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脑电生物反馈治疗成人注意缺陷多动障碍后执行功能改善的电生理学相关性。

Electrophysiological correlates of improved executive function following EEG neurofeedback in adult attention deficit hyperactivity disorder.

机构信息

Division of Psychiatric Specialties, Department of Psychiatry, University Hospitals of Geneva, Geneva, Switzerland; Department of Psychiatry, University of Geneva, Geneva, Switzerland; Functional Brain Mapping Laboratory, Department of Basic Neurosciences, University of Geneva, Geneva, Switzerland.

Geneva Medical Center, University of Geneva, Geneva, Switzerland.

出版信息

Clin Neurophysiol. 2021 Aug;132(8):1937-1946. doi: 10.1016/j.clinph.2021.05.017. Epub 2021 Jun 11.


DOI:10.1016/j.clinph.2021.05.017
PMID:34153722
Abstract

OBJECTIVE: Event-related potentials (ERPs) are reported to be altered in relation to cognitive processing deficits in attention deficit hyperactivity disorder (ADHD). However, this evidence is mostly limited to cross-sectional data. The current study utilized neurofeedback (NFB) as a neuromodulatory tool to examine the ERP correlates of attentional and inhibitory processes in adult ADHD using a single-session, within-subject design. METHODS: We recorded high-density EEG in 25 adult ADHD patients and 22 neurotypical controls during a Go/NoGo task, before and after a 30-minute NFB session designed to down-regulate the alpha (8-12 Hz) rhythm. RESULTS: At baseline, ADHD patients demonstrated impaired Go/NoGo performance compared to controls, while Go-P3 amplitude inversely correlated with ADHD-associated symptomatology in childhood. Post NFB, task performance improved in both groups, significantly enhancing stimulus detectability (d-prime) and reducing reaction time variability, while increasing N1 and P3 ERP component amplitudes. Specifically for ADHD patients, the pre-to-post enhancement in Go-P3 amplitude correlated with measures of improved executive function, i.e., enhanced d-prime, reduced omission errors and reduced reaction time variability. CONCLUSIONS: A single-session of alpha down-regulation NFB was able to reverse the abnormal neurocognitive signatures of adult ADHD during a Go/NoGo task. SIGNIFICANCE: The study demonstrates for the first time the beneficial neurobehavioral effect of a single NFB session in adult ADHD, and reinforces the notion that ERPs could serve as useful diagnostic/prognostic markers of executive dysfunction.

摘要

目的:事件相关电位(ERPs)据报道与注意力缺陷多动障碍(ADHD)的认知加工缺陷有关。然而,这方面的证据主要局限于横断面数据。本研究利用神经反馈(NFB)作为神经调节工具,采用单次、被试内设计,研究成人 ADHD 的注意力和抑制过程的 ERP 相关性。

方法:我们在一项 Go/NoGo 任务中记录了 25 名成人 ADHD 患者和 22 名神经典型对照者的高密度 EEG,在 30 分钟的 NFB 疗程前后,该疗程旨在下调 alpha(8-12Hz)节律。

结果:在基线时,与对照组相比,ADHD 患者的 Go/NoGo 表现受损,而 Go-P3 振幅与儿童时期与 ADHD 相关的症状呈负相关。NFB 后,两组的任务表现均有所改善,显著提高了刺激可检测性(d-prime),降低了反应时变异性,同时增加了 N1 和 P3 ERP 成分的振幅。特别是对于 ADHD 患者,Go-P3 振幅的预-后增强与改善执行功能的指标相关,即增强的 d-prime、减少的遗漏错误和减少的反应时变异性。

结论:单次 alpha 下调 NFB 能够逆转 Go/NoGo 任务中成人 ADHD 的异常神经认知特征。

意义:该研究首次证明了单次 NFB 疗程对成人 ADHD 的有益神经行为效应,并强化了 ERPs 可以作为执行功能障碍的有用诊断/预后标志物的观点。

相似文献

[1]
Electrophysiological correlates of improved executive function following EEG neurofeedback in adult attention deficit hyperactivity disorder.

Clin Neurophysiol. 2021-8

[2]
Linking alpha oscillations, attention and inhibitory control in adult ADHD with EEG neurofeedback.

Neuroimage Clin. 2019-12-24

[3]
Executive dysfunction in medication-naïve children with ADHD: A multi-modal fNIRS and EEG study.

Brain Dev. 2020-9

[4]
Earlier versus later cognitive event-related potentials (ERPs) in attention-deficit/hyperactivity disorder (ADHD): A meta-analysis.

Neurosci Biobehav Rev. 2020-5

[5]
Attention and inhibition in children with ASD, ADHD and co-morbid ASD + ADHD: an event-related potential study.

Psychol Med. 2014-4

[6]
Association of Preterm Birth With Attention-Deficit/Hyperactivity Disorder-Like and Wider-Ranging Neurophysiological Impairments of Attention and Inhibition.

J Am Acad Child Adolesc Psychiatry. 2017-1

[7]
Diagnostic utility of brain activity flow patterns analysis in attention deficit hyperactivity disorder.

Psychol Med. 2017-5

[8]
Effects of mindfulness-based cognitive therapy on neurophysiological correlates of performance monitoring in adult attention-deficit/hyperactivity disorder.

Clin Neurophysiol. 2013-12-7

[9]
Attention-Deficit/Hyperactivity Disorder Remission Is Linked to Better Neurophysiological Error Detection and Attention-Vigilance Processes.

Biol Psychiatry. 2016-12-15

[10]
Z-Score Neurofeedback and Heart Rate Variability Training for Adults and Children with Symptoms of Attention-Deficit/Hyperactivity Disorder: A Retrospective Study.

Appl Psychophysiol Biofeedback. 2019-12

引用本文的文献

[1]
Spectral and Topological Abnormalities of Resting and Task State EEG in Chinese Children with Developmental Dyslexia.

Brain Topogr. 2025-6-10

[2]
Multi-level treatment outcome evaluation in adolescents with autism spectrum disorder.

Child Adolesc Psychiatry Ment Health. 2025-5-19

[3]
Neurofeedback for post-traumatic stress disorder: systematic review and meta-analysis of clinical and neurophysiological outcomes.

Eur J Psychotraumatol. 2023

[4]
Prefrontal cortex neural activity predicts reduction of non-suicidal self-injury in adolescents with major depressive disorder: An event related potential study.

Front Neurosci. 2022-11-3

[5]
Sharpening Working Memory With Real-Time Electrophysiological Brain Signals: Which Neurofeedback Paradigms Work?

Front Aging Neurosci. 2022-3-28

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