Document Type : Original article
Authors
1 M.A. in Clinical Psychology, Azad University, Karaj, Iran
2 Professor of Clinical Psychology, Azad University, Karaj, Iran
3 Physician and PhD in Cognitive Neuroscience, Karaj, Iran
Abstract
Introduction: The purpose of this study was to determine the effectiveness of neurofeedback treatment on decreasing the aggression of children with attention-deficit hyperactivity disorder. Method: The study was quasi experimental with pre and posttests as well as treatment. Besides, there was a two months follow up. The statistical population composed of 7 to 12 years old male children, selected from among 80 children who had enrolled at Behjou Psychiatry Clinic in 2014-2015 educational year. Using purposive sampling, 40 children with attention-deficit hyperactivity disorder were randomly grouped in two control and experimental groups. Attention-deficit hyperactivity disorder was determined by four instruments including the clinical interviewing review list, based on psychiatric disorders diagnostic and statistical guide, 5th edition, 2013; diagnostic interview with a psychiatrist; Stanford and Turner's audiovisual test; and children's aggression test (Shahim, 2006). Having the goal of theta to beta reduction, beta suppression, theta increase and sensory motor rhythm, Neurofeedback Test was implemented three sessions a week, for ten weeks. Children of both groups were assessed in pre and post-test stages and a two-month follow up. Findings: The results showed that F value is significant for pretest, posttest and follow up (P≤0/001) that indicated there are significant difference among aggression scores. Conclusion: Findings of multi variable covariance analyses suggested that neurofeedback treatment leads to a meaningful improvement in verbal, physical and relational aggression. Overall, the results of this study suggested that educational neurofeedback remedy has a significant effect in reducing the aggression of children with attention-deficit hyperactivity disorder. Furthermore, the effect of the treatment was the same in the follow up test.
Keywords
Anderson, P. (2003). "Assessment and Development of Excutive function (EF) during childhood". Child Neuropsychology, 8, 71-82.##APA (2013). "Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, DSM-5". Arlington, VA: American Psychiatric Association.##Baker, S.C.; Rogers, R. D.; Owen, A. M.; Frith, C. D.; Dolan, R. J. & et al. (1996). "Neural system engaged by planning: a PET study of the Tower of London task". Human Brain Mapping, 34(6), 515-526##Barkley, R.A. (2006). "Attention deficit hyperactivity disorder: A hand book for diagnosis and treatment. (3rh Ed.)". New York: Guilford press.##Bidwell, L. C.; Mcclernon, F. J. & Kollins, S. H. (2011). "Cognitive enhancers for the treatment af ADHD. Pharmacology, Biochemistery and Behavior, 99, 262-274.##Brown, T. E. (2005). Attention deficit disorder: The unfocused mind in children and adults. New Haven: Yale University press.##Brown. T. E. (2006). "Executive function in attention deficit hyperactivity disorder: Implications of two conflicting views". International Journal of Disability, Develpoment and Education, 53, 35-46. ##Clarke, A. R.; Barry, R. J.; McCarthy, R. & Selikowitz, M. (2001). "Excess beta activity in children with attention-deficit/hyperactivity disorder: An atypical electrophysiological group". Psychiatry Research. 103, 205-218.##Coie, J. D. & Dodge, K. A. (1998). Aggression and antisocial behavior. In W. Daman & N. Eisenberg (Eds.). Handbook of child psychology (5th. Ed.) (pp.779-861). New York: Wiley.##Derryberry, D. & Rothbart, M. K. (1997). "Reactive and effortful processes in the organization oftemperament". Develpoment and Psychopathology. 9, 633-652.##Drechsler, R.; Struanb, M.; Doehnert, M.; Heinrich, H.; Steinhausen, H. & Brandeis, D. (2007). "I controlled evaluation of neurofeedback training of slow cortical potentials in children with ADHD". Behavioral and Brain Function.3:35.##Faraone, S. V. & Buitelaar, j. (2009). "Comparing the efficacy of stimulants for ADHD in children and adolescents using meta- analysis". European Child & Adolescent psychiatry, 14 (1), 353-364.##Findling, R. L. (2003). "Treatment of aggression in children. Primary Care Companion". Journal of Clinical Psychiatry. 5(6). 5-9.##Fuchs, T.; Birbaumer, N.; Lutzenberger, W.; Gruzelier, J. H. & Kaiser, J. (2003). "Neurofeedback treatment for attention-deficit/hyperactivity disorder in children: Acomparison with methylphenidate". Applied Psychophysiology and Biofeedback, 28(1), 1-12.##Galland, B. C.; Tripp, E. G. & Taylor, B. J. (2009). "The sleep of children with attention deficit hyperactivity disorder on and off methylphenidate: A matched case-control study". Journal of Sleep Research, 28(1), 1-12.##Gani, C.; Birbaumer, N. & Strehl, U. (2009). "Long term effect after feedback of slow cortical potentials and theta- beta- amplitudes in children with attention deficit hyperactivity disorder". International Journal of Bioelectromagnetics, 10, 209-232.##Gevensleben, H.; Holl, B.; Albrecht, B.; Schlamp, D.; Kratz, O.; Studer, P.; Wangler, S.; Rothenberger, A.; Moll, G.H. & Heinrich, H. (2009). "Distinct EEG effects related to neurofeedback training in children with ADHD: a randomized controlled trial". Int J Psychophysiol. 19(9): 715–724.##Hanslmayr, S.; Sauseng, P.; Dopplemayr, M.; Schabus, M. & Klimesch, W. (2005). "Increasing individual upper Alpha power by Neurofeedback Improves cognitive performance in human subject". Applied psychophysiology and Biofeedback, 30(1), 1-10.##Jonathan Walker MDa. (2012). "QEEG-Guided Neurofeedback for Anger/ Anger Control Disorder". Publishing models and article dates explained. 88-92.##Leins, U.; Goth, G.; Hinterberger, T.; Klinger, C.; Rumpf, N. & Stehle, U. (2007). "Neurofeedback for children with ADHD: A comparison of SCP and theta/beta protocols". Applied Psychophysiology and Biofeedback. 32, 73-88.##Lubar, J. F.; Shouse, M. N. (1976). "EEG and behavioral changes in a hyperkinetic chil concurrent wittraining of the sensorimotor rhythm (SMR): a preliminary report Biofeedback self-regulation". 1, 3, 293-306.##Lubar, J. F. (2003). "Neurofeedback for the management of attention deficit disorder". In M. S. Shwrts & Anderasik, F. Biofeedback; Practitioners Guide. New York: The Guilford press.##McCarthy, S.; Cranswick, N.; Potts, L.; Taylor, E. & Wong, I. C. (2009). "Mortality associated with attention deficit hyperactivity disorder (ADHD) drug treatment: A retro-spective cohort study of children, Adolescents and young adults using the general practice research database". Drug Safety, 32, 1089-1096.##Meltzer, I. A.; Negishi, M.; Mayes, L. C. & Constable, R. T. (2007). "Individual differences in EEG theta and alpha dynamics during working memory correlate with Fmri response across subjects". Clinical Neurophysiology, 118, 2419-2436.##Monastra, V. J.; Monastra, D. M. & George, S. (2002). "The effects of stimulant therapy, EEG biofeedback, and parenting style on the primary symptoms of attention-deficit/ hyperactivity disorder". Applied Psychophysiology and Biofeedback, 27(4), 231-249.##Monshi Tosi T. (2003). Children behavioral disorder (Persian). Mashhad: Astan Godse Razavi publication.##Nash, J. K. (2000). "Treatment of attention deficit hyperactivity disorder with neurotherapy".Clinical Electroence phalo graphy, 31(1), 30-37.##Onton, J.; Delorme, A. & Makeig, S. (2005). "Frontal midline EEG dynamics during working memory". NeuroImage, 27, 341-356.##Posner, M. & Petersen, S. (1990). "The attention system of the human brain". Annual Review of Neuroscience, 13, 25-42.##Quay, H. C. (1997). "Inhibition and attention deficit hyperactivity disorder". Journal Abnormal Child Psychology, 25, 7-14.##Rex L. Cannon. (2012). "Investigations in Neuromodulation, Neurofeedback and Applied Neuroscience LORETA Neurofeedback: ODD Reports, Observations, and Findings Associated with Spatial Specific Neurofeedback Training". Journal of Neurotherapy.##Sergeant, J. (2000). "The cognitive-energetic model: An empirical approach to attention-deficit hyperactivity disorder". Neuroscience Biobehavioural Review, 24, 7-12.##Sonuga-Barke, E. J. (2003). "The dual pathway model of AD/HD: An elaboration of neuro-developmental characteristics". Neuroscience and Biobehavioral Reviews, 27, 593-604.##Sonuga-Barke, E. J.; Coghill, D.; Wigal, T.; DeBacker, M. & Swanson, J. (2009). "Adverse reactions to methylphenidate treatment for attention-deficit/hyperactivity disorder: Structure and associations with clinical characteristics and symptom control". Journal of Child and Adolescent Psychopharmacology, 19, 683-690.##Sterman, M. B. (1996). "Physiological origins and functional correlates of EEG rhythmic activities: Implications for self-regulation". Biofeedback and Self-Regulation, 21, 3-33.##Swanson, J. M. & Castellanos, F. X. (2002). "Biological bases of ADHD: Neuroanatomy genetics, and Pathophysiology". In P. S. Jensen & J. R. Cooper (Eds.), Attention deficit hyperactivity disorder: State of the science best practices (pp. 7-20). Kingstone, NJ: Civic Research Institute.##Swanson, J. M. & Castellanos, F. X. (2002). "Biological bases of ADHD: Neuroanatomy genetics, and pathophysiology". In P. S. Jensen & J. R. Cooper (Eds.), Attention deficit hyperactivity disorder: State of the science best practices (pp. 7-20). Kingstone, NJ: Civic Research.##Taylor, E.; ASergeant, J.; Asherson, P.; Banaschewski, T.; Buitelaar, J.; Coghill, D.; Danckaerts, M.; Rothenberger, A.; Sonuga-Barke, E.; Steinhausen, H. C. & Zuddas, A. (2004). "European clinical guidelines for hyperkinetic disorder- first upgrade". European Child and Adolescent Psychiatry, 13, 17-30.##Vernon, D.; Egner. T.; Cooper. N. & et al. (2005). "The effect of training distinct neurofeedback protocols on aspects of cognitive performance". International Journal of Psychophysiology, 47, 75- 85.##