Gevensleben Holger, Moll Gunther H, Rothenberger Aribert, Heinrich Hartmut
Kinder- und Jugendpsychiatrie, Universitätsmedizin Göttingen.
Prax Kinderpsychol Kinderpsychiatr. 2011;60(8):666-76. doi: 10.13109/prkk.2011.60.8.666.
Neurofeedback is a computer-based behavior training, which is gaining increasing interest in the treatment of children with attention-deficit/hyperactivity disorder (ADHD). This article gives an introduction to neurofeedback and summarizes the state of research, discussing inter alia methodical aspects (e. g., requirements to a control training). Evaluation studies conducted so far indicate clinical efficacy. For example, neurofeedback training was superior to a computerized attention training in a randomized controlled trial (medium effect size). Follow-up investigations suggest that treatment effects remain stable (at least six months). At the clinical level, comparable improvements could be obtained for the neurofeedback protocols theta/beta training and training of slow cortical potentials. Neurophysiological findings document different mechanisms of theta/beta training and slow cortical potential training. Future studies should further elucidate the specificity of training effects related to the kind of training and certain disorders and address how to optimize and individualize neurofeedback training.
神经反馈是一种基于计算机的行为训练,在治疗注意力缺陷多动障碍(ADHD)儿童方面越来越受到关注。本文介绍了神经反馈并总结了研究现状,尤其讨论了方法学方面(例如,对对照训练的要求)。迄今为止进行的评估研究表明其具有临床疗效。例如,在一项随机对照试验中,神经反馈训练优于计算机化注意力训练(中等效应量)。随访调查表明治疗效果保持稳定(至少六个月)。在临床层面,θ/β训练和慢皮层电位训练的神经反馈方案可获得类似的改善。神经生理学研究结果证明了θ/β训练和慢皮层电位训练的不同机制。未来的研究应进一步阐明与训练类型和特定疾病相关的训练效果特异性,并探讨如何优化和个性化神经反馈训练。