Further data on specificity comes from electrophysiological studies reporting that  NF effectively changes brain activity patterns .
No safety issues have emerged from clinical trials and NF seems to be well tolerated and accepted .
Follow-up studies support long-term effects of NF .
In conclusion , NF is a valid option for the treatment for ADHD , but further evidence is required to guide its use
Summary Neurofeedback ( NF ) is a training to enhance self-regulatory capacity over brain activity patterns and consequently over brain mental states .
Recent findings suggest that NF is a promising alternative for the treatment of  attention-deficit/hyperactivity disorder ( ADHD ) .
The MTA at 8 years: prospective follow-up of children treated for combined-type ADHD in a multisite study.
OBJECTIVES To determine any long-term effects , 6 and 8 years after childhood enrollment , of the r and omly assigned 14-month treatments in the NIMH Collaborative Multisite Multimodal Treatment Study of Children With Attention-Deficit/Hyperactivity Disorder ( MTA ; N = 436 ) ; to test whether attention-deficit/hyperactivity disorder ( ADHD ) symptom trajectory through 3 years predicts outcome in subsequent years ; and to examine functioning level of the MTA adolescents relative to their non-ADHD peers ( local normative comparison group ; N = 261 ) . METHOD Mixed-effects regression models with planned contrasts at 6 and 8 years tested a wide range of symptom and impairment variables assessed by  parent , teacher , and youth report . RESULTS In nearly every analysis , the originally r and omized treatment groups did not differ significantly on repeated measures or newly analyzed variables ( e.g. , grade s earned in school , arrests , psychiatric hospitalizations , other clinical ly relevant outcomes ) . Medication use decreased by 62 % after the 14-month controlled trial , but adjusting for this did not change the results . ADHD symptom trajectory in the first 3 years predicted 55 % of the outcomes . The MTA participants fared worse than the local normative comparison group on 91 % of the variables tested . CONCLUSIONS Type or intensity of 14 months of treatment for ADHD in childhood ( at age 7.0 - 9.9 years ) does not predict functioning 6 to 8 years later . Rather , early ADHD symptom trajectory regardless of treatment type is prognostic . This finding implies that children with behavioral and sociodemographic advantage , with the best response to any treatment , will have the best long-term prognosis . As a group , however , despite initial symptom improvement during treatment that is largely maintained after treatment , children with combined-type ADHD exhibit significant impairment in adolescence . Innovative treatment approaches targeting specific areas of adolescent impairment are needed
Further data on specificity comes from electrophysiological studies reporting that  NF effectively changes brain activity patterns .
No safety issues have emerged from clinical trials and NF seems to be well tolerated and accepted .
Follow-up studies support long-term effects of NF .
In conclusion , NF is a valid option for the treatment for ADHD , but further evidence is required to guide its use
Summary Neurofeedback ( NF ) is a training to enhance self-regulatory capacity over brain activity patterns and consequently over brain mental states .
Recent findings suggest that NF is a promising alternative for the treatment of  attention-deficit/hyperactivity disorder ( ADHD ) .