Dikkat eksikliği/hiperaktivite bozukluğu olan çocuklarda nöro-geribildirim uygulamasına bağlı davranış değişikliklerinin Wechsler Çocuklar İçin Zekâ Ölçeği ile araştırılması: randomize tek körlü ön çalışma

Rukiye Ölçüoğlu; İlknur Kozanoğlu; Eylem Gül

doi:10.19161/etd.1310383

TR EN

Dikkat eksikliği/hiperaktivite bozukluğu olan çocuklarda nöro-geribildirim uygulamasına bağlı davranış değişikliklerinin Wechsler Çocuklar İçin Zekâ Ölçeği ile araştırılması: randomize tek körlü ön çalışma

Öz

Amaç: Bu çalışmanın amacı, nöro-geribildirim sistemi aracılığıyla yapılan eğitimin etkilerini, 8-12 yaş arası dikkat eksikliği olan çocuklarda Wechsler çocuklar için zekâ ölçeği ile bilişsel becerileri açısından incelemektir. Gereç ve Yöntem: Bu amaçla, Mayıs 2021- Aralık 2021 tarihleri arasında özel eğitim merkezine tanılı olarak başvuran katılımcılardan rastgele örnekleme ile nöro-geribildirim eğitimi alacak deney grubu (n=20) ve simülasyon alan sham grubundan (n=20) oluşturulmuştur. Çalışmanın ilk aşamasında her iki gruba da katılımcıların zihinsel performanslarını belirlemek için Wechsler çocuklar için zekâ ölçeği ön test olarak uygulanmış, daha sonra deney grubunda 5 ay boyunca haftanın 3 günü yarım saatlik seanslarla toplam 60 seanslık çok düşük frekans nöro-geribildirim protokolü yürütülmüştür. Altıncı ayın sonunda son test olarak Wechsler çocuklar için zekâ ölçeği tekrar uygulanarak, veriler analiz edilmiştir. Bulgular: Gruplar arası karşılaştırmada deney ve kontrol gruplarının ön test ve son test puanları arasında herhangi bir farklılık bulunamamıştır (p>0,05). Ancak grup içi farklılıklar incelendiğinde; sözel IQ skorları deney grubunda farklılık göstermezken (p=0,121), kontrol grubunda skorlar farklıdır (p=0,011). Performans IQ skorları, hem deney grubunda (p=0,011) hem de kontrol grubunda (p=0,003) değişmektedir. Total IQ skoru yönünden ise yine hem deney grubunda (p<0,001) hem de kontrol grubunda test öncesi ve test sonrası skorlar farklıdır (p=0,007). Sonuç: Wechsler çocuklar için zekâ ölçeği açısından nöro-geribildirim uygulanan grubun kendi içinde performans IQ ve toplam IQ yönünden zihinsel performanslarının artarak dikkat eksikliklerinin azaldığı saptanmıştır. Ancak, bu bulgu sham-grubu ile istatistiksel olarak doğrulanamamıştır.

Anahtar Kelimeler

Investigation of behavioral changes due to neurofeedback application in children with attention deficit hyperactivity disorder by using Wechsler Intelligence Scale for Children - Revised: a randomized single-blind preliminary study

Abstract

Aim: The aim of this study is examining the effects of neurofeedback system in terms of Wechsler intelligence scale for children aged 8-12 with attention deficit. Materials and Methods: For this purpose, the experimental group (n = 20) and sham group (n = 20) were formed with random sampling from participants who applied to the special education center between May-December 2021. In the first phase of the study, Wechsler intelligence scale for children was applied as a pre-test to determine the mental performance of participants in both study groups. Then, the infra low frequency protocol was applied to the experimental group for 5 months, every other day for half an hour, totally 60 sessions. After 6 months, Wechsler intelligence scale for children was applied again as a post-test and the data were analyzed. Results: In the comparison, no difference was found (p>0.05) between the pre-test and post-test scores of the experimental and control groups. Examining the differences within-group, verbal IQ scores did not differ in the experimental group (p=0.121), while the scores in the control group were different (p=0.011). Performance IQ scores varied in both the experimental group (p=0.011) and the control group (p=0.003). In terms of total IQ score, pre-test and post-test scores were different in both the experimental group (p<0.001) and the control group (p=0.007). Conclusion: In terms of Wechsler intelligence scale for children, it was determined that the mental performance of neurofeedback group increased in terms of performance IQ and total IQ. However, this finding could not be statistically confirmed in the sham-group.

Keywords

Thanks

Bu yayının ortaya çıkmasında emeği geçen uzman klinik psikolog Mehmet Mıdık ile Özem özel eğitim ve rehabilitasyon merkezi çalışanlarına ve verilerimizi oluşturmada gönüllü olan tüm çocuklara yaptıkları katkı ve ayırdıkları değerli zaman için en içten teşekkürlerimizi sunarız.

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Details

Primary Language

Turkish

Subjects

Medical Physiology (Other)

Journal Section

Research Article

Authors

Rukiye Ölçüoğlu ^*
0000-0002-0429-008X
Türkiye

İlknur Kozanoğlu
0000-0002-5268-1210
Türkiye

Eylem Gül
0000-0002-6166-2601
Türkiye

Publication Date

June 12, 2023

Submission Date

June 2, 2022

Acceptance Date

August 25, 2022

Published in Issue

Year 1970 Volume: 62 Number: 2

DOI

https://doi.org/10.19161/etd.1310383

IZ

https://izlik.org/JA29WH35PJ

Cite

RIS / Bibtex

Vancouver

1.Rukiye Ölçüoğlu, İlknur Kozanoğlu, Eylem Gül. Dikkat eksikliği/hiperaktivite bozukluğu olan çocuklarda nöro-geribildirim uygulamasına bağlı davranış değişikliklerinin Wechsler Çocuklar İçin Zekâ Ölçeği ile araştırılması: randomize tek körlü ön çalışma. EJM. 2023 Jun. 1;62(2):184-9. doi:10.19161/etd.1310383