脑电图引导的适应性学习:一种促进ADHD儿童认知控制的新神经教育方法

IF 1.8 4区 医学 Q2 PEDIATRICS
Yanling Li, Chen Tian, Lei Xu, Lifei Pei, Xuemei Huang, Xia Wang
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引用次数: 0

摘要

注意缺陷多动障碍(ADHD)是一种常见的神经发育障碍,会损害儿童的注意力、冲动控制和学习成绩。传统的干预措施,如药物治疗和行为治疗,产生不一致的结果。本研究探索了一种新的神经教育方法——脑电图引导的适应性学习——作为一种增强多动症儿童认知控制和学习成绩的方法。方法对60例8 ~ 12岁ADHD患儿进行随机对照试验。参与者被随机分配到脑电图引导的适应性学习组或接受标准教育支持的对照组。干预包括8周的脑电图监测认知训练。干预前和干预后的评估评估了脑电图参数(θ / β比值、额叶α功率和P300振幅)、行为结果(注意力持续时间和冲动控制)和学业表现(数学、阅读理解和写作技能)。结果脑电图引导组theta/beta比显著降低(p < 0.001),额叶α功率(p < 0.01)和P300振幅(p < 0.001)增加,表明注意控制和认知参与增强。行为分数在注意力持续时间(p < 0.001)和冲动控制(p < 0.01)方面有显著提高,而学业分数在数学(p < 0.001)、阅读理解(p < 0.002)和写作(p < 0.001)方面有显著提高。对照组无明显变化。结论脑电图引导的适应性学习是一种有效的干预方法,可以改善ADHD儿童的认知功能和学习成绩。值得注意的是,虽然观察到额叶阿尔法能量的增加,这通常与执行功能的改善有关,但这种增加也可能与焦虑和抑郁有关。在解释研究结果时应考虑到这一潜在的混杂因素。研究结果支持将神经反馈和适应性学习整合到支持神经发育障碍的教育实践中。脑电图引导下的适应性学习显著提高ADHD儿童的注意广度、冲动控制和执行功能。这种神经教育方法针对核心认知缺陷,提供了超越传统干预措施的可衡量的改善。θ / β比值的降低和额叶α能量的增加表明认知控制的神经标记得到改善。这些神经生理变化支持脑电图反馈在调节注意网络中的有效性。在脑电图指导下学习后,数学、阅读和写作的学习成绩有所提高,将认知控制与教育成果联系起来。神经反馈与适应性任务的整合为提高学校成绩提供了坚实的基础。该干预措施得到了学生和教育工作者的广泛接受,促进了在教育环境中更广泛实施的可行性。积极的定性反馈表明在现实环境中具有较高的粘性和可用性。未来的政策和研究应考虑将神经适应技术纳入学校系统。本研究为将脑电图引导的学习扩展为神经发育支持的循证干预奠定了基础。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
EEG-Guided Adaptive Learning: A New Neuroeducational Approach to the Facilitation of Cognitive Control in ADHD Children

Background

Attention deficit hyperactivity disorder (ADHD) is a prevalent neurodevelopmental disorder that impairs children's attention, impulse control and academic performance. Conventional interventions, such as pharmacotherapy and behavioural therapy, yield inconsistent results. This study explores a novel neuroeducational approach—EEG-guided adaptive learning—as a method to enhance cognitive control and academic outcomes in children with ADHD.

Methods

A randomized controlled trial was conducted with 60 children aged 8–12 diagnosed with ADHD. Participants were randomly assigned to either an EEG-guided adaptive learning group or a control group receiving standard educational support. The intervention included 8 weeks of EEG-monitored cognitive training. Pre- and post-intervention assessments evaluated EEG parameters (theta/beta ratio, frontal alpha power and P300 amplitude), behavioural outcomes (attention span and impulse control) and academic performance (math, reading comprehension and writing skills).

Results

The EEG-guided group demonstrated a significant reduction in the theta/beta ratio (p < 0.001) and an increase in frontal alpha power (p < 0.01) and P300 amplitudes (p < 0.001), indicating enhanced attentional control and cognitive engagement. Behavioural scores improved significantly in attention span (p < 0.001) and impulse control (p < 0.01), while academic scores showed notable gains in math (p < 0.001), reading comprehension (p < 0.002) and writing (p < 0.001). The control group exhibited no significant changes.

Conclusion

EEG-guided adaptive learning is an effective and engaging intervention that improves cognitive functioning and academic performance in children with ADHD. It is important to note that although increases in frontal alpha power were observed, which are typically associated with improved executive functioning, such increases can also be linked to anxiety and depression. This potential confounding factor should be considered when interpreting the findings. The findings support the integration of neurofeedback and adaptive learning into educational practices to support neurodevelopmental disorders.

Summary

  • EEG-guided adaptive learning significantly enhances attention span, impulse control and executive functioning in children with ADHD.This neuroeducational approach targets core cognitive deficits, offering measurable improvements beyond traditional interventions.
  • Reduction in theta/beta ratio and increased frontal alpha power indicate improved neural markers of cognitive control. These neurophysiological changes support the effectiveness of EEG feedback in modulating attentional networks.
  • Academic performance in math, reading and writing improves following EEG-guided learning, linking cognitive control to educational outcomes. The integration of neurofeedback with adaptive tasks provides a strong foundation for improving school-based achievement.
  • The intervention is well-accepted by both students and educators, promoting feasibility for broader implementation in educational settings. Positive qualitative feedback suggests high engagement and usability in real-world environments.
  • Future policy and research should consider the inclusion of neuroadaptive technologies in school systems. This study lays the groundwork for scaling EEG-guided learning into evidence-based interventions for neurodevelopmental support.
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来源期刊
CiteScore
3.40
自引率
5.30%
发文量
136
审稿时长
4-8 weeks
期刊介绍: Child: care, health and development is an international, peer-reviewed journal which publishes papers dealing with all aspects of the health and development of children and young people. We aim to attract quantitative and qualitative research papers relevant to people from all disciplines working in child health. We welcome studies which examine the effects of social and environmental factors on health and development as well as those dealing with clinical issues, the organization of services and health policy. We particularly encourage the submission of studies related to those who are disadvantaged by physical, developmental, emotional and social problems. The journal also aims to collate important research findings and to provide a forum for discussion of global child health issues.
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