Effect of combined neurofeedback and game-based cognitive training on the treatment of ADHD: A randomized controlled study

Rajabi, Soran; Pakize, Ali; Moradi, Nozhatalzaman

doi:10.1080/21622965.2018.1556101

Cited by 27 publications

(28 citation statements)

References 34 publications

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“…Comparing the clinical efficacy of the NF-SCP and the computerized cognitive training (CogT), an improvement was found in the symptomatology perceived by parents and teachers after training. Furthermore, the effect of NF-SMR combined with game-based CogT in children with ADHD showed positive therapeutic effects on brain waves, except for sensory motor activity (no significant changes in the waves of frontocentral zero) as well as an improvement in symptomatology [32].…”

Section: Training Through Nf: Slow Cortical Potentials (Scp) Sensory-motor Rhythm Training (Smr) and Theta-beta Wavesmentioning

confidence: 92%

“…All included studies were randomized controlled trials [26][27][28][29][30][31][32][33][34]. The total sample was 620 children.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…The main characteristics of all the included studies are listed in Table 1. All included studies were randomized controlled trials [26][27][28][29][30][31][32][33][34]. The total sample was 620 children.…”

Section: Study Characteristicsmentioning

confidence: 99%

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Effects of Neurofeedback in Children with Attention-Deficit/Hyperactivity Disorder: A Systematic Review

Baena

Fuente

Martos-Cabrera

et al. 2021

JCM

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Attention deficit/hyperactivity disorder (ADHD) is one of the most frequent neurodevelopmental disorders in childhood and adolescence. Choosing the right treatment is critical to controlling and improving symptoms. An innovative ADHD treatment is neurofeedback (NF) that trains participants to self-regulate brain activity. The aim of the study was to analyze the effects of NF interventions in children with ADHD. A systematic review was carried out in the CINAHL, Medline (PubMed), Proquest, and Scopus databases, following the PRISMA recommendations. Nine articles were found. The NF improved behavior, allowed greater control of impulsivity, and increased sustained attention. In addition, it improved motor control, bimanual coordination and was associated with a reduction in theta waves. NF combined with other interventions such as medication, physical activity, behavioral therapy training, or attention training with brain–computer interaction, reduced primary ADHD symptoms. Furthermore, more randomized controlled trials would be necessary to determine the significant effects.

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Section: Training Through Nf: Slow Cortical Potentials (Scp) Sensory-motor Rhythm Training (Smr) and Theta-beta Wavesmentioning

confidence: 92%

“…All included studies were randomized controlled trials [26][27][28][29][30][31][32][33][34]. The total sample was 620 children.…”

Section: Study Characteristicsmentioning

confidence: 99%

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Effects of Neurofeedback in Children with Attention-Deficit/Hyperactivity Disorder: A Systematic Review

Baena

Fuente

Martos-Cabrera

et al. 2021

JCM

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“…Behavioural improvement did not reach significance and the children became less engaged with further sessions. Similarly, Rajabi et al [ 83 ] studied combined cognitive training and neurofeedback, and their sample improved in behavioural ratings and visual attention, compared with untreated controls. We are likely to see more similar multimodal intervention emerging.…”

Section: Resultsmentioning

confidence: 99%

Updates in technology-based interventions for attention deficit hyperactivity disorder

Lim

Lim-Ashworth

Fung

2020

Current Opinion in Psychiatry

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Purpose of review Technological advancement has led to the development of novel treatment approaches for attention deficit hyperactivity disorder (ADHD). This review aims to review recent studies which employ the use of technology to treat ADHD, with particular focus on studies published during a 1-year period from February 2019 to February 2020. Recent findings Most recent studies involved children aged 12 years and below. Interventions included cognitive training through games, neurofeedback and a combination of several approaches. More novel approaches included trigeminal nerve stimulation and brain–computer interface, and studies had utilized technology such as X-box Kinect and eye tracker. There was a shift towards delivering intervention at home and in school, enabled by technology. The study outcomes were variable and mainly included executive functioning measures and clinical ratings. These interventions were generally safe with few reported adverse events. Summary Technology has enabled interventions to be delivered outside of the clinic setting and presented an opportunity for increased access to care and early intervention. Better quality studies are needed to inform on the efficacy of these interventions.

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“…Valõe et al ( 52 ) studied the long-term effects of multimodal therapy on psychopathology and health-related quality of life in children with ADHD, and the results showed that 36 months of multimodal therapy significantly improved psychopathology and health-related quality of life in children with ADHD, Specifically, the scores of major depressive episode, dysthymic disorder, (hypo) manic episode, attention deficit/hyperactivity disorder, separation anxiety disorder, social phobia, conduct disorder, oppositional defiance disorder, and generalized anxiety disorder were significantly increased. Rajabi et al ( 53 ) showed that neurofeedback combined with game-based cognitive training improved related symptoms more significantly in children with ADHD than single interventions, as shown by significant increases in visual attention score, total attention score as well as Conners' Parent Rating Scale (attention) score and Conners' Teacher Rating Scale (attention) score, and significant improvements in response control (visual impulsivity) as well as total response control (impulsivity) score as well as Conners' Parent Rating Scale (impulsivity/hyperactivity) score and Conners' Teacher Rating Scale (impulsivity/hyperactivity) score. For the Cz area, there was an increase in the activity (amplitude μV) of beta waves, and SMR wave.…”

Section: Discussionmentioning

confidence: 99%

Multimodal Interventions Are More Effective in Improving Core Symptoms in Children With ADHD

Wang

2021

Front. Psychiatry

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Objective: To investigate the effect of sensory integration training combined with EEG biofeedback on core symptoms in children with ADHD.Methods: Fifty-two children with attention-deficit, hyperactive-impulsive and combined ADHD were selected. They were randomly divided into control group, sensory integration training group, EEG biofeedback group, and sensory integration training + EEG biofeedback group, and after 4 months of intervention, concentration time and impulsive- hyperactivity and hyperactivity index scores on the PSQ scale were assessed.Results: Compared with that before the intervention, the attention time was significantly increased (P < 0.01), and the impulsive-hyperactivity and hyperactivity index scores were significantly decreased (P < 0.05, P < 0.01). After the intervention, the attention time was significantly higher than that of the control group (P < 0.05, P < 0.01), the attention time of the multimodal intervention group was significantly higher than that of the single intervention group (P < 0.01), and the impulsive-hyperactivity and hyperactivity index scores were significantly lower than those of the single intervention group (P < 0.05).Conclusion: Multimodal intervention can significantly improve the concentration level of children with ADHD, and significantly improve the behavioral symptoms of impulsive-hyperactivity and hyperactivity. Multimodal interventions were more effective than single interventions in improving core symptoms in children with ADHD. The results of this study provide a reference for related research and practical application.

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Effect of combined neurofeedback and game-based cognitive training on the treatment of ADHD: A randomized controlled study

Cited by 27 publications

References 34 publications

Effects of Neurofeedback in Children with Attention-Deficit/Hyperactivity Disorder: A Systematic Review

Effects of Neurofeedback in Children with Attention-Deficit/Hyperactivity Disorder: A Systematic Review

Updates in technology-based interventions for attention deficit hyperactivity disorder

Multimodal Interventions Are More Effective in Improving Core Symptoms in Children With ADHD

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