Document Type : Research Article

Authors

1 PhD student / Shahid Beheshti University

2 Faculty Member/ Shahid Beheshti University

3 Faculty / Shahid Beheshti University

Abstract

Aim of the study:
Attention deficiency and hyperactivity disorder is the most common disorder in childhood period. This study was carried out with the aim of comparing two types of treatment in different types of visual attention.
Research method:
It was a quasi-experimental study with pre-test and post-test and control group. Fifty elementary school male students were selected as sample from students referred to psychiatric clinics in Karaj city. The sample that was selected using convenient sampling method was grouped randomly into three same groups including two experimental and one control group. Pre-test was done on all three groups using IVA test. One of the experimental groups was rehabilitated for 14 sessions using researcher-made tool. Another experimental group was treated for 18 sessions using neurofeedback method with Beta protocol. Control group did not receive any interventions. Afterwards, a post-test was done on all three groups using IVA test.
Results:
Results were analyzed using SPSS 19 software and MANCOVA analysis method. Results of multivariable co-variance analysis method showed cognitive rehabilitation method is more efficient than neurofeedback method in improving different types of visual attention in elementary school male students with ADHD.
Conclusion:
Rehabilitation method used for improving different types of visual attention in elementary school male students with ADHD is more efficient compared with neurofeedback method.

Keywords

Ackerman, P. L., Beier, M. E., & Boyle, M. (2005). Working memory and intelligence: The same or different constructs? Psychological Bulletin, 131, 30. DOI: 10.1037/0033-2909.131.1.30.
Alidadi, F., Sotodeh ASL, N., & Karami, A. (2019). Effectiveness of Cognitive Rehabilitation, neurofeedback and combination of these two methods on Working Memory in children whit Attention deficit hyperactivity disorder (ADHD).Iranian Journal of Rehabilitation Research in Nursing (IJRN). 5(5), DOI: 10.21859/ijrn-05504.
Arns, M., De Ridder, S., Strehl, U., Breteler, M., & Coenen, A. (2009). Efficacy of neurofeedback treatment in ADHD: The effects on inattention, impulsivity and hyperactivity: A meta-analysis. Clinical EEG and Neuroscience, 40(3), 180–9. Doi: 10.1177/155005940904000311.
Azizi A, F MD, MA S. (2017). Effectiveness of Cognitive Rehabilitation Training on Continuous Attention, Working Memory and Visual - Motor Perception in Primary School Students with Specific Learning Disability. Social Cognition. 6(1), 135-46. [Persian]
Banaschewski, T., Coghill, D., & Santosh, P. (2006). Long-acting medications for the hyperkinetic disorders. A systematic review and European treatment guideline. Eur Child Adolesc Psychiatry. 15, 476-495. DOI: 10.1007/s00787-006-0549-0.
Barkley, R. A., Murphy, K. R., & Fischer, M. (2010). ADHD in adults: What the science says. New York: Guilford Press.
Castellanos, F. X., Sonuga-Barke,, E. J, Milham, M. P., & Tannock, R. (2006). Characterizing cognition in ADHD: beyond executive dysfunction. Trends Cogn Sci. 10:117-123.doi.org/10.1016/j.tics.2006.01.011.
Collette, F., Hogge, M., Salmon, E., & Van Der Linden, M. (2006). Exploration of the neural substrates of executive functioning by functional neuroimaging. Neuroscience, 139, 209–221. DOI: 10.1016/j.neuroscience.2005.05.035.
Enriquez-Geppert, S., Diede, S., Miguel, G., & Martijn, A. (2019). Neurofeedback as a Treatment Intervention in ADHD: Current Evidence and Practice. Curr Psychiatry Rep, 21(6), 46. Doi: 10.1007/s11920-019-1021-4.
Fabio RA., Antonietti A., Castelli I., & Marchetti, A. (2008). Attention and communication in Rett Syndrome.  Research in Autism Spectrum Disorders; 3:329-35.
Froehlich, T. E., Lanphear, B. P., Epstein, J. N., Barbaresi, W. J, Katusic, S. K., & Kahn, R. S. (2007). Prevalence, recognition, and treatment of attention-deficit/hyperactivity disorder in a national sample of US children. Archives of Pediatrics and Adolescent Medicine. 161, 857–864. DOI: 10.1001/archpedi.161.9.857.
Gardiner, J. C., & Horwitz, J. L. (2015). Neurologic music therapy and group psychotherapy for treatment of traumatic brain injury: Evaluation of a cognitive rehabilitation group. Music Therapy Perspectives, 33(2), 193-201. http://dx.doi.org/ 10.1093/mtp/miu045.
Gevensleben, H., Holl, B., Albrecht, B., Vogel, C., Schlamp, D., Kratz, O., et al. (2009). Is neurofeedback an efficacious treatment for ADHD? A randomised controlled clinical trial. Journal of Child Psychology and Psychiatry, 50(7), 780–9. Doi: 10.1111/j.1469-7610.2008.02033.x.
Gibson, B. S., Gondoli, D. M., Johnson, A. C., Steeger, C. M., Dobrzenski, B. A., & Morrissey, R. A. (2011). Component analysis of verbal versus spatial working memory training in adolescents with ADHD: A randomized, controlled trial. Child Neuropsychology: A Journal on Normal and Abnormal Development in Childhood and Adolescence. 17, 546–563.DOI: 10.1080/09297049.2010.551186.
Gunkelman, J.D., & Johnstone, J. (2005). Neurofeedback and the brain. Journal Adult Development. 12(2-3):93-8.
Johnstone, S. J., Roodenrys, S., Blackman, R., Johnston, E., Loveday, K., Mantz. S., & Barratt, M. F. (2012). Neurocognitive training for children with and without AD/HD. Attention Deficit and Hyperactivity Disorders. 4, 11–23. DOI: 10.1007/s12402-011-0069-8.
Kianbakht, S., Naghel, F., Alidadi, V., Nejati, H., & Ghasemansarini, V. (2015). Effectiveness of Neurofeedback Associated with Cognitive Rehabilitation Therapy on Children with Attention Defect Hyperactivity Disorder (ADHD). The International Journal of Indian Psychology, 2(4), DIP: B00302V2I42015.
Klinberg, G., & Fernell, D. (2005). Dficits in attention motor control and other syndromes attributed to minimal brain dysfunction. In J Aicardi (ED). Diseases of nevus system in children. Clinics in Development medicine, 12(5), 138_172.
Klingberg, T, Forssberg, H., & Westerberg, H. (2002). Training of working memory in children with ADHD. Journal of Clinical a.nd Experimental Neuropsychology. 24, 781–791. DOI: 10.1076/jcen.24.6.781.8395.
Klingberg, T. (2010). Training and plasticity of working memory. Trends in Cognitive Science, 14, 317–324.
Leins, U., Goth, G., Hinterberger, T., Klinger, C., Rumpf, N., & Strehl, U. (2007). Neurofeedback for children with ADHD: A comparison of SCP and Theta/Beta protocols. Applied Psychophysiology and Biofeedback, 32(2), 73–88. Doi: ­10.1007/s10484-007-9031-.
Logemann, H. N., Lansbergen, M. M., Van Os, T. W., Böcker, K. B., Kenemans, J. L. (2010). The effectiveness of EEG- feedback on attention, impulsivity and EEG: A sham feedback controlled study. Neuroscience Letters, 19, 479(1), 49-53. DOI: 10.1016/j.neulet.2010.05.026.
Lubar, JF. (2003). Neurofeedback for the management of attention deficit disorders. In M.S. Schwarts & F. Andrasik (eds). Biofeedback: A practitioners guide. New York: The Guilford Press.
Mannuzza, S., Klein, RG., Bessler, A., Malloy, P., & LaPadula, M. (1993). Adult outcome of hyperactive boys. Educational achievement, occupational rank, and psychiatric status. Arch Gen Psychiatry, 50, 565-576. doi:10.1001/archpsyc. 1993.01820190067007.
Mashhadi, M., Teymouri, S., Soltanifar, A., & Hoseinzademaleki, Z. (2011). Visuo-spatial working memory of ADHD children in Benton Visual Retention Test. 1th conferences of cognitive science in education. 848-857.
Mayer, F., Blume, S. N., Wyckoff, L. L., & Brokmeier, U. (2016). Strehl Neurofeedback of slow cortical potentials as a treatment for adults with Attention Deficit-/Hyperactivity Disorder. Clinical Neurophysiology, 127 (2) 1374-1386. 10.1016/j.clinph.2015.11.013. https://doi. org/10.1016/j. clinph.2015.11.013.
Miklos, Z., Mychailyszyn, M., & Parente, R. (2015). The efficacy of cognitive rehabilitation therapy: a meta-analytic review of traumatic brain injury and stroke cognitive language rehabilitation literature. American Journal of Psychiatry and Neuroscience, 3(2), 15-22. DOI: 10.11648/ j.ajpn.20150302.11.
Moin, N., Asadi Gandomani, R., & Amiri, M. (2018). The Effect of Neurofeedback on Improving Executive Functions in Children with Attention Deficit/ Hyperactivity Disorder. J Rehabil, 19(3), 220-7. Doi: 10.32598/rj.19.3.220.
Nabavi Aleagha, F., Naderi, F., Heidarei, A., Nazari, M., Nicksirat, A., & Avakh, F. (2014). The effect of neurofeedback (SMR training) on performance and reaction time of individuals who undertake difficult tasks. Ebnesina, 15(4), 36-41. [Persian]
Narimani, M., Rajabi, S., & Delavar, S. (2013). The effect of neurofeedback training on reducing hyperactivity symptoms in female students. Journal of Arak University of Medical Sciences, 16(2), 91-103. [Persian]
Pahlevanian, A., Nader, A., Sedigheh, N., Alidadi, F., Nejati, V., & Kianbakht, M. (2015). Neurofeedback Associatedwith Neurocognitive-Rehabilitation Training on Childrenwith Attention-Deficit/Hyperactivity Disorder (ADHD) Ment Health Addiction. Science+Business Media New York 2015. Int J Ment Health Addiction, DOI 10.1007/s11469-015-9621-7.
Polderman, T. J., Boomsma, DI., Bartels, M., Verhulst, FC., & Huizink, AC. (2010) A systematic review of prospective studies on attention problems and academic achievement. Acta Psychiatr Scand, 122, 271-284. doi.org/10.1111/j.1600-0447.2010.01568.x.
Rajabi, S., Narimani, M., & Abolghasemi, A. (2014). Investigating the effect of neurofeedback on increasing IQ and attention in children with dyslexia. Journal of Psychological Achievement, 22(2), 26-1.
Rapport, M. D., Alderson, M. R., Kofler, M. J., Sarver, D. E., Bolden, J., & Sims, V. (2008). Working Memory Deficits in Boys with Attention-deficit/ Hyperactivity Disorder (ADHD): The Contribution of Central Executive and Subsystem Processes. Journal ofAbnormal Child Psychology, 36:825–837. DOI: 10.1177/ 1087054716686182.
Schönenberg, M., Wiedemann, E., Schneidt, A., Scheeff, J., Logemann, A., Keune, PM., & Hautzinger, M. (2017). 2 Neurofeedback, sham neurofeedback, and cognitive-behavioural group therapy in adults with attention-deficit hyperactivity disorder: A triple-blind, randomised, controlled trial. Lancet Psychiatry, Sep; 4(9), 673-684. Doi: 10.1016/S2215-0366(17)30291-2. Epub 2017 Aug 9.
Shalev, L., Tsal, Y., & Mevorach, C. (2007). Computerized progressive attentional training (CPAT) program: Effective direct intervention for children with ADHD. Child Neuropsychology: A Journal on Normal and Abnormal Development in Childhood and Adolescence, 13, 382–388.
Shereena, E. A., Gupta, R. K., Bennett, C. N., Sagar, K. J. V., & Rajeswaran, J. (2018). EEG Neurofeedback Training in Children with Attention Deficit/ Hyperactivity Disorder: A Cognitive and Behavioral Outcome Study. Clinical EEG and Neuroscience, 50 (4), https://doi.org/10.1177/1550059418813034.
Sohlberg, M C M., Matter, C A. (2001). Cognitive Rehabilitation: An Integrative NeuropsychologicalApproach. 2nd Ed. New York: The Guilford Press.
Steiner, N. J., Sheldrick, R. C., Gotthelf, D., & Perrin, E. (2014). Computer-based attention training in the schools for children with attention deficit/hyperactivity disorder: A preliminary trial. Clin Pediatr, 50, 615–622.
Van der Molen, M. J., Van Luit, J. E., Van der Molen, M. W., & Jongmans. M. J. (2010). Everyday memory and working memory in adolescents with mild intellectual disability. American Journal on Intellectual and Developmental Disabilities. 115, 207–217.
Vernon, D. J. (2005). Can neurofeedback training enhance performance? An evaluation of the evidence with implications for future research. Appl Psychophysiol Biofeedback, 30, 347-364. DOI: 10.1007/s10484-005-8421-4.
Wu, KK., Anderson, V., & Castiello, U. (2002). Neuropsychological evaluation of deficits in executive functioning for ADHD children with or without learning disabilities. Dev Neuropsychol, 22, 501-531. doi.org/10.1207/S15326942DN2202_5.
Ziabakhsh, S. M., Sharifi, M., Fath Afadi, J., & Nejati, V. (2018). Presenting the cognitive rehabilitation method of purposeful matrices and examining its effectiveness in students with attention deficit disorder from the parents' point of view, the first conference on human growth, development and health, Tehran, Faculty of Educational Sciences and Psychology, Shahid Beheshti University, https://www.civilica.com/ Paper-CEPRA01-CEPRA01_013.html. [Persian]