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神经反馈协议治疗注意缺陷多动障碍(ADHD)的临床疗效:系统评价。

Clinical efficacy of neurofeedback protocols in treatment of Attention Deficit/Hyperactivity Disorder (ADHD): A systematic review.

机构信息

Vladimir State University named after Alexander and Nikolay Stoletovs, Department of Electronics, Instrumentation and Biotechnical Systems, Vladimir, Russia.

Vladimir State University named after Alexander and Nikolay Stoletovs, Department of Electronics, Instrumentation and Biotechnical Systems, Vladimir, Russia.

出版信息

Psychiatry Res Neuroimaging. 2023 Oct;335:111723. doi: 10.1016/j.pscychresns.2023.111723. Epub 2023 Oct 11.

DOI:10.1016/j.pscychresns.2023.111723
PMID:37862958
Abstract

Attention Deficit/Hyperactivity Disorder (ADHD) is a common neurodevelopmental disorder of childhood and its effects mostly continue to adulthood. Neurofeedback training has shown promising results in the treatment of ADHD. However, there is no yet consensus as to the efficacy of neurofeedback in comparison to stimulant medication. Despite a large number of meta-analyses and comparative reviews on the effects of neurofeedback in the treatment of ADHD, there is a lack of comparative reviews on the efficacy of neurofeedback protocols. This review aims at examining the effect of different training protocols on the efficacy of neurofeedback in the treatment of ADHD across specific research studies published between 2017 and 2022. Altogether, a total of 916 records were identified and 18 articles met the inclusion criteria. Findings show that the efficacy of different neurofeedback protocols has been comparable to the efficacy of stimulant medications. Nevertheless, there is still room for more clinical trials on neurofeedback protocols for ADHD since some studies suggest not using neurofeedback as a stand-alone treatment for ADHD. To my knowledge, this systematic review is the first to review neurofeedback protocols for ADHD. This study provides significant implications and directions for researchers to conduct research, on alternatives to stimulant medications for ADHD, in the future.

摘要

注意缺陷多动障碍(ADHD)是一种常见的儿童神经发育障碍,其影响大多持续到成年。神经反馈训练在 ADHD 的治疗中显示出了有希望的结果。然而,与兴奋剂药物相比,神经反馈的疗效尚未达成共识。尽管有大量关于神经反馈治疗 ADHD 效果的荟萃分析和比较综述,但缺乏关于神经反馈方案疗效的比较综述。本综述旨在检查不同训练方案对 2017 年至 2022 年期间发表的特定研究中神经反馈治疗 ADHD 的疗效的影响。总共确定了 916 条记录,有 18 篇文章符合纳入标准。研究结果表明,不同神经反馈方案的疗效与兴奋剂药物的疗效相当。然而,由于一些研究表明不将神经反馈作为 ADHD 的单一治疗方法,因此仍需要更多关于 ADHD 神经反馈方案的临床试验。据我所知,这是第一篇综述 ADHD 神经反馈方案的系统综述。本研究为未来研究人员提供了关于 ADHD 兴奋剂替代药物的重要意义和方向。

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