Abstract
This study examined the efficacy of biofeedback and Ritalin treatments on hyperactivity as reflected by muscular electrical activity and as observed by teachers and parents. Eighteen male subjects between the ages of 10 and 13 were assigned to three groups, matched by age, IQ, and race. One group received 10 biofeedback sessions, another received Ritalin, and the third group controlled for nonspecific treatment effects. EMG readings, the Conners Teacher Rating Scale, the Werry-Weiss-Peters Scale, and the Zukow Parent Rating Scale were used to measure treatment efficacy. Results indicated that biofeedback-assisted relaxation significantly reduced muscle tension levels, whereas neither Ritalin nor personal attention produced significant change. On teacher ratings of hyperactivity, significant improvement was made by all three groups. Parent ratings on the Zukow scale indicated significant improvement by subjects in all groups. On the Werry-Weiss-Peters scale, the biofeedback and control groups made significant improvements in hyperactivity.
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References
Ayllon, T., Layman, D., & Kandel, H. (1975). A behavioral-educational alternative to drug control of hyperactive children.Journal of Applied Behavioral Analysis, 8, 137–146.
Braud, L. (1978). The effects of frontal EMG biofeedback and progressive relaxation upon hyperactivity and its behavioral concomitants.Biofeedback and Self-Regulation, 3, 69–89.
Brown, R., Borden, K., & Clingerman, S. (1985). Adherence to methylphenidate therapy in a pediatric population: A preliminary investigation.Psychopharmacology Bulletin, 21, 28–36.
Chess, S. (1960). Diagnosis and treatment of the hyperactive child.New York State Journal of Medicine, 60, 2379–2385.
Christensen, D., & Sprague, R. (1973). Reduction of hyperactive behavior by conditioning procedures alone and combined with methylphenidate.Behavior Research and Therapy, 11, 331–334.
Conners, C. (1969). A teacher rating scale for use in drug studies with children.American Journal of Psychiatry, 126, 884–888.
Denkowski, K., & Denkowski, G. (1974). Is group relaxation training as effective with hyperactive children as individual EMG biofeedback treatment?Biofeedback and Self-Regulation, 9, 353–364.
Douglas, V. (1972). The problem of sustained attention and impulse control in hyperactive and normal children.Canadian Journal of Behavioral Science, 4(4), 260–279.
Eisenberg, L. (1972). The clinical use of stimulant drugs in children.Pediatrics, 49, 709–715.
Firestone, P. (1982). Factors associated with children's adherence to stimulant medication.American Journal of Orthopsychiatry, 52, 447–457.
Gardner, R. (1979).The objective diagnosis of minimal brain dysfunction. Cresskill, NJ: Creative Therapeutics.
Gittleman-Klein, R., Klein, D., Abikoff, H., Katz, S., Glisten, A., & Ales, W. (1976). Relative efficacy of methylphenidate and behavior modification in hyperkinetic children: An interim report.Journal of Abnormal Child Psychology, 4, 361–379.
Grinspoon, L., & Singer, S. (1973). Amphetamines in the treatment of hyperkinetic children.Harvard Educational Review, 43, 515–555.
Kassel, S. (1986).The effects of EEG biofeedback training on hyperactive and/or learning disabled children. CA: ERIC Document Reproduction Service No. ED 283 351.
Krause, T. (1977). Psychophysiological change in hyperactive and normal children as a function of medication and biofeedback training. Unpublished doctoral dissertation, University of California, Irvine.
Lahey, B., Stempniak, M., Robinson, E., & Tyroler, M. (1978). Hyperactivity and learning disabilities as independent dimensions of child behavior problems.Journal of Abnormal Psychology, 87, 333–340.
Lubar, J. F., & Shouse, M. N. (1976). EEG and behavioral changes in a hyperactive child concurrent with training of the sensorimotor rhythm (SMR): A preliminary report.Biofeedback and Self-Regulation, 1, 293–306.
Lubar, J. O., & Lubar, J. F. (1984). Electroencephalographic biofeedback of SMR and beta for treatment of attention deficit disorders in a clinical setting.Biofeedback and Self-Regulation, 9, 1–23.
Omizo, M., & Williams, R. (1981). Biofeedback can calm the hyperactive child.Academic Therapy, 17, 43–46.
Parziale, J. L. (1982). The effects of EEG biofeedback training on the behavior of hyperactive children. Unpublished doctoral dissertation, University of Arizona.
Patterson, G. (1965). An application of conditioning techniques to the control of a hyperactive child. In L. P. Ulmann & L. Krasner (Eds.),Case Studies in Behavior Modification. New York: Holt, Rinehart, and Winston.
Peeke, S., Halliday, R., Callaway, E., Prael, R., & Reus, V. (1984). Effects of two dosages of methylphenidate on verbal information processing in hyperactive children.Journal of Clinical Psychopharmacology, 4, 82–88.
Rapport, M., Dupaul, G., Stoneer, G., & Jones, J. (1986). Comparing classroom and clinic measures of attention deficit disorder: Differential, idiosyncratic, and dose-response effects of Methylphenidate.Journal of Consulting and Clinical Psychology, 54(3), 334–341.
Rosenbaum, A., O'Leary, K., & Jacob, R. (1975) Behavioral intervention with hyperactive children: Group consequences as a supplement to individual contingencies.Behavior Therapy, 6, 315–323.
Ross, D., & Ross, S. (1976).Hyperactivity: Research, theory, and action. New York: Wiley-Interscience.
Safer, D., & Allen, R. (1976).Hyperactive children: Diagnosis and management. Baltimore, MD: University Park Press.
Satterfield, J., Cantwell, D., & Satterfield, B. (1974). Pathophysiology of the hyperactive child syndrome.Archives of General Psychiatry, 31, 839–844.
Sleator, E. (1985). Measurement of compliance.Psychopharmacology Bulletin, 21, 1089–1093.
Sprague, R., Cohen, M., & Werry, J. (1974). Normative data on the Conners Teacher Rating Scale and Abbreviated Scale. Technical Report, Children's Research Center, University of Illinois.
Sroufe, L., & Steward, M. (1973). Treating problem children with stimulant drugs.The New England Journal of Medicine, 289, 407–413.
Tansey, M. A., & Bruner, R. L. (1983). EMG and EEG biofeedback training in the treatment of a 10-year-old hyperactive boy with a developmental reading disorder.Biofeedback and Self-Regulation, 8, 25–37.
VandenBos, G. (196). Psychotherapy Research: A special issue.American Psychologist, 41(2), 111–112.
Wender, P. (1971).Minimal Brain Dysfunction in Children. New York: Wiley-Interscience.
Werry, J. (1968). Developmental hyperactivity.Pediatric Clinics of North America, 15(3), 581–599.
Zukow, P., Zukow, A., & Bentler, P. (1978). Rating scales for the identification and treatment of hyperkinesis.Journal of Consulting and Clinical Psychology, 46, 213–222.
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Potashkin, B.D., Beckles, N. Relative efficacy of Ritalin and biofeedback treatments in the management of hyperactivity. Biofeedback and Self-Regulation 15, 305–315 (1990). https://doi.org/10.1007/BF01000025
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DOI: https://doi.org/10.1007/BF01000025