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Chunk #89 — Studies of EEG Biofeedback in Substance Abuse Treatment — Integration of Cognitive Neuroscience Approaches in Assessment of Functional Outcomes of Neurofeedback and Behavioral Therapy Based Interventions in SUD

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EEG biofeedback as a treatment for substance use disorders: review, rating of efficacy, and recommendations for further research.
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Stotts and colleagues (2006) at the University of Texas at Houston, in collaboration with researchers at Rice University, used motivational interviewing (MI) with personalized feedback, particularly employing the ERP markers of deficiencies in selective attention task produced by cocaine abuse in crack addicts. In a randomized, controlled pilot study these authors (Stotts et al. 2006; Sokhadze et al. 2004, 2005) evaluated the feasibility and preliminary efficacy of a brief MI intervention using EEG/ERP graphical feedback for crack cocaine abusers. Treatment-seeking cocaine abusers (N = 31) were randomly assigned to a two-session MI intervention or a general educational drug conseiling (control) condition. All participants received EEG assessments based on dense-array ERP tests in a selective attention task at intake and post-treatment. Results indicated that the MI intervention was feasible and the subjective impact of the EEG/ERP feedback was positive. Significant group differences in percentage of cocaine positive urine screens across the study were found, favoring the MI group; 84.9% for the control group and 62.6% in the MI group.