Neurofeedback for children with ADHD: A comparison of SCP and Theta/Beta protocols
Neurofeedback for children with ADHD: A comparison of SCP and Theta/Beta protocols
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DOI：
10.1007/s10484-007-9031-0
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发表时间：
2007-06-01
影响因子：
3
通讯作者：
Strehl, Ute
中科院分区：
文献类型：
--
作者：
Leins, Ulrike;Goth, Gabriella;Strehl, Ute
ADHD儿童在接受神经反馈治疗后，其行为和认知能力得到了持续的改善。然而，神经反馈尚未被普遍接受为ADHD的治疗方法。本研究解决了以前的方法的缺点，同时比较了神经反馈训练的θ-β频率和训练的慢皮层电位（SCP）。该研究旨在回答（a）患者是否能够证明皮层自我调节的学习，（B）治疗是否导致认知和行为的改善，以及（c）两个实验组在认知和行为结果变量方面是否不同。SCP参与者被训练产生正和负SCP偏移，而Theta/Beta参与者被训练抑制Theta（4-8 Hz），同时增加Beta（12-20 Hz）。参与者对分组不知情。评估包括潜在混杂变量。每组由19名ADHD儿童（8-13岁）组成。治疗程序包括三个阶段，每个阶段10次。两组都能够有意识地调节皮质活动，并提高注意力和智商。家长和教师报告了显着的行为和认知改善。两组治疗后6个月临床疗效保持稳定。各组在行为或认知结果方面没有差异。
Behavioral and cognitive improvements in children with ADHD have been consistently reported after neurofeedback-treatment. However, neurofeedback has not been commonly accepted as a treatment for ADHD. This study addresses previous methodological shortcomings while comparing a neurofeedback-training of Theta-Beta frequencies and training of slow cortical potentials (SCPs). The study aimed at answering (a) whether patients were able to demonstrate learning of cortical self-regulation, (b) if treatment leads to an improvement in cognition and behavior and (c) if the two experimental groups differ in cognitive and behavioral outcome variables. SCP participants were trained to produce positive and negative SCP-shifts while the Theta/Beta participants were trained to suppress Theta (4-8 Hz) while increasing Beta (12-20 Hz). Participants were blind to group assignment. Assessment included potentially confounding variables. Each group was comprised of 19 children with ADHD (aged 8-13 years). The treatment procedure consisted of three phases of 10 sessions each. Both groups were able to intentionally regulate cortical activity and improved in attention and IQ. Parents and teachers reported significant behavioral and cognitive improvements. Clinical effects for both groups remained stable six months after treatment. Groups did not differ in behavioural or cognitive outcome.