Transcranial Photobiomodulation With Multiple Interventions in Children With Attention-Deficit/Hyperactivity Disorder

Обзор

To investigate the therapeutic efficacy of transcranial photobiomodulation (tPBM) with multiple interventions in children and adolescents with attention-deficit/hyperactivity disorder (ADHD). The study evaluates intervention effects at Magnetic Resonance Imaging, electrophysiological, Visual Search Task, cognitive-behavioral, and clinical symptom levels, aiming to identify the optimal clinical treatment regimen for ADHD patients.

Вмешательства

• Устройство Transcranial photobiomodulation (active)
  During the active stimulation period, participants completed 11 sessions of active stimulation within 11 days in their own homes. The stimulation duration per session was 9-12 minutes, administered once daily.
• Устройство Transcranial photobiomodulation (sham)
  During the sham stimulation period, participants completed 11 sessions of sham stimulation in their own homes within 11 days, with the same stimulation frequency and duration as the active stimulation group. The intervention was delivered at the same target area and wavelength; the intensity was matched to that of the active stimulation during the first 30 seconds and the last 30 seconds of each session, while no intervention was applied in the intermediate period.

Первичные конечные точки

• Swanson, Nolan, and Pelham Version IV(SNAP-IV) [Срок оценки: From enrollment to one week after the end of the second group's intervention.]
• Sleep Disturbances Scale for Children(SDSC) [Срок оценки: From enrollment to one week after the end of the second group's intervention.]
• Behavioral Inhibition/Activation System Scales (BIS/BAS) [Срок оценки: From enrollment to one week after the end of the second group's intervention.]

Вторичные конечные точки (5)

• EEG(Electroencephalogram) [Срок оценки: From enrollment to one week after the end of the second group's intervention.]
• Executive Function Task [Срок оценки: From enrollment to one week after the end of the second group's intervention.]
• Visual Search Task [Срок оценки: From enrollment to one week after the end of the second group's intervention.]
• Photobiomodulation Subjective Assessment Scale [Срок оценки: From enrollment to one week after the end of the second group's intervention.]
• Magnetic Resonance Imaging [Срок оценки: From enrollment to one week after the end of the second group's intervention.]

Критерии участия

Критерии включения

• Age between 6 and 18 years;
• Clinically diagnosed with ADHD by a psychiatrist;
• Confirmed by the researcher (child psychiatrist) to meet the diagnostic criteria for Attention-Deficit/Hyperactivity Disorder as outlined in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5);
• M.I.N.I. KID interview shows only ADHD, with no other comorbidities;
• Able to cooperate with transcranial photobiomodulation.
• The participant and their guardian fully understand the study procedures and content and agree to participate in the study, signing the informed consent form.

Критерии исключения

• Diagnosis of other severe mental illnesses, such as schizophrenia or bipolar disorder;
• Presence of severe physical diseases or conditions, such as significant intracranial lesions, thyroid disorders, epilepsy, congenital heart disease, severe hematologic disorders, systemic lupus erythematosus, auditory or visual impairments, etc.;
• Presence of significant structural brain abnormalities on imaging studies;
• Presence of severe neurological diseases with a clear family history or potential risk;
• Presence of metal implants or a pacemaker, or holes or fractures in the skull;
• Currently undergoing other ADHD treatments (e.g., methylphenidate or other pharmacological treatments, behavioral therapy, etc.) or has discontinued such treatments for less than 2 weeks;
• Raven's Progressive Matrices IQ score < 85.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Перекрёстный дизайн

Маскирование

Четверное слепое

Основная цель

Лечение

Центры проведения

Список центров уточняется — проверьте первичный протокол.

Идентификаторы

NCT: NCT07154732 · QL000006

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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