ArticleApplied psychophysiology and biofeedback2019
Z-Score Neurofeedback and Heart Rate Variability Training for Adults and Children with Symptoms of Attention-Deficit/Hyperactivity Disorder: A Retrospective Study.
Article in Applied psychophysiology and biofeedback, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Effects of EEG neurofeedback in adults with attention-deficit/hyperactivity disorder: a systematic review of randomised and non-randomised studies.Journal of neurodevelopmental disorders · 2026Pooled it
- Slow Cortical Potential Versus Live Z-score Neurofeedback in Children and Adolescents with ADHD: A Multi-arm Pragmatic Randomized Controlled Trial with Active and Passive Comparators.Research on child and adolescent psychopathology · 2022Trial
- Predictors of Somatic Symptom Severity in Adult Psychiatric Outpatients: A Cross-sectional Heart Rate Variability and Quantitative Electroencephalography Study.Clinical psychopharmacology and neuroscience : the official scientific journal of the Korean College of Neuropsychopharmacology · 2026Article
- Synergy and Synchrony Between Beta-Theta Neurofeedback, Heart Rate Variability Biofeedback and Breathwork Via Continuous Feedback in Improving Reaction Time.Applied psychophysiology and biofeedback · 2026Article
- Virtual reality interventions for attention deficit/hyperactivity disorder: a systematic review.NPJ digital medicine · 2026Article
- Heart Rate Variability Biofeedback Intervention Programme to Improve Attention in Primary Schools.Applied psychophysiology and biofeedback · 2024Article
- Integrated use of biofeedback and neurofeedback techniques in treating pathological conditions and improving performance: a narrative review.Frontiers in neuroscience · 2024Review
- A review of recent treatments for adults living with attention-deficit/hyperactivity disorder.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2023Review
- Does Heart Rate Variability Biofeedback Enhance Executive Functions Across the Lifespan? A Systematic Review.Journal of cognitive enhancement : towards the integration of theory and practice · 2022Review
- Individual Alpha Peak Frequency, an Important Biomarker for Live Z-Score Training Neurofeedback in Adolescents with Learning Disabilities.Brain sciences · 2021Article
- Z-score neurofeedback, heart rate variability biofeedback, and brain coaching for older adults with memory concerns.Restorative neurology and neuroscience · 2021Article
- Updates in technology-based interventions for attention deficit hyperactivity disorder.Current opinion in psychiatry · 2020Review
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
ADHD is a common condition that causes suffering for those affected and economic loss for society at large. The current standard treatment for ADHD includes stimulant medications, which are not effective for all patients, may include side effects, and can be non-medically misused. Z-score neurofeedback (NFB) and heart rate variability (HRV) biofeedback are alternative treatment strategies that have been associated with Attention-Deficit/Hyperactivity Disorder (ADHD) symptom improvement. We utilized a retrospective pre-post study design to quantify the change in clients' ADHD symptoms after combined NFB + HRV treatment (which included simultaneous z-score training at four sites). We also assessed whether relevant physiological measures changed in accordance with the protocol, which would be consistent with effective NFB + HRV training. Adults (n = 39) and children (n = 100) with Borderline or Clinical ADHD classifications by the Achenbach System of Empirically Based Assessment (ASEBA) received 30 sessions of NFB + HRV training. Measures were compared before and after treatment for the ASEBA, the Integrated Visual and Auditory Continuous Performance Test (IVA), ADHD medication use, HRV and breathing parameters, and quantitative electroencephalogram (QEEG) parameters. Average ASEBA Attention-Deficit/Hyperactive Problems score improved after treatment for adults and children (p < 0.0001), with Cohen effect sizes (d
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