The Effect of Neurofeedback in Combination with Games-Based Cognition on Reducing Conduct Symptoms in Children with Attention Deficit / Hyperactivity Disorder

Document Type : Research Paper


Abdi, A., Arabani Dana, A., Hatami, J., Parand, A. (2014). The effect of cognitive computer games on working memory, attention and cognitive flexibility in students with attention deficit/hyperactivity disorder. Except Children, (14),19-33. (Persian).
Alizadeh, H. (2006). Pattern of behavioral inhibition and self-control nature. Exceptional Children, 3(5),323-48.
Alizadeh, H. (2006). Theoretical explanation of attention deficit disorder - hyperactivity: behavioral inhibition pattern and self-control nature. Research in exceptional children 17. 5 (3) 323-348.
American Psychiatric Association. (2013). American Psychiatric Association. DSM-5 Task Force. Diagnostic and statistical manual of mental disorders: DSM-5. 5th ed. Washington, D.C.: American Psychiatric Association.
Anastasiya, A. (1993). Psychosis. Translation by Mohammad Naghi Barahani. University of Tehran.
Arns, M., de Ridder, S., Strehl, U., Breteler, M., & Coenen, T. (2009). Efficacy of neurofeedback treatment in ADHD: The effects on inattention, impulsivity and hyperactivity: A meta-analysis. Clinical EEG and Neuroscience. 40, 180˚189.
Asbaqi, M., Arjmandnia, A., Rahmanian, M., Asbaqi, E. (2016). Comparing Effect of Neurofeedback Training with Neurofeedback Along with Cognitive Rehabilitation on ADHD Children’s Improvement. Journal of Neuropsychology, 2(3), 75-88. (Persian)
Baghban Kazerani, A., Danesh, E., Hasani Abharian, P. (2016). The effectiveness of neurofeedback treatment on aggression reduction in children with attention deficit hyperactivity disorder (ADHD).Journal of Neuropsychology, 1(1), 38-56. (Persian)
Bahrami, M., Yousefi, F., Bahrami, A., Farazi, E., Bahrami, A. (2016). The Prevalence of Attention Deficitn – Hyperactivity Disorder and related factors, among elementary school stydent in Kamyaran city in 2014-2015. Shenakht Journal of Psychology and Psychiatry. 3(3), 1-11. (Persian)
Bakhshayesh, A.L., Hänsch, S., Wyschkon, A., Rezai, M.J., Esser, G. (2011). Neurofeedback in ADHD: a single-blind randomized controlled trial. European Child & Adolescent Psychiatry, 20(9), 481-491.
Barkley, R. A. (2006). Attention deficit/ hyperactivity disorder: A handbook for diagnosis and treatment. New York: Gilford Press.
Bauermeister, J. J., Barkley, R. A., Martínez, J. V., Cumba, E., Ramírez, R. R., Reina, G., ... & Salas, C. C. (2005). Time estimation and performance on reproduction tasks in subtypes of children with attention deficit hyperactivity disorder. Journal of Clinical Child and Adolescent Psychology. 34(1), 151-162.
Baumeister, S., Wolf, I., Holz, N., Boecker-Schlier, R., Adamo, N., Holtman, M., Ruf, M., Banaschewski, T., Hohmann, S., Brandeis, D. (2016). Neurofeedback training effects on inhibitory brain activation in ADHD: A matter of learning? Neuroscience. : Article in Press.
Beauregard, M., & Levesque, J. (2006). Functional magnetic resonance imaging investigation of the effects of neurofeedback training on the neural bases of selective attention and response inhibition in children with attentiondeficit/hyperactivity disorder. Applied Psychophysiology and Biofeedback. 31(1), 3˚ 20.
Benioudakis, E. S., Kountzaki, S., Batzou, K., Markogiannaki, K., Seliniotaki, T., Darakis, E., ... & Nestoros, J. N. (2016). Can Neurofeedback Decrease Anxiety and Fear in Cancer Patients? A Case Study. Postępy Psychiatrii i Neurologii, 25(1), 59-65.
Biederman, J., Conners, C., Stephen, V., & Faraone. (2005). Patterns and Predictors of Attention-Deficit/Hperactivity Disorder Persistence into Adulthood; Results from the National Comorbidity Survay Replication. Biological psychiatry, 11, 1442-1451.
Carpenter, P. A., Just, M. A., Shell, P. (1990). What one intelligence test measures: A theoretical account of the processing in the Raven Progressive Matrices Test. Psychological Review, 97(3), 404-443.
Chabot, R. A., DiMichele, F., Prichep, L., & John, E. R. (2001). The Clinical Role of Computerized EEG in the Evaluation and Treatment of Learning and Attention Disorders in Children and Adolescents. The journal of neuropsychiatry and neurosciences. 13(2), 171-186.
Charles, C., Stephen, M., Jeffrey, F., Andrew, R., & Nicole, K.(2006). Factor structure of the conners adult ADHA rating scale (CAARS) for substance users. Addictive Behaviore. 31, 1277-1282.
Cho, B., Kim, S., Shin, D., Lee, J., Lee, S., Kim, I., & et al. (2004) Neurofeedback training with virtual reality for attention and impulsiveness. Cyberpsychol Behav, 7, 519-526.
Coben, R., Linden, M., & Myers, T. (2010). Neurofeedback for Autistic Spectrum Disorder: A Review of the Literature. Psychophysiol Biofeedback, 35, 83–105.
Conners, C. K. (1990). Manual for Conners’ Rating Scales. Toronto: Multi Health System, Inc.
Conners, C.K., Erhardt, D., & Sparrow, E. (1999). Conners Adult ADHD Rating Scales (CAARS) technical manual. N. Tonawanda, NY: Multi-Health Systems.
Damasio A. A. (2000). Descartes' error: Emotion, reason, and the human brain. New York: Quill.
Daniel P, Halhaan, James M, Kaufman. (2003). Exceptional Children (Introduction to Specialized Training). Translated by Hamid Alizadeh, Haiide Saberi, Janet Hashemi, and Mehdi Mohiuddin, 2011. Tehran, Ed. Publishing
Demos, J. (2005). Getting Started With Neurofeedback. New York, NY: W.W. Norton. ISBN: 0-393-70450-5.
Disney, E.R., Elkins, I.J., Mcgue, M., Lacono, W. (1999).  Effects of ADHD, conduct disorder and genderon substance use and abuse in adolescence. Am J Psychiatry, 156, 1515-1521.
Drechsler, R., Straub, M., Doehnert, M., Heinrich, H., Steinhausen, H.C., & Brandeis, D. (2007). Controlled evaluation of a neurofeedback training of slow cortical potentials in children with attention-deficit/hyperactivity disorder (ADHD). Behavioural and Brain Functions, 3, 35.
Dunlap E. (2013). Trends in video game play through childhood, adolescence, and emerging adulthood. Psychiatry journal, 1-7.
Duric, N. S., Assmus, J., Gundersen, D., & Elgen, I. B. (2012). Neurofeedback for the treatment of children and adolescents with ADHD: a randomized and controlled clinical trial using parental reports. BMC Psychiatry, 12(1), 1-8.
Fairchild, G., Van Goozen, S.H.M., Stollery, S.J., Aitken, M.R.F., Savage, J., Moore, S. C., et al. (2009). Decision making and executive function in male adolescents with early-onest adolesce – conest conduct disorder and control subjects. Journal of bio psychiatry, 1, 1-7.
Fauzan, N., Nazaruddin, M. S. (2012).  Neurofeedback training to improve neuronal regulation in ADD: A case report. Procedia-Social and Behavioral Sciences, 32, 399-402.
Gevensleben, H., Holl, B., Albrecht, B., Schlamp, D., Kratz, O., Studer, P., Rothenberger, A., Moll, G.H., Heinrich, H. (2010). Neurofeedback training in children with ADHD: 6-month follow-up of a randomised controlled trial, 19(9), 715-724.
Hammond, D. (2011). What is neurofeedback? Journal of Neurotherapy, 15, 305–336.
Hammond, D. C. (2005). Neurofeedback treatment of depression and anxiety. Journal of Adult Development, 12(2), 131-137.
Hashemi, T., Eghbali, A., Alilo, M. M. (2009). The Effect of vrbal self- instruction on social adjustmentnin children with conduct disorder. Journal of Clinical Psychology. 1(2), 29-36. (Persian).
Heinrich, H., Gevensleben, H., Freisleder, F.J., Moll, G.H., & Rothenberger, A. (2004). Training of slow cortical potentials in attention-deficit/hyperactivity disorder: Evidence for positive behavioral and neurophysiological effects. Biological Psychiatry, 55, 772–775.
Heydari-nasab, L., Madani, A., Yaghoubi, H., Rostami, R., Kazemi, R. (2016). The Effectiveness of Neurofeedback with Cognitive Tasks on working memory in Adulthood with ADHD. Journal of Lorestan University of Medical Sciences, 18(1), 101-112.
Hofvander, B., Ossowki, O., Lundstorms, H., & Anckarsater, H. (2009). Continuity of aggressive antisocial behavior from childhood to adulthood; the question of phenotype definition. Journal of law pcychiatry, 4, 1-11.
Johnstone, S. J., Roodenrys, S. J., Johnson, K., Bonfield, R., Bennett, S. J. (2017). Game-based combined cognitive and neurofeedback training using focus reduces symptom severity in children with diagnosed AD/HD and subclinical AD/HD. International Journal of Psychophysiology, 116, 32-44.
Kim, S. K., Yoo, E. Y., Lee, J. S., Jung, M. Y., Park, S. H., & Park, J. H. (2014). The EEG and behavior changes after neurofeedback training in children with attention deficit hyperactivity disorder. In Proceedings of the 3rd 2014 International Workshop on Healthcare and Nursing (pp. 15-18).
 Lampit, A., Hallock, H., & Valenzuela, M. (2014). Computerized cognitive training in cognitively healthy older adults: a systematic review and meta-analysis of effect modifiers. PLoS medicine, 11(11), e1001756.
Lévesque, J., Beauregard, M., Mensour, B. (2006). Effect of neurofeedback training on the neural substrates of selective attention in children with attention-deficit/hyperactivity disorder: a functional magnetic resonance imaging study. Neuroscience letters, 394(3),216-221.
Lobar, JF.)2003). Neurofeedback for the managemunt of attention deficit disorders.Biofeedback. Apractitoner guide. 3, 409-437.
Loo, S.K., & Barkley, R. (2005). Clinical utility of EEG in attention-deficit/hyperactivity disorder. Applied Neuropsychology, 12, 64–76.
Loo, S.K., & Makeig, S. (2012). Clinical utility of EEG in attention-deficit/hyperactivity disorder: a research update.  Neurotherapeutics, 9(3), 569-87.
 Lotfi, S. (2012). The effectiveness of computerized cognitive training on visual spatial working memory performance of students with reading problems. Tehran University: MS Thesis. (In Persion).
Madani, A., Heydari-nasab, L., Yaghoubi, H., Rostami, R. (2016). The Effectiveness of Neurofeedback with Cognitive Tasks on Attention Deficit / Hyperactivity (ADHD Symptoms) in Adulthood. Journal of Clinical Psychology, 7(4), 59-70.
Martyr, Sima; Farideh, Yousefi and Shahayan, Amena (2007). Standardization and Psychometric Properties of Conners Grading Scale - Teacher Form. Journal of Educational Sciences and Psychology. Shahid Chamran University Ahvaz, Third Year, Year 14, Number 1 and 2, p. 26-1.
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(11), 2419-2436.
Merikanges, K.R., He, J.P., Brody, D.F., Bourden, K., Kortez, D.S. (2010). Prevalence and Treatment of Mental Disorders Among US Children in the 2001–2004 NHANES. Pediatrics, 125(1), 75-81.
Monstra, V. J., Linden, M., VanDeusen, P., Green, G., Wing, W., & Philips, A. (1999).Assessing attention deficit hyperactivity disorder via quntitiative electrencephalography. Neurophsiology, 13, 424-433.
Najafi, M., Mohamadi, MR., Asari, S. (2005). Impact of computer game and computer assisted type instruction on inattention and impulsivity of children suffering from attention deficit hyperactivity disorder. J Shahrekord Univ Med Sci, (7), 47-54 [Persian].
Niv, S. (2013). Clinical efficacy and potential mechanisms of neurofeedback. Personality and Individual Differences, 54(6), 676-686.
Nooner, K. B., Leaberry, K. D., Keith, J. R., & Ogle, R. L. (2016). Clinic Outcome Assessment of a Brief Course Neurofeedback for Childhood ADHD Symptoms. The journal of behavioral health services & research, 1-9
Nussbaum, A. M. (2013). The Pocket Guide to the DSM-5 Diagnostic Exam. Arlington, V A; American Psychiatric Publishing. Adivision of American Psychiatric Association.
Onton, J.; Delorme, A. & Makeig, S. (2005). "Frontal midline EEG dynamics during working memory". NeuroImage, 27, 341-356.
Pelham, W.E., Wheeler, T., & Chronis, A. (1998). Empirically supported psychosocial treatments for attention-deficit/hyperactivity disorder. Journal of Clinical Child Psychology, 27, 190–205.
Polanczyk, G., & Jensen, P. (2008). Epidemiologic considerations in attention deficit hyperactivity disorder: A review and update. Child Adolesc Psychiatr Clin N Am, 17(2), 245-60.
 Polanczyk, G., & Jensen, P. (2008). Epidemiologic considerations in attention deficit hyperactivity disorder: A review and update. Child Adolesc Psychiatr Clin N Am, 17(2), 245-60.
Posner, M. & Petersen, S. (1990). The attention system of the human brain. Annual Review of Neuroscience, 13, 25-42.
Poursalehi Navideh, M., Peyvastehgar, M., Khosravi, Z., Golshani, F. (2016). Comparison the effectiveness Dialectical behavior therapy and Neurofeedback in reducing prodromal symptoms of bipolar disorder. Applied Psychological Research Quarterly. 7(4), 101-116. (Persian)
Prins, PJ., Dovis, S., Ponsioen, A., Brink, E., Oord, S. (2011). Does computerized working memory training with game elements enhance motivation and training efficacy in children with ADHD? Cyberpsycho Behav Soc Netw, 14(3), 115-122.
Raven, J. (2000). The Raven’s Progressive Matrices: Change and Stability over Culture and Time. Cognitive Psychology, 41, 1-48.
Saad, J. F., Kohn, M. R., Clarke, S., Lagopoulos, J., & Hermens, D. F. (2015). Is the Theta/Beta EEG Marker for ADHD Inherently Flawed?. Journal of attention disorders, 1087054715578270.
Sadati, S., Gholamali, A., Rostami, R., Behpajooh, A., Shokoohi Yekta, M., Ghobari Bonab, B. (2014). Efficacy of Neurofeedback on Behavioral Inhibition and Impulsivity in Students with ADHD. Journal of Exceptional Children. 14(1), 57-66.
Saduk, Benjamin; Saduk, Virginia Alcott; Roez, Pedro. (2017). Kaplan and Saduk. Synopsis of Psychiatry (Behavioral Sciences, Clinical Psychiatry). Volume III. Translation by Farzin Rezaei. Honorable Publications. (Release Date in original language: 2015)
Shahiyan, Amen, Shahid, Sima; Bashash, Liaia and Yousefi, Farideh. (2008). Standardization of Factor Analysis and Reliability of the Parent's Particular Form of Parents Conner Grading Scale for Children 6-11 Years Old in Shiraz. Journal of Psychological Studies, Alzahra University. Faculty of Educational Sciences and Psychology, 3 (3), 97-87.
Shiri, E., Valipour, M., Mazaheri, M., Roudbari, B. (2014). Prevalence of internalized and externalized behavioral problem among middle school boys in Zanjan city. J Res Behave Sci.12(2), 165-173. (Persian)
Sonuga-Barke, E., Brandeis, D., Holtmann, M., Cortese, S. (2014). Computer-based cognitive training for ADHD: a review of current evidence. Child Adolescent Psychiat Clin North Ame, (23), 807-824.
Strehl, U., Leins, U., Goth, G., Klinger, C., Hinterberger, T., & Birbaumer, N. (2006). Self-regulation of slow cortical potentials: A new treatment for children with attention-deficit/hyperactivity disorder. Pediatrics, 118, 1530–1540.
Tahiroglu, AY., Celik, GG., Avci, A., Seydaoglu, G., Uzel, M., Altunbas, H. (2010). Short-term effects of playing computer games on attention. Journal of Attention Disorders,  (13), 668-676.
Taylor, E., Döpfner, M., Sergeant, 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(1), I7–30.
Ten Brinke, L.F., JenDavis, J.C., Barha, C.K., and Liu-Ambrose, T. (2017). Effects of computerized cognitive training on neuroimaging outcomes in older adults: a systematic review. BMC Geriatrics, 17(39), 1-20.
Thomas, B. L., & Viljoen, M. (2016). EEG Brain Wave Activity at Rest and during Evoked Attention in Children with Attention-Deficit/Hyperactivity Disorder and Effects of Methylphenidate. Neuropsychobiology, 73(1), 16-22.
Toplak, M. E., Dockstader, C., & Tannock, R. (2006). Temporal information processing in ADHD: findings to date and new methods. Journal of neuroscience methods, 151(1), 15-29.
Walker, J. (2013). QEEG-Guided Neurofeedback for Anger/ Anger Control Disorder. Journal of Neurotherapy. 17(1), 88-92.
Wangler, S., Gevensleben, H., Albrecht, B., Studer, P., Rothenberger A, Moll, G. H., & Heinrich, H. (2011). Neurofeedback in children with ADHD: Specific event-related potential findings of a randomized controlled trial. Clinical Neurophysiology, 122, 5, 942-950.
Wonguparaj, P.,  Kumari , V.,  Morris, R. G. ( 2015). Across-Temporal Meta-Analysis Of Raven's Progressive Matrices: Age groups and developing versus developed countries. Inteligence, 49, 1-9.
Yasuhara A, Yasuhara Y, Yoshizaki Y. (2010). Continuous performance test “Mograz” using personal computer in children with attention deficit/hyperactivity disorders (ADHD). Clin Neurophysiol, (121),49 -57.
Zadkhosh, S. M., Gharayagh, H., Hemayattalab, R. (2017). The effects of Neurofeedback on Anxiety decrease and Athletic performance Enhancement. Applied Psychological Research Quarterly. 4(7), 21-37. (Persian)
Zoefel, B.,  Huster, R. J., & Herrmann, C. S. (2011). Neurofeedback training of the upper alpha frequency band in EEG improves cognitive performance. NeuroImage , 54(2), 1427-1431.
Zotev, V., Yuan, H., Misaki, M., Phillips, R., Young, K. D., Feldner, M. T., & Bodurka, J. (2016). Correlation between amygdala BOLD activity and frontal EEG asymmetry during real-time fMRI neurofeedback training in patients with depression. NeuroImage: Clinical11, 224-238.