Evaluation of neurofeedback in ADHD: The long and winding road
Evaluation of neurofeedback in ADHD: The long and winding road
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DOI：
10.1016/j.biopsycho.2013.11.013
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发表时间：
2014-01-01
影响因子：
2.6
通讯作者：
Strehl, Ute
中科院分区：
文献类型：
--
作者：
Arns, Martijn;Heinrich, Hartmut;Strehl, Ute
在神经反馈的临床应用中，大多数研究都是在ADHD中进行的。作为一个介绍神经反馈的一般历史的简短概述将被给出，而本文的主要部分涉及的ADHD的神经反馈的当前状态的审查。2009年对神经反馈的荟萃分析发现，注意力不集中和冲动的效应量较大，而多动症的效应量中等。自2009年以来，已经发表了几项新的研究，包括4项安慰剂对照研究。这些最新的研究进行了审查和更详细的讨论。综述的重点是采用（1）半活性，（2）活性和（3）安慰剂对照组的研究。神经反馈治疗ADHD的特异性评估进行了讨论，并得出结论，标准协议，如θ/β，SMR和慢皮层电位神经反馈进行了很好的研究，并已证明特异性。本文最后展望了未来的问题和任务。它的结论是，未来的对照临床试验，在下一步，应集中在这些已知的协议，并设计沿着学习理论的路线。(C)2013年爱思唯尔B。版权所有© 2016
Among the clinical applications of neurofeedback, most research has been conducted in ADHD. As an introduction a short overview of the general history of neurofeedback will be given, while the main part of the paper deals with a review of the current state of neurofeedback in ADHD. A meta-analysis on neurofeedback from 2009 found large effect sizes for inattention and impulsivity and medium effects sizes for hyperactivity. Since 2009 several new studies, including 4 placebo-controlled studies, have been published. These latest studies are reviewed and discussed in more detail. The review focuses on studies employing (1) semi-active, (2) active, and (3) placebo-control groups. The assessment of specificity of neurofeedback treatment in ADHD is discussed and it is concluded that standard protocols such as theta/beta, SMR and slow cortical potentials neurofeedback are well investigated and have demonstrated specificity. The paper ends with an outlook on future questions and tasks. It is concluded that future controlled clinical trials should, in a next step, focus on such known protocols, and be designed along the lines of learning theory. (C) 2013 Elsevier B. V. All rights reserved.