Specific effects of neurofeedback on impulsivity in ADHD

Specific effects of neurofeedback on impulsivity in ADHD
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DOI:
10.1026/0942-5403.18.2.95
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发表时间:
2009-01-01
影响因子:
0.6
通讯作者:
Stadler, Christina
Stadler, Christina
中科院分区:
心理学4区
文献类型:
--
作者:
Holtmann, Martin;Grasmann, Doerte;Stadler, Christina

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神经反馈(NF)是一种旨在通过修改神经生理参数来改善ADHD核心症状的行为技术,近年来其证据基础有所改善。本文就神经因子在ADHD中的研究现状作一综述。在几项研究中,NF的短期效应与药物刺激剂治疗相匹配。关于其效果稳定性的结果令人鼓舞。在我们的初步研究中,34名ADHD儿童被随机分配到NF或计算机化的注意力训练。只有NF导致了显着减少冲动性错误的停止信号范例,而父母的评级没有显示出差异的影响。反应抑制的关键神经生理学相关性的正常化仅发生在NF组中。NF是治疗ADHD的一种很有前途的方法。然而,还需要进一步的对照研究,使用标准化的诊断标准,足够的样本量,以及适当的措施和随访。
The evidence base for neurofeedback (NF), a behavioral technique aiming at an improvement of ADHD core symptoms via the modification of neurophysiologic parameters, has improved in recent years. This paper presents an overview of current research on NF for ADHD. In several studies short-term effects of NF matched those of pharmacotherapeutic stimulant treatment. Results concerning the stability of its effects are encouraging. In our pilot study, 34 ADHD children were randomly assigned to NF or a computerized attention training. Only NF led to a significant reduction in impulsivity errors in a stop-signal paradigm, while parent ratings showed no differential effects. A normalization of key neurophysiologic correlates of response inhibition only occurred in the NF group. NF is a promising approach for the treatment of ADHD. However, there is a need for further controlled studies using standardized diagnostic criteria, adequate sample sizes, and appropriate measures and follow-up.