Evidence-Based Information on the Clinical Use of Neurofeedback for ADHD

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dc.contributor Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.author MORIYAMA, Tais S. FMUSP-HC
POLANCZYK, Guilherme FMUSP-HC
CAYE, Arthur
BANASCHEWSKI, Tobias
BRANDEIS, Daniel
ROHDE, Luis A.
dc.date.issued 2012
dc.identifier.citation NEUROTHERAPEUTICS, v.9, n.3, p.588-598, 2012
dc.identifier.issn 1933-7213
dc.identifier.uri http://observatorio.fm.usp.br/handle/OPI/1061
dc.description.abstract Neurofeedback (NF) is a training to enhance self-regulatory capacity over brain activity patterns and consequently over brain mental states. Recent findings suggest that NF is a promising alternative for the treatment of attention-deficit/hyperactivity disorder (ADHD). We comprehensively reviewed literature searching for studies on the effectiveness and specificity of NF for the treatment of ADHD. In addition, clinically informative evidence-based data are discussed. We found 3 systematic review on the use of NF for ADHD and 6 randomized controlled trials that have not been included in these reviews. Most nonrandomized controlled trials found positive results with medium-to-large effect sizes, but the evidence for effectiveness are less robust when only randomized controlled studies are considered. The direct comparison of NF and sham-NF in 3 published studies have found no group differences, nevertheless methodological caveats, such as the quality of the training protocol used, sample size, and sample selection may have contributed to the negative results. Further data on specificity comes from electrophysiological studies reporting that NF effectively changes brain activity patterns. No safety issues have emerged from clinical trials and NF seems to be well tolerated and accepted. Follow-up studies support long-term effects of NF. Currently there is no available data to guide clinicians on the predictors of response to NF and on optimal treatment protocol. In conclusion, NF is a valid option for the treatment for ADHD, but further evidence is required to guide its use.
dc.description.sponsorship · Brazilian National Counsel of Technological and Scientific Development (CNPq) [483934/2010-0]
· Coordenacao de Aperfeicoamento de Pessoal de Nivel Superior (CAPES), Brazil
dc.language.iso eng
dc.publisher SPRINGER
dc.relation.ispartof Neurotherapeutics
dc.rights restrictedAccess
dc.subject Attention-deficit/hyperactivity disorder (ADHD); Neurofeedback; Biofeedback; Slow cortical potential; Theta/Beta training
dc.subject.other attention-deficit/hyperactivity-disorder; deficit hyperactivity disorder; slow cortical potentials; randomized controlled-trial; eeg biofeedback; follow-up; selective attention; anterior cingulate; stimulant-drugs; treating ad/hd
dc.title Evidence-Based Information on the Clinical Use of Neurofeedback for ADHD
dc.type article
dc.rights.holder Copyright SPRINGER
dc.description.group LIM/21
dc.identifier.doi 10.1007/s13311-012-0136-7
dc.identifier.pmid 22930416
dc.type.category original article
dc.type.version publishedVersion
hcfmusp.author MORIYAMA, Tais S.:HC:IPQ
hcfmusp.author POLANCZYK, Guilherme:FM:MPS
hcfmusp.author.external · CAYE, Arthur:Univ Fed Rio Grande do Sul, Child Psychiat Div, Hosp Clin Porto Alegre, Porto Alegre, RS, Brazil
· BANASCHEWSKI, Tobias:Univ Heidelberg, Dept Child & Adolescent Psychiat & Psychotherapy, Cent Inst Mental Hlth, Med Fac Mannheim, D-6800 Mannheim, Germany
· BRANDEIS, Daniel:Univ Zurich, Zurich Ctr Integrat Human Physiol, Zurich, Switzerland; Univ Zurich, Dept Child & Adolescent Psychiat, Zurich, Switzerland; Univ Heidelberg, Dept Child & Adolescent Psychiat & Psychotherapy, Cent Inst Mental Hlth, Med Fac Mannheim, D-6800 Mannheim, Germany
· ROHDE, Luis A.:Hosp Clin Porto Alegre, Serv Psiquiatria Infancia & Adolescencia, Porto Alegre, RS, Brazil; INCT CNPq, Natl Inst Dev Psychiat Children & Adolescents, Sao Paulo, Brazil
hcfmusp.origem.id 2-s2.0-84866458084
hcfmusp.origem.id WOS:000308826800010
hcfmusp.publisher.city NEW YORK
hcfmusp.publisher.country USA
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dc.description.index MEDLINE
hcfmusp.citation.scopus 64
hcfmusp.citation.wos 56
hcfmusp.affiliation.country Brasil
hcfmusp.affiliation.country Alemanha


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