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脑电图生物反馈干预对合并注意力缺陷多动障碍的儿童特发性癫痫认知功能的改善作用:一项回顾性研究

Improved effect of EEG-biofeedback intervention on cognitive function in childhood idiopathic epilepsy with ADHD: A retrospective study.

作者信息

Cheng Dazhi, Yang Yuchen, Yan Xiuxian, Chen Qian

机构信息

School of Psychology, Capital Normal University, Beijing, 100073, China.

Department of Pediatric Neurology, Capital Institute of Pediatrics, Beijing, 100020, China.

出版信息

Heliyon. 2024 Nov 20;10(23):e40561. doi: 10.1016/j.heliyon.2024.e40561. eCollection 2024 Dec 15.

DOI:10.1016/j.heliyon.2024.e40561
PMID:39654718
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11625270/
Abstract

BACKGROUND

Although childhood idiopathic epilepsy syndromes are frequently associated with a good prognosis, they also have a high prevalence of comorbid attention-deficit hyperactivity disorder (ADHD). The current study aimed to examine whether an intervention using electroencephalogram (EEG) biofeedback can improve cognitive performance in childhood idiopathic syndromes with ADHD.

METHODS

In this study, thirty-six childhood idiopathic epilepsy syndrome patients with comorbid ADHD were divided into either the treatment or the control group. All participants' cognitive functions were assessed by a standardized test battery on processing speed, spatial perception, arithmetic, semantic comprehension, forward/backward verbal working memory, non-verbal matrix reasoning, visual attention and executive function before and after the training.

RESULTS

ANOVA analysis showed that the treatment group improved significantly on task performances in forward digit span and backward digit span tasks, but not in other cognitive assessments. The findings indicated that the treatment group receiving the EEG-Biofeedback intervention showed improved verbal working memory.

CONCLUSIONS

The findings suggested that EEG biofeedback can improve the core cognitive function in childhood idiopathic epilepsy syndromes with ADHD.

摘要

背景

尽管儿童特发性癫痫综合征通常预后良好,但共患注意力缺陷多动障碍(ADHD)的情况也很常见。本研究旨在探讨使用脑电图(EEG)生物反馈的干预措施是否能改善患有ADHD的儿童特发性综合征的认知表现。

方法

在本研究中,36名患有共患ADHD的儿童特发性癫痫综合征患者被分为治疗组或对照组。在训练前后,通过标准化测试组合对所有参与者的认知功能进行评估,测试内容包括处理速度、空间感知、算术、语义理解、正向/反向言语工作记忆、非言语矩阵推理、视觉注意力和执行功能。

结果

方差分析表明,治疗组在正向数字广度和反向数字广度任务的任务表现上有显著改善,但在其他认知评估中没有改善。研究结果表明,接受EEG生物反馈干预的治疗组言语工作记忆有所改善。

结论

研究结果表明,EEG生物反馈可以改善患有ADHD的儿童特发性癫痫综合征的核心认知功能。

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J Atten Disord. 2022 May;26(7):976-984. doi: 10.1177/10870547211045738. Epub 2021 Oct 26.
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Working memory and behavioral inhibition in children with attention-deficit/hyperactivity disorder (ADHD): an examination of varied central executive demands, construct overlap, and task impurity.工作记忆和行为抑制在注意缺陷多动障碍(ADHD)儿童中的作用:对不同的中央执行需求、结构重叠和任务不纯性的考察。
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Sustained effects of neurofeedback in ADHD: a systematic review and meta-analysis.
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