Mehr Brain Clinic, Tehran, Iran.
Psychology and Center for Interdisciplinary Brain Research, Jyvaskyla University, Jyvaskyla, Finland.
Neurol Sci. 2018 Dec;39(12):2071-2078. doi: 10.1007/s10072-018-3539-3. Epub 2018 Sep 5.
Current research has shown that neurofeedback (NF) is a viable treatment for attention deficit hyperactivity disorder (ADHD), however having pharmacological approach alongside such stimulants is still inevitable. Therefore, the purpose of this study is the comparison of neurofeedback with Ritalin and without Ritalin in treating children with ADHD. This study was causal-comparative in design. Participants were children aged 5-10 years with ADHD; seven participants were in neurofeedback group with Ritalin and seven in neurofeedback without Ritalin group according to random split and parent's conformation. Clinical Q, Conner's continuous performance test (CPT), and WISC-R were used before and after treatment. For analyzing data, we used descriptive statistical and Mann Whitney U tests. Results showed that even if the two groups were modified in all components, modifications of commission and reaction time of the CPT and F4 theta/alpha of the clinical Q were more accurate in NF with Ritalin treatment rather than the other group. These findings suggest that neurofeedback is efficient in improving some of the behavioral concomitants of ADHD in children whose parents favored non-pharmacological treatment, but Ritalin and neurofeedback combination is more efficient. So, multimodal approach is strongly recommended for ADHD treatment.
目前的研究表明，神经反馈（NF）是治疗注意力缺陷多动障碍（ADHD）的一种可行方法，然而，在这种兴奋剂的基础上结合药理学方法仍然是不可避免的。因此，本研究的目的是比较神经反馈与利他林联合应用和不联合应用治疗 ADHD 儿童的效果。本研究采用因果比较设计。参与者为年龄在 5-10 岁的 ADHD 儿童；根据随机分组和家长确认，七名参与者在神经反馈加利他林组，七名在神经反馈不加利他林组。治疗前后使用临床 Q、康纳连续操作测试（CPT）和 WISC-R。为了分析数据，我们使用了描述性统计和曼-惠特尼 U 检验。结果表明，即使两组在所有成分上都有所改善，但在 NF 加利他林治疗组中，CPT 的错误和反应时间以及临床 Q 的 F4 theta/alpha 的改善更为准确，而其他组则不然。这些发现表明，神经反馈在改善儿童 ADHD 的一些行为伴随物方面是有效的，这些儿童的父母倾向于非药物治疗，但利他林和神经反馈联合应用的效果更为显著。因此，强烈建议采用多模式方法治疗 ADHD。
