Reprint of “Neurofeedback and standard pharmacological intervention in ADHD: A randomized controlled trial with six-month follow-up”

Meisel, Victoria; Servera, Mateu; García-Banda, Gloria; Cardo, Esther; Moreno, Inmaculada

doi:10.1016/j.biopsycho.2013.09.009

Cited by 38 publications

(32 citation statements)

References 36 publications

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“…We excluded one study with a non-standard EEG-NF protocol (Arnold et al, 2013), five studies with non-semi-active or sham-NF control groups (i.e., treatment as usual or methylphenidate) (Li et al, 2013; Ogrim and Hestad, 2013; Bink et al, 2014; Meisel et al, 2014) and one study with no available probably blinded assessment data (Duric et al, 2012). Two studies were excluded because there were secondary analyses of already included RCTs (Steiner et al, 2014a; Vollebregt et al, 2014a).…”

Section: Resultsmentioning

confidence: 99%

EEG neurofeedback treatments in children with ADHD: an updated meta-analysis of randomized controlled trials

Micoulaud-Franchi¹,

Geoffroy²,

Fond³

et al. 2014

Front. Hum. Neurosci.

139

118

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Objective: We undertook a meta-analysis of published Randomized Controlled Trials (RCT) with semi-active control and sham-NF groups to determine whether Electroencephalogram-neurofeedback (EEG-NF) significantly improves the overall symptoms, inattention and hyperactivity/impulsivity dimensions for probably unblinded assessment (parent assessment) and probably blinded assessment (teacher assessment) in children with Attention Deficit Hyperactivity Disorder (ADHD).Data sources: A systematic review identified independent studies that were eligible for inclusion in a random effects meta-analysis.Data extraction: Effect sizes for ADHD symptoms were expressed as standardized mean differences (SMD) with 95% confidence intervals.Results: Five identified studies met eligibility criteria, 263 patients with ADHD were included, 146 patients were trained with EEG-NF. On parent assessment (probably unblinded assessment), the overall ADHD score (SMD = −0.49 [−0.74, −0.24]), the inattention score (SMD = −0.46 [−0.76, −0.15]) and the hyperactivity/impulsivity score (SMD = −0.34 [−0.59, −0.09]) were significantly improved in patients receiving EEG-NF compared to controls. On teacher assessment (probably blinded assessment), only the inattention score was significantly improved in patients receiving EEG-NF compared to controls (SMD = −0.30 [−0.58, −0.03]).Conclusions: This meta-analysis of EEG-NF in children with ADHD highlights improvement in the inattention dimension of ADHD symptoms. Future investigations should pay greater attention to adequately blinded studies and EEG-NF protocols that carefully control the implementation and embedding of training.

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Section: Resultsmentioning

confidence: 99%

EEG neurofeedback treatments in children with ADHD: an updated meta-analysis of randomized controlled trials

Micoulaud-Franchi¹,

Geoffroy²,

Fond³

et al. 2014

Front. Hum. Neurosci.

139

118

View full text Add to dashboard Cite

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“…Because the CNV as an event-related potential is believed to reflect the underlying resource allocation of neural circuits during cognitive preparation, the current preliminary findings map on to existing knowledge on the correlates of successful NF training regulation in young people with ADHD 42. In particular, because a more general slowing in EEG-related brain activity and also a decline in event-related potential amplitudes such as the CNV can be detected in patients with ADHD of different age groups,43 the current findings are in-line with previous research suggesting a cortical hypoarousal in patients with ADHD. This cortical hypoarousal can be related to changes in reaction time, which can be clinically assessed through neuropsychological test batteries.…”

Section: Discussionmentioning

confidence: 59%

“…Active control conditions compare two treatment methods that do have an effect on ADHD-related symptoms, for example, theta/beta with SCP NF23 or pharmacological treatments to NF 43,44. Placebo-controlled studies are considered to be the scientific gold standard, but they are difficult to conduct for NF.…”

Section: Discussionmentioning

confidence: 99%

Effects of a structured 20-session slow-cortical-potential-based neurofeedback program on attentional performance in children and adolescents with attention-deficit hyperactivity disorder: retrospective analysis of an open-label pilot-approach and 6-month follow-up

Albrecht

Bubenzer-Busch

Gallien

et al. 2017

NDT

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ObjectiveThe aim of this approach was to conduct a structured electroencephalography-based neurofeedback training program for children and adolescents with attention-deficit hyperactivity disorder (ADHD) using slow cortical potentials with an intensive first (almost daily sessions) and second phase of training (two sessions per week) and to assess aspects of attentional performance.Patients and methodsA total of 24 young patients with ADHD participated in the 20-session training program. During phase I of training (2 weeks, 10 sessions), participants were trained on weekdays. During phase II, neurofeedback training occurred twice per week (5 weeks). The patients’ inattention problems were measured at three assessment time points before (pre, T0) and after (post, T1) the training and at a 6-month follow-up (T2); the assessments included neuropsychological tests (Alertness and Divided Attention subtests of the Test for Attentional Performance; Sustained Attention Dots and Shifting Attentional Set subtests of the Amsterdam Neuropsychological Test) and questionnaire data (inattention subscales of the so-called Fremdbeurteilungsbogen für Hyperkinetische Störungen and Child Behavior Checklist/4–18 [CBCL/4–18]). All data were analyzed retrospectively.ResultsThe mean auditive reaction time in a Divided Attention task decreased significantly from T0 to T1 (medium effect), which was persistent over time and also found for a T0–T2 comparison (larger effects). In the Sustained Attention Dots task, the mean reaction time was reduced from T0–T1 and T1–T2 (small effects), whereas in the Shifting Attentional Set task, patients were able to increase the number of trials from T1–T2 and significantly diminished the number of errors (T1–T2 & T0–T2, large effects).ConclusionFirst positive but very small effects and preliminary results regarding different parameters of attentional performance were detected in young individuals with ADHD. The limitations of the obtained preliminary data are the rather small sample size, the lack of a control group/a placebo condition and the open-label approach because of the clinical setting and retrospective analysis. The value of the current approach lies in providing pilot data for future studies involving larger samples.

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“…Importantly, neurofeedback efficacy for the inattention dimension was correlated with the number of training sessions [82] and seemed to be maintained over time [85]. Comparison between the neurofeedback training and pharmacological treatment effects showed that medication was more effective in improving clinical symptoms [86-87] or cognitive function [88], and neurofeedback was more effective for improving academic performance [89]. …”

Section: Application Of Bcis As An Intervention In Psychiatric Disordersmentioning

confidence: 99%

Therapeutic applications of BCI technologies

McFarland

Daly

Boulay

et al. 2017

Brain-Computer Interfaces

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Brain-computer interface (BCI) technology can restore communication and control to people who are severely paralyzed. There has been speculation that this technology might also be useful for a variety of diverse therapeutic applications. This survey considers possible ways that BCI technology can be applied to motor rehabilitation following stroke, Parkinson’s disease, and psychiatric disorders. We consider potential neural signals as well as the design and goals of BCI-based therapeutic applications. These diverse applications all share a reliance on neuroimaging and signal processing technologies. At the same time, each of these potential applications presents a series of unique challenges.

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Reprint of “Neurofeedback and standard pharmacological intervention in ADHD: A randomized controlled trial with six-month follow-up”

Cited by 38 publications

References 36 publications

EEG neurofeedback treatments in children with ADHD: an updated meta-analysis of randomized controlled trials

EEG neurofeedback treatments in children with ADHD: an updated meta-analysis of randomized controlled trials

Effects of a structured 20-session slow-cortical-potential-based neurofeedback program on attentional performance in children and adolescents with attention-deficit hyperactivity disorder: retrospective analysis of an open-label pilot-approach and 6-month follow-up

Therapeutic applications of BCI technologies

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