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주의력결핍 과잉행동장애 아동에서 뉴로피드백 치료의 효과에 대한 예비 연구

Effects of Neurofeedback in Children with Attention Deficit Hyperactivity Disorder : A Preliminary Study

김재원|신민섭|김붕년|조정혜|조수철|홍순범|김혜리
대한신경정신의학회 (Korean Neuropsychiatric Association)|2012.09|신경정신의학 (JOURNAL OF THE KOREAN NEUROPSYCHIATRIC ASSOCIATION)|제51권 제5호|pp. 326-334

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키워드

주의력결핍 과잉행동장애뉴로피드백Neurofeedback느린 피질 전위 훈련Attention deficit hyperactivity disorder (ADHD)Slow cortical potentials
주제분류정신과학

초록

본 연구에서는 SCP 뉴로피드백 훈련을 통하여 ADHD 아동의 부모용 증상 평가 척도 및 CGI 임상 호전 평가 척도가 개선되는 것을 보았고, 신경심리 지표 중의 하나인 주의력장애 진단 시스템에서 호전되는 경향이 있음을 관찰할 수 있었다. 또한 이러한 ADHD 아동의 증상 및 신경심리지표의 개선 정도와, 뉴로피드백 훈련 중 SCP의 변화 사이에 연관성이시사되었다. 따라서 SCP 뉴로피드백이 ADHD 치료 방법 중의 하나로 고려될 수 있으며, 본 예비연구의 제한점을 보완한후속 연구가 이루어져야 할 것으로 사료된다.

Abstract

Objectives The slow cortical potential (SCP) training is one of the methods of neurofeedback which is considered as an adjunctive treatment for attention deficit hyperactivity disorder (ADHD). The purpose of this study was to investigate the effect of the SCP training in children with ADHD. Methods Subjects were consisted of 12 children aged between 7 and 13 years and all of the subjects have completed neuropsychological tests to assess their cognitive and executive functioning, before and after their neurofeedback training. Their parents have completed the Korean-ADHD Rating Scale (ARS). Each subject was given 30 sessions of SCP training. Results The inattention scores and total ARS scores of the subjects have decreased (Z=-2.54, p<0.05, Z=-2.26, p<0.05, respectively) after training, but the hyperactivity/impulsivity scores did not show significant improvement. The commission error scores for both the visual and auditory ADHD diagnostic system (ADS) showed a trend toward improvement after training (p=0.053, p= 0.092, respectively). The larger improvement of positive task of feedback trial, which is one of the methods of SCP training, was associated with the larger reduction of ARS total scores (p<0.05) and the larger improvement of negative task of transfer trial was associated with a larger reduction of omission error scores of auditory ADS (p<0.05). Conclusion This study suggests that the SCP neurofeedback program may improve A

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