Ute Strehl

Ute Strehl
Universitätsklinikum Tübingen · Institute for Medical Psychology and Behavioural Neurobiology

Diplom-Psychologin (MSc); Dr. rer. soc. (PhD);

About

95
Publications
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4,770
Citations
Additional affiliations
August 1993 - present
University of Tuebingen
Position
  • Professor (Assistant)

Publications

Publications (95)
Article
Full-text available
Attention-deficit/hyperactivity disorder (ADHD) is a childhood onset disorder persisting into adulthood for a large proportion of cases. Neurofeedback (NF) has shown promising results in children with ADHD, but randomized controlled trials in adults with ADHD are scarce. We aimed to compare slow cortical potential (SCP)- and functional near-infrare...
Article
Full-text available
Neurophysiological measures of preparation and attention are often atypical in ADHD. Still, replicated findings that these measures predict which patients improve after Neurofeedback (NF), reveal neurophysiological specificity, and reflect ADHD-severity are limited. Methods We analyzed children’s preparatory (CNV) and attentional (Cue-P3) brain ac...
Article
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Although investigation of the brains of criminals began quite early in the history of psychophysiological research, little is known about brain plasticity of offenders with psychopathy. Building on our preliminary study reporting successful brain self-regulation using slow cortical potential (SCP) neurofeedback in offenders with psychopathy, we inv...
Article
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These authors contributed equally to this work. All other authors are listed in reverse alphabetical order. Neurofeedback has begun to attract the attention and scrutiny of the scientific and medical mainstream. Here, neurofeedback researchers present a consensus-derived checklist that aims to improve the reporting and experimental design standards...
Article
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Neurofeedback has begun to attract the attention and scrutiny of the scientific and medical mainstream. Here, neurofeedback researchers present a consensus-derived checklist that aims to improve the reporting and experimental design standards in the field.
Article
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Despite sizeable short-term effects of neurofeedback (NF) therapy on attention-deficit and hyperactivity disorder (ADHD), longer-term clinical, comorbidity and self-regulation outcomes are less systematically studied. The aim of this largest NF follow-up to date was to evaluate these outcomes 6 months after NF compared to a semi-active control to d...
Article
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Neurofeedback (NF) has gained increasing interest in the treatment of attention-deficit/hyperactivity disorder (ADHD). Given learning principles underlie NF, lasting clinical treatment effects may be expected. This systematic review and meta-analysis addresses the sustainability of neurofeedback and control treatment effects by considering randomiz...
Preprint
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This checklist is intended to encourage robust experimental design and clear reporting for clinical and cognitive-behavioural neurofeedback experiments.
Preprint
Full-text available
This checklist is intended to encourage robust experimental design and clear reporting for clinical and cognitive-behavioural neurofeedback experiments. Available at https://psyarxiv.com/nyx84
Chapter
Auf der Grundlage eines kritisch diskutierten Störungskonzepts der ADHS werden klinische wie neurobiologische Besonderheiten eines solchen Konstrukts erläutert und ausdifferenziert. Modelle zu Ätiologie und Störungsverlauf sind in ihren Konsequenzen für Diagnostik und Intervention exemplarisch aufgeschlüsselt. Dazu wird ein kognitiv-behaviorales Th...
Article
Aim Findings on neurophysiological alterations in attention‐deficit/hyperactivity disorder (ADHD) have been proposed to underlie ADHD symptoms, with different etiological pathways for different patient biotypes. We aimed at determining whether neurophysiological deviations confirm distinct neurophysiological profiles in ADHD, thus providing direct...
Article
Objective: The present study aimed at revealing neurophysiological effects induced by electromyography (EMG) based biofeedback, considered as a semi-active control condition in neurofeedback studies, in adult attention-deficit/hyperactivity disorder (ADHD) patients. Methods: 20 adult ADHD patients trained their muscle activity in the left and ri...
Article
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Background: Neurofeedback (NF) in children with attention-deficit/hyperactivity disorder (ADHD) has been investigated in a series of studies over the last years. Previous studies did not unanimously support NF as a treatment in ADHD. Most studies did not control for unspecific treatment effects and did not demonstrate that self-regulation took plac...
Article
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Neurofeedback is a promising tool for treatment and rehabilitation of several patient groups. In this proof of principle study, near-infrared spectroscopy (NIRS) based neurofeedback of frontal cortical areas was investigated in healthy adults. Main aims were the assessment of learning, the effects on performance in a working memory (n-back) task an...
Article
OBJECTIVE: Neurofeedback (NF) is a neuromodulation technique based in operant conditioning of brain activity and has been used successfully in the treatment of children with Attention Deficit-/Hyperactivity Disorder (ADHD). In this study, for the first time NF is investigated in adults with ADHD. To answer the question of specificity the relationsh...
Chapter
Mounting evidence in the last years has demonstrated that self-regulation of brain activity can successfully be achieved by neurofeedback (NF). These methodologies have constituted themselves as new tools for cognitive neuroscience establishing causal links between voluntary brain activations and cognition and behavior, and as potential novel appro...
Article
Full-text available
Objective: Attention Deficit-/Hyperactivity Disorder (ADHD) has been treated successfully in children with neurofeedback (NF). In this study, for the first time NF is investigated in adults with ADHD. To answer the question of specificity the relationship between treatment outcome and self-regulation ability is assessed. Methods: Twenty-four par...
Article
Full-text available
Neurofeedback has been applied effectively in various areas, especially in the treatment of children with attention-deficit/hyperactivity disorder (ADHD). This study protocol is designed to investigate the effect of slow cortical potential (SCP) feedback and a new form of neurofeedback using near-infrared spectroscopy (NIRS) on symptomatology and n...
Article
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Psychopathic individuals are characterized by impaired affective processing, impulsivity, sensation-seeking, poor planning skills and heightened aggressiveness with poor self-regulation. Based on brain self-regulation studies using neurofeedback of Slow Cortical Potentials (SCPs) in disorders associated with a dysregulation of cortical activity thr...
Article
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In children and adults with attention deficit/hyperactivity disorder (ADHD), a general slowing of spontaneous electroencephalographic (EEG) brain activity and a decrease of event-related potential amplitudes such as the contingent negative variation (CNV) are observed. Additionally, some studies have reported decreased skin conductance level (SCL)...
Article
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Popular definitions of neurofeedback point out that neurofeedback is a process of operant conditioning which leads to self-regulation of brain activity. Self-regulation of brain activity is considered to be a skill. The aim of this paper is to clarify that not only operant conditioning plays a role in the acquisition of this skill. In order to desi...
Article
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This study tested two hypotheses: (1) compared with amateurs and young elite, expert table tennis players are characterized by enhanced cortical activation in the motor and fronto-parietal cortex during motor imagery in response to table tennis videos; (2) in elite athletes, world rank points are associated with stronger cortical activation. To th...
Article
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Background: Attention-deficit/hyperactivity disorder (ADHD) is the most common neurobehavioral disorder of childhood and has often a chronic course persisting into adulthood. However, up to 30% of children treated with stimulants either fail to show an improvement or suffer adverse side effects, including decreased appetite, insomnia and irritabil...
Article
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The aim of this study was to determine whether the reduction of seizures in patients with intractable epilepsy after self-regulation of slow cortical potentials (SCPs) was maintained almost 10 years after the end of treatment. Originally, 41 patients received training with SCP-neurofeedback. A control group of 12 patients received respiratory feedb...
Article
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In this pilot study near-infrared spectroscopy (NIRS) neurofeedback was investigated as a new method for the treatment of ADHD. Oxygenated hemoglobin in the prefrontal cortex of children with ADHD was measured and fed back. 12 sessions of NIRS-neurofeedback were compared to the intermediate outcome after 12 sessions of EEG-neurofeedback (slow corti...
Article
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Objective: The intent of this manuscript was to review all published studies on slow cortical potentials (SCP) neurofeedback for the treatment of ADHD, with emphasis on neurophysiological rationale, study design, protocol, outcomes, and limitations. Method: For review, PubMed, MEDLINE, ERIC, and Google Scholar searches identified six studies and...
Article
Full-text available
Attention deficit/hyperactivity disorder (ADHD) is characterized by symptoms of inattention, impulsivity, and hyperactivity. Compared to ADHD in children, only a few studies have investigated ADHD in an adult population, and even less have investigated new forms of treatment such as neurofeedback. Neurofeedback has been applied effectively in vario...
Article
Full-text available
Brain activity assessed by electroencephalography (EEG) has been demonstrated to respond to conditioning techniques. The concept of modulating this activity has been called EEG biofeedback, more recently neurofeedback, and is based on operant learning principles. Technological advancements have significantly enhanced the ease and affordability of r...
Article
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In patients with epilepsy, not only seizures but also cognitive, emotional, and social functioning are of increasing interest in research (Kelley, Jacobs, & Lowenstein, 200916. Kelley , M. S. , Jacobs , M. P. , & Lowenstein , D. H. , for the NINDS Epilepsy Benchmark Stewards . ( 2009 ). The NINDS epilepsy research benchmarks . Epilepsia , 50 , 5...
Article
This chapter discusses the origins of slow cortical potentials (SCP) activity, followed by a description of the technical requirements. Feedback, diagnosis, and evaluation requirements are also addressed. SCPs belong to the family of event-related potentials (ERPs). The common feature of brain potentials subsumed under this category is that they ar...
Chapter
Full-text available
This chapter introduces the published research on neurofeedback and epilepsy, followed by a description of the clinical protocols typically used and illustrated with case examples when appropriate. Then, the use of qEEG (electroencephalography) to improve outcome is described. The research on neurofeedback and epilepsy has historically been limited...
Article
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About one third of patients with epilepsy do not benefit from medical treatment. For these patients electroencephalographic (EEG) biofeedback is a viable alternative. EEG biofeedback, or neurofeedback, normalizes or enhances EEG activity by means of operant conditioning. While dozens of scientific reports have been published on neurofeedback for se...
Article
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Since the first reports of neurofeedback treatment in Attention Deficit Hyperactivity Disorder (ADHD) in 1976, many studies have investigated the effects of neurofeedback on different symptoms of ADHD such as inattention, impulsivity and hyperactivity. This technique is also used by many practitioners, but the question as to the evidence-based leve...
Article
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Until recently, slow cortical potentials (SCP) training as a method of brainwave feedback has been widely ignored in the Anglo-American tradition of neurofeedback. One of the reasons was the lack of reliable and valid equipment outside a few research labs in Europe. In the meantime this has changed to the better. With devices now being available th...
Article
Zwar gilt die Aufmerksamkeitsdefizit-/Hyperaktivitätsstörung (ADHS) als eine der am häufigsten diagnostizierten und untersuchten Störungen im Kindes- und Jugendalter, doch sind sowohl die Prävalenzdaten als auch die in den jeweiligen Diagnosesystemen (DSM-IV-TR bzw. ICD-10, Kapitel F) als spezifisch für ADHS ausgewiesene Merkmale weder konsistent,...
Article
Prevalence rates in ADHD differ depending on the classification system used. Other reasons for variability include difficulties resulting from the subjective character of the rating scales and lack of a single theory of ADHD. Genetic, anatomical, functional and neuropsychological studies do not provide a causal model of ADHD. Therefore, it has been...
Article
The effect of the antimigraine drug rizatriptan on the amplitude and habituation of the contingent negative variation (CNV) in healthy women was examined in a randomized, double-blind, placebo-controlled trial. The test persons were assigned either to a drug (n = 20) or a placebo group (n = 20). The CNV was recorded three times: before, directly af...
Article
Full-text available
Though it had already been shown in the 1970s that neurofeedback improves attention, academic performance and social behavior in children with ADHD, it has not been considered as a standard therapy so far. This is mainly due to the small number of controlled studies fulfilling methodological standards -especially long term data was not available so...
Chapter
Vor mehr als 200 Jahren berichtete der englische Arzt Lysons (1772), dass es möglich ist, Anfalle mit Hilfe eines Sockenhalters zu verhindern. Der Bericht bezog sich auf einen Patienten, der unmittelbar vor Beginn eines Anfalls vom Bein aufsteigende Empfindungen verspürte. Wenn ein Sockenhalter in diesem Moment um das Bein gebunden wurde, ließ die...
Article
Full-text available
Behavioral and cognitive improvements in children with ADHD have been consistently reported after neurofeedback-treatment. However, neurofeedback has not been commonly accepted as a treatment for ADHD. This study addresses previous methodological shortcomings while comparing a neurofeedback-training of Theta-Beta frequencies and training of slow co...
Article
Neurofeedback (NF) is a form of behavioural training aimed at developing skills for self-regulation of brain activity. Within the past decade, several NF studies have been published that tend to overcome the methodological shortcomings of earlier studies. This annotation describes the methodical basis of NF and reviews the evidence base for its cli...
Article
Full-text available
We investigated the effects of self-regulation of slow cortical potentials for children with attention-deficit/hyperactivity disorder. Slow cortical potentials are slow event-related direct-current shifts of the electroencephalogram. Slow cortical potential shifts in the electrical negative direction reflect the depolarization of large cortical cel...
Article
This study investigates the neurophysiological basis of EEG feedback for patients with epilepsy. Brain areas are identified that become hemodynamically deactivated when epilepsy patients, trained in EEG self-regulation, generate positive slow cortical potentials (SCPs). Five patients were trained in producing positive SCPs, using a training protoco...