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Research ArticleResearch Article: New Research, Cognition and Behavior

Clinical Efficacy of Atomoxetine Hydrochloride Combined with Electroencephalogram Biofeedback in Attention-Deficit/Hyperactivity Disorder in Children

Xinyue Liu, Xiaoliang Li, Limin Liu, Xiao Sun and Zhe Yu
eNeuro 19 March 2025, 12 (4) ENEURO.0371-24.2025; https://doi.org/10.1523/ENEURO.0371-24.2025
Xinyue Liu
Department of Paediatrics, Xingtai Central Hospital, Xingtai, Hebei 054000, China
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Xiaoliang Li
Department of Paediatrics, Xingtai Central Hospital, Xingtai, Hebei 054000, China
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Limin Liu
Department of Paediatrics, Xingtai Central Hospital, Xingtai, Hebei 054000, China
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Xiao Sun
Department of Paediatrics, Xingtai Central Hospital, Xingtai, Hebei 054000, China
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Zhe Yu
Department of Paediatrics, Xingtai Central Hospital, Xingtai, Hebei 054000, China
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Article Figures & Data

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    Table 1.

    Baseline information between the two groups

    IndicatorsThe control group (n = 45)The study group (n = 45)p value
    Age of children (years)7.00 (7.00, 9.00)8.00 (7.00, 9.00)0.754
    Gender of children0.419
     Male38 (84.44)35 (77.78)
     Female7 (15.56)10 (22.22)
    Disease duration of children0.479
     Within 1 year12 (26.67)8 (17.78)
     Within 2 years17 (37.78)22 (48.89)
     Within 3 years13 (28.89)14 (31.11)
     Within 4 years3 (6.67)1 (2.22)
    Age of guardian (years)34.09 ± 2.5634.89 ± 3.020.178
    Gender of guardian0.245
     Male9 (20.00)5 (11.11)
     Female36 (80.00)40 (88.89)
    Educational level of guardian0.685
     Primary school14 (31.11)16 (35.56)
     Middle school19 (42.22)15 (33.33)
     University12 (26.67)14 (31.11)
    • View popup
    Table 2.

    SNAP-IV scores between the two groups (points)

    IndicatorsTimeThe control group (n = 45)The study group (n = 45)p value
    AttentionBefore treatment2.34 ± 0.342.30 ± 0.410.625
    After treatment1.84 ± 0.30a1.64 ± 0.27a0.001
    Hyperactivity/impulsivityBefore treatment1.89 (1.62, 2.11)1.89 (1.67, 2.11)0.987
    After treatment1.44 (1.11, 1.67)a1.33 (1.00, 1.44)a0.026
    Oppositional defianceBefore treatment1.50 (1.32, 1.88)1.63 (1.25, 1.88)0.974
    After treatment1.25 (1.13, 1.50)a1.13 (0.88, 1.38)a0.032
    • ↵a p < 0.05 versus the same group before treatment.

    • View popup
    Table 3.

    IVA-CPT results between the two groups (points)

    IndicatorsTimeThe control group (n = 45)The study group (n = 45)p value
    FAQBefore treatment72.00 (67.00, 75.00)71.00 (67.00, 73.50)0.365
    After treatment85.00 (82.00, 88.00)a90.00 (86.00, 92.50)a<0.001
    FRCQBefore treatment78.00 (74.00, 80.00)78.00 (74.00, 80.00)0.824
    After treatment95.00 (90.00, 97.50)a99.00 (94.00, 101.50)a0.001
    • ↵a p < 0.05 versus the same group before treatment.

    • View popup
    Table 4.

    PSQ scores between the two groups (points)

    IndicatorsTimeThe control group (n = 45)The study group (n = 45)p value
    Hyperactivity indexBefore treatment1.70 (1.40, 1.90)1.70 (1.40, 1.80)0.658
    After treatment1.30 (1.05, 1.50)a1.00 (0.80, 1.20)a<0.001
    Impulsive hyperactivityBefore treatment1.75 (1.25, 1.75)1.50 (1.25, 1.75)0.536
    After treatment1.00 (1.00, 1.25)a1.00 (0.75, 1.00)a0.001
    Physical and mental disordersBefore treatment0.40 (0.40, 0.60)0.60 (0.40, 0.60)0.785
    After treatment0.20 (0.20, 0.40)a0.20 (0.20, 0.20)a0.001
    Learning problemsBefore treatment2.00 (1.63, 2.25)2.00 (1.50, 2.13)0.666
    After treatment1.25 (1.00, 1.50)a1.00 (0.75, 1.13)a<0.001
    Behavioral problemsBefore treatment1.08 (0.88, 1.21)1.08 (0.79, 1.17)0.472
    After treatment0.83 (0.54, 1.00)a0.58 (0.42, 0.67)a<0.001
    AnxietyBefore treatment0.50 (0.25, 0.50)0.50 (0.25, 0.50)0.734
    After treatment0.25 (0.25, 0.25)a0.25 (0.00, 0.25)a<0.001
    • ↵a p < 0.05 versus the same group before treatment.

    • View popup
    Table 5.

    Adverse reaction rate between the two groups [n (%)]

    Adverse reactionTimeThe control group (n = 45)The study group (n = 45)p value
    Loss of appetiteThe 2nd week21 (46.67)23 (51.11)0.673
    The 12th week8 (17.78)a6 (13.33)a0.561
    DrowsinessThe 2nd week20 (44.44)18 (40.00)0.670
    The 12th week2 (4.44)a1 (2.22)a0.557
    HeadacheThe 2nd week7 (15.56)10 (22.22)0.419
    The 12th week0 (0.00)a0 (0.00)a-
    Nausea and vomitingThe 2nd week3 (6.67)2 (4.44)0.645
    The 12th week0 (0.00)0 (0.00)-
    Emotional instabilityThe 2nd week3 (6.67)3 (6.67)>0.999
    The 12th week0 (0.00)1 (2.22)0.315
    ConstipationThe 2nd week2 (4.44)1 (2.22)0.557
    The 12th week0 (0.00)0 (0.00)-
    • ↵a p < 0.05 versus the same group at the second week of treatment.

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eneuro: 12 (4)
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April 2025
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Clinical Efficacy of Atomoxetine Hydrochloride Combined with Electroencephalogram Biofeedback in Attention-Deficit/Hyperactivity Disorder in Children
Xinyue Liu, Xiaoliang Li, Limin Liu, Xiao Sun, Zhe Yu
eNeuro 19 March 2025, 12 (4) ENEURO.0371-24.2025; DOI: 10.1523/ENEURO.0371-24.2025

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Clinical Efficacy of Atomoxetine Hydrochloride Combined with Electroencephalogram Biofeedback in Attention-Deficit/Hyperactivity Disorder in Children
Xinyue Liu, Xiaoliang Li, Limin Liu, Xiao Sun, Zhe Yu
eNeuro 19 March 2025, 12 (4) ENEURO.0371-24.2025; DOI: 10.1523/ENEURO.0371-24.2025
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Keywords

  • atomoxetine hydrochloride
  • attention
  • attention-deficit/hyperactivity disorder
  • children
  • clinical efficacy
  • control ability
  • electroencephalogram biofeedback

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