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个性化神经反馈训练可能有助于实现多动症儿童工作记忆的长期改善。

Individualized Neurofeedback Training May Help Achieve Long-Term Improvement of Working Memory in Children With ADHD.

作者信息

Dobrakowski Paweł, Łebecka Grażyna

机构信息

Humanitas University in Sosnowiec, Psychology Institute, Sosnowiec, Poland.

出版信息

Clin EEG Neurosci. 2020 Mar;51(2):94-101. doi: 10.1177/1550059419879020. Epub 2019 Oct 3.


DOI:10.1177/1550059419879020
PMID:31578889
Abstract

. Children with attention deficit hyperactivity disorder (ADHD) may suffer from working memory deficits, which can adversely affect their academic performance. Neurofeedback training may enhance working memory and provide a solution to this problem. . To investigate the effect of frequency-neurofeedback on working memory in children with ADHD and to check if the effect is long-lasting. . Forty-eight children with ADHD (aged 6-12 years) were randomly assigned either to a neurofeedback with training parameters chosen to take into account each child's peak alpha frequency (PAF) or to a waiting list control group. Each trained child underwent 19-channel electroencephalography (EEG). All children had average intelligence and none were receiving treatment, such as medications, for ADHD. Prior to the training, MOXO and n-back tests were performed. Next, neurofeedback training sessions with frequency bands for theta and beta ranges determined using each child's PAF were carried out for 10 weeks. Training parameters were set to increase amplitudes in the low beta range and to decrease amplitudes in the theta and high beta frequency ranges. The n-back test was performed again right after the training and then a year later. . During the first n-back test, children from both groups responded correctly to more than 43% of the stimuli. During the second test, children from the waiting list responded correctly to an average of 49% of the stimuli, while children who underwent the neurofeedback training were correct, on average, 69% of the time (significant difference, < .001). During the third n-back test a year later, children from the waiting list responded correctly to 53% of the stimuli, while those who underwent the neurofeedback training responded correctly to nearly 71%. . This study found a statistically significant improvement in a measure of working memory in children who did 10 to 12 sessions of neurofeedback training with training frequency ranges for theta and beta defined according to each child's PAF. The beneficial effects were still present a year after training.

摘要

患有注意力缺陷多动障碍(ADHD)的儿童可能存在工作记忆缺陷,这会对他们的学业成绩产生不利影响。神经反馈训练可能会增强工作记忆,并为解决这一问题提供一种方法。为了研究频率神经反馈对ADHD儿童工作记忆的影响,并检查这种影响是否持久。48名ADHD儿童(年龄在6至12岁之间)被随机分配到一个根据每个孩子的峰值阿尔法频率(PAF)选择训练参数的神经反馈组或一个候补控制组。每个接受训练的孩子都进行了19通道脑电图(EEG)检查。所有孩子的智力都处于平均水平,且没有一个孩子正在接受治疗ADHD的药物等治疗。在训练前,进行了MOXO和n-back测试。接下来,针对使用每个孩子的PAF确定的θ和β频段进行了为期10周的神经反馈训练。训练参数设置为增加低β频段的振幅,并降低θ和高β频率范围内的振幅。训练结束后立即再次进行n-back测试,然后在一年后再次进行。在第一次n-back测试中,两组儿童对超过43%的刺激做出了正确反应。在第二次测试中,候补组的儿童平均对49%的刺激做出了正确反应,而接受神经反馈训练的儿童平均有69%的时间回答正确(显著差异,P<.001)。在一年后的第三次n-back测试中,候补组的儿童对53%的刺激做出了正确反应,而接受神经反馈训练的儿童对近71%的刺激做出了正确反应。这项研究发现,对于那些根据每个孩子的PAF定义的θ和β训练频率范围进行了10至12次神经反馈训练的儿童,其工作记忆指标有统计学上的显著改善。训练一年后,有益效果仍然存在。

相似文献

[1]
Individualized Neurofeedback Training May Help Achieve Long-Term Improvement of Working Memory in Children With ADHD.

Clin EEG Neurosci. 2020-3

[2]
EEG Neurofeedback Training in Children With Attention Deficit/Hyperactivity Disorder: A Cognitive and Behavioral Outcome Study.

Clin EEG Neurosci. 2018-11-20

[3]
[Efficacy of frequency-neurofeedback and Cogmed JM-working memory training in children with ADHD].

Tijdschr Psychiatr. 2015

[4]
Neurofeedback training aimed to improve focused attention and alertness in children with ADHD: a study of relative power of EEG rhythms using custom-made software application.

Clin EEG Neurosci. 2013-7

[5]
[Clinical and neurophysiological data of neurofeedback therapy in children with ADHD].

Przegl Lek. 2016

[6]
The effects of individual upper alpha neurofeedback in ADHD: an open-label pilot study.

Appl Psychophysiol Biofeedback. 2014-12

[7]
Long-term effects of theta/beta neurofeedback on EEG power spectra in children with attention deficit hyperactivity disorder.

Clin Neurophysiol. 2020-6

[8]
Offering Neurofeedback as an Intervention for Children with Attention Deficit/Hyperactivity Disorder in Indonesia: A Feasibility Study.

Kobe J Med Sci. 2021-12-24

[9]
ADHD and EEG-neurofeedback: a double-blind randomized placebo-controlled feasibility study.

J Neural Transm (Vienna). 2010-12-17

[10]
Learning curves of theta/beta neurofeedback in children with ADHD.

Eur Child Adolesc Psychiatry. 2017-5

引用本文的文献

[1]
Implementation Science Application to EEG Neurofeedback Research: A Call to Action.

NeuroRegulation. 2024-6-27

[2]
Neurofeedback for ADHD: Exploring the Role of Quantitative EEG and Brainwave Modulation.

Brain Behav. 2025-8

[3]
Neurofeedback training for executive function in ADHD children: a systematic review and meta-analysis.

Sci Rep. 2025-8-1

[4]
A Systematic Review on Feature Extraction in Electroencephalography-Based Diagnostics and Therapy in Attention Deficit Hyperactivity Disorder.

Sensors (Basel). 2022-6-29

[5]
Alpha/Theta Ratio Neurofeedback Training for Attention Enhancement in Normal Developing Children: A Brief Report.

Appl Psychophysiol Biofeedback. 2022-9

[6]
Results of Neurofeedback in Treatment of Children with ADHD: A Systematic Review of Randomized Controlled Trials.

Appl Psychophysiol Biofeedback. 2022-9

[7]
Immediate and Sustained Effects of Neurofeedback and Working Memory Training on Cognitive Functions in Children and Adolescents with ADHD: A Multi-Arm Pragmatic Randomized Controlled Trial.

J Atten Disord. 2022-9

[8]
The usefulness of virtual, augmented, and mixed reality technologies in the diagnosis and treatment of attention deficit hyperactivity disorder in children: an overview of relevant studies.

BMC Psychiatry. 2022-1-4

[9]
A Sham-Controlled Study of Neurofeedback for Pain Management.

Front Neurosci. 2021-7-26

[10]
Effects of Transcranial Alternating Current Stimulation and Neurofeedback on Alpha (EEG) Dynamics: A Review.

Front Hum Neurosci. 2021-7-8

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