Evaluation of neurofeedback in ADHD: The long and winding road

@article{Arns2014EvaluationON,
  title={Evaluation of neurofeedback in ADHD: The long and winding road},
  author={Martijn Arns and Hartmut Heinrich and Ute Strehl},
  journal={Biological Psychology},
  year={2014},
  volume={95},
  pages={108-115}
}
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298 Citations
Highly Influential Citations
26
Background Citations
98
Methods Citations
34
Results Citations
11

298 Citations

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Citation Type

valuation of neurofeedback in ADHD : The long and winding road
Among the clinical applications of neurofeedback, most research has been conducted in ADHD. As an introduction a short overview of the general history of neurofeedback will be given, while the main…
University of Groningen Neurofeedback as a treatment intervention in ADHD
TLDR
It is concluded that neurofeedback based on standard protocols in ADHD should be considered as a viable treatment alternative and suggested that further research is needed to understand how specific neurofeed back protocols work.
Neurofeedback as a Treatment Intervention in ADHD: Current Evidence and Practice
TLDR
It is concluded that neurofeedback based on standard protocols in ADHD should be considered as a viable treatment alternative and suggested that further research is needed to understand how specific neurofeed back protocols work.
Neurofeedback for ADHD: a Critical Review and Suggested Future Directions
TLDR
Novel approaches to acquiring and analyzing brain data have expanded the possibilities of neurofeedback for understanding and treating ADHD and it represents a promising non-invasive intervention to normalize or compensate for neuropsychological/behavioral dsyfunctions associated with ADHD.
Sustained effects of neurofeedback in ADHD: a systematic review and meta-analysis
TLDR
Compared to non-active control treatments, NF appears to have more durable treatment effects, for at least 6 months following treatment, and more studies are needed to properly powered comparison of follow-up effects between NF and active treatments and to further control for non-specific effects.
An RCT into the effects of neurofeedback , methylphenidate and physical activity on ERPs in children with ADHD
TLDR
Only stimulant treatment demonstrated specific improvements in brain function related to response inhibition in children with ADHD, in line with recent doubts on the efficacy and specificity of neurofeedback as treatment for ADHD.
Clinical and Experimental Factors Influencing the Efficacy of Neurofeedback in ADHD: A Meta-Analysis
TLDR
The extended meta-analysis confirmed the previously obtained results of effect sizes in favor of NFB efficacy and suggested that the probably blind assessment of teachers may not be considered a good proxy for blind assessments, therefore stressing the need for studies with placebo-controlled intervention as well as carefully reported neuromarker changes in relation to clinical response.
The efficacy of Ritalin in ADHD children under neurofeedback training
TLDR
Neurofeedback is efficient in improving some of the behavioral concomitants of ADHD in children whose parents favored non-pharmacological treatment, but Ritalin and neurofeedback combination is more efficient, so, multimodal approach is strongly recommended for ADHD treatment.
What future research should bring to help resolving the debate about the efficacy of EEG-neurofeedback in children with ADHD
TLDR
To provide conclusive evidence for the presence or absence of the efficacy of EEG-NF in the treatment of ADHD, there is a need to set up a well-designed study that ensures optimal implementation and embedding of the training, and possibly incorporates different forms of neurofeedback.
The Effects of Individual Upper Alpha Neurofeedback in ADHD: An Open-Label Pilot Study
TLDR
An open-label pilot study to evaluate a NF protocol of relative upper alpha power enhancement in fronto-central sites concludes that the enhancement of the individual upperalpha power is effective in improving several measures of clinical outcome and cognitive performance in ADHD.
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References

SHOWING 1-10 OF 87 REFERENCES
Efficacy of Neurofeedback Treatment in ADHD: The Effects on Inattention, Impulsivity and Hyperactivity: A Meta-Analysis
TLDR
It is concluded that neurofeedback treatment for ADHD can be considered “Efficacious and Specific” (Level 5) with a large ES for inattention and impulsivity and a medium ES for hyperactivity.
Neurofeedback in children with ADHD: validation and challenges
TLDR
This review of randomized controlled trials in children with ADHD that have been published within the last 5 years is summarized and issues such as the efficacy and specificity of effects, treatment fidelity and problems inherent in placebo-controlled trials of NF are discussed.
A Position Paper on Neurofeedback for the Treatment of ADHD
TLDR
The purpose is to demonstrate the rationale and to reference the necessary support for neurofeedback in order to be recognized as a legitimate, scientific, and evidence-based intervention for the treatment of ADHD.
Is neurofeedback an efficacious treatment for ADHD? A randomised controlled clinical trial.
BACKGROUND For children with attention deficit/hyperactivity disorder (ADHD), a reduction of inattention, impulsivity and hyperactivity by neurofeedback (NF) has been reported in several studies. But…
The Effects of QEEG-Informed Neurofeedback in ADHD: An Open-Label Pilot Study
TLDR
This pilot study is the first study demonstrating that it is possible to select neurofeedback protocols based on individual EEG biomarkers and suggests this results in improved treatment outcome specifically for ATT, however these results should be replicated in further controlled studies.
ADHD and EEG-neurofeedback: a double-blind randomized placebo-controlled feasibility study
TLDR
This pilot study shows that it is feasible to conduct a rigorous placebo-controlled trial to investigate the efficacy of neurofeedback training in children with ADHD, however, a double-blind design may not be feasible since using automaticadjusted reward thresholds may not work as effective as manually adjusted reward thresholds.
Neurofeedback in ADHD: a single-blind randomized controlled trial
TLDR
The results indicate that NF effectively reduced inattention symptoms on parent rating scales and reaction time in neuropsychological tests, and imply that non-specific factors, such as behavioural contingencies, self-efficacy, structured learning environment and feed-forward processes, may also contribute to the positive behavioural effects induced by neurofeedback training.
Neurofeedback for Children with ADHD: A Comparison of SCP and Theta/Beta Protocols
TLDR
Both groups were able to intentionally regulate cortical activity and improved in attention and IQ and clinical effects for both groups remained stable six months after treatment.
1Controlled evaluation of a neurofeedback training of slow cortical potentials in children with Attention Deficit/Hyperactivity Disorder (ADHD)
TLDR
There is a specific training effect of neurofeedback of slow cortical potentials due to enhanced cortical control in Attention Deficit/Hyperactivity Disorder, however, non-specific factors, such as parental support, may also contribute to the positive behavioural effects induced by the Neurofeedback training.
One Size Fits All? Slow Cortical Potentials Neurofeedback
TLDR
SCP is an efficacious and standardized neurofeedback protocol that addresses behavioral and neurophysiological deficits in ADHD.
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