The treatment with Play Attention significantly normalized the QEEG, inattention in test situations, and behavior in a boy with attention deficit and hiperactivity disorder
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Revista de Psiquiatría Infanto-Juvenil
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
DOI:
https://doi.org/10.31766/revpsij.v40n1a5Keywords:
Play-Attention, hyperactive/impulsive ADHD, attention to movement, QEEG, RT/BAbstract
Introduction: The human being attends to external and internal stimuli, thoughts, emotions, and performance or inhibition of movement by activating neural networks, the dysfunction of which is manifested in several domains: electrophysiological, QEEG, test situation (visual, auditory, semantic), and natural behavior. In neurodevelopmental disorders of multifactorial etiology, such as Attention-Deficit-Hyperactivity (ADHD), with cardinal symptoms of inattention, hyperactivity, and impulsivity, the assessment of the three domains allows the provision of appropriate treatment. Objective: to illustrate in a child with ADHD the remission of inattention symptoms, in three domains, after the use of Play Attention and cognitive behavioral therapy. Case: 7.58 year old child of separated parents, in 2nd grade of primary school, intelligent quotient: 110, with predominantly hyperactive-impulsive ADHD, behavior disorder due to peers and authorities assault, who suffers from asthma, school aggression by peers and physical punishment at home as a disciplinary measure; with distorted thoughts of “failure, injustice and being a loser.” Results: QEEG with increased PA in the delta and theta bands and a frequency of 5 Hz in all areas except the occipital; the decrease of beta 3, high beta and frequency of 21 Hz in left Fronto-temporal-occipital; increased RT/B and to a lesser extent RT/A, alertness, and reactivity index; visual-attention-to-movement-inhibition; self-regulation-of-semantic-attention; aggression and distorted thoughts were significantly normalized after 40 sessions of 50 minutes every 15 days for 20 months of Play Attention and cognitive behavioral therapy. Hyperactivity as inattention to movement inhibition could be distinguished from motor behavior that was within normal limits. The treatment with Play Attention and cognitive behavioral therapy showed remission of ADHD symptoms in the QEEG, in test situations, and in natural behavior.
Downloads
References
Luo Y, Weibman D, Halperin JM, Li X. A Review of Heterogeneity in Attention Deficit/Hyperactivity Disorder (ADHD). Front Hum Neurosci. 2019;13: 42. https://doi.org/10.3389/fnhum.2019.00042 DOI: https://doi.org/10.3389/fnhum.2019.00042
American Psychiatric Association [APA]. Diagnostic and Statistical Manual of Mental Disorders (DSM-5) 2013-2020 Arlington: APA. DOI: https://doi.org/10.1176/appi.books.9780890425596
Sayal K, Prasad V, Daley D, Ford T, Coghill D. ADHD in children and young people: prevalence, care pathways, and service provision. Lancet Psychiatry. 2018;5(2). https://doi.org/10.1016/S2215-366(17)30167-0 DOI: https://doi.org/10.1016/S2215-0366(17)30167-0
Gallardo-Saavedra GA, Martínez-Wbaldo MDC, Padrón-García AL. Prevalence of ADHD in Mexican schoolchildren through screening with Conners scales. Actas Esp Psiquiatr. 2019;47(2): 45-53.
Téllez-Villagra, C. y González Pedraza Avilés, A. Distribución cortical de la potencia absoluta de la actividad Beta 12Hz-25 Hz en niños varones con trastorno por déficit de atención e hiperactividad combinado. Revista De Psiquiatría Infanto-Juvenil, 2021;38(2): 4-25. https://doi.org/10.31766/revpsij.v38n2a2 DOI: https://doi.org/10.31766/revpsij.v38n2a2
Nesplora. Attention Kids School AULA Software de realidad virtual. 2008-2022. https://nesplora.com
Petersen SE, Posner MI. The Attention System of the Human Brain: 20 Years After. Annual Reviews of Neuroscience, 2012;35(1): 73-89. https://doi.org/10.1146/annurev-neuro-062111-150525 DOI: https://doi.org/10.1146/annurev-neuro-062111-150525
Thiele A, Bellgrove MA. Neuromodulation of Attention. Neuron. 2018 Feb 21;97(4): 769-85. https://doi.org/10.1016/j.neuron.2018.01.008 DOI: https://doi.org/10.1016/j.neuron.2018.01.008
Badgaiyan RD, Sinha S, Sajjad M, Wack DS. Attenuated Tonic and Enhanced Phasic Release of Dopamine in Attention Deficit Hyperactivity Disorder. PLoS One, 2015;10(9): e0137326. https://doi.org/10.1371/journal.pone.0137326. DOI: https://doi.org/10.1371/journal.pone.0137326
Zulueta A, Torrano F, López Fernández V, Crespo-Eguílaz N. Tiempo de reacción y variabilidad intraindividual en el tiempo de reacción de niños con trastorno por déficit de atención y/o hiperactividad. Rev Mex de Psicol. 2019;36(1): 17-29.
Sani I, Stemmann H, Caron B, Bullock D, Stemmler T, Fahle M, Pestilli F, Freiwald WA. The human endogenous attentional control network includes a ventro-temporal cortical node. Nat Commun. 2021;(12): 360. https://doi.org/10.1038/s41467-020-20583-5 DOI: https://doi.org/10.1038/s41467-020-20583-5
Clarke AR, Barry RJ, Johnstone S. Resting state EEG power research in Attention-Deficit/Hyperactivity Disorder: A review update. Clin Neurophysiol, 2020;131(7): 1463-79. https://doi.org/10.1016/j.clinph.2020.03.029 DOI: https://doi.org/10.1016/j.clinph.2020.03.029
Nascia.com distribuidor oficial exclusivo para España de Play Attention. http://www.PlayAttentionSheerGenius.com