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PO-0804 Cognition In Children With Attention Deficit Hyperactivity Disorder (adhd)
  1. T Rusishvili,
  2. S Bakhtadze,
  3. N Khachapuridze,
  4. N Sebiskveradze,
  5. N Geladze,
  6. N Kapanadze
  1. Child Neurologist, Tbilisi State Medical University, Tbilisi, Georgia

Abstract

Background Attention deficit hyperactivity disorder (ADHD) is the condition which occurs approximately in 5% of school aged children. The diagnostic tool which will help clinicians to make the precise diagnosis is still absent. Thus child neurologists as well as neuropsychiatrists attempt to seek alternate methods of diagnosis and treatment. The neurophysiologic approaches especially event-related potentials (ERPs) are mostly valuable from this point of view. The later response of ERPs (P3) reflects the most important parts of executive functioning frequently affected in ADHD children-the process of mental effortfullness to select the appropriate behaviour and decision making. Besides the diagnosis the treatment of ADHD is also the point of concern. In recent years EEG biofeedback (Neurofeedback _NF) have become the alternative treatment.

The aim of our study was assess the changes of EPRs after NF therapy.

Methods We have examined 14 patients with ADHDcom without any drug. Age range was 9–12 years. The children were divided into 2 subgroup: the first ADHDcom-1 (6 children) were children with NF treatment and the second subgroup of ADHDcom-2 (8 children) were non treated ones.

Results We have found the significant improvement of P3 in ADHD-1 compared with ADHD-2 while NF was non effective for earlier response like N1.

Conclusions NF can positively affect on the P3 which is very important in ADHD children as P3 reflects the speed of information processing as well as selection of appropriate action and decision making which are frequently impaired in ADHD children.

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