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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Hum. Neurosci.</journal-id>
<journal-title>Frontiers in Human Neuroscience</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Hum. Neurosci.</abbrev-journal-title>
<issn pub-type="epub">1662-5161</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fnhum.2020.00246</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Neuroscience</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Closed-Loop Frontal Midline&#x03B8; Neurofeedback: A Novel Approach for Training Focused-Attention Meditation</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name><surname>Brandmeyer</surname> <given-names>Tracy</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
<xref ref-type="corresp" rid="c001"><sup>&#x002A;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/110261/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Delorme</surname> <given-names>Arnaud</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
<xref ref-type="aff" rid="aff4"><sup>4</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/10138/overview"/>
</contrib>
</contrib-group>
<aff id="aff1"><sup>1</sup><institution>Osher Center for Integrative Medicine, School of Medicine, University of California, San Francisco</institution>, <addr-line>San Francisco, CA</addr-line>, <country>United States</country></aff>
<aff id="aff2"><sup>2</sup><institution>Centre de Recherche Cerveau et Cognition (CerCo), Universit&#x00E9; Paul Sabatier</institution>, <addr-line>Toulouse</addr-line>, <country>France</country></aff>
<aff id="aff3"><sup>3</sup><institution>CNRS, UMR 5549</institution>, <addr-line>Toulouse</addr-line>, <country>France</country></aff>
<aff id="aff4"><sup>4</sup><institution>Swartz Center for Computational Neuroscience, Institute of Neural Computation, University of California, San Diego</institution>, <addr-line>La Jolla, CA</addr-line>, <country>United States</country></aff>
<author-notes>
<fn fn-type="edited-by"><p>Edited by: Fushun Wang, Nanjing University of Chinese Medicine, China</p></fn>
<fn fn-type="edited-by"><p>Reviewed by: Shao-Wei Xue, Hangzhou Normal University, China; Yi-Yuan Tang, Texas Tech University, United States</p></fn>
<corresp id="c001">&#x002A;Correspondence: Tracy Brandmeyer, <email>tracy.brandmeyer@ucsf.edu</email></corresp>
<fn fn-type="other" id="fn004"><p>This article was submitted to Cognitive Neuroscience, a section of the journal Frontiers in Human Neuroscience</p></fn>
</author-notes>
<pub-date pub-type="epub">
<day>30</day>
<month>06</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="collection">
<year>2020</year>
</pub-date>
<volume>14</volume>
<elocation-id>246</elocation-id>
<history>
<date date-type="received">
<day>15</day>
<month>12</month>
<year>2019</year>
</date>
<date date-type="accepted">
<day>02</day>
<month>06</month>
<year>2020</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2020 Brandmeyer and Delorme.</copyright-statement>
<copyright-year>2020</copyright-year>
<copyright-holder>Brandmeyer and Delorme</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/"><p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p></license>
</permissions>
<abstract>
<p>Cortical oscillations serve as an index of both sensory and cognitive processes and represent one of the most promising candidates for training and targeting the top-down mechanisms underlying executive functions. Research findings suggest that theta (&#x03B8;) oscillations (3&#x2013;7 Hz) recorded over frontal-midline electrodes are broadly associated with a number of higher-order cognitive processes and may serve as the mechanistic backbone for cognitive control. Frontal-midline theta (FM&#x03B8;) oscillations have also been shown to inversely correlate with activity in the default mode network (DMN), a network in the brain linked to spontaneous thought processes such as mind-wandering and rumination. In line with these findings, we previously observed increased FM&#x03B8; oscillations in expert meditation practitioners during reported periods of focused-attention meditation practice when compared to periods of mind-wandering. In an effort to narrow the explanatory gap by directly connecting observed neurophysiological activity in the brain to the phenomenological nature of reported experience, we designed a methodologically novel and adaptive neurofeedback protocol with the aim of modulating FM&#x03B8; while having meditation novice participants implement breath-focus strategies derived from focused-attention mediation practices. Participants who received eight sessions of the adaptive FM&#x03B8;-meditation neurofeedback protocol were able to significantly modulate FM&#x03B8; over frontal electrodes using focused-attention meditation strategies relative to their baseline by the end of the training and demonstrated significantly faster reaction times on correct trials during the n-back working memory task assessed before and after the FM&#x03B8;-meditation neurofeedback protocol. No significant differences in frontal theta activity or behavior were observed in the active control participants who received age and gender matched sham neurofeedback. These findings help lay the groundwork for the development of brain training protocols and neurofeedback applications that aim to train features of the mental states and traits associated with focused-attention meditation.</p>
</abstract>
<kwd-group>
<kwd>adaptive neurofeedback</kwd>
<kwd>frontal mid-line theta</kwd>
<kwd>meditation</kwd>
<kwd>EEG</kwd>
<kwd>attention training</kwd>
</kwd-group>
<contract-num rid="cn001">T32 AT00399</contract-num>
<contract-num rid="cn002">ANR-12-JSH2-0009</contract-num>
<contract-num rid="cn003">BIAL-08-162</contract-num>
<contract-sponsor id="cn001">National Center for Complementary and Integrative Health<named-content content-type="fundref-id">10.13039/100008460</named-content></contract-sponsor>
<contract-sponsor id="cn002">Agence Nationale pour le D&#x00E9;veloppement de la Recherche Universitaire<named-content content-type="fundref-id">10.13039/501100008952</named-content></contract-sponsor>
<contract-sponsor id="cn003">Funda&#x00E7;&#x00E3;o Bial<named-content content-type="fundref-id">10.13039/501100005032</named-content></contract-sponsor>
<counts>
<fig-count count="8"/>
<table-count count="1"/>
<equation-count count="0"/>
<ref-count count="98"/>
<page-count count="16"/>
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</front>
<body>
<sec id="S1">
<title>Introduction</title>
<p>Insights into the nature of cortical oscillations reveal the unique capacity for humans to voluntarily control and interact with their own neural activity when presented with real-time sensory feedback (<xref ref-type="bibr" rid="B85">Sitaram et al., 2017</xref>). Neurofeedback research dates back to the early 1960&#x2019;s, with findings providing preliminary evidence for successfully modulated neural activity through sensory feedback based on event-related potentials (ERPs) and spectral power (<xref ref-type="bibr" rid="B59">Kamiya, 1968</xref>). Recent advancements in the development of neurofeedback protocols that implement sophisticated and source specific methodologies have contributed to the resurgence of neurofeedback applications and clinical interventions, as well as to the expanding prominence and popularity of various forms of brain training (<xref ref-type="bibr" rid="B72">Owen et al., 2010</xref>; <xref ref-type="bibr" rid="B78">Rabipour and Raz, 2012</xref>). With mounting interest and potential for neurofeedback applications to successfully modulate the cognitive processes underlying attention and emotion regulation (<xref ref-type="bibr" rid="B2">Anguera et al., 2013</xref>; <xref ref-type="bibr" rid="B85">Sitaram et al., 2017</xref>), innovative approaches that adapt and individualize the nature of the feedback in real-time require further scientific study.</p>
<p>Recent findings suggest that individuals with impaired attentional control engage in maladaptive emotion regulation strategies (i.e., rumination, compulsive thought processes) and are rendered more prone to the risk of depression and anxiety disorders (<xref ref-type="bibr" rid="B25">DeJong et al., 2019</xref>). The default mode network (DMN) is a large and distributed network comprised of the posterior cingulate cortex (PCC), medial prefrontal cortex (mPFC), medial and lateral temporal lobes, superior and inferior frontal gyri, and the posterior inferior parietal lobule (<xref ref-type="bibr" rid="B47">Gusnard et al., 2001</xref>; <xref ref-type="bibr" rid="B79">Raichle, 2015</xref>). The DMN shows consistent activation during various forms of self-generated thought, including <italic>spontaneous thought processes</italic> such as mind-wandering, creative thinking, day dreaming, planning, as well as more maladaptive forms of self-generated thought such as rumination and compulsive thought processes (<xref ref-type="bibr" rid="B67">Mason et al., 2007</xref>; <xref ref-type="bibr" rid="B50">Hasenkamp and Barsalou, 2012</xref>; <xref ref-type="bibr" rid="B62">Kucyi et al., 2013</xref>; <xref ref-type="bibr" rid="B37">Fox et al., 2015</xref>, <xref ref-type="bibr" rid="B36">2018</xref>). Practices such as meditation have recently been shown to engage brain structures and networks directly implicated in the regulation and focusing of attention, presumably through the active regulation and cultivation of an awareness of the occurrence of spontaneous thought processes (awareness of the when the mind wanders away from the object of focus during meditation (i.e., the breath) being the primary &#x2018;objective&#x2019; of focused attention meditation; <xref ref-type="bibr" rid="B13">Brandmeyer et al., 2019</xref>). Interestingly, research conducted on long-term expert meditation practitioners found greater reductions in DMN activity during meditation practice than during other types of attention-demanding tasks (<xref ref-type="bibr" rid="B43">Garrison et al., 2015</xref>).</p>
<p>Electroencephalography (EEG) findings from our previous research (<xref ref-type="bibr" rid="B12">Brandmeyer and Delorme, 2018</xref>) found that increased cortical frontal midline theta oscillations (FM&#x03B8;; FCz, Fz; 4&#x2013;6 Hz) were present during internally guided states of focused-attention meditation when compared to reported periods of mind wandering and spontaneous thought. These electrophysiological findings are consistent with previous meditation research that measured focused-attention during meditation (<xref ref-type="bibr" rid="B1">Aftanas and Golocheikine, 2001</xref>; <xref ref-type="bibr" rid="B60">Kerr et al., 2013</xref>). Increases in FM&#x03B8; and mid-frontal &#x03B8; (Cz) have been repeatedly observed during tasks that assess measures of executive function such working memory and conflict detection (<xref ref-type="bibr" rid="B8">Bollimunta et al., 2011</xref>; <xref ref-type="bibr" rid="B18">Cavanagh and Frank, 2014</xref>; <xref ref-type="bibr" rid="B32">Enriquez-Geppert et al., 2014</xref>; <xref ref-type="bibr" rid="B19">Cavanagh and Shackman, 2015</xref>). Together these findings suggest a functional relationship between the sources contributing to broader mid-frontal &#x03B8; activity and the maintenance of top-down representations of goal states, learning, directed attention, and the regulation of spontaneous thought (<xref ref-type="bibr" rid="B18">Cavanagh and Frank, 2014</xref>; <xref ref-type="bibr" rid="B23">deBettencourt et al., 2015</xref>). Furthermore, FM&#x03B8; activity has been shown to inversely correlate with the blood-oxygen-level-dependent (BOLD) signal in the DMN (<xref ref-type="bibr" rid="B81">Scheeringa et al., 2008</xref>), suggesting that these broad and distributed networks may functionally compete for resources. We hypothesize that the role of FM&#x03B8; observed during focused-attention meditation practice is likely to result from the goal of (1) sustained attention (most often focus is on the breath) during focused-attention meditation, (2) the need to detect when the mind has wandered, and (3) the need to redirect attention back to the object of focus. This cycle, in effect, strengthens the top-down processes involved not only in the focusing of attention, but in the active monitoring of mental sates, while falling in line with the established literature regarding the specific role of FM&#x03B8; in learning (<xref ref-type="bibr" rid="B88">Swick and Turken, 2002</xref>; <xref ref-type="bibr" rid="B48">Haegens et al., 2010</xref>). <xref ref-type="bibr" rid="B18">Cavanagh and Frank (2014)</xref> have suggested that broader frontal &#x03B8; oscillations may serve as a candidate mechanism by which neurons communicate top-down control over long range and broad networks. Broader frontal &#x03B8; oscillations have been proposed to function as a temporal template for organizing mid-frontal neuronal processes (<xref ref-type="bibr" rid="B18">Cavanagh and Frank, 2014</xref>), with theta-band phase dynamics thought to entrain disparate neural systems when cognitive control is needed (e.g., through entrainment of cortical and subcortical areas via the cingulate cortex; <xref ref-type="bibr" rid="B7">Bollimunta et al., 2009</xref>; <xref ref-type="bibr" rid="B69">Morecraft and Tanji, 2009</xref>).</p>
<p>Research findings suggest that the given size of a functional brain network may determine its oscillatory frequency, therefore the larger and more distributed the network, the slower the underlying oscillation (<xref ref-type="bibr" rid="B93">von Stein and Sarnthein, 2000</xref>). Electrophysiology findings from research on learning, memory, feedback, feedback-driven learning (<xref ref-type="bibr" rid="B57">Kahana et al., 2001</xref>; <xref ref-type="bibr" rid="B66">Marco-Pallares et al., 2008</xref>; <xref ref-type="bibr" rid="B90">van de Vijver et al., 2011</xref>), as well as broader cognitive control processes (<xref ref-type="bibr" rid="B17">Cavanagh et al., 2012</xref>) provide convincing evidence that theta band oscillatory activity may serve as the underlying &#x201C;language&#x201D; of the prefrontal cortex for local and network wide communication (<xref ref-type="bibr" rid="B18">Cavanagh and Frank, 2014</xref>; <xref ref-type="bibr" rid="B21">Cohen, 2014</xref>). This likely reflects the role of the intrinsic architecture and structure of the prefrontal cortex in supporting the rhythmogenesis of theta-band activity, and that specific and local neural computations are what account for fluctuations in EEG (<xref ref-type="bibr" rid="B21">Cohen, 2014</xref>). The functional implication of these findings suggests that broader frontal theta oscillations may provide a framework for adjusting and monitoring temporally sequenced activity, functioning as a hub for theta phase-synchronized information transfer (<xref ref-type="bibr" rid="B22">Cohen and Cavanagh, 2011</xref>; <xref ref-type="bibr" rid="B18">Cavanagh and Frank, 2014</xref>; <xref ref-type="bibr" rid="B21">Cohen, 2014</xref>). Additional empirical research findings suggest that the neural mechanisms underlying sustained attention heavily rely on FM&#x03B8; dynamics such as phase synchronization resulting in greater measures of power (<xref ref-type="bibr" rid="B40">Friese et al., 2016</xref>; <xref ref-type="bibr" rid="B96">Wei et al., 2017</xref>). Frontal theta oscillations may therefore serve as an ideal candidate for neurofeedback protocols aimed at training and improving cognitive functions such as sustained and focused-attention, with possible transference to cognitive faculties that fall under the broader umbrella of executive functions (<xref ref-type="bibr" rid="B32">Enriquez-Geppert et al., 2014</xref>).</p>
<p>Interestingly, many conditions that see improved measures of behavioral outcomes associated with regular meditation practice are consistent with the conditions that improve in response to neurofeedback training (<xref ref-type="bibr" rid="B11">Brandmeyer and Delorme, 2013</xref>, <xref ref-type="bibr" rid="B12">2018</xref>). Theoretically, both methods involve training specific mental states and neural measures of cognitive processes underlying attention and emotion regulation, with more long lasting traits and skills developing cumulatively over time. Research findings suggest that both ADHD patients and individuals diagnosed with depression benefit from meditation training (<xref ref-type="bibr" rid="B35">Evans et al., 2018</xref>) as well as neurofeedback training protocols (<xref ref-type="bibr" rid="B3">Arns et al., 2009</xref>; <xref ref-type="bibr" rid="B74">Peeters et al., 2014</xref>). Thus, the early stages of mental training in focused-attention meditation practices may be fundamentally quite similar to other types of skill acquisition shown to induce neuroplasticity (<xref ref-type="bibr" rid="B63">Lazar et al., 2005</xref>; <xref ref-type="bibr" rid="B73">Pagnoni and Cekic, 2007</xref>). During the early stages of meditation training, an emphasis on sustained attention and an ability to focus attention on a single object such as the breath, is often the first and most difficult skill to develop for relatively novice practitioners (<xref ref-type="bibr" rid="B14">Brefczynski-Lewis et al., 2007</xref>). While numerous studies have implemented novel neurofeedback protocols for the purposes of investigating brain function and neuroplasticity, as well as training memory and attention (<xref ref-type="bibr" rid="B85">Sitaram et al., 2017</xref>), an inspiring application of neurofeedback may be to help offer alternatives for individuals who may benefit from the direct engagement and feedback during meditation practice. Various methods of delivering neuro and biofeedback across a range of modalities have been shown to significantly enhance learning processes. Neurofeedback paradigms developed for providing feedback reflecting targeted measures of attentional focus during meditation may bridge access to a broader audience and to those more easily discouraged due to the initial difficulties encountered with meditation practices, and may also benefit more experienced meditators interested in evolving their practice or learning alternative meditative techniques.</p>
<p>We therefore designed a novel double-blind 8-day closed-loop neurofeedback protocol to adaptively train and up-regulate FM&#x03B8; in meditation novice participants while implementing several key strategies derived from the core methods used in focused-attention meditation practice. Given that the efficacy of neurofeedback protocols are thought to be dose-dependent (i.e., the number of sessions across time), and that lengthy protocols are often unsuccessful due to participant drop-out, cumbersome EEG recordings, and complex implementation and measurement techniques, we explored the plausibility that when coupled with focused-attention mediation based strategies, participants receiving the real-time adaptive neurofeedback (as compared to their age and gender matched active controls) would demonstrate an enhanced capacity for modulating FM&#x03B8; after only eight 30-min neurofeedback sessions.</p>
</sec>
<sec id="S2" sec-type="materials|methods">
<title>Materials and Methods</title>
<sec id="S2.SS1">
<title>Participants</title>
<p>Twenty four right-handed healthy participants (12 women; mean age: 25; SD: 3) participated in the study. Participants were assigned to the experimental neurofeedback group (NF; <italic>n</italic> = 12, 6 women; mean age 25; SD: 3) or the active sham control group (Sham NF; <italic>n</italic> = 12, 6 women, mean age 25, SD: 3). 12 initial participants signed up for the 2-week study, after which point only interested participants who matched the age and gender of an enrolled participant were invited to participate in order to establish the age and gender matched pairs. One participant from each pair was then randomly assigned to either the feedback or sham group. The technician running the neurofeedback data collection was blind to which participants received real versus sham feedback &#x2013; this was achieved by anonymizing the information about the type of feedback participants were getting from the script that was used to run the experiment. Participants assigned to the sham feedback group viewed a replay of the feedback previously recorded from the matched neurofeedback participant who received real feedback. This type of matching was done in order to normalize the visual statistics and potential influence of the visual stimulus. Participants received 10 euros per hour, were recruited through a university email list, were informed of the broader goals, protocol, schedule, and aims of the experiment, provided written consent, and had normal or corrected to normal vision. The protocol was approved by the Comite de Protection des Personnes (CPP) de Toulouse II Sud-ouest (protocol 10009 4/12/2015).</p>
</sec>
<sec id="S2.SS2">
<title>Experimental Protocol</title>
<p>Participants received either the neurofeedback or sham-neurofeedback training over the course of eight training sessions within two consecutive weeks. Neurofeedback training sessions were conducted from Tuesday to Friday in the first week, and from Monday to Thursday in the second week (<xref ref-type="fig" rid="F1">Figure 1</xref>). On the first and last days of neurofeedback training participants completed the Executive Functioning Battery (EF battery; &#x223C;40 min). The EF battery was collected pre-neurofeedback on the first session and post-neurofeedback on the last session. Each Neurofeedback training session consisted of six 5-min training blocks, separated by short 2&#x2013;3 min breaks. This was done to assess the comparability of both subject groups with respect to motivation, commitment and perceived training difficulty. The length of the five-min training were implemented to prevent concentration declines (<xref ref-type="bibr" rid="B32">Enriquez-Geppert et al., 2014</xref>). Each subject came into the lab for the Neurofeedback sessions at the same time of day as their initial recording throughout the experiment. This was to ensure that a full 24 h had passed between the previous session and that this time duration was standardized across participants (i.e., a participant recorded at 10am the first day returned throughout the experiment at 10 a.m.).</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption><p>Participants received either the neurofeedback or sham-neurofeedback training over the course of eight training from Tuesday to Friday in the first week, and from Monday to Thursday in the second week. Each Neurofeedback training session consisted of six five-min training blocks, separated by short 2&#x2013;6 min breaks. The battery of tasks measuring executive functions were collected pre-neurofeedback on the first session and post-neurofeedback on the last session.</p></caption>
<graphic xlink:href="fnhum-14-00246-g001.tif"/>
</fig>
</sec>
<sec id="S2.SS3">
<title>EEG Recordings</title>
<p>Data were collected using a 64-channels Biosemi system and a Biosemi 10-20 head cap montage at, 2048 Hz sampling rate for the first and last day of the protocol. We used the BIOSEMI ActiView software to ensure that all electrodes were kept within an offset of 15 (offset is the Biosemi method for measuring impedance). Days 1 and 8 included the pre and post executive functioning assessments in addition to the first and last session of Neurofeedback. For the remaining Neurofeedback sessions (Days 2&#x2013;7) EEG activity were recorded from 8 electrodes locations Fpz, FZ, F7, F8, Cz, P7, P8, Oz using the external input EXG1 to EXG8 of the BIOSEMI amplifier. For the adaptive neurofeedback, EEG data were acquired using Lab Streaming Layer Software (LSL), and the visual stimuli were generated and presented using PsychToolbox in Matlab (v3.0.8) (<xref ref-type="bibr" rid="B9">Brainard, 1997</xref>) both running simultaneously on Windows 7 desktop workstation. EEG data were saved by both the Matlab script in.mat file and LabRecorder in.xdf files. The collection of Matlab scripts used to run the experiment is available on GitHub<sup><xref ref-type="fn" rid="footnote1">1</xref></sup>. Synchronization for offline processing between stimulus timing from the Matlab psychophysics toolbox script and EEG signal was performed using an ADR101 board (Ontrak Control Systems Inc.) that converted serial input to parallel output sent to the Biosemi amplifier. This synchronization signal was used in offline processing to check the timing of the real time EEG streaming from LSL.</p>
</sec>
<sec id="S2.SS4">
<title>Neurofeedback Training and Its Implementation</title>
<p>All of the participants recruited for the study reported no previous meditation practice. Prior to the initial neurofeedback session, all participants reviewed a set of instructions which included specific strategies for how to engage with and modulate the neurofeedback with the central strategic element centering on breath focus. These instructions were to either (1) focus their attention on the physical sensations that occur with inhalation and exhalation of air moving in the nostrils, (2) focus their attention on the physical sensations associated with of the rising (inhalation) and falling (exhalation) movement of the abdomen, or (3) they could silently count each breath cycle (inhalation + exhalation = 1) up to 10 and repeat. Subjects were also instructed to bring their attention back to their breath (implementing their preferred strategy) in a non-judgmental manner if and when they noticed their mind-wandering, and to use whichever strategy felt most effective in the moment. Visual feedback of their ongoing EEG FM&#x03B8; activity was given by means of a colored square (<xref ref-type="fig" rid="F2">Figure 2</xref>). Depending on the FM&#x03B8; amplitude, the color of the square changed in its gradient (relative to the baseline measurement) from light blue when FM&#x03B8; amplitude was enhanced, to black when it was attenuated. Participants were further informed to use whichever strategy would favor a highly saturated and prolonged blue-coloration of the square (reflecting an increase of FM&#x03B8; from baseline). Participants assigned to the neurofeedback group received real-time feedback of their own brain activity, while the sham-neurofeedback group received a playback of the feedback of the matched neurofeedback group participant (see <xref ref-type="supplementary-material" rid="VS1">Supplementary Material</xref> for video of a feedback block). To ensure methodological validity of implementation, participants were asked whether they were able to successfully implement one of the specified strategies after completing their daily NFB. All 12 NFB participants reported successfully implementing one or more of these strategies within and across each session in order to increase FM&#x03B8; amplitude relative to the amplitude during resting EEG, however, 8 of the 12 NFB-Sham participants reported a lack of coherence with their perceived successful implementation of the strategies and the feedback of the visual stimulus.</p>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption><p>Closed loop Neurofeedback protocol starting from the acquisition of the signal to the automated ASR artifact rejection, to the FM&#x03B8; extraction to the interface. When recording more than 8 channels (first and last sessions recorded 64 channels), the 8 channels Fpz, FZ, F7, F8, Cz, P7, P8, Oz were extracted from the data &#x2013; although only these 8 channels were collected on all recording days, on the first day and last recording day 64 channels were recorded. Images in this figure were obtained with written consent.</p></caption>
<graphic xlink:href="fnhum-14-00246-g002.tif"/>
</fig>
</sec>
<sec id="S2.SS5">
<title>Real-Time Data Processing of Neurofeedback</title>
<p>The FM&#x03B8; neurofeedback was implemented using 8 channels (Fpz, FZ, F7, F8, Cz, P7, P8, and Oz). The first and last sessions recorded 64 channels that were used for analyses pertaining to the cognitive battery, however, the neurofeedback on these days was still implemented via the 8 channels specified above (these were extracted in real-time from the 64 channel montage). On days two through seven, 8 individual EEG channels were recorded. Analysis windows of 1 s duration with a 75% overlap were considered so the neurofeedback display would be updated 4 times per second. Upon acquisition, each data chunk (of 1/4 of a second) was down-sampled from 2048 to 256 Hz and high pass filtered at 0.5 Hz using minimum-phase FIR filter, preserving the state of the filters from one block to the next &#x2013; using the flt_fir filter function of the BCILAB program (<xref ref-type="bibr" rid="B61">Kothe and Makeig, 2013</xref>). Data from the 8 channels was then average referenced.</p>
<p>For artifact rejection, each day an initial EEG baseline was measured for 1 min (start baseline), followed by six training blocks of 5 min each (block 1&#x2013;6; <xref ref-type="fig" rid="F3">Figure 3</xref>). This initial baseline was used by the ASR artifact rejection algorithm in order to optimize the filtering all feedback sessions for the day using the asr_calibrate function (default parameters of the ASR algorithm were used; variance rejection cut off of 5; block size of 10 sample to calculate covariance matrix; window size of 500 ms and window overlap of 330 ms; <xref ref-type="bibr" rid="B70">Mullen et al., 2013</xref>). The filter was applied to the data using the function asr_process. Note that a bug in the program made it so that the state of the ASR filter was not propagated properly from one data block to the next, generating brief small signal discontinuities. This may have affected the quality of the real-time feedback &#x2013; but did not affect <italic>post hoc</italic> data analysis for which we were able to apply compensatory measures to restore the signal continuity.</p>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption><p>For artifact rejection, each day an initial EEG baseline was measured for 1 min (start baseline), followed by six training blocks of 5 min each (block 1&#x2013;6). This initial baseline was used by the ASR artifact rejection algorithm in order to optimize the filtering all feedback sessions for the day using the asr_calibrate function (default parameters of the ASR algorithm were used; variance rejection cut off of 5; block size of 10 sample to calculate covariance matrix; window size of 500 ms and window overlap of 330 ms.</p></caption>
<graphic xlink:href="fnhum-14-00246-g003.tif"/>
</fig>
<p>To calculate feedback, spectral power over a sliding 1 se window was calculated using the Fast Fourier-transform (FFT; after using a hamming tapering window) on channel Fz. Spectral power p was calculated at 4, 5, and 6 Hz by taking the square amplitude of the FFT at these frequencies, log transforming these values and subsequently averaging them. To provide a smooth visual feedback experience, the following procedure was applied every 250 ms and the feedback value f between 0 and 1 was calculated as follows. First an intermediate feedback value was calculated according to<italic>f</italic> = (<italic>p</italic>&#x2212;<italic>l</italic>)/(<italic>h</italic>&#x2212;<italic>l</italic>) where f is the feedback value, l is the lower edge of the dynamic range and h is the upper edge of the dynamic range. If <italic>f</italic> is lower than 0 then, it was capped to 0 and the lower edge was decreased <italic>l</italic> = <italic>l</italic>&#x2212;(<italic>h</italic>&#x2212;<italic>l</italic>)/30otherwise it was increased<italic>l</italic> = <italic>l</italic> + (<italic>h</italic>&#x2212;<italic>l</italic>)/100. Similarly if <italic>f</italic> is larger than 1 then it was capped to 1, and the upper edge was increased <italic>h</italic> = <italic>h</italic> + (<italic>h</italic>&#x2212;<italic>l</italic>)/30 otherwise it was increased by<italic>h</italic> = <italic>h</italic>&#x2212;(<italic>h</italic>&#x2212;<italic>l</italic>)/100. This procedure ensured that the dynamic range for the feedback value would adjust to participants&#x2019; theta changes over time. This yielded a final feedback value between 0 and 1. In addition any change to the feedback value larger than 5% compared to the previous value was capped at 5% in the direction of the change. This setup was chosen to provide the participants with a smooth appearance of the visual feedback by avoiding sudden jumps in the feedback colors. Note that this procedure was also run &#x2013; although the display was disabled &#x2013; during the 1 min preparatory baseline period which preceded the first feedback session which allowed the program to calculate an acceptable theta dynamic range for the onset of the first neurofeedback block. Dynamic range at the end of each of the 5 min block, was used as a starting point for the following 5 min blocks. At the end of the training session a second EEG baseline was measured (end baseline).</p>
<p>Neurofeedback stimuli were presented on a 17&#x201D; DELL M781 mm CRT computer screen set to 75 Hz with a resolution of 800 &#x00D7; 600. The feedback value from 0 to 1 controlled the color of a blue square 400 &#x00D7; 400 centered on a screen. Feedback 0 was black (RGB #000000) and feedback 1 was a highly saturated blue (RGB #0000FF) with intermediate feedback values yielding a hue of blue proportional to the feedback in the RGB color space (for example feedback 0.5 was RGB #000080). The color of the square was updated 4 times per second (see <xref ref-type="supplementary-material" rid="VS1">Supplementary Video 1</xref>).</p>
</sec>
<sec id="S2.SS6">
<title>Neurofeedback Offline Data Processing</title>
<p>All neurofeedback parameters were saved after each session and used to assess the efficacy of neurofeedback training. The 64-channel sessions at the beginning for the first and final sessions were concatenated and further processed. EEG data was down-sampled from 2048 to 256 Hz and processed offline in MATLAB (MathWorks, Inc.) and EEGLAB (<xref ref-type="bibr" rid="B27">Delorme and Makeig, 2004</xref>) in order to compute time frequency and spectral differences. All neurofeedback data were filtered and pre-processed online. Additionally, we automatically removed 5 temporal electrodes from the 64-channel electrode montage (PO2, PO3, POz, P2, PO4) that appeared noisy across a majority of participants, with a total average of 6 per electrodes per subject using EEGLAB pop_rejchan function,(this removes electrodes which had a kurtosis larger than 5 standard deviation compared to the ensemble of all electrodes). We also removed portions of data with high frequency content which spectrum was larger than 10 dB (compared to the mean power in the whole recording) in the 20&#x2013;40 Hz frequency band over 4 contiguous windows of 0.5 s (pop_rejcont function of EEGLAB) to potentially remove artifacts that were not removed online.</p>
</sec>
<sec id="S2.SS7">
<title>Statistical Analyses: Training Effects on Frequency Amplitudes</title>
<p>For the analyses of neurofeedback success, the relative change in FM&#x03B8; amplitude across all six neurofeedback blocks for each of the eight sessions was quantified as change in microvolts and percent relative to the corresponding values of the first training session/day. In addition applying this calculation to theta activity, to investigate the specificity of training success this calculation was also performed for alpha and beta activity. Resting EEG for each session/day (1&#x2013;8) was calculated as the mean of the start and end baseline measurements relative to FM&#x03B8; amplitude observed during the baseline measurements of the first session/day. Training effects were analyzed by a repeated-measures ANOVA with the factors session (1&#x2013;8) and group (neurofeedback vs. sham) for training amplitude (I). To investigate the course of FM&#x03B8; amplitude increase during training, a regression line was fitted for each subject (II). To test if gradients were different between groups (neurofeedback vs. sham) a one-tailed independent-samples <italic>t</italic>-test was calculated for the slope and the intercept (III). Lastly, training effects on resting EEG were analyzed with a repeated-measures ANOVA with factors session (1&#x2013;8) and group (neurofeedback vs. sham) for (IV). In cases of sphericity violations, Greenhouse&#x2013;Geisser corrections were performed; corrected p-values as well as &#x03B5;-values are reported.</p>
</sec>
<sec id="S2.SS8">
<title>Statistical Analyses: Dynamical Changes Within Neurofeedback Sessions</title>
<p>A further method to identify changes due to neurofeedback is the analysis of changes within sessions compared to the baseline measurements (e.g., <xref ref-type="bibr" rid="B92">Vernon et al., 2009</xref>). Thus, training amplitude for each experimental block was extracted and averaged across all sessions (start baseline, blocks 1 through 6, end baseline) for FM&#x03B8;, alpha, and beta frequencies relative to the amplitude observed during the first start baseline as change in percent. Effects were analyzed by a repeated-measures ANOVA with factors block (start baseline, blocks 1 through 6, end baseline) and group (neurofeedback vs. sham). Custom scripts under R were used as well the Statistica software to perform statistical analysis.</p>
</sec>
<sec id="S2.SS9">
<title>Executive Functioning Tasks</title>
<p>One the first and last day, participants performed and executive functioning battery consisting of a n-back task, SART, and a Local Global task. We additionally collected participants&#x2019; anatomical and functional MRI before and after the neurofeedback protocol, however the results will be reported separately. For all stimulus presentations, we used a desktop computer running the Matlab Psychophysics toolbox (v3.0.8) under Windows 7 operating systems. Stimuli were presented on a 17&#x201D; DELL M781 mm CRT computer screen set to 75 Hz with a resolution of 800 &#x00D7; 600.</p>
<sec id="S2.SS9.SSS1">
<title>N-back Task</title>
<p>Participants performed a visual sequential letter n-back working memory task, with memory load ranging from 1-back to 3-back. The visual stimuli consisted of a sequence of 4 letters (A,B,C,D) presented black on a gray background. The participants observed stimuli on a visual display and responded using the spacebar on a keyboard. In the 1-back condition, the target was any letter identical to the trial immediately preceding one (i.e., one- back). In the 2-back condition, the target was any letter that had been presented two trials back, and in the 3-back condition, the target was any letter presented three trials back. In this way, working memory load varied from 1 to 3 items. Stimuli were presented on the screen for a duration of 1 s, after which a fixation cross was presented for 500 ms. Participants responded to each stimulus by pressing the spacebar with their right hand upon target presentation. If no spacebar was pressed within 1500 ms of the stimulus presentation, a new stimulus was presented. Reaction times to each response were recorded. Each n-back condition (1, 2, and 3-back) consisted of the presentation of 280 stimuli selected randomly in the 4-letter pool (<xref ref-type="fig" rid="F4">Figure 4A</xref>).</p>
<fig id="F4" position="float">
<label>FIGURE 4</label>
<caption><p><bold>(A)</bold> N-back task: visual illustration of the three levels of the n-back task. The red arrow indicates when the subject has been instructed to press the space key. <bold>(B)</bold> The Sustained Attention to response task (SART) is designed to measure a person&#x2019;s ability to withhold responses to infrequent and unpredictable stimuli during a period of rapid and rhythmic responding to frequent stimuli. <bold>(C)</bold> The local-global task measures the ability to focus attention on a specific feature of a stimulus, either global or local, while resisting distraction from other features and is thought to be a relatively broad measure of conflict detection.</p></caption>
<graphic xlink:href="fnhum-14-00246-g004.tif"/>
</fig>
</sec>
<sec id="S2.SS9.SSS2">
<title>SART Task</title>
<p>The Sustained Attention to response task (SART) is designed to measure a person&#x2019;s ability to withhold responses to infrequent and unpredictable stimuli during a period of rapid and rhythmic responding to frequent stimuli. Performance on the task is measured in participants&#x2019; ability to self-sustain mindful and conscious processing of stimuli whose repetitive, non-arousing qualities would otherwise lead to habituation and distraction to other stimuli, and is proved to be a sensitive measure of vigilance. Participants were presented with a series of single numerical digits (randomly selected from 0 to 9 &#x2013; the same digit could not be presented twice in a row), and instructed to press the spacebar for each digit, except for when presented with the digit 3. Each number was presented for 400 ms in white on a gray background and took about 1/5 of the screen height. The inter-stimulus interval was 2 s irrespective of the button press and a fixation cross was present at all times except when the digits were presented. Participants performed the SART for &#x223C;10 min corresponding to 250 digit presentations (<xref ref-type="fig" rid="F4">Figure 4B</xref>).</p>
</sec>
<sec id="S2.SS9.SSS3">
<title>Local Global Task</title>
<p>The local-global task measures the ability to focus attention on a specific feature of a stimulus, either global or local, while resisting distraction from other features and is thought to be a relatively broad measure of conflict detection. In the local-global task, participants were shown large letters (H and T) on a computer screen. The large letters were made up of an aggregate of small letters that could be congruent (large H made of small Hs or large T made of small Ts) or incongruent (large H made of small T&#x2019;s or large T made of small Hs) with respect to the large letter. The small letters were 0.8 cm high and the large letters were 8 cm high on the computer screen. A fixation cross was present at all times except when the stimulus letters were presented. Letters were shown on the computer screen until the subject responded. After each subject&#x2019;s response, there was a delay of 1 s before the next stimulus was presented. Before each sequence of letters, instructions were shown on a computer screen indicating to participants whether they should respond to the presence of small (local condition) or large (global condition) letters. We instructed participants to categorize specifically large letters or small letters and to press the letter H or T on the computer keyboard to indicate their choice. Participants performed a total of 200 trials in 4 sessions of 50 trials each. In sessions 1 and 3, participants were instructed to focus on large letters and in sessions 2 and 4 they were instructed to focus on small letters (<xref ref-type="fig" rid="F4">Figure 4C</xref>).</p>
</sec>
</sec>
<sec id="S2.SS10">
<title>Executive Functioning Data Processing</title>
<p>Data processing was performed in Matlab (Mathworks, Inc.) and EEGLAB (<xref ref-type="bibr" rid="B27">Delorme and Makeig, 2004</xref>). The raw EEG data was average referenced and down-sampled from 2048 to 256 Hz. A high-pass filter at 1 Hz using an elliptical non-linear filter (IIR; transition bandwidth of 0.7 Hz and order of 6) was applied, and the data was then average referenced. Extended Infomax Independent Component Analysis (ICA) was applied to the data (<xref ref-type="bibr" rid="B28">Delorme et al., 2007</xref>). ICA components for eye blink, lateral eye movements, and temporal muscle noise were identified and subtracted from the data by the visual inspection of both the component scalp topography and power spectrum distributions. Between 1 and 5 artifactual components were removed for each subject. Bad electrodes (0&#x2013;15 per subject, an average of 6 per subject) and bad epochs containing paroxysmal activity were manually removed from the data.</p>
</sec>
</sec>
<sec id="S3">
<title>Results</title>
<sec id="S3.SS1">
<title>Statistical Results: Neurofeedback Effects on Amplitudes (Neurofeedback vs. Sham)</title>
<p>We calculated how theta power varied across groups (neurofeedback vs. sham), by averaging the EEG activity across the sessions (1&#x2013;6) for each day (days 1&#x2013;8) and entered the three factors (group, day and session) into a General Linear Model analysis (GLM). We also included subject as factor that was hierarchically nested within Groups (because different groups contain different participants). Including or not including participants in the GLM returned similar results although including participants tended to increase significance. Notice that Group is the only categorical variable (subject is also a categorical variable but since it is nested within groups it is not possible to calculate the interaction with Group). Sessions and days were both considered continuous variables. For all GLM fitting parameters we used the default of the Statistica software. We observed significant difference in theta between groups, and significant differences in theta between sessions. FM&#x03B8; power was larger for the neurofeedback group [44.62 equivalent dB (10<sup>&#x2217;</sup>log<sub>10</sub>(mV<sup>2</sup>)] compared to the sham group [44.35 equivalent dB (10<sup>&#x2217;</sup>log<sub>10</sub>(mV<sup>2</sup>]). Neurofeedback training effects and baseline amplitudes are shown (<xref ref-type="fig" rid="F5">Figure 5A</xref>) for both groups. Statistical analyses using R software were used to perform a Pearson correlation test which serves as a measure of linear correlation between our two groups (sham group: <italic>r</italic><sup>2</sup> = 0.14, <italic>t</italic> = -0.99, <italic>df</italic> = 6, <italic>p</italic> = 0.36, neurofeedback group: <italic>r</italic><sup>2</sup> = 0.49, <italic>t</italic> = 2.42, <italic>df</italic> = 6, <italic>p</italic> = 0.05; <xref ref-type="fig" rid="F5">Figure 5A</xref>). Our results show a significant correlation for the neurofeedback group, while no significant relationship between the evolutions of FM&#x03B8; for the sham group was observed (neurofeedback group: <italic>r</italic><sup>2</sup> = 0.49, <italic>t</italic> = 2.42, <italic>df</italic> = 6, <italic>p</italic> = 0.05; sham group: <italic>r</italic><sup>2</sup> = 0.14, <italic>t</italic> = -0.99, <italic>df</italic> = 6, <italic>p</italic> = 0.36; <xref ref-type="fig" rid="F5">Figure 5A</xref>). In line with previous neurofeedback research suggesting that approximately 25% of participants who receive neurofeedback do not respond to neurofeedback (see section &#x201C;Discussion&#x201D;; <xref ref-type="bibr" rid="B98">Zoefel et al., 2011</xref>), we identified 25% of real-NFB participants (<italic>n</italic> = 3) whose total power values were greater than 3 standard deviations from the mean. These findings align with previous observations made in earlier neurofeedback studies. After excluding non-responders from the NFB group, a more robust trend was observed at the group level (sham group: <italic>r</italic><sup>2</sup> = 0.14, <italic>df</italic> = 6, <italic>p</italic> = 0.36, neurofeedback group: <italic>r</italic><sup>2</sup> = 0.85, <italic>df</italic> = 6, <italic>p</italic> = 0.001, <xref ref-type="fig" rid="F5">Figure 5B</xref>). The regularity of the shape of the curve and of the growth during the sessions in the neurofeedback group notably contrasts with the control group which presents a more heterogeneous and chaotic activity. Also in line with previous neurofeedback studies (<xref ref-type="bibr" rid="B98">Zoefel et al., 2011</xref>), we observed significant effects in the broader EEG spectra over the training electrode site Fz. Permutation statistics conducted on the EEG spectral power at Fz revealed significant differences for FM&#x03B8; (3.5&#x2013;6.5 Hz, <italic>p</italic> &#x003C; 0.05), low alpha (9&#x2013;10 Hz, <italic>p</italic> &#x003C; 0.05) and beta frequencies (12&#x2013;18 Hz, <italic>p</italic> &#x003C; 0.05, <xref ref-type="fig" rid="F6">Figure 6</xref>). No significant differences were observed in the sham group.</p>
<fig id="F5" position="float">
<label>FIGURE 5</label>
<caption><p><bold>(A)</bold> This graph shows the enhancement across sessions, and reflects FM&#x03B8; amplitude percent change for the mean of theta power for the Neurofeedback group (green) and the sham group (blue) across each training session (S1&#x2013;S8) as averaged over all corresponding blocks (blocks 1&#x2013;6) as compared to the first session (S1). Baseline amplitude changes are reflected by the dotted lines for each group respectively, and are show for the training relative to the first baseline measurements. Error bars indicated the standard error of the mean. <bold>(B)</bold> This graph shows the enhancement across sessions for participants identified as responders to the adaptive neurofeedback protocol (three non-responders have been removed from the analyses). Non-responders are identified as individuals whose daily scores were three or more standard deviations from the mean. As in this figure shows the enhancement across sessions, and reflects FM&#x03B8; amplitude percent change for the mean of theta power for the adaptive neurofeedback group (green) and the sham group (blue) across each training session (S1&#x2013;S8) as averaged over all corresponding blocks (blocks 1&#x2013;6) as compared to the first session (S1). Error bars indicate the standard error of the mean.</p></caption>
<graphic xlink:href="fnhum-14-00246-g005.tif"/>
</fig>
<fig id="F6" position="float">
<label>FIGURE 6</label>
<caption><p>Frequency Spectra for the Neurofeedback group (top, green) and sham group (bottom, blue) showing differences in averaged spectral power between pre (session 1) and post (session 8) for electrode Fz (feedback location). Significant differences in multiple frequency bands were observed for the Feedback group (<italic>p</italic> &#x003C; 0.05, corrected for multiple comparisons; <italic>p</italic>-values are reflected as black bars above the x-axis). No significant differences were observed in the sham group.</p></caption>
<graphic xlink:href="fnhum-14-00246-g006.tif"/>
</fig>
</sec>
<sec id="S3.SS2">
<title>Behavioral Results on Executive Functioning Tasks</title>
<p>GLM analyses were performed on the number of correct responses and reaction times. We choose to use this solution (rather than a collection of <italic>t</italic>-tests based on group compared with a variety of sub conditions) to avoid the problem of having to correct for multiple comparisons. In addition, the GLM allows capturing all the subtleties of the data and provides an overarching view of the broader effects at once without having to run multiple analyses. As was done for the neurofeedback data, each subject was added as a factor hierarchically nested within groups (removing these factors did not dramatically affect the results). GLM analyses on the n-back task reaction times revealed a significant interaction effect for the session (pre vs. post), showing faster reaction times for correct n-back trials in the neurofeedback group as compared to the sham feedback group after neurofeedback training (<xref ref-type="fig" rid="F7">Figure 7</xref>). For correct responses, significant effects were observed for the condition (1, 2, 3 back), session, and response (type of response), as expected given that there are more correct responses for 1-back than for 2-back and more correct responses for 2 back than for 3 back (<xref ref-type="table" rid="T1">Table 1</xref>). Condition by response is significant indicating an effect of the condition (1, 2, or 3 back) on the number of hit and true negative. Analysis of the SART and the local-global tasks pre and post neurofeedback yielded no statistically significant results.</p>
<fig id="F7" position="float">
<label>FIGURE 7</label>
<caption><p>Log reaction times are indicated on the x-axis for the n-back task. The GLM revealed a significant pre/post neurofeedback training interaction showing faster reaction times for correct n-back trials in the neurofeedback group as compared to the sham feedback group after neurofeedback training.</p></caption>
<graphic xlink:href="fnhum-14-00246-g007.tif"/>
</fig>
<table-wrap position="float" id="T1">
<label>TABLE 1</label>
<caption><p>Statistical results of the GLM analysis for the number of correct responses.</p></caption>
<table cellspacing="5" cellpadding="5" frame="hsides" rules="groups">
<thead>
<tr>
<td valign="top" align="left">Nback-correct response</td>
<td valign="top" align="center"><italic>F</italic></td>
<td valign="top" align="center"><italic>p</italic></td>
<td valign="top" align="center">DF</td>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">Intercept</td>
<td valign="top" align="center">9411.69</td>
<td valign="top" align="center">0.0000</td>
<td valign="top" align="center">1</td>
</tr>
<tr>
<td valign="top" align="left">Group</td>
<td valign="top" align="center">0.36</td>
<td valign="top" align="center">0.5516</td>
<td valign="top" align="center">1</td>
</tr>
<tr>
<td valign="top" align="left">Condition</td>
<td valign="top" align="center">127.36</td>
<td valign="top" align="center">0.0000</td>
<td valign="top" align="center">2</td>
</tr>
<tr>
<td valign="top" align="left">Session</td>
<td valign="top" align="center">8.60</td>
<td valign="top" align="center">0.0037</td>
<td valign="top" align="center">1</td>
</tr>
<tr>
<td valign="top" align="left">Response</td>
<td valign="top" align="center">900.74</td>
<td valign="top" align="center">0.0000</td>
<td valign="top" align="center">2</td>
</tr>
<tr>
<td valign="top" align="left">Group&#x02217;Condition</td>
<td valign="top" align="center">0.84</td>
<td valign="top" align="center">0.4319</td>
<td valign="top" align="center">2</td>
</tr>
<tr>
<td valign="top" align="left">Group&#x02217;Session</td>
<td valign="top" align="center">0.14</td>
<td valign="top" align="center">0.7136</td>
<td valign="top" align="center">1</td>
</tr>
<tr>
<td valign="top" align="left">Condition&#x02217;Session</td>
<td valign="top" align="center">1.68</td>
<td valign="top" align="center">0.1891</td>
<td valign="top" align="center">2</td>
</tr>
<tr>
<td valign="top" align="left">Group&#x02217;Response</td>
<td valign="top" align="center">2.00</td>
<td valign="top" align="center">0.1582</td>
<td valign="top" align="center">1</td>
</tr>
<tr>
<td valign="top" align="left">Condition&#x02217;Response</td>
<td valign="top" align="center">17.82</td>
<td valign="top" align="center">0.0000</td>
<td valign="top" align="center">2</td>
</tr>
<tr>
<td valign="top" align="left">Session&#x02217; Response</td>
<td valign="top" align="center">3.74</td>
<td valign="top" align="center">0.0544</td>
<td valign="top" align="center">1</td>
</tr>
<tr>
<td valign="top" align="left">Group&#x02217;Condition&#x02217;Session</td>
<td valign="top" align="center">0.05</td>
<td valign="top" align="center">0.9542</td>
<td valign="top" align="center">2</td>
</tr>
<tr>
<td valign="top" align="left">Group&#x02217;Condition&#x02217;Response</td>
<td valign="top" align="center">2.43</td>
<td valign="top" align="center">0.0904</td>
<td valign="top" align="center">2</td>
</tr>
<tr>
<td valign="top" align="left">Group&#x02217;Section&#x02217;Response</td>
<td valign="top" align="center">0.39</td>
<td valign="top" align="center">0.5356</td>
<td valign="top" align="center">1</td>
</tr>
<tr>
<td valign="top" align="left">Condition&#x02217;Section&#x02217;Response</td>
<td valign="top" align="center">0.19</td>
<td valign="top" align="center">0.8286</td>
<td valign="top" align="center">2</td>
</tr>
<tr>
<td valign="top" align="left">2&#x02217;<italic>3</italic>&#x02217;<italic>4</italic>&#x02217;5</td>
<td valign="top" align="center">1.34</td>
<td valign="top" align="center">0.2638</td>
<td valign="top" align="center">2</td>
</tr>
<tr>
<td valign="top" align="left">Subject (Group)</td>
<td valign="top" align="center">2.78</td>
<td valign="top" align="center">0.0001</td>
<td valign="top" align="center">22</td>
</tr>
<tr>
<td valign="top" align="left">Error</td>
<td valign="top" align="center"/>
<td/>
<td valign="top" align="center">242</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<attrib><italic>Significant effects were observed for the condition (1, 2, 3 back), session, and response (type of response), as expected given that there are more correct responses for 1-back than for 2-back and more correct responses for 2 back than for 3 back.</italic></attrib>
</table-wrap-foot>
</table-wrap>
</sec>
<sec id="S3.SS3">
<title>EEG Activity for the Executive Functioning Tasks</title>
<p>A significant increase in gamma power in the frontal midline as well as areas spanning the left temporal parietal areas were observed during the N-2 back task for the participants who received NFB (<italic>p</italic> &#x003C; 0.01; <xref ref-type="fig" rid="F8">Figure 8</xref>). No significant differences were observed in the sham group, and no significant interaction effects were observed between neurofeedback and sham participants. Differences in EEG activity and behavioral measures for the SART and local-global tasks were absent.</p>
<fig id="F8" position="float">
<label>FIGURE 8</label>
<caption><p>Results for Adaptive Neurofeedback (top) and sham (bottom) groups for gamma-power during the 2-back task, before (left) and after (middle) the adaptive neurofeedback sessions. The color bar on the right represents the statistical significance of the difference pre and post neurofeedback.</p></caption>
<graphic xlink:href="fnhum-14-00246-g008.tif"/>
</fig>
</sec>
</sec>
<sec id="S4">
<title>Discussion</title>
<p>The findings from this study suggest that it is possible to train and reinforce the networks generating FM&#x03B8; activity through a neurofeedback training protocol in which participants applied focused-attention meditation techniques. Participants in the neurofeedback group showed a significant increase in FM&#x03B8; activity across sessions 1&#x2013;8 as compared to active controls. To our knowledge this is one of the first studies to test the feasibility of neurofeedback training based on the implementation of meditation strategies, as well as for a specific frequency and location based on findings from advanced meditation practitioners. Given that the all participants reported the successful application of at least one of the meditation strategies (all of which facilitated the same core focus of attention to the breath) as a means of modulating the neurofeedback, the significant increase in FM&#x03B8; observed across sessions serves as measure of validation regarding the nature of our novel meditation-FM&#x03B8; combined feedback protocol. Differences in behavioral outcomes as observed by significantly faster reaction times on correct 2-back trials in the NFB training group compared to the active controls after only eight 30-min sessions serves as an additional indicator of neurofeedback training validation. We additionally recorded both functional and structural MRI (data will be presented in a separate manuscript) data to serve as a further means of neurofeedback protocol validation.</p>
<sec id="S4.SS1">
<title>Optimizing Neurofeedback Protocols and Identifying Non-responders</title>
<p>Our study showed successful modulation of FM&#x03B8; training within only eight sessions (days) of neurofeedback training through the use of focused-attention meditation strategies. Additionally, we addressed several historically unspecified effects such implementing a reliable control group, and strictly controlled time lags between training blocks and the eight neurofeedback sessions. The percentage change in spectral EEG power due to neurofeedback training was relatively low in our task and may be due to variety number of reasons, including difficulty with the implementation of the meditation based strategies, frustration due to perceived feedback parameters, or lack of motivation. In terms of the percentage of positive neurofeedback reward that should be provided, various reports indicate that this percentage remains under debate (<xref ref-type="bibr" rid="B85">Sitaram et al., 2017</xref>).</p>
<p>Increased temporal lags within training and between training sessions has been shown to enhance training gains (<xref ref-type="bibr" rid="B30">Ebbinghaus, 1964</xref>) and are based on two time scales: gaps between days, and the gaps within a given neurofeedback session. The exploration of training effects of different long-lasting training lags (from minutes up to several days) on a systematic level is important concerning at least to two aspects: with respect to the investigation of neuronal correlates and in regard to find the optimal repetition interval for neurofeedback. While here we implemented a strict protocol with 24 h passing between each session (excluding the two day break over the weekend) and 2&#x2013;3 min breaks between the 5 min sessions, alternative schedules and training gaps should be explored in future research. Additionally, the percentage of feedback provided to participants is thought to significantly influence learning. While 80% positive feedback has been considered to be too high for optimal learning (<xref ref-type="bibr" rid="B4">Arns et al., 2014</xref>), too low of a percentage prevents the subjective experience of feeling in control. It has been suggested that a moderate amount (50%) of positive feedback may increase the generation of the desired behavior during neurofeedback and thus transfer more easily into daily life.</p>
<p>A general explanation for non-responders in the neurofeedback literature is the use of ineffective strategies, or strategies unrelated to the cognitive processes involved in the generation and modulation of the frequency of interest. Non-responders may have failed to modify the interface of neurofeedback and consequent learning during the sessions by not integrating the feedback needed for the modulation, however, a more likely explanations may involve individual differences impedance, abnormal baseline measurements, as well as differences in brain structure and fissuration, which has been linked to the predictability of neurofeedback training success. These hypothesis will be explored in the subsequent publication of the structural and functional MRI data.</p>
<p>The observed differences in reaction times on correct 2-back trials in addition to a corresponding increase in gamma activity in the NFB training group compared to the active controls after only eight 30-min sessions serves as an additional indicator of neurofeedback training validation. These behavioral and corresponding EEG findings indicate that perhaps the meditation-FM&#x03B8; combined feedback protocol targeted and reinforced neural mechanisms specific to the n-back task such as goal directed behavioral and working memory (<xref ref-type="bibr" rid="B42">Gajewski et al., 2018</xref>) as they both require the active maintenance of the goal state, which should arguably be impenetrable to distractions viewed as irrelevant to the goal state, in addition to high demand attentional flexibility vs. stability (<xref ref-type="fig" rid="F8">Figure 8</xref>). Furthermore, gamma activity observed in the participants who received meditation-FM&#x03B8; combined feedback corresponded with the visual word form area, a left inferior temporal region specifically devoted to the accurate processing of letter strings such as those presented in the n-back task, in addition to the frontal mid-line sites that were the target of the neurofeedback training. Future research should further investigate the nuanced mechanistic differences and generalizability of behavioral measures that result from varying neurofeedback protocols.</p>
</sec>
<sec id="S4.SS2">
<title>Trainability and the Neuroanatomy of FM&#x03B8;</title>
<p>Research investigating the intraindividual effects of cognitive and behavioral trainings have found that regional differences in brain structure have been linked to predictability of training effectiveness in complex cognitive tasks and language learning (<xref ref-type="bibr" rid="B5">Basak et al., 2011</xref>; <xref ref-type="bibr" rid="B65">Loui et al., 2011</xref>; <xref ref-type="bibr" rid="B97">Wong et al., 2012</xref>; <xref ref-type="bibr" rid="B34">Ericsson et al., 2018</xref>). <xref ref-type="bibr" rid="B32">Enriquez-Geppert et al. (2014)</xref> found that inter-individual variations in MCC structure and cortical fissuration predicted the success of FM neurofeedback training. Is known that the MCC and dorsal ACC exhibit significant structural variability due to the large presence of fissures and convolutions, and that these variations have been linked to differences in executive functions (<xref ref-type="bibr" rid="B54">Huster et al., 2009</xref>, <xref ref-type="bibr" rid="B53">2011</xref>). <xref ref-type="bibr" rid="B33">Enriquez-Geppert et al. (2013)</xref> hypothesized that the neuroanatomical structure, and high concentration of convolutions could very well play a role in the differences of results observed during the reinforcement of FM&#x03B8; neurofeedback. They found that increases in FM&#x03B8; power measured during the initial training sessions predicted the success of the FM&#x03B8; increase across the eight sessions of training, while pre-existing inter-individual differences in the morphology of the right MCC, as well as higher white matter concentration of the right and larger volumes of the left cingulate bundle were associated with stronger FM&#x03B8; enhancement during initial training success. Furthermore, large intra-individual differences, including the presence of additional sulci in the ACC region in approximately half the population, have been observed in the macroscopic anatomy of the cingulate and present an obstacle in resolving the subtle details in the regions functional organization (<xref ref-type="bibr" rid="B82">Shackman et al., 2011</xref>). We will explore our anatomical and functional MRI data in a future report.</p>
</sec>
<sec id="S4.SS3">
<title>FM&#x03B8; Feedback Implementation</title>
<p>Several neurofeedback studies have already attempted to target the theta, alpha, beta or sensorimotor rhythms in an attempt to train attention (<xref ref-type="bibr" rid="B58">Kaiser and Othmer, 2000</xref>; <xref ref-type="bibr" rid="B31">Egner and Gruzelier, 2004</xref>; <xref ref-type="bibr" rid="B3">Arns et al., 2009</xref>), memory (<xref ref-type="bibr" rid="B71">Nan et al., 2012</xref>; <xref ref-type="bibr" rid="B94">Wang and Hsieh, 2013</xref>; <xref ref-type="bibr" rid="B86">Staufenbiel et al., 2014</xref>), and executive functions (<xref ref-type="bibr" rid="B49">Hanslmayr et al., 2005</xref>; <xref ref-type="bibr" rid="B98">Zoefel et al., 2011</xref>). Whereas previous protocols have instructed participants to engage in specific cognitive strategies to train FM&#x03B8; (<xref ref-type="bibr" rid="B32">Enriquez-Geppert et al., 2014</xref>), in the current paradigm participants were instructed to focus on their breath, engage in breath counting, or a relaxed visual focus of attention on the visual stimulus as methods for engaging with the feedback.</p>
<p>While the only previous research study investigating FM&#x03B8; neurofeedback used individualized peaks of theta (&#x223C;5 Hz) as determined by a series of cognitive tasks (<xref ref-type="bibr" rid="B33">Enriquez-Geppert et al., 2013</xref>), we implemented our feedback based on a 4&#x2013;7 Hz average for several reasons. Recent research has highlighted the existence of several different generators of theta in the frontal cortex, potentially all of which contribute to broader cognitive control (<xref ref-type="bibr" rid="B18">Cavanagh and Frank, 2014</xref>), with respectively different corresponding FM&#x03B8; peaks and underlying neural microcircuitry (<xref ref-type="bibr" rid="B21">Cohen, 2014</xref>). Since it may the case that the frontal theta observed during meditation reflects a broad form of cognitive monitoring and control, it is our assumption that by choosing a specific peak frequency participants may not find an appropriate strategy that corresponds to an accumulative increase in FM&#x03B8; power. Given that FM&#x03B8; power may reflect several different temporal and topographic generators independently contributing to the FM&#x03B8; power measured by EEG over the frontocentral cortex (Fz, FCz, Cz), we chose to provide feedback based on a broader theta range, as the cognitive control trained during meditation may reflect the cooperation of several different neural generators across the frontal cortex, each with potentially differing preferred spectral theta peaks. While a majority of neurofeedback studies encourage participants to engage in different types of strategies such as mental operations, emotions, imagination, memories, and thoughts of movements, and strategies that resemble a form of intentional mind-wandering, here we chose to provide a limited number of strategies that draw on the fundamental teachings of focused-attention meditation practice.</p>
</sec>
<sec id="S4.SS4">
<title>Inclusion of an Active Control Group</title>
<p>Throughout the history of neurofeedback research, one of the central points of criticism has been the omission of appropriate control groups (<xref ref-type="bibr" rid="B46">Gruzelier and Egner, 2005</xref>; <xref ref-type="bibr" rid="B44">Gevensleben et al., 2009</xref>). While many protocols control for practice and repetition effects through the use of passive control groups, additional effects may significantly influence the success of training such as expectancy and placebo effects, both of which have been linked to improvements in clinical drug study outcomes (e.g., <xref ref-type="bibr" rid="B77">Price et al., 2008</xref>). Another potentially mediating factor in neurofeedback studies may be the exposure to the visual feedback itself. Similar to previous findings on the effects of sham-neurofeedback, we also observed some trending but non-significant changes in the EEG in the sham group, however in the case of our experiment individuals also engaged in focused-attention meditation practices across the eight sessions. The results from this study underline the importance for adequately controlling not only for repetition-related but also for such non-specific effects.</p>
</sec>
<sec id="S4.SS5">
<title>Neuronal Consolidation</title>
<p>In general, two types of neuronal consolidation can be distinguished: synaptic vs. system consolidation. After the first hours of training, synaptic plasticity takes place including the formation of new connections and the restructuring of existing ones (<xref ref-type="bibr" rid="B29">Dudai, 2004</xref>). Since research investigating the differential effects of training lags is an important step for optimizing training protocols, the current protocol implemented mandatory 2&#x2013;3 min breaks between each 5 min neurofeedback session. Additionally, participants we&#x2019;re required to arrive for each neurofeedback session at the same time every day in order to assure that 24 h had passed between each day of training. To our knowledge, this is the first study to implement such a rigorously timed neurofeedback protocol in an effort to control for biases due to the varying daily physiological cycles. Sleep also significantly contributes to consolidation as during sleep a so-called &#x201C;replay&#x201D; of memory might take place (<xref ref-type="bibr" rid="B52">Huber et al., 2004</xref>). Spontaneous low-frequency neural oscillations, rhythmic spike bursts, and spike trains fired by thalamic and neocortical neurons that occur during heightened vigilance have previously been linked to the mechanisms underlying neuronal plasticity. These mechanisms are very similar to those that characterize slow-wave sleep, suggesting that slow-wave sleep may function to consolidate memory traces acquired during wakefulness in corticothalamic networks (<xref ref-type="bibr" rid="B87">Steriade and Timofeev, 2003</xref>). System wide consolidation refers to the slow reorganization of neural circuitry, most likely reflecting the stabilization of the newly formed memories (<xref ref-type="bibr" rid="B38">Frankland and Bontempi, 2005</xref>).</p>
<p>Research suggests that the MCC is strongly interconnected to cortical and subcortical areas and plays a critical role of information integration during goal directed behaviors (<xref ref-type="bibr" rid="B64">Lezak et al., 2004</xref>), executive functioning, and may facilitate the mechanisms for general action monitoring, through the entrainment of spatially distal functional networks via FM&#x03B8; signals during cognitive control (<xref ref-type="bibr" rid="B17">Cavanagh et al., 2012</xref>; <xref ref-type="bibr" rid="B18">Cavanagh and Frank, 2014</xref>). Learning in the neocortex can be expressed by prediction errors that signal the need for network-wide adaptation, and are thought to enhance the future predictability and conserve cognitive resources (<xref ref-type="bibr" rid="B24">Dehaene et al., 1998</xref>; <xref ref-type="bibr" rid="B41">Friston, 2010</xref>). Increasing evidence would suggest that transient increases in FM&#x03B8; reflect general surprise and detection of both endogenous and exogenous events (<xref ref-type="bibr" rid="B10">Brandmeyer, 2017</xref>) and may function to influence behavior through the enhanced sensory processing and the reallocation of attention (<xref ref-type="bibr" rid="B68">Mitchell et al., 2008</xref>). Thus, FM&#x03B8; may function as a temporal template carrying higher information content signals such as gamma band activities via cross-frequency coupling. Given that long range neural inputs are likely to facilitate control over local inhibition and induce synchronous phase relationships (<xref ref-type="bibr" rid="B15">Buzs&#x00E1;ki, 2004</xref>, <xref ref-type="bibr" rid="B16">2010</xref>; <xref ref-type="bibr" rid="B6">Benchenane et al., 2011</xref>), a large variety of cognitive functions may be facilitated through the wide spread connections between the MFC and other brain areas (<xref ref-type="bibr" rid="B39">Fries, 2005</xref>; <xref ref-type="bibr" rid="B75">Phillips et al., 2014</xref>). <xref ref-type="bibr" rid="B6">Benchenane et al. (2011)</xref> propose that FM&#x03B8; coherence may be due to an increase of dopamine modulated interneuron inhibition of pyramidal cells, after observing increased coherence in hippocampal-FM&#x03B8; following the administration of dopamine in the prefrontal cortex of anesthetized rats.</p>
<p>Similar to the findings of <xref ref-type="bibr" rid="B15">Buzs&#x00E1;ki (2004)</xref> in humans, <xref ref-type="bibr" rid="B6">Benchenane et al. (2011)</xref> found the activity in cell assemblies in the prefrontal cortex that emerged during increased FM&#x03B8; coherence were replayed preferentially during subsequent sleep. Their interpretation was that coherence between the prefrontal cortex and hippocampus may lead to the synchronization of reward predicting activity in prefrontal networks, which are then tagged for later memory consolidation. MFC neurons differ from other cortical regions in terms of density, biophysical and anatomical properties and their specified theta band bursting properties combined with strong reciprocal excitatory (AMPA mediated) interconnections are thought to facilitate dopamine modulated short-term plasticity (<xref ref-type="bibr" rid="B51">Holroyd and Coles, 2002</xref>; <xref ref-type="bibr" rid="B55">Jocham and Ullsperger, 2009</xref>; <xref ref-type="bibr" rid="B21">Cohen, 2014</xref>). The neural mechanisms underlying such plastic changes in white matter involve the repeated activation of the specific neural pathways during learning in rats, primates and humans (<xref ref-type="bibr" rid="B45">Gibson et al., 2014</xref>; <xref ref-type="bibr" rid="B95">Wang and Young, 2014</xref>), and have also been evidenced by mental training methods such meditation (<xref ref-type="bibr" rid="B89">Tang and Posner, 2014</xref>). While recent findings now show that there are specific neuroanatomical criteria that can predict neurofeedback training success, it remains relatively unclear as whether these types of focal training protocols stimulate cerebral plasticity. FM&#x03B8; modulation may be directly linked and dependent on the specific morphology of MCC neurons, features of white matter including increased bundle volumes, axonal density, or myelination which may help facilitate oscillatory FM&#x03B8; interregional synchronization (<xref ref-type="bibr" rid="B20">Cohen, 2011</xref>).</p>
</sec>
<sec id="S4.SS6">
<title>Limitations of Study</title>
<p>Interactions between outside factors such as sleep and exercise may highly impact the effectiveness of cognitive training protocols. Factors such as exercise have been shown to stimulate the new growth of stem cells in the hippocampus, with research showing enhanced optimization of new cellular structures when simultaneously paired with cognitive training measures (<xref ref-type="bibr" rid="B91">Van Praag et al., 2002</xref>; <xref ref-type="bibr" rid="B84">Shors et al., 2012</xref>; <xref ref-type="bibr" rid="B83">Shors, 2014</xref>). Studies comparing the effectiveness of mindfulness protocols that were paired or not paired with an exercise regimen found that participants who participated in the exercise intervention had highly significant improvements in various cognitive measures as compared to subjects who just received the mindfulness training (<xref ref-type="bibr" rid="B83">Shors, 2014</xref>). The direct relationship between neural plasticity and sleep has also been shown to play a key role in cognitive training effectiveness. Research has shown network wide reactivations of the (same) neuronal assemblies during sleep that have been recently involved in new and challenging environmental circumstances. These activations are presumably linked to the re-processing of memory traces during sleep. Post-training sleep deprivation has been found to significantly impair subsequent performance on various tasks, both in animals and humans. Additional research has shown an increase in REM sleep following training in several experimental conditions, and that this increased REM effect goes away after a given task has been mastered (<xref ref-type="bibr" rid="B76">Poe et al., 2000</xref>; <xref ref-type="bibr" rid="B80">Roozendaal, 2000</xref>). In the current study, we did not assess the number of hours of sleep for each preceding night and are therefore unable to explore whether or not the training gain effects were in any way correlated with sleep duration or quality. Additionally, we did not evaluate the motivation of subjects in a quantitative manner by which subjects could be objectively compared. Future studies should incorporate more refined neurophenomenological measures that address these factors in the experimental design.</p>
</sec>
<sec id="S4.SS7">
<title>Neurofeedback as an Accompaniment to Meditation</title>
<p>One of the fundamental challenges that individuals experience when learning to meditate is the unceasing propensity of the mind to wander. Novice meditators may often find themselves discouraged after realizing that they had spent the majority of a meditation session unaware they had been mind-wandering or engaged in chronic thinking. This can be associated with strong emotional arousal during meditation practice, and may ultimately be detrimental to meditation practice and well-being (<xref ref-type="bibr" rid="B26">Delorme and Brandmeyer, 2019</xref>). Neurofeedback protocols that train the neural correlates associated with states of focused-attention (such as FM&#x03B8;) may aid in the development of cognitive functions such as attention monitoring and metacognitive awareness of when the mind wanders, both of which are considered fundamental for meditation practice as well as for the broader regulation of attention. Interestingly, a large majority of neurofeedback protocols and meditation techniques aim to train attention and emotion regulation, for which cognitive engagement and attention monitoring are critical (<xref ref-type="bibr" rid="B11">Brandmeyer and Delorme, 2013</xref>). When an individual aims to improve their cognitive faculties so as to intentionally direct and actively sustain attention on an object of focus, they must develop an ability to incrementally adjust the amount of attention allocated to processing emotional stimuli by altering their judgments and expectations regarding emotional stimuli (<xref ref-type="bibr" rid="B56">Josipovic, 2010</xref>). Neurofeedback aided meditation may lessen the attention-grabbing power of mind wandering and spontaneous thought processes both during practice and in daily life, which may ultimately assist in deepening meditation practice. Attention and emotion regulation are central to both of these approaches, with the distinguishing elements being that meditation is self-regulated lacking any outside feedback, while neurofeedback is both machine aided and self-regulated, incorporating feedback elements that may serve to enhance or excel individual learning beyond that of self-guided meditation. Experimental designs that effectively assess refined first person accounts of neurofeedback protocols that experientially and directly correlate with changes in neural activity will greatly advance neurophenomenological approaches for studying and validating the neural correlates of meditative states and traits. Beyond meditation, self-regulated closed-loop neurofeedback paradigms will likely lead to the development of novel methodological approaches for the scientific investigation of embodied consciousness and the multidirectional interactions between the brain, body, and mind.</p>
</sec>
</sec>
<sec id="S5">
<title>Data Availability Statement</title>
<p>The datasets generated for this study are available at <ext-link ext-link-type="uri" xlink:href="https://openneuro.org/datasets/ds001787">https://openneuro.org/datasets/ds001787</ext-link> or by request. Please send inquiries to the corresponding author.</p>
</sec>
<sec id="S6">
<title>Ethics Statement</title>
<p>The studies involving human participants were reviewed and approved by the Comit&#x00E9;s de Protection des Personnes, CPP, CNRS Toulouse. The patients/participants provided their written informed consent to participate in this study.</p>
</sec>
<sec id="S7">
<title>Author Contributions</title>
<p>Both authors contributed to the article and approved the submitted version.</p>
</sec>
<sec id="conf1">
<title>Conflict of Interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
</body>
<back>
<fn-group>
<fn fn-type="financial-disclosure">
<p><bold>Funding.</bold> This work was supported by the Grants from the ANR (Agence Nationale pour la Recherche) ANR-12-JSH2-0009, the BIAL foundation BIAL-08-162, and by a T32 award (T32 AT00399) at the UCSF Osher Center for Integrative Medicine from the National Center for Complementary and Integrative Health (NCCIH) of the National Institutes of Health. This work was initially presented in TB&#x2019;s doctoral thesis entitled: Investigating the role of oscillations in endogenous and exogenous attentional states: novel methods in neurophenomenology and can be retrieved online at <ext-link ext-link-type="uri" xlink:href="https://tel.archives-ouvertes.fr/tel-01772802/document">https://tel.archives-ouvertes.fr/tel-01772802/document</ext-link>.</p></fn>
</fn-group>
<ack>
<p>We wish to thank Dr. Nathalie Vayssiere, Dr. Stein Silva and Mathais Laborde at the Centre de National de Recherch&#x00E9; Scientifique, Toulouse, France, for their contributions during the data collection.</p>
</ack>
<sec id="S10" sec-type="supplementary material"><title>Supplementary Material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fnhum.2020.00246/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fnhum.2020.00246/full#supplementary-material</ext-link></p>
<supplementary-material xlink:href="Video_1.mov" id="VS1" mimetype="video/quicktime" xmlns:xlink="http://www.w3.org/1999/xlink"/>
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<ref-list>
<title>References</title>
<ref id="B1"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Aftanas</surname> <given-names>L. I.</given-names></name> <name><surname>Golocheikine</surname> <given-names>S. A.</given-names></name></person-group> (<year>2001</year>). <article-title>Human anterior and frontal midline theta and lower alpha reflect emotionally positive state and internalized attention: high-resolution EEG investigation of meditation</article-title>. <source><italic>Neurosci Lett</italic></source>. <volume>310</volume>, <fpage>57</fpage>&#x2013;<lpage>60</lpage>. <pub-id pub-id-type="doi">10.1016/s0304-3940(01)02094-8</pub-id></citation></ref>
<ref id="B2"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Anguera</surname> <given-names>J. A.</given-names></name> <name><surname>Boccanfuso</surname> <given-names>J.</given-names></name> <name><surname>Rintoul</surname> <given-names>J. L.</given-names></name> <name><surname>Al-Hashimi</surname> <given-names>O.</given-names></name> <name><surname>Faraji</surname> <given-names>F.</given-names></name> <name><surname>Janowich</surname> <given-names>J.</given-names></name><etal/></person-group> (<year>2013</year>). <article-title>Video game training enhances cognitive control in older adults.</article-title> <source><italic>Nature</italic></source> <volume>501</volume> <fpage>97</fpage>&#x2013;<lpage>101</lpage>. <pub-id pub-id-type="doi">10.1038/nature12486</pub-id> <pub-id pub-id-type="pmid">24005416</pub-id></citation></ref>
<ref id="B3"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Arns</surname> <given-names>M.</given-names></name> <name><surname>de Ridder</surname> <given-names>S.</given-names></name> <name><surname>Strehl</surname> <given-names>U.</given-names></name> <name><surname>Breteler</surname> <given-names>M.</given-names></name> <name><surname>Coenen</surname> <given-names>A.</given-names></name></person-group> (<year>2009</year>). <article-title>Efficacy of Neurofeedback Treatment in ADHD: the effects on inattention, impulsivity and hyperactivity: a meta-analysis.</article-title> <source><italic>Clin. EEG Neurosci.</italic></source> <volume>40</volume> <fpage>180</fpage>&#x2013;<lpage>189</lpage>. <pub-id pub-id-type="doi">10.1177/155005940904000311</pub-id> <pub-id pub-id-type="pmid">19715181</pub-id></citation></ref>
<ref id="B4"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Arns</surname> <given-names>M.</given-names></name> <name><surname>Heinrich</surname> <given-names>H.</given-names></name> <name><surname>Strehl</surname> <given-names>U.</given-names></name></person-group> (<year>2014</year>). <article-title>Evaluation of neurofeedback in ADHD: the long and winding road.</article-title> <source><italic>Biol. Psychol.</italic></source> <volume>95</volume> <fpage>108</fpage>&#x2013;<lpage>115</lpage>. <pub-id pub-id-type="doi">10.1016/j.biopsycho.2013.11.013</pub-id> <pub-id pub-id-type="pmid">24321363</pub-id></citation></ref>
<ref id="B5"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Basak</surname> <given-names>C.</given-names></name> <name><surname>Voss</surname> <given-names>M. W.</given-names></name> <name><surname>Erickson</surname> <given-names>K. I.</given-names></name> <name><surname>Boot</surname> <given-names>W. R.</given-names></name> <name><surname>Kramer</surname> <given-names>A. F.</given-names></name></person-group> (<year>2011</year>). <article-title>Regional differences in brain volume predict the acquisition of skill in a complex real-time strategy videogame.</article-title> <source><italic>Brain Cogn.</italic></source> <volume>76</volume> <fpage>407</fpage>&#x2013;<lpage>414</lpage>. <pub-id pub-id-type="doi">10.1016/j.bandc.2011.03.017</pub-id> <pub-id pub-id-type="pmid">21546146</pub-id></citation></ref>
<ref id="B6"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Benchenane</surname> <given-names>K.</given-names></name> <name><surname>Tiesinga</surname> <given-names>P. H.</given-names></name> <name><surname>Battaglia</surname> <given-names>F. P.</given-names></name></person-group> (<year>2011</year>). <article-title>Oscillations in the prefrontal cortex: a gateway to memory and attention.</article-title> <source><italic>Curr. Opin. Neurobiol.</italic></source> <volume>21</volume> <fpage>475</fpage>&#x2013;<lpage>485</lpage>. <pub-id pub-id-type="doi">10.1016/j.conb.2011.01.004</pub-id> <pub-id pub-id-type="pmid">21429736</pub-id></citation></ref>
<ref id="B7"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Bollimunta</surname> <given-names>A.</given-names></name> <name><surname>Chen</surname> <given-names>Y.</given-names></name> <name><surname>Schroeder</surname> <given-names>C. E.</given-names></name> <name><surname>Ding</surname> <given-names>M.</given-names></name></person-group> (<year>2009</year>). &#x201C;<article-title>Characterizing oscillatory cortical networks with Granger causality</article-title>,&#x201D; in <source><italic>Coherent Behavior in Neuronal Networks</italic></source> <role>eds</role> <person-group person-group-type="editor"><name><surname>Rubin</surname> <given-names>J.</given-names></name> <name><surname>Josic</surname> <given-names>K.</given-names></name> <name><surname>Matias</surname> <given-names>M.</given-names></name> <name><surname>Romo</surname> <given-names>R.</given-names></name></person-group> (<publisher-loc>New York, NY</publisher-loc>: <publisher-name>Springer</publisher-name>), <fpage>169</fpage>&#x2013;<lpage>189</lpage>.</citation></ref>
<ref id="B8"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Bollimunta</surname> <given-names>A.</given-names></name> <name><surname>Mo</surname> <given-names>J.</given-names></name> <name><surname>Schroeder</surname> <given-names>C. E.</given-names></name> <name><surname>Ding</surname> <given-names>M.</given-names></name></person-group> (<year>2011</year>). <article-title>Neuronal mechanisms and attentional modulation of corticothalamic &#x03B1; oscillations</article-title>. <source><italic>J. Neurosci</italic></source>. <volume>31</volume>, <fpage>4935</fpage>&#x2013;<lpage>4943</lpage>. <pub-id pub-id-type="doi">10.1523/JNEUROSCI.5580-10.2011</pub-id> <pub-id pub-id-type="pmid">21451032</pub-id></citation></ref>
<ref id="B9"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Brainard</surname> <given-names>D. H.</given-names></name></person-group> (<year>1997</year>). <article-title>The psychophysics toolbox</article-title>. <source><italic>Spatial Vision</italic></source> <volume>10</volume> <fpage>433</fpage>&#x2013;<lpage>436</lpage>.</citation></ref>
<ref id="B10"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Brandmeyer</surname> <given-names>T.</given-names></name></person-group> (<year>2017</year>). <source><italic>Investigating the Role of Oscillations in Endogenous and Exogenous Attentional States : Novel Methods in Neurophenomenology.</italic></source> <comment>Phd thesis</comment>, <publisher-name>Paul Sabatier University</publisher-name>, <publisher-loc>Toulouse</publisher-loc>.</citation></ref>
<ref id="B11"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Brandmeyer</surname> <given-names>T.</given-names></name> <name><surname>Delorme</surname> <given-names>A.</given-names></name></person-group> (<year>2013</year>). <article-title>Meditation and neurofeedback.</article-title> <source><italic>Front. Psychol.</italic></source> <volume>4</volume>:<issue>688</issue>. <pub-id pub-id-type="doi">10.3389/fpsyg.2013.00688</pub-id> <pub-id pub-id-type="pmid">24109463</pub-id></citation></ref>
<ref id="B12"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Brandmeyer</surname> <given-names>T.</given-names></name> <name><surname>Delorme</surname> <given-names>A.</given-names></name></person-group> (<year>2018</year>). <article-title>Reduced mind-wandering in experienced meditators and associated EEG correlates.</article-title> <source><italic>Exp. Brain Res.</italic></source> <volume>236</volume> <fpage>2519</fpage>&#x2013;<lpage>2528</lpage>. <pub-id pub-id-type="doi">10.1007/s00221-016-4811-5</pub-id> <pub-id pub-id-type="pmid">27815577</pub-id></citation></ref>
<ref id="B13"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Brandmeyer</surname> <given-names>T.</given-names></name> <name><surname>Delorme</surname> <given-names>A.</given-names></name> <name><surname>Wahbeh</surname> <given-names>H.</given-names></name></person-group> (<year>2019</year>). <article-title>The neuroscience of meditation: classification, phenomenology, correlates, and mechanisms.</article-title> <source><italic>Prog. Brain Res.</italic></source> <volume>244</volume> <fpage>1</fpage>&#x2013;<lpage>29</lpage>.</citation></ref>
<ref id="B14"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Brefczynski-Lewis</surname> <given-names>J. A.</given-names></name> <name><surname>Lutz</surname> <given-names>A.</given-names></name> <name><surname>Schaefer</surname> <given-names>H. S.</given-names></name> <name><surname>Levinson</surname> <given-names>D. B.</given-names></name> <name><surname>Davidson</surname> <given-names>R. J.</given-names></name></person-group> (<year>2007</year>). <article-title>Neural correlates of attentional expertise in long-term meditation practitioners.</article-title> <source><italic>Proc. Natl. Acad. Sci. U.S.A.</italic></source> <volume>104</volume> <fpage>11483</fpage>&#x2013;<lpage>11488</lpage>. <pub-id pub-id-type="doi">10.1073/pnas.0606552104</pub-id> <pub-id pub-id-type="pmid">17596341</pub-id></citation></ref>
<ref id="B15"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Buzs&#x00E1;ki</surname> <given-names>G.</given-names></name></person-group> (<year>2004</year>). <article-title>Large-scale recording of neuronal ensembles.</article-title> <source><italic>Nat. Neurosci.</italic></source> <volume>7</volume> <fpage>446</fpage>&#x2013;<lpage>451</lpage>. <pub-id pub-id-type="doi">10.1038/nn1233</pub-id> <pub-id pub-id-type="pmid">15114356</pub-id></citation></ref>
<ref id="B16"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Buzs&#x00E1;ki</surname> <given-names>G.</given-names></name></person-group> (<year>2010</year>). <article-title>Neural syntax: cell assemblies, synapsembles, and readers.</article-title> <source><italic>Neuron</italic></source> <volume>68</volume> <fpage>362</fpage>&#x2013;<lpage>385</lpage>. <pub-id pub-id-type="doi">10.1016/j.neuron.2010.09.023</pub-id> <pub-id pub-id-type="pmid">21040841</pub-id></citation></ref>
<ref id="B17"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Cavanagh</surname> <given-names>J. F.</given-names></name> <name><surname>Figueroa</surname> <given-names>C. M.</given-names></name> <name><surname>Cohen</surname> <given-names>M. X.</given-names></name> <name><surname>Frank</surname> <given-names>M. J.</given-names></name></person-group> (<year>2012</year>). <article-title>Frontal theta reflects uncertainty and unexpectedness during exploration and exploitation.</article-title> <source><italic>Cereb. Cortex</italic></source> <volume>22</volume> <fpage>2575</fpage>&#x2013;<lpage>2586</lpage>. <pub-id pub-id-type="doi">10.1093/cercor/bhr332</pub-id> <pub-id pub-id-type="pmid">22120491</pub-id></citation></ref>
<ref id="B18"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Cavanagh</surname> <given-names>J. F.</given-names></name> <name><surname>Frank</surname> <given-names>M. J.</given-names></name></person-group> (<year>2014</year>). <article-title>Frontal theta as a mechanism for cognitive control.</article-title> <source><italic>Trends Cogn. Sci.</italic></source> <volume>18</volume> <fpage>414</fpage>&#x2013;<lpage>421</lpage>. <pub-id pub-id-type="doi">10.1016/j.tics.2014.04.012</pub-id> <pub-id pub-id-type="pmid">24835663</pub-id></citation></ref>
<ref id="B19"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Cavanagh</surname> <given-names>J. F.</given-names></name> <name><surname>Shackman</surname> <given-names>A. J.</given-names></name></person-group> (<year>2015</year>). <article-title>Frontal midline theta reflects anxiety and cognitive control: meta-analytic evidence.</article-title> <source><italic>J. Physiol. Paris</italic></source> <volume>109</volume> <fpage>3</fpage>&#x2013;<lpage>15</lpage>. <pub-id pub-id-type="doi">10.1016/j.jphysparis.2014.04.003</pub-id> <pub-id pub-id-type="pmid">24787485</pub-id></citation></ref>
<ref id="B20"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Cohen</surname> <given-names>M. X.</given-names></name></person-group> (<year>2011</year>). <article-title>Error-related medial frontal theta activity predicts cingulate-related structural connectivity</article-title>. <source><italic>Neuroimage</italic></source> <volume>55</volume>, <fpage>1373</fpage>&#x2013;<lpage>1383</lpage>. <pub-id pub-id-type="doi">10.1016/j.neuroimage.2010.12.072</pub-id> <pub-id pub-id-type="pmid">21195774</pub-id></citation></ref>
<ref id="B21"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Cohen</surname> <given-names>M. X.</given-names></name></person-group> (<year>2014</year>). <article-title>A neural microcircuit for cognitive conflict detection and signaling.</article-title> <source><italic>Trends Neurosci.</italic></source> <volume>37</volume> <fpage>480</fpage>&#x2013;<lpage>490</lpage>. <pub-id pub-id-type="doi">10.1016/j.tins.2014.06.004</pub-id> <pub-id pub-id-type="pmid">25034536</pub-id></citation></ref>
<ref id="B22"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Cohen</surname> <given-names>M. X.</given-names></name> <name><surname>Cavanagh</surname> <given-names>J. F.</given-names></name></person-group> (<year>2011</year>). <article-title>Single-trial regression elucidates the role of prefrontal theta oscillations in response conflict.</article-title> <source><italic>Front. Psychol.</italic></source> <volume>2</volume>:<issue>30</issue>. <pub-id pub-id-type="doi">10.3389/fpsyg.2011.00030</pub-id> <pub-id pub-id-type="pmid">21713190</pub-id></citation></ref>
<ref id="B23"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>deBettencourt</surname> <given-names>M. T. D.</given-names></name> <name><surname>Cohen</surname> <given-names>J. D.</given-names></name> <name><surname>Lee</surname> <given-names>R. F.</given-names></name> <name><surname>Norman</surname> <given-names>K. A.</given-names></name> <name><surname>Turk-Browne</surname> <given-names>N. B.</given-names></name></person-group> (<year>2015</year>). <article-title>Closed-loop training of attention with real-time brain imaging</article-title>. <source><italic>Nat. Neurosci</italic></source>. <volume>18</volume>, <fpage>470</fpage>&#x2013;<lpage>475</lpage>. <pub-id pub-id-type="doi">10.1038/nn.3940</pub-id> <pub-id pub-id-type="pmid">25664913</pub-id></citation></ref>
<ref id="B24"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Dehaene</surname> <given-names>S.</given-names></name> <name><surname>Kerszberg</surname> <given-names>M.</given-names></name> <name><surname>Changeux</surname> <given-names>J.-P.</given-names></name></person-group> (<year>1998</year>). <article-title>A neuronal model of a global workspace in effortful cognitive tasks.</article-title> <source><italic>Proc. Natl. Acad. Sci. U.S.A.</italic></source> <volume>95</volume> <fpage>14529</fpage>&#x2013;<lpage>14534</lpage>. <pub-id pub-id-type="doi">10.1073/pnas.95.24.14529</pub-id> <pub-id pub-id-type="pmid">9826734</pub-id></citation></ref>
<ref id="B25"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>DeJong</surname> <given-names>H.</given-names></name> <name><surname>Fox</surname> <given-names>E.</given-names></name> <name><surname>Stein</surname> <given-names>A.</given-names></name></person-group> (<year>2019</year>). <article-title>Does rumination mediate the relationship between attentional control and symptoms of depression?</article-title> <source><italic>J. Behav. Ther. Exp. Psychiatry</italic></source> <volume>63</volume> <fpage>28</fpage>&#x2013;<lpage>35</lpage>.</citation></ref>
<ref id="B26"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Delorme</surname> <given-names>A.</given-names></name> <name><surname>Brandmeyer</surname> <given-names>T.</given-names></name></person-group> (<year>2019</year>). <article-title>When the meditating mind wanders.</article-title> <source><italic>Curr. Opin. Psychol.</italic></source> <volume>28</volume> <fpage>133</fpage>&#x2013;<lpage>137</lpage>.</citation></ref>
<ref id="B27"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Delorme</surname> <given-names>A.</given-names></name> <name><surname>Makeig</surname> <given-names>S.</given-names></name></person-group> (<year>2004</year>). <article-title>EEGLAB: an open source toolbox for analysis of single-trial EEG dynamics including independent component analysis.</article-title> <source><italic>J. Neurosci. Methods</italic></source> <volume>134</volume> <fpage>9</fpage>&#x2013;<lpage>21</lpage>. <pub-id pub-id-type="doi">10.1016/j.jneumeth.2003.10.009</pub-id> <pub-id pub-id-type="pmid">15102499</pub-id></citation></ref>
<ref id="B28"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Delorme</surname> <given-names>A.</given-names></name> <name><surname>Sejnowski</surname> <given-names>T.</given-names></name> <name><surname>Makeig</surname> <given-names>S.</given-names></name></person-group> (<year>2007</year>). <article-title>Enhanced detection of artifacts in EEG data using higher-order statistics and independent component analysis.</article-title> <source><italic>Neuroimage</italic></source> <volume>34</volume> <fpage>1443</fpage>&#x2013;<lpage>1449</lpage>. <pub-id pub-id-type="doi">10.1016/j.neuroimage.2006.11.004</pub-id> <pub-id pub-id-type="pmid">17188898</pub-id></citation></ref>
<ref id="B29"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Dudai</surname> <given-names>Y.</given-names></name></person-group> (<year>2004</year>). <article-title>The neurobiology of consolidations, or, how stable is the engram?</article-title> <source><italic>Ann. Rev. Psychol.</italic></source> <volume>55</volume> <fpage>51</fpage>&#x2013;<lpage>86</lpage>. <pub-id pub-id-type="doi">10.1146/annurev.psych.55.090902.142050</pub-id> <pub-id pub-id-type="pmid">14744210</pub-id></citation></ref>
<ref id="B30"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ebbinghaus</surname> <given-names>H.</given-names></name></person-group> (<year>1964</year>). <source><italic>Memory: A Contribution to Experimental Psychology.</italic></source> <publisher-loc>USA</publisher-loc>: <publisher-name>Dover</publisher-name>.</citation></ref>
<ref id="B31"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Egner</surname> <given-names>T.</given-names></name> <name><surname>Gruzelier</surname> <given-names>J. H.</given-names></name></person-group> (<year>2004</year>). <article-title>EEG Biofeedback of low beta band components: frequency-specific effects on variables of attention and event-related brain potentials.</article-title> <source><italic>Clin. Neurophysiol.</italic></source> <volume>115</volume> <fpage>131</fpage>&#x2013;<lpage>139</lpage>. <pub-id pub-id-type="doi">10.1016/S1388-2457(03)00353-5</pub-id></citation></ref>
<ref id="B32"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Enriquez-Geppert</surname> <given-names>S.</given-names></name> <name><surname>Huster</surname> <given-names>R. J.</given-names></name> <name><surname>Figge</surname> <given-names>C.</given-names></name> <name><surname>Herrmann</surname> <given-names>C. S.</given-names></name></person-group> (<year>2014</year>). <article-title>Self-regulation of frontal-midline theta facilitates memory updating and mental set shifting.</article-title> <source><italic>Front. Behav. Neurosci.</italic></source> <volume>8</volume>:<issue>420</issue>. <pub-id pub-id-type="doi">10.3389/fnbeh.2014.00420</pub-id> <pub-id pub-id-type="pmid">25538585</pub-id></citation></ref>
<ref id="B33"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Enriquez-Geppert</surname> <given-names>S.</given-names></name> <name><surname>Huster</surname> <given-names>R. J.</given-names></name> <name><surname>Scharfenort</surname> <given-names>R.</given-names></name> <name><surname>Mokom</surname> <given-names>Z.</given-names></name> <name><surname>Figge</surname> <given-names>C.</given-names></name> <name><surname>Zimmermann</surname> <given-names>J.</given-names></name><etal/></person-group> (<year>2013</year>). <article-title>The morphology of midcingulate cortex predicts frontal-midline theta neurofeedback success.</article-title> <source><italic>Front. Hum. Neurosci.</italic></source> <volume>7</volume>:<issue>453</issue>. <pub-id pub-id-type="doi">10.3389/fnhum.2013.00453</pub-id> <pub-id pub-id-type="pmid">23950741</pub-id></citation></ref>
<ref id="B34"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ericsson</surname> <given-names>K. A.</given-names></name> <name><surname>Hoffman</surname> <given-names>R. R.</given-names></name> <name><surname>Kozbelt</surname> <given-names>A.</given-names></name> <name><surname>Williams</surname> <given-names>A. M.</given-names></name></person-group> (<year>2018</year>). <source><italic>The Cambridge Handbook of Expertise and Expert Performance.</italic></source> <publisher-loc>Cambridge</publisher-loc>: <publisher-name>Cambridge University Press</publisher-name>.</citation></ref>
<ref id="B35"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Evans</surname> <given-names>S.</given-names></name> <name><surname>Ling</surname> <given-names>M.</given-names></name> <name><surname>Hill</surname> <given-names>B.</given-names></name> <name><surname>Rinehart</surname> <given-names>N.</given-names></name> <name><surname>Austin</surname> <given-names>D.</given-names></name> <name><surname>Sciberras</surname> <given-names>E.</given-names></name></person-group> (<year>2018</year>). <article-title>Systematic review of meditation-based interventions for children with ADHD.</article-title> <source><italic>Eur. Child Adolesc. Psychiatry</italic></source> <volume>27</volume> <fpage>9</fpage>&#x2013;<lpage>27</lpage>. <pub-id pub-id-type="doi">10.1007/s00787-017-1008-9</pub-id> <pub-id pub-id-type="pmid">28547119</pub-id></citation></ref>
<ref id="B36"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Fox</surname> <given-names>K. C. R.</given-names></name> <name><surname>Andrews-Hanna</surname> <given-names>J. R.</given-names></name> <name><surname>Mills</surname> <given-names>C.</given-names></name> <name><surname>Dixon</surname> <given-names>M. L.</given-names></name> <name><surname>Markovic</surname> <given-names>J.</given-names></name> <name><surname>Thompson</surname> <given-names>E.</given-names></name><etal/></person-group> (<year>2018</year>). <article-title>Affective neuroscience of self-generated thought.</article-title> <source><italic>Ann. N. Y. Acad. Sci.</italic></source> <volume>1426</volume> <fpage>25</fpage>&#x2013;<lpage>51</lpage>. <pub-id pub-id-type="doi">10.1111/nyas.13740</pub-id> <pub-id pub-id-type="pmid">29754412</pub-id></citation></ref>
<ref id="B37"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Fox</surname> <given-names>K. C. R.</given-names></name> <name><surname>Spreng</surname> <given-names>R. N.</given-names></name> <name><surname>Ellamil</surname> <given-names>M.</given-names></name> <name><surname>Andrews-Hanna</surname> <given-names>J. R.</given-names></name> <name><surname>Christoff</surname> <given-names>K.</given-names></name></person-group> (<year>2015</year>). <article-title>The wandering brain: meta-analysis of functional neuroimaging studies of mind-wandering and related spontaneous thought processes.</article-title> <source><italic>Neuroimage</italic></source> <volume>111</volume> <fpage>611</fpage>&#x2013;<lpage>621</lpage>. <pub-id pub-id-type="doi">10.1016/j.neuroimage.2015.02.039</pub-id> <pub-id pub-id-type="pmid">25725466</pub-id></citation></ref>
<ref id="B38"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Frankland</surname> <given-names>P. W.</given-names></name> <name><surname>Bontempi</surname> <given-names>B.</given-names></name></person-group> (<year>2005</year>). <article-title>The organization of recent and remote memories.</article-title> <source><italic>Nat. Rev. Neurosci.</italic></source> <volume>6</volume> <fpage>119</fpage>&#x2013;<lpage>130</lpage>. <pub-id pub-id-type="doi">10.1038/nrn1607</pub-id> <pub-id pub-id-type="pmid">15685217</pub-id></citation></ref>
<ref id="B39"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Fries</surname> <given-names>P.</given-names></name></person-group> (<year>2005</year>). <article-title>A mechanism for cognitive dynamics: neuronal communication through neuronal coherence.</article-title> <source><italic>Trends Cogn. Sci.</italic></source> <volume>9</volume> <fpage>474</fpage>&#x2013;<lpage>480</lpage>. <pub-id pub-id-type="doi">10.1016/j.tics.2005.08.011</pub-id> <pub-id pub-id-type="pmid">16150631</pub-id></citation></ref>
<ref id="B40"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Friese</surname> <given-names>U.</given-names></name> <name><surname>Daume</surname> <given-names>J.</given-names></name> <name><surname>G&#x00F6;schl</surname> <given-names>F.</given-names></name> <name><surname>K&#x00F6;nig</surname> <given-names>P.</given-names></name> <name><surname>Wang</surname> <given-names>P.</given-names></name> <name><surname>Engel</surname> <given-names>A. K.</given-names></name></person-group> (<year>2016</year>). <article-title>Oscillatory brain activity during multisensory attention reflects activation, disinhibition, and cognitive control.</article-title> <source><italic>Sci. Rep.</italic></source> <volume>6</volume>:<issue>32775</issue>.</citation></ref>
<ref id="B41"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Friston</surname> <given-names>K.</given-names></name></person-group> (<year>2010</year>). <article-title>The free-energy principle: a unified brain theory?</article-title> <source><italic>Nat. Rev. Neurosci.</italic></source> <volume>11</volume> <fpage>127</fpage>&#x2013;<lpage>138</lpage>. <pub-id pub-id-type="doi">10.1038/nrn2787</pub-id> <pub-id pub-id-type="pmid">20068583</pub-id></citation></ref>
<ref id="B42"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Gajewski</surname> <given-names>P. D.</given-names></name> <name><surname>Hanisch</surname> <given-names>E.</given-names></name> <name><surname>Falkenstein</surname> <given-names>M.</given-names></name> <name><surname>Th&#x00F6;nes</surname> <given-names>S.</given-names></name> <name><surname>Wascher</surname> <given-names>E.</given-names></name></person-group> (<year>2018</year>). <article-title>What does the n-back task measure as we get older? Relations between working-memory measures and other cognitive functions across the lifespan.</article-title> <source><italic>Front. Psychol.</italic></source> <volume>9</volume>:<issue>2208</issue>. <pub-id pub-id-type="doi">10.3389/fpsyg.2018.02208</pub-id> <pub-id pub-id-type="pmid">30534095</pub-id></citation></ref>
<ref id="B43"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Garrison</surname> <given-names>K. A.</given-names></name> <name><surname>Zeffiro</surname> <given-names>T. A.</given-names></name> <name><surname>Scheinost</surname> <given-names>D.</given-names></name> <name><surname>Constable</surname> <given-names>R. T.</given-names></name> <name><surname>Brewer</surname> <given-names>J. A.</given-names></name></person-group> (<year>2015</year>). <article-title>Meditation leads to reduced default mode network activity beyond an active task.</article-title> <source><italic>Cogn. Affect. Behav. Neurosci.</italic></source> <volume>15</volume> <fpage>712</fpage>&#x2013;<lpage>720</lpage>. <pub-id pub-id-type="doi">10.3758/s13415-015-0358-3</pub-id> <pub-id pub-id-type="pmid">25904238</pub-id></citation></ref>
<ref id="B44"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Gevensleben</surname> <given-names>H.</given-names></name> <name><surname>Holl</surname> <given-names>B.</given-names></name> <name><surname>Albrecht</surname> <given-names>B.</given-names></name> <name><surname>Vogel</surname> <given-names>C.</given-names></name> <name><surname>Schlamp</surname> <given-names>D.</given-names></name> <name><surname>Kratz</surname> <given-names>O.</given-names></name><etal/></person-group> (<year>2009</year>). <article-title>Is neurofeedback an efficacious treatment for ADHD? A randomised controlled clinical trial.</article-title> <source><italic>J. Child Psychol. Psychiatry</italic></source> <volume>50</volume> <fpage>780</fpage>&#x2013;<lpage>789</lpage>. <pub-id pub-id-type="doi">10.1111/j.1469-7610.2008.02033.x</pub-id> <pub-id pub-id-type="pmid">19207632</pub-id></citation></ref>
<ref id="B45"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Gibson</surname> <given-names>E. M.</given-names></name> <name><surname>Purger</surname> <given-names>D.</given-names></name> <name><surname>Mount</surname> <given-names>C. W.</given-names></name> <name><surname>Goldstein</surname> <given-names>A. K.</given-names></name> <name><surname>Lin</surname> <given-names>G. L.</given-names></name> <name><surname>Wood</surname> <given-names>L. S.</given-names></name><etal/></person-group> (<year>2014</year>). <article-title>Neuronal Activity Promotes Oligodendrogenesis and Adaptive Myelination in the Mammalian Brain.</article-title> <source><italic>Science</italic></source> <volume>344</volume>:<issue>1252304</issue>. <pub-id pub-id-type="doi">10.1126/science.1252304</pub-id> <pub-id pub-id-type="pmid">24727982</pub-id></citation></ref>
<ref id="B46"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Gruzelier</surname> <given-names>J.</given-names></name> <name><surname>Egner</surname> <given-names>T.</given-names></name></person-group> (<year>2005</year>). <article-title>Critical validation studies of neurofeedback.</article-title> <source><italic>Child Adolesc. Psychiatr. Clin.</italic></source> <volume>14</volume> <fpage>83</fpage>&#x2013;<lpage>104</lpage>. <pub-id pub-id-type="doi">10.1016/j.chc.2004.07.002</pub-id> <pub-id pub-id-type="pmid">15564053</pub-id></citation></ref>
<ref id="B47"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Gusnard</surname> <given-names>D. A.</given-names></name> <name><surname>Raichle</surname> <given-names>M. E.</given-names></name> <name><surname>Raichle</surname> <given-names>M. E.</given-names></name></person-group> (<year>2001</year>). <article-title>Searching for a baseline: functional imaging and the resting human brain.</article-title> <source><italic>Nat. Rev. Neurosci.</italic></source> <volume>2</volume> <fpage>685</fpage>&#x2013;<lpage>694</lpage>. <pub-id pub-id-type="doi">10.1038/35094500</pub-id> <pub-id pub-id-type="pmid">11584306</pub-id></citation></ref>
<ref id="B48"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Haegens</surname> <given-names>S.</given-names></name> <name><surname>Osipova</surname> <given-names>D.</given-names></name> <name><surname>Oostenveld</surname> <given-names>R.</given-names></name> <name><surname>Jensen</surname> <given-names>O.</given-names></name></person-group> (<year>2010</year>). <article-title>Somatosensory working memory performance in humans depends on both engagement and disengagement of regions in a distributed network</article-title>. <source><italic>Hum. Brain Mapp</italic></source>. <volume>31</volume>, <fpage>26</fpage>&#x2013;<lpage>35</lpage>. <pub-id pub-id-type="doi">10.1002/hbm.20842</pub-id> <pub-id pub-id-type="pmid">19569072</pub-id></citation></ref>
<ref id="B49"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hanslmayr</surname> <given-names>S.</given-names></name> <name><surname>Klimesch</surname> <given-names>W.</given-names></name> <name><surname>Sauseng</surname> <given-names>P.</given-names></name> <name><surname>Gruber</surname> <given-names>W.</given-names></name> <name><surname>Doppelmayr</surname> <given-names>M.</given-names></name> <name><surname>Freunberger</surname> <given-names>R.</given-names></name><etal/></person-group> (<year>2005</year>). <article-title>Visual discrimination performance is related to decreased alpha amplitude but increased phase locking.</article-title> <source><italic>Neurosci. Lett.</italic></source> <volume>375</volume> <fpage>64</fpage>&#x2013;<lpage>68</lpage>. <pub-id pub-id-type="doi">10.1016/j.neulet.2004.10.092</pub-id> <pub-id pub-id-type="pmid">15664124</pub-id></citation></ref>
<ref id="B50"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hasenkamp</surname> <given-names>W.</given-names></name> <name><surname>Barsalou</surname> <given-names>L. W.</given-names></name></person-group> (<year>2012</year>). <article-title>Effects of meditation experience on functional connectivity of distributed brain networks.</article-title> <source><italic>Front. Hum. Neurosci.</italic></source> <volume>6</volume>:<issue>38</issue>. <pub-id pub-id-type="doi">10.3389/fnhum.2012.00038</pub-id> <pub-id pub-id-type="pmid">22403536</pub-id></citation></ref>
<ref id="B51"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Holroyd</surname> <given-names>C. B.</given-names></name> <name><surname>Coles</surname> <given-names>M. G. H.</given-names></name></person-group> (<year>2002</year>). <article-title>The neural basis of human error processing: reinforcement learning, dopamine, and the error-related negativity.</article-title> <source><italic>Psychol. Rev.</italic></source> <volume>109</volume> <fpage>679</fpage>&#x2013;<lpage>709</lpage>. <pub-id pub-id-type="doi">10.1037/0033-295X.109.4.679</pub-id> <pub-id pub-id-type="pmid">12374324</pub-id></citation></ref>
<ref id="B52"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Huber</surname> <given-names>R.</given-names></name> <name><surname>Ghilardi</surname> <given-names>M. F.</given-names></name> <name><surname>Massimini</surname> <given-names>M.</given-names></name> <name><surname>Tononi</surname> <given-names>G.</given-names></name></person-group> (<year>2004</year>). <article-title>Local sleep and learning.</article-title> <source><italic>Nature</italic></source> <volume>430</volume> <fpage>78</fpage>&#x2013;<lpage>81</lpage>. <pub-id pub-id-type="doi">10.1038/nature02663</pub-id> <pub-id pub-id-type="pmid">15184907</pub-id></citation></ref>
<ref id="B53"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Huster</surname> <given-names>R. J.</given-names></name> <name><surname>Westerhausen</surname> <given-names>R.</given-names></name> <name><surname>Herrmann</surname> <given-names>C. S.</given-names></name></person-group> (<year>2011</year>). <article-title>Sex differences in cognitive control are associated with midcingulate and callosal morphology.</article-title> <source><italic>Brain Struct. Funct.</italic></source> <volume>215</volume> <fpage>225</fpage>&#x2013;<lpage>235</lpage>. <pub-id pub-id-type="doi">10.1007/s00429-010-0289-2</pub-id> <pub-id pub-id-type="pmid">21052715</pub-id></citation></ref>
<ref id="B54"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Huster</surname> <given-names>R. J.</given-names></name> <name><surname>Wolters</surname> <given-names>C.</given-names></name> <name><surname>Wollbrink</surname> <given-names>A.</given-names></name> <name><surname>Schweiger</surname> <given-names>E.</given-names></name> <name><surname>Wittling</surname> <given-names>W.</given-names></name> <name><surname>Pantev</surname> <given-names>C.</given-names></name><etal/></person-group> (<year>2009</year>). <article-title>Effects of anterior cingulate fissurization on cognitive control during stroop interference.</article-title> <source><italic>Hum. Brain Mapp.</italic></source> <volume>30</volume> <fpage>1279</fpage>&#x2013;<lpage>1289</lpage>. <pub-id pub-id-type="doi">10.1002/hbm.20594</pub-id> <pub-id pub-id-type="pmid">18570202</pub-id></citation></ref>
<ref id="B55"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Jocham</surname> <given-names>G.</given-names></name> <name><surname>Ullsperger</surname> <given-names>M.</given-names></name></person-group> (<year>2009</year>). <article-title>Neuropharmacology of performance monitoring.</article-title> <source><italic>Neurosci. Biobehav. Rev.</italic></source> <volume>33</volume> <fpage>48</fpage>&#x2013;<lpage>60</lpage>. <pub-id pub-id-type="doi">10.1016/j.neubiorev.2008.08.011</pub-id> <pub-id pub-id-type="pmid">18789964</pub-id></citation></ref>
<ref id="B56"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Josipovic</surname> <given-names>Z.</given-names></name></person-group> (<year>2010</year>). <article-title>Duality and nonduality in meditation research.</article-title> <source><italic>Conscious. Cogn.</italic></source> <volume>19</volume> <fpage>1119</fpage>&#x2013;<lpage>1121</lpage>. <pub-id pub-id-type="doi">10.1016/j.concog.2010.03.016</pub-id> <pub-id pub-id-type="pmid">20385506</pub-id></citation></ref>
<ref id="B57"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kahana</surname> <given-names>M. J.</given-names></name> <name><surname>Seelig</surname> <given-names>D.</given-names></name> <name><surname>Madsen</surname> <given-names>J. R.</given-names></name></person-group> (<year>2001</year>). <article-title>Theta returns.</article-title> <source><italic>Curr. Opin. Neurobiol.</italic></source> <volume>11</volume> <fpage>739</fpage>&#x2013;<lpage>744</lpage>. <pub-id pub-id-type="doi">10.1016/S0959-4388(01)00278-1</pub-id></citation></ref>
<ref id="B58"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kaiser</surname> <given-names>D. A.</given-names></name> <name><surname>Othmer</surname> <given-names>S.</given-names></name></person-group> (<year>2000</year>). <article-title>Effect of neurofeedback on variables of attention in a large multi-center trial.</article-title> <source><italic>J. Neurother.</italic></source> <volume>4</volume> <fpage>5</fpage>&#x2013;<lpage>15</lpage>. <pub-id pub-id-type="doi">10.1300/J184v04n01_02</pub-id></citation></ref>
<ref id="B59"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kamiya</surname> <given-names>J.</given-names></name></person-group> (<year>1968</year>). <article-title>Conscious control of brain waves.</article-title> <source><italic>Psychol. Today</italic></source> <volume>1</volume> <fpage>56</fpage>&#x2013;<lpage>60</lpage>.</citation></ref>
<ref id="B60"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kerr</surname> <given-names>C. E.</given-names></name> <name><surname>Sacchet</surname> <given-names>M. D.</given-names></name> <name><surname>Lazar</surname> <given-names>S. W.</given-names></name> <name><surname>Moore</surname> <given-names>C. I.</given-names></name> <name><surname>Jones</surname> <given-names>S. R.</given-names></name></person-group> (<year>2013</year>). <article-title>Mindfulness starts with the body: somatosensory attention and top-down modulation of cortical alpha rhythms in mindfulness meditation</article-title>. <source><italic>Front. Hum. Neurosci</italic></source>. <issue>7:12</issue>. <pub-id pub-id-type="doi">10.3389/fnhum.2013.00012</pub-id> <pub-id pub-id-type="pmid">23408771</pub-id></citation></ref>
<ref id="B61"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kothe</surname> <given-names>C. A.</given-names></name> <name><surname>Makeig</surname> <given-names>S.</given-names></name></person-group> (<year>2013</year>). <article-title>BCILAB: a platform for brain-computer interface development.</article-title> <source><italic>J. Neural Eng.</italic></source> <volume>10</volume>:<issue>056014</issue>. <pub-id pub-id-type="doi">10.1088/1741-2560/10/5/056014</pub-id></citation></ref>
<ref id="B62"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kucyi</surname> <given-names>A.</given-names></name> <name><surname>Salomons</surname> <given-names>T. V.</given-names></name> <name><surname>Davis</surname> <given-names>K. D.</given-names></name></person-group> (<year>2013</year>). <article-title>Mind-wandering away from pain dynamically engages antinociceptive and default mode brain networks.</article-title> <source><italic>Proc. Natl. Acad. Sci. U.S.A.</italic></source> <volume>110</volume> <fpage>18692</fpage>&#x2013;<lpage>18697</lpage>. <pub-id pub-id-type="doi">10.1073/pnas.1312902110</pub-id> <pub-id pub-id-type="pmid">24167282</pub-id></citation></ref>
<ref id="B63"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lazar</surname> <given-names>S. W.</given-names></name> <name><surname>Kerr</surname> <given-names>C. E.</given-names></name> <name><surname>Wasserman</surname> <given-names>R. H.</given-names></name> <name><surname>Gray</surname> <given-names>J. R.</given-names></name> <name><surname>Greve</surname> <given-names>D. N.</given-names></name> <name><surname>Treadway</surname> <given-names>M. T.</given-names></name><etal/></person-group> (<year>2005</year>). <article-title>Meditation experience is associated with increased cortical thickness.</article-title> <source><italic>Neuroreport</italic></source> <volume>16</volume> <fpage>1893</fpage>&#x2013;<lpage>1897</lpage>.</citation></ref>
<ref id="B64"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lezak</surname> <given-names>M. D.</given-names></name> <name><surname>Howieson</surname> <given-names>D. B.</given-names></name> <name><surname>Loring</surname> <given-names>D. W.</given-names></name> <name><surname>Fischer</surname> <given-names>J. S.</given-names></name></person-group> (<year>2004</year>). <source><italic>Neuropsychological Assessment.</italic></source> <publisher-loc>Oxford</publisher-loc>: <publisher-name>Oxford University Press</publisher-name>.</citation></ref>
<ref id="B65"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Loui</surname> <given-names>P.</given-names></name> <name><surname>Li</surname> <given-names>H. C.</given-names></name> <name><surname>Schlaug</surname> <given-names>G.</given-names></name></person-group> (<year>2011</year>). <article-title>White matter integrity in right hemisphere predicts pitch-related grammar learning.</article-title> <source><italic>Neuroimage</italic></source> <volume>55</volume> <fpage>500</fpage>&#x2013;<lpage>507</lpage>. <pub-id pub-id-type="doi">10.1016/j.neuroimage.2010.12.022</pub-id> <pub-id pub-id-type="pmid">21168517</pub-id></citation></ref>
<ref id="B66"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Marco-Pallares</surname> <given-names>J.</given-names></name> <name><surname>Cucurell</surname> <given-names>D.</given-names></name> <name><surname>Cunillera</surname> <given-names>T.</given-names></name> <name><surname>Garc&#x00ED;a</surname> <given-names>R.</given-names></name> <name><surname>Andr&#x00E9;s-Pueyo</surname> <given-names>A.</given-names></name> <name><surname>M&#x00FC;nte</surname> <given-names>T. F.</given-names></name><etal/></person-group> (<year>2008</year>). <article-title>Human oscillatory activity associated to reward processing in a gambling task.</article-title> <source><italic>Neuropsychologia</italic></source> <volume>46</volume> <fpage>241</fpage>&#x2013;<lpage>248</lpage>. <pub-id pub-id-type="doi">10.1016/j.neuropsychologia.2007.07.016</pub-id> <pub-id pub-id-type="pmid">17804025</pub-id></citation></ref>
<ref id="B67"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Mason</surname> <given-names>M. F.</given-names></name> <name><surname>Norton</surname> <given-names>M. I.</given-names></name> <name><surname>Horn</surname> <given-names>J. D. V.</given-names></name> <name><surname>Wegner</surname> <given-names>D. M.</given-names></name> <name><surname>Grafton</surname> <given-names>S. T.</given-names></name> <name><surname>Macrae</surname> <given-names>C. N.</given-names></name></person-group> (<year>2007</year>). <article-title>Wandering minds: the default network and stimulus-independent thought.</article-title> <source><italic>Science</italic></source> <volume>315</volume> <fpage>393</fpage>&#x2013;<lpage>395</lpage>. <pub-id pub-id-type="doi">10.1126/science.1131295</pub-id> <pub-id pub-id-type="pmid">17234951</pub-id></citation></ref>
<ref id="B68"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Mitchell</surname> <given-names>D. J.</given-names></name> <name><surname>McNaughton</surname> <given-names>N.</given-names></name> <name><surname>Flanagan</surname> <given-names>D.</given-names></name> <name><surname>Kirk</surname> <given-names>I. J.</given-names></name></person-group> (<year>2008</year>). <article-title>Frontal-midline theta from the perspective of hippocampal &#x201C;theta.&#x201D;.</article-title> <source><italic>Progr. Neurobiol.</italic></source> <volume>86</volume> <fpage>156</fpage>&#x2013;<lpage>185</lpage>. <pub-id pub-id-type="doi">10.1016/j.pneurobio.2008.09.005</pub-id> <pub-id pub-id-type="pmid">18824212</pub-id></citation></ref>
<ref id="B69"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Morecraft</surname> <given-names>R. J.</given-names></name> <name><surname>Tanji</surname> <given-names>J.</given-names></name></person-group> (<year>2009</year>). <article-title>Cingulofrontal interactions and the cingulate motor areas</article-title>. <source><italic>Cingulate Neurobiol. Dis</italic></source>. <fpage>113</fpage>&#x2013;<lpage>144</lpage>.</citation></ref>
<ref id="B70"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Mullen</surname> <given-names>T.</given-names></name> <name><surname>Kothe</surname> <given-names>C.</given-names></name> <name><surname>Chi</surname> <given-names>Y. M.</given-names></name> <name><surname>Ojeda</surname> <given-names>A.</given-names></name> <name><surname>Kerth</surname> <given-names>T.</given-names></name> <name><surname>Makeig</surname> <given-names>S.</given-names></name><etal/></person-group> (<year>2013</year>). &#x201C;<article-title>Real-time modeling and 3D visualization of source dynamics and connectivity using wearable EEG</article-title>,&#x201D; in <source><italic>Proceedings of the 2013 35th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC)</italic></source>, <publisher-loc>Osaka</publisher-loc>, <fpage>2184</fpage>&#x2013;<lpage>2187</lpage>. <pub-id pub-id-type="doi">10.1109/EMBC.2013.6609968</pub-id> <pub-id pub-id-type="pmid">24110155</pub-id></citation></ref>
<ref id="B71"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Nan</surname> <given-names>W.</given-names></name> <name><surname>Rodrigues</surname> <given-names>J. P.</given-names></name> <name><surname>Ma</surname> <given-names>J.</given-names></name> <name><surname>Qu</surname> <given-names>X.</given-names></name> <name><surname>Wan</surname> <given-names>F.</given-names></name> <name><surname>Mak</surname> <given-names>P.-I.</given-names></name><etal/></person-group> (<year>2012</year>). <article-title>Individual alpha neurofeedback training effect on short term memory.</article-title> <source><italic>Int. J. Psychophysiol.</italic></source> <volume>86</volume> <fpage>83</fpage>&#x2013;<lpage>87</lpage>. <pub-id pub-id-type="doi">10.1016/j.ijpsycho.2012.07.182</pub-id> <pub-id pub-id-type="pmid">22864258</pub-id></citation></ref>
<ref id="B72"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Owen</surname> <given-names>A. M.</given-names></name> <name><surname>Hampshire</surname> <given-names>A.</given-names></name> <name><surname>Grahn</surname> <given-names>J. A.</given-names></name> <name><surname>Stenton</surname> <given-names>R.</given-names></name> <name><surname>Dajani</surname> <given-names>S.</given-names></name> <name><surname>Burns</surname> <given-names>A. S.</given-names></name><etal/></person-group> (<year>2010</year>). <article-title>Putting brain training to the test.</article-title> <source><italic>Nature</italic></source> <volume>465</volume> <fpage>775</fpage>&#x2013;<lpage>778</lpage>. <pub-id pub-id-type="doi">10.1038/nature09042</pub-id> <pub-id pub-id-type="pmid">20407435</pub-id></citation></ref>
<ref id="B73"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Pagnoni</surname> <given-names>G.</given-names></name> <name><surname>Cekic</surname> <given-names>M.</given-names></name></person-group> (<year>2007</year>). <article-title>Age effects on gray matter volume and attentional performance in Zen meditation.</article-title> <source><italic>Neurobiol. Aging</italic></source> <volume>28</volume> <fpage>1623</fpage>&#x2013;<lpage>1627</lpage>. <pub-id pub-id-type="doi">10.1016/j.neurobiolaging.2007.06.008</pub-id> <pub-id pub-id-type="pmid">17655980</pub-id></citation></ref>
<ref id="B74"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Peeters</surname> <given-names>F.</given-names></name> <name><surname>Ronner</surname> <given-names>J.</given-names></name> <name><surname>Bodar</surname> <given-names>L.</given-names></name> <name><surname>van Os</surname> <given-names>J.</given-names></name> <name><surname>Lousberg</surname> <given-names>R.</given-names></name></person-group> (<year>2014</year>). <article-title>Validation of a neurofeedback paradigm: manipulating frontal EEG alpha-activity and its impact on mood.</article-title> <source><italic>Int. J. Psychophysiol.</italic></source> <volume>93</volume> <fpage>116</fpage>&#x2013;<lpage>120</lpage>. <pub-id pub-id-type="doi">10.1016/j.ijpsycho.2013.06.010</pub-id> <pub-id pub-id-type="pmid">23773999</pub-id></citation></ref>
<ref id="B75"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Phillips</surname> <given-names>J. M.</given-names></name> <name><surname>Vinck</surname> <given-names>M.</given-names></name> <name><surname>Everling</surname> <given-names>S.</given-names></name> <name><surname>Womelsdorf</surname> <given-names>T.</given-names></name></person-group> (<year>2014</year>). <article-title>A long-range fronto-parietal 5- to 10-Hz network predicts &#x201C;top-down&#x201D; controlled guidance in a task-switch paradigm</article-title>. <source><italic>Cereb. Cortex</italic></source> <volume>24</volume>, <fpage>1996</fpage>&#x2013;<lpage>2008</lpage>. <pub-id pub-id-type="doi">10.1093/cercor/bht050</pub-id> <pub-id pub-id-type="pmid">23448872</pub-id></citation></ref>
<ref id="B76"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Poe</surname> <given-names>G. R.</given-names></name> <name><surname>Nitz</surname> <given-names>D. A.</given-names></name> <name><surname>McNaughton</surname> <given-names>B. L.</given-names></name> <name><surname>Barnes</surname> <given-names>C. A.</given-names></name></person-group> (<year>2000</year>). <article-title>Experience-dependent phase-reversal of hippocampal neuron firing during REM sleep</article-title>. <source><italic>Brain Res</italic></source>. <volume>855</volume>, <fpage>176</fpage>&#x2013;<lpage>180</lpage>. <pub-id pub-id-type="doi">10.1016/S0006-8993(99)02310-0</pub-id></citation></ref>
<ref id="B77"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Price</surname> <given-names>D. D.</given-names></name> <name><surname>Finniss</surname> <given-names>D. G.</given-names></name> <name><surname>Benedetti</surname> <given-names>F.</given-names></name></person-group> (<year>2008</year>). <article-title>A comprehensive review of the placebo effect: recent advances and current thought</article-title>. <source><italic>Annu. Rev. Psychol</italic></source>. <volume>59</volume>, <fpage>565</fpage>&#x2013;<lpage>590</lpage>. <pub-id pub-id-type="doi">10.1146/annurev.psych.59.113006.095941</pub-id> <pub-id pub-id-type="pmid">17550344</pub-id></citation></ref>
<ref id="B78"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Rabipour</surname> <given-names>S.</given-names></name> <name><surname>Raz</surname> <given-names>A.</given-names></name></person-group> (<year>2012</year>). <article-title>Training the brain: fact and fad in cognitive and behavioral remediation.</article-title> <source><italic>Brain Cogn.</italic></source> <volume>79</volume> <fpage>159</fpage>&#x2013;<lpage>179</lpage>. <pub-id pub-id-type="doi">10.1016/j.bandc.2012.02.006</pub-id> <pub-id pub-id-type="pmid">22463872</pub-id></citation></ref>
<ref id="B79"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Raichle</surname> <given-names>M. E.</given-names></name></person-group> (<year>2015</year>). <article-title>The Brain&#x2019;s default mode network.</article-title> <source><italic>Annu. Rev. Neurosci.</italic></source> <volume>38</volume> <fpage>433</fpage>&#x2013;<lpage>447</lpage>. <pub-id pub-id-type="doi">10.1146/annurev-neuro-071013-014030</pub-id> <pub-id pub-id-type="pmid">25938726</pub-id></citation></ref>
<ref id="B80"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Roozendaal</surname> <given-names>B.</given-names></name></person-group> (<year>2000</year>). <article-title>Glucocorticoids and the regulation of memory consolidation</article-title>. <source><italic>Psychoneuroendocrinology</italic></source> <volume>25</volume>, <fpage>213</fpage>&#x2013;<lpage>238</lpage>. <pub-id pub-id-type="doi">10.1016/S0306-4530(99)00058-X</pub-id></citation></ref>
<ref id="B81"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Scheeringa</surname> <given-names>R.</given-names></name> <name><surname>Bastiaansen</surname> <given-names>M. C. M.</given-names></name> <name><surname>Petersson</surname> <given-names>K. M.</given-names></name> <name><surname>Oostenveld</surname> <given-names>R.</given-names></name> <name><surname>Norris</surname> <given-names>D. G.</given-names></name> <name><surname>Hagoort</surname> <given-names>P.</given-names></name></person-group> (<year>2008</year>). <article-title>Frontal theta EEG activity correlates negatively with the default mode network in resting state.</article-title> <source><italic>Int. J. Psychophysiol.</italic></source> <volume>67</volume> <fpage>242</fpage>&#x2013;<lpage>251</lpage>. <pub-id pub-id-type="doi">10.1016/j.ijpsycho.2007.05.017</pub-id> <pub-id pub-id-type="pmid">17707538</pub-id></citation></ref>
<ref id="B82"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Shackman</surname> <given-names>A. J.</given-names></name> <name><surname>Salomons</surname> <given-names>T. V.</given-names></name> <name><surname>Slagter</surname> <given-names>H. A.</given-names></name> <name><surname>Fox</surname> <given-names>A. S.</given-names></name> <name><surname>Winter</surname> <given-names>J. J.</given-names></name> <name><surname>Davidson</surname> <given-names>R. J.</given-names></name></person-group> (<year>2011</year>). <article-title>The integration of negative affect, pain and cognitive control in the cingulate cortex.</article-title> <source><italic>Nat. Rev. Neurosci.</italic></source> <volume>12</volume> <fpage>154</fpage>&#x2013;<lpage>167</lpage>. <pub-id pub-id-type="doi">10.1038/nrn2994</pub-id> <pub-id pub-id-type="pmid">21331082</pub-id></citation></ref>
<ref id="B83"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Shors</surname> <given-names>T. J.</given-names></name></person-group> (<year>2014</year>). <article-title>The adult brain makes new neurons, and effortful learning keeps them alive</article-title>. <source><italic>Curr. Dir. Psychol. Sci</italic></source>. <volume>23</volume>, <fpage>311</fpage>&#x2013;<lpage>318</lpage>. <pub-id pub-id-type="doi">10.1177/0963721414540167</pub-id></citation></ref>
<ref id="B84"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Shors</surname> <given-names>T. J.</given-names></name> <name><surname>Anderson</surname> <given-names>M. L.</given-names></name> <name><surname>Curlik</surname> <given-names>D. M.</given-names> <suffix>II</suffix></name> <name><surname>Nokia</surname> <given-names>M. S.</given-names></name></person-group> (<year>2012</year>). <article-title>Use it or lose it: how neurogenesis keeps the brain fit for learning</article-title>. <source><italic>Behav. Brain Res</italic></source>. <volume>227</volume>, <fpage>450</fpage>&#x2013;<lpage>458</lpage>. <pub-id pub-id-type="doi">10.1016/j.bbr.2011.04.023</pub-id> <pub-id pub-id-type="pmid">21536076</pub-id></citation></ref>
<ref id="B85"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Sitaram</surname> <given-names>R.</given-names></name> <name><surname>Ros</surname> <given-names>T.</given-names></name> <name><surname>Stoeckel</surname> <given-names>L.</given-names></name> <name><surname>Haller</surname> <given-names>S.</given-names></name> <name><surname>Scharnowski</surname> <given-names>F.</given-names></name> <name><surname>Lewis-Peacock</surname> <given-names>J.</given-names></name><etal/></person-group> (<year>2017</year>). <article-title>Closed-loop brain training: the science of neurofeedback.</article-title> <source><italic>Nat. Rev. Neurosci.</italic></source> <volume>18</volume> <issue>86</issue>.</citation></ref>
<ref id="B86"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Staufenbiel</surname> <given-names>S. M.</given-names></name> <name><surname>Brouwer</surname> <given-names>A.-M.</given-names></name> <name><surname>Keizer</surname> <given-names>A. W.</given-names></name> <name><surname>van Wouwe</surname> <given-names>N. C.</given-names></name></person-group> (<year>2014</year>). <article-title>Effect of beta and gamma neurofeedback on memory and intelligence in the elderly.</article-title> <source><italic>Biol. Psychol.</italic></source> <volume>95</volume> <fpage>74</fpage>&#x2013;<lpage>85</lpage>. <pub-id pub-id-type="doi">10.1016/j.biopsycho.2013.05.020</pub-id> <pub-id pub-id-type="pmid">23751914</pub-id></citation></ref>
<ref id="B87"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Steriade</surname> <given-names>M.</given-names></name> <name><surname>Timofeev</surname> <given-names>I.</given-names></name></person-group> (<year>2003</year>). <article-title>Neuronal plasticity in thalamocortical networks during sleep and waking oscillations.</article-title> <source><italic>Neuron</italic></source> <volume>37</volume> <fpage>563</fpage>&#x2013;<lpage>576</lpage>. <pub-id pub-id-type="doi">10.1016/S0896-6273(03)00065-5</pub-id></citation></ref>
<ref id="B88"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Swick</surname> <given-names>D.</given-names></name> <name><surname>Turken</surname> <given-names>U.</given-names></name></person-group> (<year>2002</year>). <article-title>Dissociation between conflict detection and error monitoring in the human anterior cingulate cortex</article-title>. <source><italic>Proc. Nat. Acad. Sci</italic></source>. <volume>99</volume>, <fpage>16354</fpage>&#x2013;<lpage>16359</lpage>. <pub-id pub-id-type="doi">10.1073/pnas.252521499</pub-id> <pub-id pub-id-type="pmid">12456882</pub-id></citation></ref>
<ref id="B89"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Tang</surname> <given-names>Y.-Y.</given-names></name> <name><surname>Posner</surname> <given-names>M. I.</given-names></name></person-group> (<year>2014</year>). <article-title>Training brain networks and states.</article-title> <source><italic>Trends Cogn. Sci.</italic></source> <volume>18</volume> <fpage>345</fpage>&#x2013;<lpage>350</lpage>. <pub-id pub-id-type="doi">10.1016/j.tics.2014.04.002</pub-id> <pub-id pub-id-type="pmid">24816329</pub-id></citation></ref>
<ref id="B90"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>van de Vijver</surname> <given-names>I.</given-names></name> <name><surname>Ridderinkhof</surname> <given-names>K. R.</given-names></name> <name><surname>Cohen</surname> <given-names>M. X.</given-names></name></person-group> (<year>2011</year>). <article-title>Frontal oscillatory dynamics predict feedback learning and action adjustment.</article-title> <source><italic>J. Cogn. Neurosci.</italic></source> <volume>23</volume> <fpage>4106</fpage>&#x2013;<lpage>4121</lpage>. <pub-id pub-id-type="doi">10.1162/jocn_a_00110</pub-id></citation></ref>
<ref id="B91"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Van Praag</surname> <given-names>H.</given-names></name> <name><surname>Schinder</surname> <given-names>A. F.</given-names></name> <name><surname>Christie</surname> <given-names>B. R.</given-names></name> <name><surname>Toni</surname> <given-names>N.</given-names></name> <name><surname>Palmer</surname> <given-names>T. D.</given-names></name> <name><surname>Gage</surname> <given-names>F. H.</given-names></name></person-group> (<year>2002</year>). <article-title>Functional neurogenesis in the adult hippocampus</article-title>. <source><italic>Nature</italic></source> <volume>415</volume>, <fpage>1030</fpage>&#x2013;<lpage>1034</lpage>. <pub-id pub-id-type="doi">10.1038/4151030a</pub-id> <pub-id pub-id-type="pmid">11875571</pub-id></citation></ref>
<ref id="B92"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Vernon</surname> <given-names>D.</given-names></name> <name><surname>Dempster</surname> <given-names>T.</given-names></name> <name><surname>Bazanova</surname> <given-names>O.</given-names></name> <name><surname>Rutterford</surname> <given-names>N.</given-names></name> <name><surname>Pasqualini</surname> <given-names>M.</given-names></name> <name><surname>Andersen</surname> <given-names>S.</given-names></name></person-group> (<year>2009</year>). <article-title>Alpha neurofeedback training for performance enhancement: reviewing the methodology.</article-title> <source><italic>J. Neurother.</italic></source> <volume>13</volume> <fpage>214</fpage>&#x2013;<lpage>227</lpage>.</citation></ref>
<ref id="B93"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>von Stein</surname> <given-names>A.</given-names></name> <name><surname>Sarnthein</surname> <given-names>J.</given-names></name></person-group> (<year>2000</year>). <article-title>Different frequencies for different scales of cortical integration: from local gamma to long range alpha/theta synchronization.</article-title> <source><italic>Int. J. Psychophysiol.</italic></source> <volume>38</volume> <fpage>301</fpage>&#x2013;<lpage>313</lpage>. <pub-id pub-id-type="doi">10.1016/S0167-8760(00)00172-0</pub-id></citation></ref>
<ref id="B94"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname> <given-names>J.-R.</given-names></name> <name><surname>Hsieh</surname> <given-names>S.</given-names></name></person-group> (<year>2013</year>). <article-title>Neurofeedback training improves attention and working memory performance.</article-title> <source><italic>Clin. Neurophysiol.</italic></source> <volume>124</volume> <fpage>2406</fpage>&#x2013;<lpage>2420</lpage>. <pub-id pub-id-type="doi">10.1016/j.clinph.2013.05.020</pub-id> <pub-id pub-id-type="pmid">23827814</pub-id></citation></ref>
<ref id="B95"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname> <given-names>S.</given-names></name> <name><surname>Young</surname> <given-names>K. M.</given-names></name></person-group> (<year>2014</year>). <article-title>White matter plasticity in adulthood.</article-title> <source><italic>Neuroscience</italic></source> <volume>276</volume> <fpage>148</fpage>&#x2013;<lpage>160</lpage>. <pub-id pub-id-type="doi">10.1016/j.neuroscience.2013.10.018</pub-id> <pub-id pub-id-type="pmid">24161723</pub-id></citation></ref>
<ref id="B96"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wei</surname> <given-names>J.</given-names></name> <name><surname>Ke</surname> <given-names>Y.</given-names></name> <name><surname>Sun</surname> <given-names>C.</given-names></name> <name><surname>An</surname> <given-names>X.</given-names></name> <name><surname>Qi</surname> <given-names>H.</given-names></name> <name><surname>Ming</surname> <given-names>D.</given-names></name><etal/></person-group> (<year>2017</year>). &#x201C;<article-title>The timing of theta phase synchronization accords with vigilant attention</article-title>,&#x201D; in <source><italic>Proceedings of the 2017 39th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC)</italic></source> (<publisher-loc>Jeju Island</publisher-loc>: <publisher-name>IEEE</publisher-name>), <fpage>2442</fpage>&#x2013;<lpage>2445</lpage>.</citation></ref>
<ref id="B97"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wong</surname> <given-names>A.</given-names></name> <name><surname>Leahy</surname> <given-names>W.</given-names></name> <name><surname>Marcus</surname> <given-names>N.</given-names></name> <name><surname>Sweller</surname> <given-names>J.</given-names></name></person-group> (<year>2012</year>). <article-title>Cognitive load theory, the transient information effect and e-learning.</article-title> <source><italic>Learn. Instruct.</italic></source> <volume>22</volume> <fpage>449</fpage>&#x2013;<lpage>457</lpage>. <pub-id pub-id-type="doi">10.1016/j.learninstruc.2012.05.004</pub-id></citation></ref>
<ref id="B98"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zoefel</surname> <given-names>B.</given-names></name> <name><surname>Huster</surname> <given-names>R. J.</given-names></name> <name><surname>Herrmann</surname> <given-names>C. S.</given-names></name></person-group> (<year>2011</year>). <article-title>Neurofeedback training of the upper alpha frequency band in EEG improves cognitive performance.</article-title> <source><italic>Neuroimage</italic></source> <volume>54</volume> <fpage>1427</fpage>&#x2013;<lpage>1431</lpage>. <pub-id pub-id-type="doi">10.1016/j.neuroimage.2010.08.078</pub-id> <pub-id pub-id-type="pmid">20850552</pub-id></citation></ref>
</ref-list>
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<fn id="footnote1">
<label>1</label>
<p><ext-link ext-link-type="uri" xlink:href="https://github.com/arnodelorme/neurofeedbacklab">https://github.com/arnodelorme/neurofeedbacklab</ext-link></p></fn>
</fn-group>
</back>
</article>