Neurofeedback of slow cortical potentials in children with attention-deficit/hyperactivity disorder: a multicenter randomized trial controlling for unspecific effects
Abstract Background Neurofeedback (NF) in children with ADHD has been investigated in a series of studies over the last years. Previous studies did not unanimously support NF as a treatment in ADHD. Most studies did not control for unspecific treatment effects and did not demonstrate that self-regul...
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| Hauptverfasser: | , , , , |
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| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
31 March 2017
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| In: |
Frontiers in human neuroscience
Year: 2017, Jahrgang: 11 |
| ISSN: | 1662-5161 |
| DOI: | 10.3389/fnhum.2017.00135 |
| Online-Zugang: | Verlag, LF, Volltext: http://dx.doi.org/10.3389/fnhum.2017.00135 Verlag, LF, Volltext: https://www.frontiersin.org/articles/10.3389/fnhum.2017.00135/full 
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| Verfasserangaben: | Ute Strehl, Pascal Aggensteiner, Daniel Wachtlin, Daniel Brandeis, Björn Albrecht, Maria Arana, Christiane Bach, Tobias Banaschewski, Thorsten Bogen, Andrea Flaig-Röhr, Christine M. Freitag, Yvonne Fuchsenberger, Stephanie Gest, Holger Gevensleben, Laura Herde, Sarah Hohmann, Tanja Legenbauer, Anna-Maria Marx, Sabina Millenet, Benjamin Pniewski, Aribert Rothenberger, Christian Ruckes, Sonja Wörz and Martin Holtmann |
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| 245 | 1 | 0 | |a Neurofeedback of slow cortical potentials in children with attention-deficit/hyperactivity disorder |b a multicenter randomized trial controlling for unspecific effects |c Ute Strehl, Pascal Aggensteiner, Daniel Wachtlin, Daniel Brandeis, Björn Albrecht, Maria Arana, Christiane Bach, Tobias Banaschewski, Thorsten Bogen, Andrea Flaig-Röhr, Christine M. Freitag, Yvonne Fuchsenberger, Stephanie Gest, Holger Gevensleben, Laura Herde, Sarah Hohmann, Tanja Legenbauer, Anna-Maria Marx, Sabina Millenet, Benjamin Pniewski, Aribert Rothenberger, Christian Ruckes, Sonja Wörz and Martin Holtmann |
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| 520 | |a Abstract Background Neurofeedback (NF) in children with ADHD has been investigated in a series of studies over the last years. Previous studies did not unanimously support NF as a treatment in ADHD. Most studies did not control for unspecific treatment effects and did not demonstrate that self-regulation took place. The present study examined the efficacy of NF in comparison to electromyographic feedback (EMG) to control for unspecific effects of the treatment, and assessed self-regulation of slow cortical potentials (SCP). Methods A total of 150 children aged 7 - 9 years diagnosed with ADHD (82% male; 43% medicated) were randomized to 25 sessions of feedback of slow cortical potentials (NF) or feedback of coordination of the supraspinatus muscles (EMG). The primary endpoint was the change in parents’ ratings of ADHD core symptoms four weeks after the end of treatment compared to pre-tests. Results Children in both groups showed reduced ADHD-core symptoms (NF - 0.3, 95% CI -0.42 / -0.18; EMG - 0.13, 95% CI -0.26 / -0.01). NF showed a significant superiority over EMG (treatment difference 0.17, 95% CI 0.02 / 0.3), p=0.02). This yielded an ES of d=0.57 without and 0.40 with Baseline observation carried forward (BOCF). The sensitivity analysis confirmed the primary result. Successful self-regulation of brain activity was observed only in NF. As a secondary result teachers reported no superior improvement from NF compared to EMG, but within-group analysis revealed effects of NF on the global ADHD score, inattention, and impulsivity. In contrast, EMG feedback did not result in changes despite more pronounced self-regulation learning. Conclusions Based on the primary parent-rated outcome NF proved to be superior to a semi-active EMG feedback treatment. The study supports the feasibility and efficacy of NF in a large sample of children with ADHD, based on both specific and unspecific effects. Trial Register Current controlled trials ISRCTN76187185, registered 5 February 2009. | ||
| 650 | 4 | |a ADHD | |
| 650 | 4 | |a EMG feedback | |
| 650 | 4 | |a Neurofeedback | |
| 650 | 4 | |a Randomized controlled study | |
| 650 | 4 | |a Slow cortical potentials | |
| 650 | 4 | |a specificity | |
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