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未来的研究应该带来什么帮助,以解决关于 ADHD 儿童 EEG 神经反馈疗效的争论。

What future research should bring to help resolving the debate about the efficacy of EEG-neurofeedback in children with ADHD.

机构信息

Karakter University Centre for Child and Adolescent Psychiatry Nijmegen, Netherlands ; Department of Cognitive Neuroscience, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Centre Nijmegen, Netherlands ; Centre for Cognitive Neuroimaging, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Centre Nijmegen, Netherlands.

Karakter University Centre for Child and Adolescent Psychiatry Nijmegen, Netherlands ; Department of Cognitive Neuroscience, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Centre Nijmegen, Netherlands ; Department of Psychiatry, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Centre Nijmegen, Netherlands.

出版信息

Front Hum Neurosci. 2014 May 15;8:321. doi: 10.3389/fnhum.2014.00321. eCollection 2014.

Abstract

In recent years a rising amount of randomized controlled trials, reviews, and meta-analyses relating to the efficacy of electroencephalographic-neurofeedback (EEG-NF) in children with attention-deficit/hyperactivity disorder (ADHD) have been published. Although clinical reports and open treatment studies suggest EEG-NF to be effective, double blind placebo-controlled studies as well as a rigorous meta-analysis failed to find support for the efficacy of EEG-NF. Since absence of evidence does not equate with evidence of absence, we will outline how future research might overcome the present methodological limitations. To provide conclusive evidence for the presence or absence of the efficacy of EEG-NF in the treatment of ADHD, there is a need to set up a well-designed study that ensures optimal implementation and embedding of the training, and possibly incorporates different forms of neurofeedback.

摘要

近年来,越来越多的随机对照试验、综述和荟萃分析都涉及到脑电神经反馈(EEG-NF)治疗注意缺陷多动障碍(ADHD)儿童的疗效。尽管临床报告和开放治疗研究表明 EEG-NF 是有效的,但双盲安慰剂对照研究和严格的荟萃分析都没有发现 EEG-NF 的疗效支持。因为没有证据并不等同于没有证据,我们将概述未来的研究如何克服当前的方法学限制。为了提供 EEG-NF 治疗 ADHD 的疗效的存在或不存在的确凿证据,有必要设计一项精心设计的研究,以确保培训的最佳实施和嵌入,并可能结合不同形式的神经反馈。

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