1-year follow-up of neurofeedback treatment in adolescents with attention-deficit hyperactivity disorder: randomised controlled trial

BackgroundEstimates of the effectiveness of neurofeedback as a treatment for attention-deficit hyperactivity disorder (ADHD) are mixed.AimsTo investigate the long-term additional effects of neurofeedback (NFB) compared with treatment as usual (TAU) for adolescents with ADHD.MethodUsing a multicentre...

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Main Authors: Marleen Bink, Ilja L. Bongers, Arne Popma, Tieme W. P. Janssen, Chijs van Nieuwenhuizen
Format: Article
Language:English
Published: Cambridge University Press 2016-03-01
Series:BJPsych Open
Online Access:https://www.cambridge.org/core/product/identifier/S2056472400001241/type/journal_article
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author Marleen Bink
Ilja L. Bongers
Arne Popma
Tieme W. P. Janssen
Chijs van Nieuwenhuizen
author_facet Marleen Bink
Ilja L. Bongers
Arne Popma
Tieme W. P. Janssen
Chijs van Nieuwenhuizen
author_sort Marleen Bink
collection DOAJ
description BackgroundEstimates of the effectiveness of neurofeedback as a treatment for attention-deficit hyperactivity disorder (ADHD) are mixed.AimsTo investigate the long-term additional effects of neurofeedback (NFB) compared with treatment as usual (TAU) for adolescents with ADHD.MethodUsing a multicentre parallel-randomised controlled trial design, 60 adolescents with a DSM-IV-TR diagnosis of ADHD receiving NFB+TAU (n=41) or TAU (n=19) were followed up. Neurofeedback treatment consisted of approximately 37 sessions of theta/sensorimotor rhythm (SMR)-training on the vertex (Cz). Outcome measures included behavioural self-reports and neurocognitive measures. Allocation to the conditions was unmasked.ResultsAt 1-year follow-up, inattention as reported by adolescents was decreased (range ηp2=0.23–0.36, P<0.01) and performance on neurocognitive tasks was faster (range ηp2=0.20–0.67, P<0.005) irrespective of treatment group.ConclusionsOverall, NFB+TAU was as effective as TAU. Given the absence of robust additional effects of neurofeedback in the current study, results do not support the use of theta/SMR neurofeedback as a treatment for adolescents with ADHD and comorbid disorders in clinical practice.
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spelling doaj.art-6751368f76524218b80924a6390e19722023-03-09T12:28:36ZengCambridge University PressBJPsych Open2056-47242016-03-01210711510.1192/bjpo.bp.115.0001661-year follow-up of neurofeedback treatment in adolescents with attention-deficit hyperactivity disorder: randomised controlled trialMarleen Bink0Ilja L. Bongers1Arne Popma2Tieme W. P. Janssen3Chijs van Nieuwenhuizen4Department of Clinical Neuropsychology, VU University Amsterdam, Amsterdam; Scientific Center for Care & Welfare (Tranzo), Tilburg University, Tilburg, The NetherlandsGGzECenter for Child and Adolescent Psychiatry, Eindhoven; Scientific Center for Care & Welfare (Tranzo), Tilburg University, Tilburg, The NetherlandsAcademic Department of Child & Adolescent Psychiatry, VUmc/De Bascule, Duivendrecht, The NetherlandsDepartment of Clinical Neuropsychology, VU University Amsterdam, Amsterdam, The NetherlandsScientific Center for Care & Welfare (Tranzo), Tilburg University, Tilburg GGzECenter for Child and Adolescent Psychiatry, Eindhoven, The NetherlandsBackgroundEstimates of the effectiveness of neurofeedback as a treatment for attention-deficit hyperactivity disorder (ADHD) are mixed.AimsTo investigate the long-term additional effects of neurofeedback (NFB) compared with treatment as usual (TAU) for adolescents with ADHD.MethodUsing a multicentre parallel-randomised controlled trial design, 60 adolescents with a DSM-IV-TR diagnosis of ADHD receiving NFB+TAU (n=41) or TAU (n=19) were followed up. Neurofeedback treatment consisted of approximately 37 sessions of theta/sensorimotor rhythm (SMR)-training on the vertex (Cz). Outcome measures included behavioural self-reports and neurocognitive measures. Allocation to the conditions was unmasked.ResultsAt 1-year follow-up, inattention as reported by adolescents was decreased (range ηp2=0.23–0.36, P<0.01) and performance on neurocognitive tasks was faster (range ηp2=0.20–0.67, P<0.005) irrespective of treatment group.ConclusionsOverall, NFB+TAU was as effective as TAU. Given the absence of robust additional effects of neurofeedback in the current study, results do not support the use of theta/SMR neurofeedback as a treatment for adolescents with ADHD and comorbid disorders in clinical practice.https://www.cambridge.org/core/product/identifier/S2056472400001241/type/journal_article
spellingShingle Marleen Bink
Ilja L. Bongers
Arne Popma
Tieme W. P. Janssen
Chijs van Nieuwenhuizen
1-year follow-up of neurofeedback treatment in adolescents with attention-deficit hyperactivity disorder: randomised controlled trial
BJPsych Open
title 1-year follow-up of neurofeedback treatment in adolescents with attention-deficit hyperactivity disorder: randomised controlled trial
title_full 1-year follow-up of neurofeedback treatment in adolescents with attention-deficit hyperactivity disorder: randomised controlled trial
title_fullStr 1-year follow-up of neurofeedback treatment in adolescents with attention-deficit hyperactivity disorder: randomised controlled trial
title_full_unstemmed 1-year follow-up of neurofeedback treatment in adolescents with attention-deficit hyperactivity disorder: randomised controlled trial
title_short 1-year follow-up of neurofeedback treatment in adolescents with attention-deficit hyperactivity disorder: randomised controlled trial
title_sort 1 year follow up of neurofeedback treatment in adolescents with attention deficit hyperactivity disorder randomised controlled trial
url https://www.cambridge.org/core/product/identifier/S2056472400001241/type/journal_article
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