Neurofeedback Sebagai Terapi Insomnia

Isi Artikel Utama

Heppi Vanadian
Budi Pratiti

Abstrak

Pendahuluan: Insomnia sering dikaitkan dengan gairah fisiologis dan kognitif. Saat ini, ada dua jenis pengobatan utama pada insomnia, yakni terapi perilaku kognitif untuk insomnia (CBT-I) dan farmakoterapi. Kondisi insomnia ditandai dengan frekuensi gelombang otak cenderung lebih rendah pada pita alfa dan lebih tinggi pada pita beta dan theta. Melalui mekanisme mengurangi hyperarousal kortikal, studi ini bertujuan untuk menelaah efektivitas pelatihan neurofeedback dalam meringankan gejala insomnia.


Metode: Penulis melakukan penelusuran literatur secara online pada bulan November 2023 – Januari 2024. Penulis tidak membatasi kriteria pada jumlah, frekuensi, atau lamanya sesi neurofeedback.


Hasil dan Diskusi: Neurofeedback melalui gelombang sensory motor rhythm (SMR) menyebabkan peningkatan kepadatan spindel tidur, penurunan latensi tidur, dan peningkatan total waktu tidur. Pada penelitian yang melaporkan penurunan keluhan tidur subjektif, memberikan hasil adanya penurunan skor Insomnia Severity Index (ISI) dan skor Pittsburgh Sleep Quality Index (PSQI) setelah menjalani terapi neurofeedback.


Kesimpulan: Neurofeedback dapat digunakan sebagai terapi untuk insomnia bersamaan dengan metode pengobatan lainnya, untuk mengurangi ketergantungan farmakoterapi.

Rincian Artikel

Cara Mengutip
Vanadian, H., & Pratiti, B. (2026). Neurofeedback Sebagai Terapi Insomnia. Prominentia Medical Journal, 7(1), 19–24. https://doi.org/10.37715/pmj.v7i1.6421
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Referensi

1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed., text rev. (2022). Washington, DC: American Psychiatric Association.

2. Bhaskar, S., Hemavathy, D., & Prasad, S. (2016). Prevalence of chronic insomnia in adult patients and its correlation with medical comorbidities. Journal of family medicine and primary care; 5(4), 780–784. https://doi.org/10.4103/2249-4863.201153.

3. Morin CM, Vézina-Im LA, Ivers H. Prevalent, incident, and persistent insomnia in a population-based cohort tested before (2018) and during the first-wave of COVID-19 pandemic (2020). Sleep. 2022; 45(1):zsab258. doi:10.1093/sleep/zsab258.

4. Edinger, J. D., Arnedt, J. T., Bertisch, S. M., Carney, C. E., Harrington, J. J., Lichstein, K. L., Sateia, M. J., Troxel, W. M., Zhou, E. S., Kazmi, U., Heald, J. L., & Martin, J. L. (2021). Behavioral and psychological treatments for chronic insomnia disorder in adults: an American Academy of Sleep Medicine systematic review, meta-analysis, and GRADE assessment. Journal of clinical sleep medicine: JCSM: official publication of the American Academy of Sleep Medicine; 2021; 17(2), 263–298. https://doi.org/10.5664/jcsm.8988.

5. Marzbani, H., Marateb, H. and Mansourian, M. (2016). Methodological Note: Neurofeedback: A Comprehensive Review on System Design, Methodology and Clinical Applications. Basic and Clinical Neuroscience Journal; 7(2). Available at: https://doi.org/10.15412/J.BCN.03070208.

6. Attarian, H.P. (2017). Clinical Handbook of Insomnia. Cham: Springer International Publishing. Available at: https://doi.org/10.1007/978-3-319-41400-3.

7. Qaseem, A., Kansagara, D., Forciea, M. A., Cooke, M., Denberg, T. D., & Clinical Guidelines Committee of the American College of Physicians. (2016). Management of Chronic Insomnia Disorder in Adults: A Clinical Practice Guideline From the American College of Physicians. Annals of internal medicine; 165(2), 125–133. https://doi.org/10.7326/M15-2175.

8. Wichniak A, Wierzbicka A, Walęcka M, Jernajczyk W. (2017). Effects of Antidepressants on Sleep. Curr Psychiatry Rep;19 (9):63. Published 2017 Aug 9. doi:10.1007/s11920-017-0816-4.

9. Recio-Rodriguez JI, Fernandez-Crespo M, Sanchez-Aguadero N, Gonzalez-Sanchez J, Garcia-Yu IA, Alonso-Dominguez R, Chiu HY, Tsai PS, Lee HC, Rihuete-Galve MI. (2024). Neurofeedback to enhance sleep quality and insomnia: a systematic review and meta-analysis of randomized clinical trials. Front Neurosci. 2024 Nov 6;18:1450163. doi: 10.3389/fnins.2024.1450163. PMID: 39568666; PMCID: PMC11576419.

10. Chapin, T. and Russell-Chapin, L.A. (2014). Neurotherapy and neurofeedback: brain-based treatment for psychological and behavioral problems. New York: Routledge/Taylor & Francis Group.

11. Zhao W, Van Someren EJW, Li C. (2021). EEG spectral analysis in insomnia disorder: A systematic review and meta-analysis. Sleep Med Rev. 2021;59:101457. doi:10.1016/j.smrv.101457.

12. Lambert-Beaudet F, Journault WG, Rudziavic Provençal A, Bastien CH. Neurofeedback for insomnia: Current state of research. World J Psychiatr 2021; 11(10): 897-914 [PMID: 34733650 DOI: 10.5498/wjp.v11.i10.897]

13. Bekker, M. (2021) ‘The Effect of Infra-Slow Fluctuation Neurofeedback Training on a Cohort of Insomnia Participants’, NeuroRegulation, 8(3), pp. 137–148. Available at: https://doi.org/10.15540/nr.8.3.137.

14. Cortoos, A. (2010) ‘An Exploratory Study on the Effects of Tele-neurofeedback and Tele-biofeedback on Objective and Subjective Sleep in Patients with Primary Insomnia’, Applied Psychophysiology and Biofeedback, 35(2), pp. 125–134. Available at: https://doi.org/10.1007/s10484-009-9116-z.

15. Arns, M., Feddema, I. and Kenemans, J.L. (2014) ‘Differential effects of theta/beta and SMR neurofeedback in ADHD on sleep onset latency’, Frontiers in Human Neuroscience, 8. Available at: https://doi.org/10.3389/fnhum.2014.01019.

16. Wang, Huicong, Hou, Y., Zhan, S. (2023) ‘EEG Biofeedback Decreases Theta and Beta Power While Increasing Alpha Power in Insomniacs: An Open-Label Study’, Brain Sciences, 13(11), p. 1542. Available at: https://doi.org/10.3390/brainsci13111542.

17. Wang, Huicong, Hou, Y., Wang, Y. (2023) ‘Observe the therapeutic effect of EEG biofeedback on 82 patients with insomnia’. preprint. In Review. Available at: https://doi.org/10.21203/rs.3.rs-2692145/v1.