神经调节作为儿童注意缺陷/多动障碍的潜在干预措施。

IF 0.8 Q4 PSYCHIATRY
Chan-Mo Yang, Jun Won Kim
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引用次数: 0

摘要

本文综述了神经调节方法的治疗潜力,包括神经反馈、经颅直流电刺激(tDCS)和经颅磁刺激(TMS),作为非药物干预治疗儿童注意力缺陷/多动障碍(ADHD)。对目前的研究进行了全面的回顾,重点关注每种技术在治疗ADHD症状和认知缺陷方面的机制、应用和功效。研究包括患有多动症的人类参与者,评估症状严重程度和认知结果的变化。神经反馈证明了症状减轻的有效性,特别是与药物治疗联合使用时,产生了持续的改善。tDCS效果中等,尤其在注意和冲动控制方面;然而,方案和儿童反应的可变性突出了标准化的必要性。经颅磁刺激显示出不同的结果,高频经颅磁刺激针对背外侧前额皮质表明潜在的认知益处,尽管研究结果不一致。神经调节为儿童ADHD治疗提供了一种有希望的补充方法,可能解决药物治疗的局限性。未来的研究应侧重于优化刺激参数,增加样本量,并改进方法,以建立神经调节作为标准ADHD治疗方案的一部分。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Neuromodulation as a Potential Intervention for Children With Attention-Deficit/Hyperactivity Disorder.

This review examines the therapeutic potential of neuromodulation methods, including neurofeedback, transcranial direct current stimulation (tDCS), and transcranial magnetic stimulation (TMS), as non-pharmacological interventions for children with attention-deficit/hyperactivity disorder (ADHD). A comprehensive review of current studies was conducted, focusing on each technique's mechanism, application, and efficacy in managing ADHD symptoms and cognitive deficits. Studies included human participants with ADHD, evaluating changes in symptom severity and cognitive outcomes. Neurofeedback demonstrated efficacy in symptom reduction, particularly when combined with pharmacotherapy, yielding sustained improvements. tDCS showed moderate efficacy, especially in attention and impulsivity control; however, variability in protocols and pediatric response highlights the need for standardization. TMS exhibited mixed outcomes, with high-frequency TMS targeting the dorsolateral prefrontal cortex indicating potential cognitive benefits, though results were inconsistent across studies. Neuromodulation presents a promising complementary approach for ADHD treatment in children, potentially addressing limitations of pharmacotherapy. Future research should focus on optimizing stimulation parameters, increasing sample sizes, and refining methodologies to establish neuromodulation as part of standard ADHD treatment protocols.

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来源期刊
CiteScore
2.90
自引率
5.00%
发文量
20
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