Neurocognitive effects of neurofeedback in adolescents with ADHD: a randomized controlled trial

Autor: Geert J.M. van Boxtel, Ilja L. Bongers, Arne Popma, Chijs van Nieuwenhuizen, M. Bink
Přispěvatelé: Pediatric surgery, EMGO - Mental health, Tranzo, Scientific center for care and wellbeing, Cognitive Neuropsychology, Clinical Neuropsychology, EMGO+ - Mental Health
Jazyk: angličtina
Rok vydání: 2014
Předmět:
Zdroj: Bink, M, van Nieuwenhuizen, C, Popma, A, Bongers, I L & van Boxtel, G J M 2014, ' Neurocognitive effects of neurofeedback in adolescents with ADHD: a randomized controlled trial ', Journal of Clinical Psychiatry, vol. 75, no. 5, pp. 535-542 . https://doi.org/10.4088/JCP.13m08590
Journal of Clinical Psychiatry, 75(5), 535-542. Physicians Postgraduate Press Inc.
Journal of Clinical Psychiatry, 75(5), 535-542. AIP Press
ISSN: 0160-6689
DOI: 10.4088/jcp.13m08590
Popis: OBJECTIVE: Neurofeedback aims to reduce symptoms of attention-deficit/hyperactivity disorder (ADHD), mainly attention problems. However, the additional influence of neurofeedback over treatment as usual (TAU) on neurocognitive functioning for adolescents with ADHD remains unclear.METHOD: By using a multicenter parallel randomized controlled trial (RCT) design, male adolescents with a DSM-IV-TR diagnosis of ADHD (mean age = 16.1 years; range, 12-24) were randomized to receive either a combination of TAU and neurofeedback (n = 45) or TAU (n = 26). Randomization was computer generated and stratified by age group (ages 12 through 15, 16 through 20, and 21 through 24 years). The neurofeedback intervention consisted of approximately 37 sessions over a period of 25 weeks of theta/sensorimotor rhythm training on the vertex (Cz). Primary neurocognitive outcomes included performance parameters derived from the D2 Test of Attention, the Digit Span backward, the Stroop Color-Word Test and the Tower of London, all assessed preintervention and postintervention. Data were collected between December 2009 and July 2012.RESULTS: At postintervention, outcomes of attention and/or motor speed were improved, with faster processing times for both intervention conditions and with medium to large effect sizes (range, ηp2 = .08-.54; P values CONCLUSIONS: Although neurocognitive outcomes improved in all adolescents receiving treatment for ADHD, no additional value for neurofeedback over TAU was observed. Hence, this study does not provide evidence for using theta/sensorimotor rhythm neurofeedback to enhance neurocognitive performance as additional intervention to TAU for adolescents with ADHD symptoms.TRIAL REGISTRATION: Trialregister.nl identifier: 1759.
Databáze: OpenAIRE