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소아청소년 주의력결핍 과잉행동장애에서 뉴로피드백의 효과 : 후향적 연구

The Effect of Neurofeedback in Child-Adolescent Patient with ADHD in Retrospective Study

구본훈|서완석|이종범|김혜금|천은진|이영지|하수홍
대한생물치료정신의학회 (Korean Society Of Biological Therapies In Psychiatry)|2014.12|생물치료정신의학 (Journal of the Korean Society of Biological Therapies in Psychiatry)|제20권 제3호|pp. 248-257

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참고문헌

키워드

ADHD주의력결핍 과잉행동장애뉴로피드백Neurofeedback소아청소년Child adolescent
주제분류정신과학

초록

Objectives：The purpose of this study was to evaluate the characteristics and the effects of neurofeedback from child and adolescent patients with ADHD in retrospective setting. Methods：Forty-eight patients who received neurofeedback from a university hospital in Korea from July, 2005 to July, 2010 participated in this study. Twenty-nine patients were placed in medication group, the other 19 patients were placed in no-medication group. Two groups are not statistically different in intelligence, ADHD severity and baseline CGI. The demographic data, characteristics of psychiatric disorders, and states of neurofeedback were analyzed. The effects of neurofeedback were evaluated before and after training using CGI and subjective self-rating scale(The Hill-Castro Checklist). Results：Twenty-nine patients had been taking medicine, and 13 patients(44.8%) of those patients have been taking medication for less than a year. The average frequency of neurofeedback was 36.1, and neurofeedback protocol was preferred β/SMR(58.3%) for both groups. Significant changes in CGI before and after training were noticed in both groups(＜.001). And self- rating scale also showed significant changes in attention, hyperactivity, impulsivity, immaturity, self- esteem and hostility(＜.001) in medication group and attention, hyperactivity, impulsivity, hostility and aggressive/sadistic behavior in no-medication group. Both medication groups and no-medication group showed significant improvement. Conclusion：This is a retrospective study in clinical setting, so there are several limitations. But this study demonstrates the significant positive effects of neurofeedback in objective and subjective rating scales for young patients with ADHD. Prospective controlled studies are needed in the future.

Abstract

Objectives：The purpose of this study was to evaluate the characteristics and the effects of neurofeedback from child and adolescent patients with ADHD in retrospective setting. Methods：Forty-eight patients who received neurofeedback from a university hospital in Korea from July, 2005 to July, 2010 participated in this study. Twenty-nine patients were placed in medication group, the other 19 patients were placed in no-medication group. Two groups are not statistically different in intelligence, ADHD severity and baseline CGI. The demographic data, characteristics of psychiatric disorders, and states of neurofeedback were analyzed. The effects of neurofeedback were evaluated before and after training using CGI and subjective self-rating scale(The Hill-Castro Checklist). Results：Twenty-nine patients had been taking medicine, and 13 patients(44.8%) of those patients have been taking medication for less than a year. The average frequency of neurofeedback was 36.1, and neurofeedback protocol was preferred β/SMR(58.3%) for both groups. Significant changes in CGI before and after training were noticed in both groups(＜.001). And self- rating scale also showed significant changes in attention, hyperactivity, impulsivity, immaturity, self- esteem and hostility(＜.001) in medication group and attention, hyperactivity, impulsivity, hostility and aggressive/sadistic behavior in no-medication group. Both medication groups and no-medication group showed significant improvement. Conclusion：This is a retrospective study in clinical setting, so there are several limitations. But this study demonstrates the significant positive effects of neurofeedback in objective and subjective rating scales for young patients with ADHD. Prospective controlled studies are needed in the future.

참고문헌 (42)

  1. Americ an Psychiatric Association, "Diagnostic and statistical manual of mental disorders", pp.85~93 (1994), American Psychiatric Association
  2. Spencer T, "Pharmacotherapy of attention-deficit hyperactivity disorder across the life cycle", J Am Acad Child Adolesc Psychiatry, 35, pp.409~432 (1996)
  3. Monastra VJ, "The effects of stimulant therapy, EEG biofeedback, and parenting style on the primary symptoms of attention-deficit", hyperactivity disorder, 2002, pp.27, 231~249
  4. Swanson JM, "The effect of stimulant medication on children with attention deficit disorder: A “review of reviews.”", Except Child, 60, pp.154~162 (1993)
  5. Bennett FC, "Stimulant medication for the child with attention-deficit", hyperactivity disorder, 1999, pp.46, 929~943
  6. Pelham WE Jr, "Empirically supported psychosocial treatments for attention deficit hyperactivity disorder", J Clin Child Psychol, 27, pp.190~205 (1998)
  7. Anastopoulos AD, "Parent training for attention-deficit hyperactivity disorder : its impact on parent functioning", J Abnorm Child Psychol, 21, pp.581~596 (1993)
  8. Breggin PR, "Talking back to Ritalin", pp.28~108 (1998), Common Courage Press
  9. Jensen PS, "Psychoactive medication prescribing practices for U.S. children: gaps between research and clinical practice", J Am Acad Child Adolesc Psychiatry, 38, pp.557~565 (1999)
  10. Schwartz MS, "Biofeedback: A Practitioner’s Guide", pp.27~42 (2003), Guilford Press
  11. Lofthouse N, "A review of neurofeedback treatment for pediatric ADHD", J Atten Disord, 16, pp.351~372 (2012)
  12. Gevensleben H, "Distinct EEG effects related to neurofeedback training in children with ADHD : a randomized controlled trial", Int J Psychophysiol, 74, pp.149~157 (2009)
  13. Linden M, "A controlled study of the effects of EEG biofeedback on cognition and behavior of children with attention deficit disorder and learning disabilities", Biofeedback Self Regul, 21, pp.35~49 (1996)
  14. Rossiter TR, "A comparison of EEG biofeedback and psychostimulants in treating attention deficit", hyperactivity disorders, 1995, pp.1, 48~59
  15. Carmody DP, "EEG biofeedback training and attention-deficit", hyperactivity disorder in an elementary school setting, 2001, pp.43, 5~27
  16. Thompson L, "Neurofeedback combined with training in metacognitive strategies : effectiveness in students with ADD", Appl Psychophysiol Biofeedback, 23, pp.243~263 (1998)
  17. Arns M, "The effects of QEEG-informed neurofeedback in ADHD : an open-label pilot study", Appl Psychophysiol Biofeedback, 37, pp.171~180 (2012)
  18. Levesque J, "Effect of neurofeedback training on the neural substrates of selective attention in children with attention-deficit", hyperactivity disorder : a functional magnetic resonance imaging study, 2006, pp.394, 216~221
  19. Beauregard M, "Functional magnetic resonance imaging investigation of the effects of neurofeedback training on the neural bases of selective attention and response inhibition in children with attention-deficit", hyperactivity disorder, 2006, pp.31, 3~20
  20. Monastra VJ, "Electroencephalographic biofeedback in the treatment of attention-deficit", hyperactivity disorder, 2005, pp.30, 95~114
  21. Sterman MB, "Effects of brain surgery and EEG operant conditioning on seizure latency following monomethylhydrazine intoxication in the cat", Exp Neurol, 50, pp.757~765 (1976)
  22. Sterman MB, "Basic concepts and clinical findings in the treatment of seizure disorders with EEG operant conditioning", Clin Electroencephalogr, 31, pp.45~55 (2000)
  23. Gevensleben H, "Is neurofeedback an efficacious treatment for ADHD? A randomised controlled clinical trial", J Child Psychol Psychiatry, 50, pp.780~789 (2009)
  24. Lansbergen MM, "ADHD and EEG-neurofeedback : a double-blind randomized placebo-controlled feasibility study", J Neural Transm, 118, pp.275~284 (2011)
  25. Fuchs T, "Neurofeedback treatment for attention-deficit", hyperactivity disorder in children : a comparison with methylphenidate, 2003, pp.28, 1~12
  26. 신기석, "주의력 저하 아동에 대한 뉴로피드백 치료의 주의집중력 향상", 정신신체의학, 17(1), pp.23~29 (2009), 한국정신신체의학회
  27. American Psychiatric Association, "Task Force on DSM-IV. Diagnostic and statistical manual of mental disorders: DSM-IV-TR" (2000), American Psychiatric Association
  28. Rojas NL, "Old and new controversies in the alternative treatment of attention-deficit hyperactivity disorder", Ment Retard Dev Disabil Res Rev, 11, pp.116~130 (2005)
  29. KJ K, "Korean-Wechsler Intelligence Scale for Children" (2001), Special Education
  30. Bussing R, "Parent and teacher SNAP-IV ratings of attention deficit hyperactivity disorder symptoms : psychometric properties and normative ratings from a school district sample", Assessment, 15, pp.317~328 (2008)
  31. Guy W., "ECDEU Assessment Manual for Psychopharmacology", pp.218~222 (1976), NIMH Psychopharmacology Research Branch, Division of Extramural Research Programs
  32. Hill RW, "Getting rid of ritalin: how neurofeedback can successfully treat attention deficit disorder without drugs", pp.43~56 (2002), Hampton Roads
  33. Wechsler D, "WISC-III Wechsler Intelligence Scale for Children-Third Edition Manual", pp.1~294 (1991), The Psychological Corporation
  34. Reid R, "Using behavior rating scales for ADHD across ethnic groups : The IOWA Conners", J Emot Behav Disord, 9, pp.210~219 (2001)
  35. Herwig U, "Using the international 10-20 EEG system for positioning of transcranial magnetic stimulation", Brain Topogr, 16, pp.95~99 (2003)
  36. Sadock BJ, "Attention-deficit disorders. In Synopsis of psychiatiry" (2007), Lippincott Williams & Wilkins
  37. Heywood C, "EEG biofeedback vs. placebo treatment for attention-deficit", hyperactivity disorder: a pilot study, 2003, pp.7, 43~55
  38. "Attention-Deficit Hyperactivity Disorder at a Glance" (2013)[URL]
  39. Sterman MB, "Physiological origins and functional correlates of EEG rhythmic activities : implications for selfregulation", Biofeedback Self Regul, 21, pp.3~33 (1996)
  40. Chabot RJ, "Quantitative electroencephalographic profiles of children with attention deficit disorder", Biol Psychiatry, 40, pp.951~963 (1996)
  41. Clarke AR, "Electroencephalogram differences in two subtypes of attention-deficit", hyperactivity disorder, 2001, pp.38, 212~221
  42. Friel PN, "EEG Biofeedback in the Treatment of Attention Deficit", Hyperactivity Disorder, 2007, pp.12, 146~151

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