Biofeedback no aperfeiçoamento da autorregulação emocional em crianças com TDAH
DOI:
https://doi.org/10.34024/rnc.2024.v32.19538Palavras-chave:
Biofeedback, Neurofeedback, TDAH, Autorregulação, EmoçõesResumo
Introdução. Este estudo bibliográfico investiga os mecanismos neurobiológicos e implicações do biofeedback na autorregulação emocional de crianças com TDAH, explorando sua intersecção para melhorar o funcionamento adaptativo e a saúde emocional. Objetivo. Analisar como o biofeedback pode ser integrado para melhorar a autorregulação emocional em crianças com TDAH. Método. Foi conduzida uma revisão narrativa, utilizando os bancos de dados PubMed e Scopus com os descritores "Biofeedback", "Attention deficit hyperactivity disorder (TDAH)", "Self-regulation", e "Emotion". Os artigos foram selecionados com base na relevância para os objetivos da pesquisa. Resultados. Após a seleção, 89 artigos foram considerados elegíveis, com desenhos de estudo variados, incluindo ensaios clínicos, estudos de coorte, caso-controle, transversais e pilotos, oferecendo uma análise abrangente da temática. Conclusão. A integração do biofeedback na terapia para autorregulação emocional em crianças com TDAH mostra-se promissora, fornecendo uma base empírica sólida para intervenção e equipando as crianças com habilidades práticas para gerir suas respostas emocionais e comportamentais de maneira mais eficaz, promovendo assim seu bem-estar geral e adaptabilidade social.
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Referências
Williamon A. Physiological self-regulation: biofeedback and neurofeedback. In: Williamon A (editor). Musical Excellence: Strategies and Techniques to Enhance Performance. Oxford: Oxford Academic; 2004. https://doi.org/10.1093/acprof:oso/9780198525356.003.0011
Gaume A, Vialatte A, Mora-Sánchez A, Ramdani C, Vialatte F. A psychoengineering paradigm for the neurocognitive mechanisms of biofeedback and neurofeedback. Neurosci Biobehav Rev 2016;68:891-910. https://doi.org/10.1016/j.neubiorev.2016.06.012
Nagai Y. Autonomic biofeedback therapy in epilepsy. Epilepsy Res 2019;153:76-8. https://doi.org/10.1016/j.eplepsyres.2019.02.005
Bradley MM, Sambucó N. Emotional memory and amygdala activation. Front Behav Neurosci 2022;16:896285. https://doi.org/10.3389/fnbeh.2022.896285
Simons JS, Garrison JR, Johnson MK. Brain mechanisms of reality monitoring. Trends Cogn Sci 2017;21:462-73. https://doi.org/10.1016/j.tics.2017.03.012
Konrad K, Eickhoff SB. Is the ADHD brain wired differently? A review on structural and functional connectivity in attention deficit hyperactivity disorder. Hum Brain Mapp 2010;31:904-16. https://doi.org/10.1002/hbm.21058
Ali Y, Mahmud NA, Rashidi S. Current advances in neurofeedback techniques for the treatment of ADHD. Biomed Pharmacol J 2015;8:165-77. https://doi.org/10.13005/bpj/573
Dankoff J, Shkirando E. Narrative Review Process: Getting Useful Feedback on Your Story. In: Schoenau-Fog H, Bruni L, Louchart S, Baceviciute S (editors). Interactive Storytelling. ICIDS 2015. Lecture Notes in Computer Science, vol. 9445. Cham: Springer; 2015. https://doi.org/10.1007/978-3-319-27036-4_17
Leistner C, Menke A. Handbook of Clinical Neurology. Elsevier; 2020. Hypothalamic–pituitary–adrenal axis and stress; p. 55-64. https://doi.org/10.1016/b978-0-444-64123-6.00004-7
Nasab SA, Roohi-Azizi M, Ghadiri MK. Functional neuronal networks reveal emotional processing differences in children with ADHD. Cogn Neurodyn 2021:16:91-100. https://doi.org/10.1007/s11571-021-09699-6
Kandel ER. Princípios de neurociências. São Paulo: McGraw Hill; 2014.
Gitler A, Bortz A, Davison D, Hanson S, Combe L. Neuromodulation applied to diseases: the case of HRV biofeedback. J Clin Med 2022;11:5927. https://doi.org/10.3390/jcm11195927
Wolraich ML, Hagan JF, Allan C, Chan E, Davison D, Earls M, et al. Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents. Pediatrics 2019;144:e20192528. https://doi.org/10.1542/peds.2019-2528
Drechsler R, Brem S, Brandeis D, Grünblatt E, Drechsler T. ADHD: Current Concepts and Treatments in Children and Adolescents. Neuropediatrics 2020;51:315-35. https://doi.org/10.1055/s-0040-1701658
Wolraich ML, Hagan JF, Allan C, Chan E, Davison D, Earls M, et al. ADHD Diagnosis and Treatment Guidelines: A Historical Perspective. Pediatrics 2019;144:e20191682. https://doi.org/10.1542/peds.2019-1682
Cortese S, Coghill D. Twenty years of research on attention-deficit/hyperactivity disorder (ADHD): looking back, looking forward. Evid Based Ment Health 2018;21:173-6. https://doi.org/10.1136/ebmental-2018-300050
Pop-Jordanova N. Biofeedback application for somatoform disorders and attention deficit hyperactivity disorder (ADHD) in children. Int J Med Med Sci 2009;1:17-22. https://www.academicjournals.org/ijmms
Lam SL, Fung HH, Tse J, Zhou J, Zainal H, Cheung CW, et al. Double-Blind, sham-controlled randomized trial testing the efficacy of fmri neurofeedback on clinical and cognitive measures in children with ADHD. Am J Psychiatry 2022;179:947-58. https://doi.org/10.1176/appi.ajp.21100999
Moreno-García I, Cano-Crespo A, Rivera F. Results of neurofeedback in treatment of children with ADHD: a systematic review of randomized controlled trials. Appl Psychophysiol Biofeedback 2022;47:145-81. https://doi.org/10.1007/s10484-022-09547-1
Aggensteiner PM, Brandeis D, Millenet S, Hohmann S, Christiansen H, Banaschewski T, et al. Slow cortical potentials neurofeedback in children with ADHD: comorbidity, self-regulation and clinical outcomes 6 months after treatment in a multicenter randomized controlled trial. Eur Child Adolesc Psychiatry 2019;28:1087-95. https://doi.org/10.1007/s00787-018-01271-8
Friedman LM, Mirsky DL, Zemon V, Lenczewski ME, Di Antonio E, Johnston KL, et al. Working and short-term memory in children with ADHD: an examination of prefrontal cortical functioning using functional Near-Infrared Spectroscopy (fNIRS). Child Neuropsychol 2023;30:462-85. https://doi.org/10.1080/09297049.2023.2213463
Dobrakowski P, Łebecka G. Individualized Neurofeedback Training May Help Achieve Long-Term Improvement of Working Memory in Children With ADHD. Clin EEG Neurosci 2019;51:94-101. https://doi.org/10.1177/1550059419879020
Kothgassner OD, Felnhofer A, Hlavacs H, Beutl L, Kothgassner L, Kryspin-Exner I, et al. Virtual reality biofeedback interventions for treating anxiety. Wien Klin Wochenschr 2022;134:49-59. https://doi.org/10.1007/s00508-021-01991-z
Jusyte A, Gulewitsch MD, Schönenberg M. Recognition of peer emotions in children with ADHD: evidence from an animated facial expressions task. Psychiatry Res 2017;258:351-7. https://doi.org/10.1016/j.psychres.2017.08.066
Bunford N, Evans SW, Wymbs F. ADHD and emotion dysregulation among children and adolescents. Clin Child Fam Psychol Rev 2015;18:185-217. https://doi.org/10.1007/s10567-015-0187-5
Faraone SV, Rostain AL, Blader J, Busch B, Childress AC, Connor DF, et al. Practitioner Review: emotional dysregulation in attention-deficit/hyperactivity disorder - implications for clinical recognition and intervention. J Child Psychol Psychiatry 2018;60:133-50. https://doi.org/10.1111/jcpp.12899
Leaberry KD, Wang CH, Liew J, Bauer BW, Olivera-Figueroa LA, Jensen DP, et al. Comorbid internalizing and externalizing disorders predict lability of negative emotions among children with ADHD. J Atten Disord 2017;24:1989-2001. https://doi.org/10.1177/1087054717734647
Groves NB, Luebbe AM, Huntbach AS. An examination of relations among working memory, ADHD symptoms, and emotion regulation. J Abnorm Child Psychol 2020;48:525-37. https://doi.org/10.1007/s10802-019-00612-8
Kelley WM, Wagner DD, Heatherton TF. In Search of a Human Self-Regulation System. Annu Rev Neurosci 2015;38:389-411. https://doi.org/10.1146/annurev-neuro-071013-014243
Paley B, Hajal NJ. Conceptualizing Emotion Regulation and Coregulation as Family-Level Phenomena. Clin Child Fam Psychol Rev 2022;25:19-43. https://doi.org/10.1007/s10567-022-00378-4
Helion C, Krueger SM, Ochsner KN. Emotion regulation across the life span. In: Helion C, Krueger SM, Ochsner KN. The Frontal Lobes. London: Elsevier; 2019. p.257-80. https://doi.org/10.1016/b978-0-12-804281-6.00014-8
Li Z, Yan C, Bao C, Lv Y, Yang T, He C, et al. Altered Resting-State Amygdala Functional Connectivity after Real-Time fMRI Emotion Self-Regulation Training. Biomed Res Int 2016;2016:1-8. https://doi.org/10.1155/2016/2719895
Heinrich H, Moll GH, Kratz O. Effects of neurofeedback on the dysregulation profile in children with ADHD: SCP NF meets SDQ-DP – a retrospective analysis. Psychol Med 2019;50:258-63. https://doi.org/10.1017/s0033291718004130
Hasslinger J, Gevensleben H, Klein AM, Rothenberger A, Moll GH, Hautzinger M, et al. Neurofeedback in ADHD: a qualitative study of strategy use in slow cortical potential training. PLoS One 2020;15:e0233343. https://doi.org/10.1371/journal.pone.0233343
Arns M, De Ridder S, Strehl U, Breteler M, Coenen A. Efficacy of neurofeedback treatment in ADHD: the effects on inattention, impulsivity and hyperactivity: a meta-analysis. Clin EEG Neurosci 2009;40:180-9. https://doi.org/10.1177/155005940904000311
Alegria AA, Wulff M, Brinson H, Barker GJ, Norman LJ, Brandeis D, et al. Real-time fMRI neurofeedback in adolescents with attention deficit hyperactivity disorder. Hum Brain Mapp 2017;38:3190-209. https://doi.org/10.1002/hbm.23584
Zuberer A, Minder F, Brandeis D, Drechsler R. Mixed-Effects Modeling of Neurofeedback Self-Regulation Performance: Moderators for Learning in Children with ADHD. Neural Plast 2018;2018:1-15. https://doi.org/10.1155/2018/2464310
Aritzeta A, Soroa G, Balluerka N, Muniz J, Gorostiaga A, Aliri J. Emotional self-regulation in primary education: a heart rate-variability biofeedback intervention programme. Int J Environ Res Public Health 2022;19:5475. https://doi.org/10.3390/ijerph19095475
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Copyright (c) 2024 Antonio Augusto Sousa Júnior, Ektor Kayã Magalhães de Melo, Gloria Maria Aguiar Brito Lima, Heloísa Helena de Sá Paiva, Letícia Destêrro e Silva Moreira Lima, Paulo de Tarso Silva Barros, Polliana Galvão, Daniel Carvalho de Matos, Gilberto Assunção Costa Júnior, Fabrício Brito Silva

Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
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Aprovado 2024-12-18
Publicado 2024-12-20
