J Korean Acad Nurs.  2015 Dec;45(6):928-938. 10.4040/jkan.2015.45.6.928.

Effects of Neurofeekback Training on EEG, Continuous Performance Task (CPT), and ADHD Symptoms in ADHD-prone College Students

• Ryoo M
• Son C

• KMID: 2363116
• DOI: http://doi.org/10.4040/jkan.2015.45.6.928

Abstract

PURPOSE
This study explored the effects of neurofeedback training on Electroencephalogram (EEG), Continuous Performance Task (CPT) and ADHD symptoms in ADHD prone college students.
METHODS
Two hundred forty seven college students completed Korean Version of Conners' Adult ADHD Rating Scales (CAARS-K) and Korean Version of Beck Depression Inventory (K-BDI). The 16 participants who ranked in the top 25% of CAARS-K score and had 16 less of K-BDI score participated in this study. Among them, 8 participants who are fit for the research schedule were assigned to neurofeedback training group and 8 not fit for the research schedule to the control group. All participants completed Adult Attention Deficiency Questionnaire, CPT and EEG measurement at pretest. The neurofeedback group received 15 neurofeedback training sessions (5 weeks, 3 sessions per week). The control group did not receive any treatment. Four weeks after completion of the program, all participants completed CAARS-K, Adult Attention Deficiency Questionnaire, CPT and EEG measurement for post-test.
RESULTS
The neurofeedback group showed more significant improvement in EEG, CPT performance and ADHD symptoms than the control group. The improvements were maintained at follow up.
CONCLUSION
Neurofeedback training adjusted abnormal EEG and was effective in improving objective and subjective ADHD symptoms in ADHD prone college students.

Keyword

Neurofeedback; Adult ADHD; Continuous Performance Task (CPT); EEG

MeSH Terms

Attention Deficit Disorder with Hyperactivity/psychology/*therapy
Electroencephalography
Emotions
Female
Humans
Impulsive Behavior
Male
*Neurofeedback
Psychiatric Status Rating Scales
Republic of Korea
Self Concept
Students/psychology
Surveys and Questionnaires
Task Performance and Analysis
Young Adult

Reference

1. Barkley RA. HW Kwak DS Bai WS Seo MS Chang . Attention deficit hyperactivity disorder in adults: The latest assessment and treatment strategies. Burlington, MA: Jones and Bartlett Publishers;2009.

2. Weiss M, Murray C, Weiss G. Adults with attention-deficit/hyperactivity disorder: Current concepts. J Psychiatr Pract. 2002; 8(2):99–111. DOI: 10.1097/00131746-200203000-00006.

3. Kessler RC, Adler L, Barkley R, Biederman J, Conners CK, Demler O, et al. The prevalence and correlates of adult ADHD in the United States: Results from the national comorbidity survey replication. Am J Psychiatry. 2006; 163(4):716–723. DOI: 10.1176/ajp.2006.163.4.716.

4. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Arlington, VA: Author;2013.

5. Seo BK. Executive function in adult attention deficit/hyperactivity (ADHD) disorder. Korean J Psychol Gen. 2012; 31(2):301–321.

6. Yang J, Kim JH, Kim JW, Choi JW, Hong HJ, Joung YS. Treatment for attention-deficit/hyperactivity disorder in adults. J Korean Acad Child Adolesc Psychiatry. 2012; 23:Suppl. S72–S89.

7. Park IS, Park PW. A study on brain function optimization using neurofeedback: Focusing on clinical cases. In : 18th Proceedings of Korean Jungshin Science Symposium; April 26-27; Yonsei University 100th Anniversary Memorial Hall. Seoul: The Korean Society of Jungshin Science;2013. p. 64–85.

8. Roh OB, Son CN, Park TW, Park SK. The effects of neurofeedback training on inattention and hyperactivity/impulsivity in children with ADHD. Korean J Clin Psychol. 2011; 30(2):397–418. DOI: 10.15842/kjcp.2011.30.2.003.

9. Yoo JY. The effectiveness of neurofeedback training on the inattention & impulsivity of ADHD children [master's thesis]. Busan: Pusan National University;2009.

10. Choi SW, Cho HH, Hur JW, Kim KS, Chung SY, Seol JH. Neurofeedback introduction. Seoul: SigmaPress;2012.

11. Bresnahan SM, Barry RJ, Clarke AR, Johnstone SJ. Quantitative EEG analysis in dexamphetamine-responsive adults with attentiondeficit/ hyperactivity disorder. Psychiatry Res. 2006; 141(2):151–159. DOI: 10.1016/j.psychres.2005.09.002.

12. Lubar JF, Swartwood MO, Swartwood JN, ODonnell PH. Evaluation of the effectiveness of EEG neurofeedback training for ADHD in a clinical setting as measured by changes in TOVA scores, behavioral ratings, and WISC-R performance. Biofeedback Self Regul. 1995; 20(1):83–99. DOI: 10.1007/BF01712768.

13. Fuchs T, Birbaumer N, Lutzenberger W, Gruzelier JH, Kaiser J. Neurofeedback treatment for attention-deficit/hyperactivity disorder in children: A comparison with methylphenidate. Appl Psychophysiol Biofeedback. 2003; 28(1):1–12. DOI: 10.1023/A:1022353731579.

14. Meisel V, Servera M, Garcia-Banda G, Cardo E, Moreno I. Neurofeedback and standard pharmacological intervention in ADHD: A randomized controlled trial with six-month follow-up. Biol Psychol. 2013; 94(1):12–21. DOI: 10.1016/j.biopsycho.2013.04.015.

15. Han YJ. The effects of neurofeedback training on the attention in adults with ADHD: Focused on college students group [master's thesis]. Busan: Pusan National University;2014.

16. Kaiser DA. Efficacy of neurofeedback on adults with attentional deficit and related disorders [Internet]. Woodland Hills, CA: EEG Spectrum;1997. cited 2014 December 1. Available from: http://www.eeginfo.com/research/articles/EfficacyNeurofeedback-Kaiser.pdf.

17. Tinius TP, Tinius KA. Changes after EEG biofeedback and cognitive retraining in adults with mild traumatic brain injury and attention deficit hyperactivity disorder. J Neurother. 2000; 4(2):27–44. DOI: 10.1300/J184v04n02_05.

18. Baydala L, Wikman E. The efficacy of neurofeedback in the management of children with attention deficit/hyperactivity disorder. Paediatr Child Health. 2001; 6(7):451–455.

19. Jasper HH. The ten-twenty electrode system of the international federation. Electroencephalogr Clin Neurophysiol. 1958; 10:371–375.

20. Conners CK, Erhardt D, Sparrow E. CAARS™ Conners' adult ADHD rating scales. New York, NY: Multihealth Systems, Inc.;1999.

21. Kim HY, Lee JY, Cho SS, Lee IS, Kim JH. A preliminary study on reliability and validity of the conners adult ADHD rating scales-Korean version in college students. Korean J Clin Psychol. 2005; 24(1):171–185.

22. Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry. 1961; 4(6):561–571. DOI: 10.1001/archpsyc.1961.01710120031004.

23. Lee YH, Song JY. A study of the reliability and the validity of the BDI, SDS, and MMPI-D scales. Korean J Clin Psychol. 1991; 10(1):98–113.

24. Lee JY. Adulthood characteristic of attention deficit: Focusing on college students group [master's thesis]. Seoul: Yonsei University;1996.

25. Brown TE. Brown attention-deficit disorder scales. San Antonio, TX: The Psychological Corporation;1996.

26. Ward MF, Wender PH, Reimherr FW. The Wender Utah rating scale: An aid in the retrospective diagnosis of childhood attention deficit hyperactivity disorder. Am J Psychiatry. 1993; 150(6):885–890. DOI: 10.1176/ajp.150.6.885.

27. Mueller ST. The PEBL manual: Programming and usage guide for the psychology experiment building language, PEBL, Version 0.11. Raleigh, NC: Lulu Press;2010.

28. Rossiter TR, LaVaque TJ. A comparison of EEG biofeedback and psychostimulants in treating attention deficit/hyperactivity disorders. J Neurother. 1995; 1(1):48–59. DOI: 10.1300/J184v01n01_07.

29. Lee YJ. Inhibitory deficit of adult with ADHD in continuous performance test and matching familiar figure test [master's thesis]. Daegu: Daegu University;2008.

30. Shi T, Li X, Song J, Zhao N, Sun C, Xia W, et al. EEG characteristics and visual cognitive function of children with attention deficit hyperactivity disorder (ADHD). Brain Dev. 2012; 34(10):806–811. DOI: 10.1016/j.braindev.2012.02.013.