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儿童注意力缺陷/多动障碍的神经反馈干预比较疗效:一项网状Meta分析

Comparative Efficacy of Neurofeedback Interventions for Attention-Deficit/Hyperactivity Disorder in Children: A Network Meta-Analysis.

作者信息

Wu Gang, He Qiang, Li Da, Zhang Zhang, Miao Jinli, Shu Yanping

机构信息

Department of Psychiatry of Women and Children, The Second People's Hospital of Guizhou Province, Guiyang, Guizhou, China.

The Yangtze River Delta Biological Medicine Research and Development Center of Zhejiang Province, Yangtze Delta Region Institution of Tsinghua University, Hangzhou, Zhejiang, China.

出版信息

Brain Behav. 2024 Dec;14(12):e70194. doi: 10.1002/brb3.70194.

Abstract

OBJECTIVE

This study aimed to synthesize and encapsulate findings from recent research (May 1, 2018 to August 1, 2023) on neurofeedback interventions for children diagnosed with attention deficit hyperactivity disorder (ADHD).

METHODS

A comprehensive search was conducted across major databases and platforms, including randomized controlled trials s focusing on children aged 5-11 years with ADHD. The inclusion was broad, not restricted by ADHD subtype, gender, IQ, socioeconomic status, or coexisting conditions.

RESULTS

From the study screening process, 13 studies were included in the network meta-analysis, involving 1370 children. Most neurofeedback therapies surpassed placebo in ADHD symptoms. In the acceptability outcome, five neurofeedback therapies (HEG, SCP training, TBR training, SMR training, and active control) outperformed the inactive control, physical activity, and EMG therapies.

CONCLUSIONS

The potential efficacy of nonpharmacological interventions in ADHD management among children is illuminated. The findings advocate for a holistic, child-centered approach, emphasizing the need for further in-depth research to understand and refine these interventions.

摘要

目的

本研究旨在综合并总结近期(2018年5月1日至2023年8月1日)关于针对被诊断为注意力缺陷多动障碍(ADHD)儿童的神经反馈干预措施的研究结果。

方法

在包括随机对照试验在内的各大数据库和平台上进行了全面检索,纳入对象为年龄在5至11岁的ADHD儿童。纳入范围广泛,不受ADHD亚型、性别、智商、社会经济地位或并存疾病的限制。

结果

在研究筛选过程中,13项研究被纳入网络荟萃分析,涉及1370名儿童。大多数神经反馈疗法在ADHD症状方面优于安慰剂。在可接受性结果方面,五种神经反馈疗法(脑电活动地形图、慢皮层电位训练、丘脑底核训练、感觉运动节律训练和主动对照)优于无活性对照、体育活动和肌电图疗法。

结论

阐明了非药物干预措施在儿童ADHD管理中的潜在疗效。研究结果提倡采用以儿童为中心的整体方法,强调需要进一步深入研究以理解和完善这些干预措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a53/11664034/64046d4809b6/BRB3-14-e70194-g003.jpg

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