1 University of Seville, Spain.
2 University of Balearic Island, Palma, Spain.
J Atten Disord. 2019 Feb;23(4):374-383. doi: 10.1177/1087054717693371. Epub 2017 Feb 1.
To examine the efficacy of neurofeedback (NF), behavior therapy (BT), and pharmacology (PH) on the improvement of ADHD-related symptoms.
Fifty-nine children with ADHD ( M = 8.80 years, SD = 1.92 years) were randomly assigned to one of the three treatments in a pre/post assessment design. Mother- and teacher-rated ADHD scales and children were assessed using The Integrated Visual and Auditory Continuous Performance Test (IVA/CPT).
The three treatments were effective on the IVA/CPT, but with different trends. BT and especially NF achieved improvement on response control and attention, and PH mainly in visual attention. On the rating scales, BT improved all measures, and NF and PH had a minor but interesting influence.
From a global perspective, behavior therapy had the most extensive results, but PH had the greatest capacity to improve overall attention. NF was able to improve both control response and inattention. Clinical implications are discussed.
研究神经反馈（NF）、行为疗法（BT）和药理学（PH）对改善 ADHD 相关症状的疗效。
59 名 ADHD 儿童（M=8.80 岁，SD=1.92 岁）被随机分配到三种治疗方法之一，采用预/后评估设计。使用视听整合连续执行测试（IVA/CPT）对母亲和教师评定的 ADHD 量表和儿童进行评估。
三种治疗方法均对 IVA/CPT 有效，但趋势不同。BT 尤其是 NF 在反应控制和注意力方面有改善，PH 主要在视觉注意力方面有改善。在评定量表上，BT 改善了所有指标，NF 和 PH 有较小但有趣的影响。
从整体角度来看，行为疗法的效果最广泛，但 PH 提高整体注意力的能力最强。NF 能够改善控制反应和注意力不集中。讨论了临床意义。
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