Review Article

Epigenetic and Neural Circuitry Landscape of Psychotherapeutic Interventions

Table 2

Description of psychotherapy and neuroimaging studies: miscellaneous psychotherapies.

Modality of psychotherapyDiagnosisStudyNumber of patients (intervention group)DesignTreatment effects of psychotherapy

Eye movement desensitization and reprocessing (EMDR)PTSDBossini et al. (2011)9 (unmedicated)MRI
12 weeks (weekly 90-minute sessions)
Bilateral volume increase in the hippocampus
Pagani et al. (2007)15 (unmedicated)SPECT
8 weeks (five 90-minute sessions)
Decreased tracer uptake in medial temporal cortex (uncus), hippocampus, occipitotemporal cortex, and visual cortex (BA 17)

Prolonged exposure (PE) PTSDFelmingham et al. (2007)8
(2 on SSRIs; the rest unmedicated)
fMRI
8 weeks of treatment (cognitive restructuring with imaginal exposure)
Increase in rACC activity and a decrease in bilateral amygdala activity
Helpman et al. (2016)16
(unmedicated)
fMRI
10-week PE protocol
Decrease in rACC activation and increased activity in the mPFC

Brief eclectic psychotherapy (BEP)PTSDLindauer et al. (2008)20
(unmedicated)
SPECT
16 weekly sessions
Decrease in rCBF in the right uncus
Increase in rCBF in the left superior temporal gyrus

Guided imageryMDDHuang et al. (2014)23 (unmedicated)fMRI
5 weeks of treatment
Increase in regional homogeneity in the vmPFC and ACC

Interpersonal psychotherapy (IPT) MDDBrody et al. (2001)
[145]
39
(unmedicated)
PET
12 weeks of CBT
(comparison group received paroxetine)
Increased activity in the dlPFC and dACC
Decrease in activity in the vACC and anterior insula
Brody et al. (2001)
[146]
24
(unmedicated)
PET
12 weeks of IPT
Comparison group received paroxetine
Reduced activity in lateral PFC, caudate, thalamus, left ACC Increased activity in left temporal lobe
Martin et al. (2011)10 (unmedicated)SPECT
Up to 16 hour-long weekly sessions
(comparison group was treated with venlafaxine)
Increased blood flow in right BG and right PCC

Dialectical behavioral therapy (DBT) BPDGoodman et al. (2014)11
(unmedicated)
fMRI
12 months of DBT
Decrease in amygdala activation to unpleasant images
Paret et al. (2016)8
(all patients on medications)
fMRI
12 weeks of DBT; amygdala neurofeedback (NF) incorporated for 4 sessions
Increased connectivity between vmPFC and amygdala (did not persist without NF component)