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神经反馈与 ADHD 的标准药物干预:一项具有六个月随访的随机对照试验。

Neurofeedback and standard pharmacological intervention in ADHD: a randomized controlled trial with six-month follow-up.

机构信息

Research Institute on Health Sciences (IUNICS), University of Balearic Islands (UIB), Ctra. de Valldemossa, km 7.5, 07122 Palma de Majorca, Spain.

出版信息

Biol Psychol. 2013 Sep;94(1):12-21. doi: 10.1016/j.biopsycho.2013.04.015. Epub 2013 May 9.

Abstract

The present study is a randomized controlled trial that aims to evaluate the efficacy of Neurofeedback compared to standard pharmacological intervention in the treatment of attention deficit/hyperactivity disorder (ADHD). The final sample consisted of 23 children with ADHD (11 boys and 12 girls, 7-14 years old). Participants carried out 40 theta/beta training sessions or received methylphenidate. Behavioral rating scales were completed by fathers, mothers, and teachers at pre-, post-treatment, two-, and six-month naturalistic follow-up. In both groups, similar significant reductions were reported in ADHD functional impairment by parents; and in primary ADHD symptoms by parents and teachers. However, significant academic performance improvements were only detected in the Neurofeedback group. Our findings provide new evidence for the efficacy of Neurofeedback, and contribute to enlarge the range of non-pharmacological ADHD intervention choices. To our knowledge, this is the first randomized controlled trial with a six-month follow-up that compares Neurofeedback and stimulant medication in ADHD.

摘要

本研究为一项随机对照试验,旨在评估神经反馈相较于标准药物干预对治疗注意缺陷多动障碍(ADHD)的疗效。最终样本包括 23 名 ADHD 儿童(11 名男孩,12 名女孩,7-14 岁)。参与者接受了 40 次θ/β 训练或服用哌甲酯。在治疗前、治疗后、两个月和六个月的自然随访期间,父亲、母亲和教师完成了行为评定量表。在两组中,父母均报告 ADHD 功能障碍显著减轻;父母和教师均报告 ADHD 主要症状显著减轻。然而,仅在神经反馈组中检测到显著的学业成绩提高。我们的研究结果为神经反馈的疗效提供了新的证据,并为扩大非药物 ADHD 干预选择范围做出了贡献。据我们所知,这是第一项比较神经反馈和兴奋剂药物治疗 ADHD 的为期六个月的随访随机对照试验。

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