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神经反馈训练对注意力缺陷儿童韦氏儿童智力量表修订版评估的认知能力的影响:一项随机单盲假对照研究。

The Impact of Neurofeedback Training on Cognitive Abilities Assessed by the Wechsler Intelligence Scale for Children-Revised in Children with Attention Deficit: A Randomized Single-Blind Sham-Controlled Study.

机构信息

Department of Physiology, Faculty of Medicine, Başkent University, Ankara, Turkey.

Dr. Turgut Noyan Application and Research Hospital, Faculty of Medicine, Başkent University, Adana, Turkey.

出版信息

Clin EEG Neurosci. 2024 Nov;55(6):603-612. doi: 10.1177/15500594241279997. Epub 2024 Aug 30.

DOI:10.1177/15500594241279997
PMID:39211995
Abstract

This study aims to investigate the effects of a neurofeedback system on cognitive skills, as measured by the Wechsler Intelligence Scale for Children-Revised (WISC-R), in a cohort of 100 children aged 8 to 12 who were diagnosed with attention deficit. A randomized single-blind sham control group design was employed, with 50 participants assigned to the experimental group receiving neurofeedback training and 50 participants assigned to the sham group receiving simulated training. Participants were selected through random sampling from individuals seeking assistance at a specialized education center over the course of one year (May 2021-2022). Pre- and post-test WISC-R assessments were administered to both groups to evaluate participants' mental performance. The experimental group underwent a total of 60 sessions of quantitative electroencephalography-based infralow frequency neurofeedback training, with half-hour sessions conducted three days a week over a five-month period. The post-test WISC-R was administered at the end of the sixth month. The results revealed significant differences between the pre- and post-training test scores, specifically in terms of verbal IQ, picture arrangement, performance IQ, and total IQ (p = 0.016, p = 0.001, p < 0.001, and p = 0.002, respectively), when comparing the differences between the two groups. These findings indicate a notable improvement in performance IQ, total IQ, and a reduction in attention deficits among the neurofeedback group based on the WISC-R assessments. Future studies should consider employing larger sample sizes, including appropriate control groups, and conducting long-term follow-ups to further elucidate the clinical significance of these results.

摘要

本研究旨在通过威斯康星儿童智力修订版(WISC-R)调查神经反馈系统对 100 名 8 至 12 岁注意力缺陷诊断儿童的认知技能的影响。采用随机单盲假对照设计,将 50 名参与者分配到实验组接受神经反馈训练,50 名参与者分配到假对照组接受模拟训练。参与者通过随机抽样从寻求专门教育中心帮助的个体中选择,持续一年(2021 年 5 月至 2022 年)。对两组进行 WISC-R 前测和后测评估,以评估参与者的心理表现。实验组共进行 60 次基于定量脑电图的低中频神经反馈训练,每周三天进行半小时,为期五个月。第六个月结束时进行后测 WISC-R。结果显示,与训练前测试分数相比,实验组的言语智商、图片排列、表现智商和总智商有显著差异(p=0.016、p=0.001、p<0.001 和 p=0.002),两组之间的差异具有统计学意义。这些发现表明,根据 WISC-R 评估,神经反馈组在表现智商、总智商和注意力缺陷方面有显著提高。未来的研究应考虑使用更大的样本量,包括适当的对照组,并进行长期随访,以进一步阐明这些结果的临床意义。

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