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注意缺陷多动障碍中慢皮层电位的训练:积极行为和神经生理学效应的证据

Training of slow cortical potentials in attention-deficit/hyperactivity disorder: evidence for positive behavioral and neurophysiological effects.

作者信息

Heinrich Hartmut, Gevensleben Holger, Freisleder Franz Joseph, Moll Gunther H, Rothenberger Aribert

机构信息

Department of Child and Adolescent Psychiatry, University of Göttingen, Göttingen, Germany.

出版信息

Biol Psychiatry. 2004 Apr 1;55(7):772-5. doi: 10.1016/j.biopsych.2003.11.013.

Abstract

BACKGROUND

Learned self-control of slow cortical potentials (SCPs) may lead to behavioral improvement in attention-deficit/hyperactivity disorder (ADHD). Hence, training effects should also be reflected at the neurophysiological level.

METHODS

Thirteen children with ADHD, aged 7-13 years, performed 25 SCP training sessions within 3 weeks. Before and after training, the German ADHD rating scale was completed by parents, and event-related potentials were recorded in a cued continuous performance test (CPT). For a waiting-list group of nine children with ADHD, the same testing was applied.

RESULTS

ADHD symptomatology was reduced by approximately 25% after SCP training. Moreover, a decrease of impulsivity errors and an increase of the contingent negative variation were observed in the CPT task.

CONCLUSIONS

This study provides first evidence for both positive behavioral and specific neurophysiological effects of SCP training in children with ADHD.

摘要

背景

习得性地自我控制慢皮层电位(SCPs)可能会改善注意力缺陷多动障碍(ADHD)患儿的行为。因此,训练效果也应在神经生理水平上得到体现。

方法

13名7至13岁的ADHD患儿在3周内进行了25次SCP训练课程。训练前后,由家长完成德国ADHD评定量表,并在提示连续性能测试(CPT)中记录事件相关电位。对9名ADHD患儿的等待列表组进行了相同的测试。

结果

SCP训练后,ADHD症状减少了约25%。此外,在CPT任务中观察到冲动性错误减少,关联性负变增加。

结论

本研究首次证明了SCP训练对ADHD患儿具有积极的行为和特定的神经生理效应。

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