De FDA heeft zojuist de eerste voorgeschreven videogame voor ADHD goedgekeurdjuni 18, 2020
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After seven years of clinical trials, the
as a prescription-only
alternative therapeutic treatment for
. But is neurofeedback therapy
for treating ADHD?
The FDA just approved the first prescription video game — it’s for kids with ADHD
According to ’s favorite of the five studies, the answer is yes: one-third of kids treated “no longer had a measurable attention deficit on at least one measure of objective attention” after playing the obstacle-dodging, target-collecting game for 25 minutes a day, five days a week for four weeks.
“Improvements in ADHD impairments following a month of treatment with EndeavorRx were maintained for up to a month,” the company cites, with the most common side effects being frustration and headache — seemingly mild compared to traditional drugs, as you’d hope from so-called virtual medicine.
That said, we are talking about a study by doctors who work for the game’s developer, according to disclosures at the bottom of the study, and even their conclusion is that the results “are not sufficient to suggest that AKL-T01 should be used as an alternative to established and recommended treatments for ADHD.
Previous coverage of EndeavorRX (aka ProjectEVO) in The Verge:
Therapists are using neurofeedback to treat ADHD, PTSD and other conditions
Neurofeedback, which is also used for post-traumatic stress disorder and attention-deficit hyperactivity disorder, has been around since the 1960s. Some research has found it promising. Other studies have been inconclusive, and some have shown no positive outcomes.
The most solid data concern ADHD, especially a recent trial involving 104 children published in March in the Journal of Pediatrics. Those who received neurofeedback had improvements in attention and impulse control, while those who did not receive the therapy did not. These improvements persisted after six months. The authors concluded that neurofeedback may be a “promising attention training treatment for children with ADHD.”
…Deborah Stokes, an Alexandria psychologist, compares neurofeedback to riding a bike: It’s non-conscious learning, based on the feedback, that, with repetition, can be long-lasting, she said.
“We don’t know exactly how neurofeedback works,” she said. “It’s a process where if clients get out of their own way, they relax. Over time, they get the desired brain pattern, feel calm and function better. This encourages them to stay with it.” Her team sees 30 patients a week.
…Silver Spring psychologist Robb Mapou is among the skeptics.
“I have not seen enough well-controlled, rigorous studies in most conditions for which it is recommended to show, definitively, that neurofeedback is effective. I also think there are other therapeutic factors that can contribute to an individual’s outcome, such as discussing their problems with a therapist.”
Michelle Harris-Love, a neuroscience researcher at the MedStar National Rehabilitation Network in Washington, agrees.
“I believe it is applied in some situations where we do not have enough information on the cause of a disorder or how recovery happens,” she said.
But Rex Cannon, past president of the International Society for Neurofeedback and Research, based in McLean, Va., cited nearly 200 peer-reviewed published articles that indicate neurofeedback’s effectiveness. This includes a meta-analysis of 10 studies on epilepsy patients: Although they had not responded to medications, they had a significant reduction in seizures after neurofeedback treatment. And a study on migraine patients reported, “Neurofeedback appears to be dramatically effective in abolishing or significantly reducing migraine frequency in the great majority of patients.”
Concerned about what this means for patient privacy and the collection of user data from apps alleging to treat mental health?
Here’s what EndeavorRX claims in their