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Chunk #37 — SUD Prevalence and qEEG Changes — qEEG in Substance Use Disorders — EEG in Cocaine Addiction

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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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Recently Reid et al. (2006) investigated qEEG profiles in cocaine-dependent patients in response to an acute, single-blind, self-administered dose of smoked cocaine base (50 mg) versus placebo. Cocaine produced a rapid increase in absolute theta, alpha, and beta power over the prefrontal cortex, lasting up to 25 min after administration of the drug. The increase in theta power was correlated with a positive subjective drug effect (“high”), and the increase in alpha power was correlated with nervousness. Cocaine also produced a similar increase in delta coherence over the prefrontal cortex, which was correlated with nervousness. Placebo resulted only in a slight increase in alpha power over the prefrontal cortex. These data demonstrate the involvement of the prefrontal cortex in the qEEG response to acute cocaine, and indicate that slow wave qEEG, delta and theta activity are involved in the processes related to experiencing rewarding properties of cocaine.