EEG Neurofeedback treatments in children with ADHD: An updated meta-analysis of Randomized Controlled Trials
Objective We undertook a meta-analysis of published Randomized Controlled Trials (RCT) with semi-active control and sham-NF groups to determine whether EEG-NF significantly improves the overall symptoms, inattention and hyperactivity/impulsivity dimensions for probably unblinded assessment (parent a...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2014-11-01
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| Series: | Frontiers in Human Neuroscience |
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| Online Access: | http://journal.frontiersin.org/Journal/10.3389/fnhum.2014.00906/full |
| _version_ | 1818033191004405760 |
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| author | Jean-Arthur eMicoulaud Franchi Pierre Alexis Geoffroy Guillaume eFond Régis eLopez Stéphanie eBioulac Pierre ePhilip |
| author_facet | Jean-Arthur eMicoulaud Franchi Pierre Alexis Geoffroy Guillaume eFond Régis eLopez Stéphanie eBioulac Pierre ePhilip |
| author_sort | Jean-Arthur eMicoulaud Franchi |
| collection | DOAJ |
| description | Objective We undertook a meta-analysis of published Randomized Controlled Trials (RCT) with semi-active control and sham-NF groups to determine whether 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.ResultsFive 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]). ConclusionsThis 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. |
| first_indexed | 2024-12-10T06:19:20Z |
| format | Article |
| id | doaj.art-2e282345eab14242b2c335862d98f1e8 |
| institution | Directory Open Access Journal |
| issn | 1662-5161 |
| language | English |
| last_indexed | 2024-12-10T06:19:20Z |
| publishDate | 2014-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Human Neuroscience |
| spelling | doaj.art-2e282345eab14242b2c335862d98f1e82022-12-22T01:59:22ZengFrontiers Media S.A.Frontiers in Human Neuroscience1662-51612014-11-01810.3389/fnhum.2014.00906119913EEG Neurofeedback treatments in children with ADHD: An updated meta-analysis of Randomized Controlled TrialsJean-Arthur eMicoulaud Franchi0Pierre Alexis Geoffroy1Guillaume eFond2Régis eLopez3Stéphanie eBioulac4Pierre ePhilip5Centre National de la Recherche ScientifiqueINSERMINSERMCHUBordeauxBordeauxObjective We undertook a meta-analysis of published Randomized Controlled Trials (RCT) with semi-active control and sham-NF groups to determine whether 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.ResultsFive 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]). ConclusionsThis 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.http://journal.frontiersin.org/Journal/10.3389/fnhum.2014.00906/fullLearningNeurofeedbackAttention Deficit Hyperactivity Disorderrandomized controlled trialPractice guidelines |
| spellingShingle | Jean-Arthur eMicoulaud Franchi Pierre Alexis Geoffroy Guillaume eFond Régis eLopez Stéphanie eBioulac Pierre ePhilip EEG Neurofeedback treatments in children with ADHD: An updated meta-analysis of Randomized Controlled Trials Frontiers in Human Neuroscience Learning Neurofeedback Attention Deficit Hyperactivity Disorder randomized controlled trial Practice guidelines |
| title | EEG Neurofeedback treatments in children with ADHD: An updated meta-analysis of Randomized Controlled Trials |
| title_full | EEG Neurofeedback treatments in children with ADHD: An updated meta-analysis of Randomized Controlled Trials |
| title_fullStr | EEG Neurofeedback treatments in children with ADHD: An updated meta-analysis of Randomized Controlled Trials |
| title_full_unstemmed | EEG Neurofeedback treatments in children with ADHD: An updated meta-analysis of Randomized Controlled Trials |
| title_short | EEG Neurofeedback treatments in children with ADHD: An updated meta-analysis of Randomized Controlled Trials |
| title_sort | eeg neurofeedback treatments in children with adhd an updated meta analysis of randomized controlled trials |
| topic | Learning Neurofeedback Attention Deficit Hyperactivity Disorder randomized controlled trial Practice guidelines |
| url | http://journal.frontiersin.org/Journal/10.3389/fnhum.2014.00906/full |
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