) ◽  
pp. S464-S464
Author(s):  
A. Sileikaite ◽  
A. Germanavičius ◽  
I. Česnienė
Keyword(s):  
Substance Abuse ◽  
Psychiatric Patients ◽  
Criminal History ◽  
Substance Abuse Problem ◽  
Forensic Patients ◽  
Violent Offending ◽  
Violent Criminal ◽  
Forensic Psychiatric Patients ◽  
Forensic Psychiatric ◽  
Competing Interest

IntroductionThe relationship between clinical factors and both psychosocial and criminal history characteristics among forensic psychiatric patients entering treatment in Lithuania has not been well explored.AimsThe aims and objectives of this presentation are:– to overview the clinical, socio-demographic and criminal factors in a Lithuanian sample of forensic psychiatric patients;– to demonstrate which factors were significant to violent criminal behaviour;– to address some main concerns and issues of risk assessment processes.MethodsData were collected from 325 forensic psychiatric patients’ files in one forensic psychiatric hospital in Lithuania. A sample consisted of 36 (11%) females and 289 (89%) males. The average age of patients was 41.7 years (SD = 14.0).ResultsPsychosis was the most common psychiatric diagnosis. The substance abuse problem was common in this population as well. The results of the logistic regression show that increase in patients’ substance abuse and their age was significantly associated with violent offending.ConclusionsThe study stressed an urgent need for further research of forensic patients in Lithuania.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Theta/SMR Neurofeedback Training Works Well for Some Forensic Psychiatric Patients, But Not for Others: A Sham-Controlled Clinical Case Series

2019 ◽  
Vol 63 (14) ◽  
pp. 2422-2439
Author(s):  
S. Fielenbach ◽  
F. C. L. Donkers ◽  
M. Spreen ◽  
A. Smit ◽  
S. Bogaerts
Keyword(s):  
Clinical Case ◽  
Psychiatric Patients ◽  
Case Series ◽  
Cortical Activity ◽  
Self Report ◽  
Close Monitoring ◽  
Neurofeedback Training ◽  
Forensic Psychiatric Patients ◽  
Patient Reported ◽  
Forensic Psychiatric

Electroencephalographic (EEG) neurofeedback could be a promising treatment for forensic psychiatric patients. Increasing evidence shows some patients are unable to regulate cortical activity. Before neurofeedback can be applied successfully, research is needed to investigate the interpersonal mechanisms responsible for patients’ ability to respond to neurofeedback. A single-case experimental design allows for close monitoring of individual patients, providing valuable information about patients’ response to the intervention and the time frame in which changes in clinical symptoms can be observed. Four patients with Diagnostic and Statistical Manual of Mental Disorders (4th ed., text rev.; DSM-IV-TR) substance use disorder and various comorbidities participated in a sham-controlled clinical case study. Self-report level of impulsivity and craving were assessed. Results indicate that one patient showed more improvements on behavioral measures after the neurofeedback training than did the others. This patient reported less impulsivity and reduced levels of self-reported craving. However, these findings could not be attributed to the neurofeedback intervention. The findings suggest that there is insufficient evidence for the beneficial effects of a theta/sensorimotor rhythm (SMR) neurofeedback intervention on measures of impulsivity and craving, and that there may be great interindividual differences in patients’ ability to regulate cortical activity.

The role of psychosocial treatment in decreasing of future violence behavior risk in forensicly treated psychiatric patients

2011 ◽  
Vol 26 (S2) ◽  
pp. 783-783
Author(s):  
S. Jonovska ◽  
V.Š. Jengić ◽  
L. Safner ◽  
G. Bošković ◽  
S. Zudenigo
Keyword(s):  
Psychiatric Patients ◽  
Violent Behavior ◽  
Psychosocial Treatment ◽  
Violence Risk ◽  
Forensic Psychiatric Patients ◽  
Forensic Treatment ◽  
Aggression Questionnaire ◽  
Schizophrenic Group ◽  
Forensic Psychiatric ◽  
In The Beginning

The main aim of this study was to establish to what extent psychosocial treatment as a part of complex, multicomponent forensic treatment has an influence on decreasing of the future violence behavior risk in population of forensic psychiatric patients. We examinated 13 patients treated on Department of Forensic Psychiatry of Psychiatric Hospital Rab in Rab, Croatia. 9 of them were males and 4 of them females, 25–60 years of age, all of them were compulsory hospitalized because of committed criminal act connected with violent behavior. All of them have diagnosis of schizophrenic group of diseases with different duration of forensic treatment (from few months to few years). During 2010. all of them participated in psychosocial programe workshops once a week, for 6 months.MethodsViolence Risk Screening-10 (V-RISK-10), subjective measure of the programme chairmen performed in the beginning and in the end of the programme. The Aggression Questionnaire and Daily Spiritual Experience Scale as self-assesment scales were performed in the end of the programme. Results point on decreasing of V-RISK-10 results in the end of the programe in all participants. Interested observation was that mentioned results and those on self-assesment scales were not always been correlated positively. We also proved negative correlation between aggressivity and spirituality. As a conclusion, we have indications to believe that is real to expect that comining psychosocial treatment with targeted psuchopharmacological interventions could leed to decreasing the risk of future violent bihevior in forensicly treated psuchiatric patients.

Forensic Psychiatric Patients’ Perspectives on Their Care: A Narrative View

2016 ◽  
Vol 54 (1) ◽  
pp. 64-73 ◽  
Author(s):  
Riitta Askola ◽  
Merja Nikkonen ◽  
Eija Paavilainen ◽  
Päivi Soininen ◽  
Hanna Putkonen ◽  
...  
Keyword(s):  
Psychiatric Patients ◽  
Forensic Psychiatric Patients ◽  
Forensic Psychiatric

scholarly journals Prediction of recidivism in a long-term follow-up of forensic psychiatric patients: Incremental effects of neuroimaging data

PLoS ONE ◽  
2019 ◽  
Vol 14 (5) ◽  
pp. e0217127 ◽  
Author(s):  
Carl Delfin ◽  
Hedvig Krona ◽  
Peter Andiné ◽  
Erik Ryding ◽  
Märta Wallinius ◽  
...  
Keyword(s):  
Psychiatric Patients ◽  
Prediction Of Recidivism ◽  
Forensic Psychiatric Patients ◽  
Neuroimaging Data ◽  
Long Term Follow Up ◽  
Forensic Psychiatric

scholarly journals Housing Trajectories of Forensic Psychiatric Patients

2016 ◽  
Vol 34 (2-3) ◽  
pp. 352-365 ◽  
Author(s):  
Leila Salem ◽  
Anne G. Crocker ◽  
Yanick Charette ◽  
Christopher M. Earls ◽  
Tonia L. Nicholls ◽  
...  
Keyword(s):  
Psychiatric Patients ◽  
Forensic Psychiatric Patients ◽  
Forensic Psychiatric ◽  
Housing Trajectories
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