Tosti Beatrice, Corrado Stefano, Mancone Stefania, Di Libero Tommaso, Rodio Angelo, Andrade Alexandro, Diotaiuti Pierluigi
Department of Human Sciences, Society and Health, University of Cassino, Cassino, Lazio, Italy.
Department of Physical Education, CEFID, Santa Catarina State University, Florianopolis, Santa Catarina, Brazil.
Front Neurosci. 2024 Mar 19;18:1358481. doi: 10.3389/fnins.2024.1358481. eCollection 2024.
In recent years, the scientific community has begun tо explore the efficacy оf an integrated neurofeedback + biofeedback approach іn various conditions, both pathological and non-pathological. Although several studies have contributed valuable insights into its potential benefits, this review aims tо further investigate its effectiveness by synthesizing current findings and identifying areas for future research. Our goal іs tо provide a comprehensive overview that may highlight gaps іn the existing literature and propose directions for subsequent studies. The search for articles was conducted on the digital databases PubMed, Scopus, and Web of Science. Studies to have used the integrated neurofeedback + biofeedback approach published between 2014 and 2023 and reviews to have analyzed the efficacy of neurofeedback and biofeedback, separately, related to the same time interval and topics were selected. The search identified five studies compatible with the objectives of the review, related to several conditions: nicotine addiction, sports performance, Autism Spectrum Disorder (ASD), and Attention Deficit Hyperactivity Disorder (ADHD). The integrated neurofeedback + biofeedback approach has been shown to be effective in improving several aspects of these conditions, such as a reduction in the presence of psychiatric symptoms, anxiety, depression, and withdrawal symptoms and an increase in self-esteem in smokers; improvements in communication, imitation, social/cognitive awareness, and social behavior in ASD subjects; improvements in attention, alertness, and reaction time in sports champions; and improvements in attention and inhibitory control in ADHD subjects. Further research, characterized by greater methodological rigor, is therefore needed to determine the effectiveness of this method and the superiority, if any, of this type of training over the single administration of either. This review іs intended tо serve as a catalyst for future research, signaling promising directions for the advancement оf biofeedback and neurofeedback methodologies.
近年来，科学界已开始探索综合神经反馈+生物反馈方法在各种病理和非病理状况下的疗效。尽管多项研究为其潜在益处提供了有价值的见解，但本综述旨在通过综合当前研究结果并确定未来研究方向，进一步探究其有效性。我们的目标是提供一个全面的概述，可能突出现有文献中的空白，并为后续研究提出方向。在数字数据库PubMed、Scopus和Web of Science上进行了文献检索。选取了2014年至2023年间使用综合神经反馈+生物反馈方法的研究，以及在同一时间间隔和主题下分别分析神经反馈和生物反馈疗效的综述。检索发现五项与综述目标相符的研究，涉及多种状况：尼古丁成瘾、运动表现、自闭症谱系障碍（ASD）和注意力缺陷多动障碍（ADHD）。综合神经反馈+生物反馈方法已被证明在改善这些状况的多个方面有效，例如减少吸烟者的精神症状、焦虑、抑郁和戒断症状，提高自尊；改善ASD受试者的沟通、模仿、社会/认知意识和社会行为；提高体育冠军的注意力、警觉性和反应时间；改善ADHD受试者的注意力和抑制控制。因此，需要更严格的方法学研究来确定该方法的有效性，以及这种类型的训练相对于单一使用其中任何一种的优越性（如有）。本综述旨在成为未来研究的催化剂，为生物反馈和神经反馈方法的发展指明有前景的方向。
