The efficacy of Ritalin in ADHD children under neurofeedback training

Pakdaman, Fatemeh; Irani, Fatemeh; Tajikzadeh, Fakhri; Jabalkandi, Samaneh Amani

doi:10.1007/s10072-018-3539-3

Cited by 10 publications

(4 citation statements)

References 34 publications

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“…Long term data from studies such as the Multimodal Treatment of ADHD (MTA) study, however, did not provide a clear answer about which approach would give the best outcome in the long term[8, 9]. Neurofeedback therapy is a promising approach based on normalizing abnormal EEG patterns in children with ADHD, with trials demonstrating non-inferiority to medication and increased efficacy in combination with medication[10–14].…”

Section: Introductionmentioning

confidence: 99%

A randomized controlled trial of a brain-computer interface based attention training program for ADHD

et al. 2019

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Objective The use of brain-computer interface in neurofeedback therapy for attention deficit hyperactivity disorder (ADHD) is a relatively new approach. We conducted a randomized controlled trial (RCT) to determine whether an 8-week brain computer interface (BCI)-based attention training program improved inattentive symptoms in children with ADHD compared to a waitlist-control group, and the effects of a subsequent 12-week lower-intensity training. Study design We randomized 172 children aged 6–12 attending an outpatient child psychiatry clinic diagnosed with inattentive or combined subtypes of ADHD and not receiving concurrent pharmacotherapy or behavioral intervention to either the intervention or waitlist-control group. Intervention involved 3 sessions of BCI-based training for 8 weeks, followed by 3 training sessions per month over the subsequent 12 weeks. The waitlist-control group received similar 20-week intervention after a wait-time of 8 weeks. Results The participants’ mean age was 8.6 years (SD = 1.51), with 147 males (85.5%) and 25 females (14.5%). Modified intention to treat analyzes conducted on 163 participants with at least one follow-up rating showed that at 8 weeks, clinician-rated inattentive symptoms on the ADHD-Rating Scale (ADHD-RS) was reduced by 3.5 (SD 3.97) in the intervention group compared to 1.9 (SD 4.42) in the waitlist-control group (between-group difference of 1.6; 95% CI 0.3 to 2.9 p = 0.0177). At the end of the full 20-week treatment, the mean reduction (pre-post BCI) of the pooled group was 3.2 (95% CI 2.4 to 4.1). Conclusion The results suggest that the BCI-based attention training program can improve ADHD symptoms after a minimum of 24 sessions and maintenance training may sustain this improvement. This intervention may be an option for treating milder cases or as an adjunctive treatment.

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Section: Introductionmentioning

confidence: 99%

A randomized controlled trial of a brain-computer interface based attention training program for ADHD

et al. 2019

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“…Direct intervention with these young children is challenging due to their developing language and cognitive abilities. Games provide a viable way to engage them in learning executive functioning skills and can be an adjuvant treatment to medication [ 40 – 43 ]. Early intervention before the accumulation of more severe impairment also improves the chance of a better outcome and can hopefully alter the course of an otherwise chronic condition [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

Home-based brain–computer interface attention training program for attention deficit hyperactivity disorder: a feasibility trial

Lim

Soh

Lim

et al. 2023

Child Adolesc Psychiatry Ment Health

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Background Attention deficit hyperactivity disorder (ADHD) is a prevalent child neurodevelopmental disorder that is treated in clinics and in schools. Previous trials suggested that our brain–computer interface (BCI)-based attention training program could improve ADHD symptoms. We have since developed a tablet version of the training program which can be paired with wireless EEG headsets. In this trial, we investigated the feasibility of delivering this tablet-based BCI intervention at home. Methods Twenty children diagnosed with ADHD, who did not receive any medication for the preceding month, were randomised to receive the 8-week tablet-based BCI intervention either in the clinic or at home. Those in the home intervention group received instructions before commencing the program and got reminders if they were lagging on the training sessions. The ADHD Rating Scale was completed by a blinded clinician at baseline and at week 8. Adverse events were monitored during any contact with the child throughout the trial and at week 8. Results Children in both groups could complete the tablet-based intervention easily on their own with minimal support from the clinic therapist or their parents (at home). The intervention was safe with few reported adverse effects. Clinician-rated inattentive symptoms on the ADHD-Rating Scale reduced by 3.2 (SD 6.20) and 3.9 (SD 5.08) for the home-based and clinic-based groups respectively, suggesting that home-based intervention was comparable to clinic-based intervention. Conclusions This trial demonstrated that the tablet version of our BCI-based attention training program can be safely delivered to children in the comfort of their own home. Trial registration This trial is registered at clinicaltrials.gov as NCT01344044

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“…When it comes to Neurofeedback technique, used alone or in combination with pharmacological treatment, it gained increasing interest in the treatment of Attention-Deficit/Hyperactivity Disorder being a viable treatment improving some of the behavioral concomitants of ADHD (Pakdaman et al, 2018). Attention-Deficit/Hyperactivity Disorder differs in terms of the type of presentation (inattentive, impulsive/hyperactive, or combined).…”

Section: Discussionmentioning

confidence: 99%

The Connection between Traumatic Brain Injury (TBI) and Attention-Deficit/Hyperactivity Disorder, Therapeutic Approaches

Hagiescu¹

2021

PSYCH

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A Traumatic Brain Injury (TBI) is an injury to the brain caused by an external force (vehicle, accidents, violence, sports injuries, industrial accidents, falls). Brain trauma can occur either from an object penetrating the skull or from rapid acceleration (speeding up), or deceleration (slowing down or stopping suddenly) of the brain. Traumatic Brain Injury (TBI) is a major cause of mortality and disability, especially in children and young adults. Based on the Glasgow Coma Scale (GCS), the neurological scale used to measure a person's level of consciousness after a brain injury, traumatic brain injury is classified as: mild (GCS 13 -15), moderate (GCS 9 -12), severe (GCS 8 or less), and evaluates the following functions: Eye Opening (E), Motor Response (M), and Verbal Response (V), to determine a patient's overall GCS, add together the scores from eye opening, motor response and verbal response. Scores range from 3 to 15. A score of 8 or less signifies coma. Symptoms can vary depending on the severity of the head injury. An individual with a mild traumatic brain injury can remain conscious, or may experience a loss of consciousness for a few seconds or minutes. Other symptoms may include headache, confusion, dizziness, vision changes, ringing in the ears or changes in hearing, fatigue or lethargy, a change in sleep patterns, behavioral or mood changes, and cognitive and/or executive functioning problems. People with a moderate or severe traumatic brain injury may show the same symptoms, but may also have a headache that gets worse, repeated vomiting or nausea, convulsions or seizures, an inability to awaken from sleep, dilation of one or both pupils of the eyes, slurred speech, weakness or numbness in the extremities, loss of coordination, and increased confusion, restlessness, or agitation. Attention-Deficit/Hyperactivity Disorder secondary How to cite this paper: Hagiescu, S. M.

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The efficacy of Ritalin in ADHD children under neurofeedback training

Cited by 10 publications

References 34 publications

A randomized controlled trial of a brain-computer interface based attention training program for ADHD

A randomized controlled trial of a brain-computer interface based attention training program for ADHD

Home-based brain–computer interface attention training program for attention deficit hyperactivity disorder: a feasibility trial

The Connection between Traumatic Brain Injury (TBI) and Attention-Deficit/Hyperactivity Disorder, Therapeutic Approaches

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