RT Journal Article SR Electronic T1 Closed-loop fMRI neurofeedback to reduce negative attentional bias in depression JF bioRxiv FD Cold Spring Harbor Laboratory SP 2020.06.07.137943 DO 10.1101/2020.06.07.137943 A1 Mennen, Anne C. A1 Turk-Browne, Nicholas B. A1 Wallace, Grant A1 Seok, Darsol A1 Jaganjac, Adna A1 Stock, Janet A1 deBettencourt, Megan T. A1 Cohen, Jonathan D. A1 Norman, Kenneth A. A1 Sheline, Yvette I. YR 2020 UL http://biorxiv.org/content/early/2020/06/08/2020.06.07.137943.abstract AB Depressed individuals show an attentional bias toward negatively valenced stimuli and thoughts. Here we present a novel closed-loop neurofeedback procedure that seeks to remediate this bias. Internal attentional states were detected by applying machine learning techniques to fMRI data in real-time, and externalized using a visually presented stimulus that the participant could learn to control. We trained 15 depressed and 12 healthy control participants over three fMRI sessions, preceded and followed by behavioral and clinical assessments. Initially, depressed participants were more likely than non-depressed participants to get “stuck” in negative attentional states, but this diminished with neurofeedback training relative to controls. Depression severity also decreased from pre- to post-training. These results demonstrate that our method is sensitive to the negative attentional bias in depressed individuals, and its reduction after training showcases the potential of this method as a treatment in the future.Competing Interest StatementThe authors have declared no competing interest.