Authors: Tanja Jaeckle; Steven C. R. Williams; Gareth J. Barker; Rodrigo Basilio; Ewan Carr; Kimberley Goldsmith; Alessandro Colasanti; Vincent Giampietro; Anthony Cleare; Allan H. Young; Jorge Moll; Roland Zahn · Research

Can Brain Training Help People with Depression Overcome Self-Blame?

Study examines if real-time brain feedback can help depressed patients reduce harmful self-blame patterns

Source: Jaeckle, T., Williams, S. C. R., Barker, G. J., Basilio, R., Carr, E., Goldsmith, K., Colasanti, A., Giampietro, V., Cleare, A., Young, A. H., Moll, J., & Zahn, R. (2021). Self-blame in major depression: a randomised pilot trial comparing fMRI neurofeedback with self-guided psychological strategies. Psychological Medicine, 53, 2831-2841. https://doi.org/10.1017/S0033291721004797

What you need to know

  • Both brain feedback training and psychological strategies led to significant improvements in depression symptoms
  • People with non-anxious depression responded better to brain feedback training
  • The frequency of using self-blame reduction strategies correlated with increased self-esteem

Understanding Self-Blame in Depression

Have you ever noticed how people with depression often blame themselves excessively for things that go wrong? This pattern of harsh self-criticism can maintain depressive symptoms and make recovery more challenging. Recent research has shown that specific brain regions are involved when we experience self-blame, particularly areas that process social emotions and regulate mood.

A Novel Approach to Treatment

This study tested an innovative treatment approach that uses real-time brain imaging feedback to help people with depression learn to reduce patterns of excessive self-blame. Participants were shown a “thermometer” display while in an MRI scanner that reflected activity between two key brain regions involved in self-blame. They practiced using various psychological strategies to bring down the thermometer level while recalling situations where they blamed themselves.

The Treatment Methods

The researchers compared two groups: one received brain feedback training along with psychological strategies, while the other only received psychological strategies. Both groups learned techniques like:

  • Considering factors outside their control
  • Recognizing they may not be fully responsible
  • Putting consequences in perspective
  • Making amends when appropriate
  • Practicing self-forgiveness

Key Findings

The study found that both treatment approaches led to substantial improvements - participants’ depression scores dropped by 46% on average. While brain feedback wasn’t more effective overall, it showed particular promise for people with depression who didn’t have prominent anxiety symptoms. These participants were better able to use the brain feedback to reduce self-blame patterns.

What This Means for You

If you struggle with depression and harsh self-criticism, these findings suggest several practical approaches:

  1. Learn to recognize when you’re being overly self-blaming
  2. Practice the psychological strategies tested in this study, like examining factors outside your control
  3. Make self-forgiveness a regular practice
  4. Consider whether your depression involves significant anxiety, as this may influence which treatments work best
  5. Remember that reducing self-blame takes practice but can significantly improve mood and self-esteem

Conclusions

  • Both brain feedback and psychological strategies can help reduce depression symptoms
  • The effectiveness of brain feedback may depend on whether you have anxious depression
  • Regular practice of self-blame reduction techniques correlates with better self-esteem
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