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Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Psychiatry. Dec 19, 2025; 15(12): 111522
Published online Dec 19, 2025. doi: 10.5498/wjp.v15.i12.111522
Application of neurobiofeedback therapy technology on social skills and emotion regulation in children with autism spectrum disorder
Xian-Na Wang, Wei-Wei Luo, Hua-Yu Li, Tong Zhang
Xian-Na Wang, Wei-Wei Luo, Hua-Yu Li, Autism Training Center, China Rehabilitation Research Center, Beijing 100068, China
Tong Zhang, Department of Neurological Rehabilitation, China Rehabilitation Research Center, Beijing 100068, China
Author contributions: Wang XN and Luo WW designed the research study; Li HY and Zhang T performed the research; all authors have thoroughly reviewed and approved the final manuscript.
Institutional review board statement: This study was approved by the Medical Ethics Committee of China Rehabilitation Research Center, approval No. 2024-038-01.
Informed consent statement: All research participants or their legal guardians provided written informed consent prior to study registration.
Conflict-of-interest statement: The authors report no relevant conflicts of interest for this article.
Data sharing statement: No other data available.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Tong Zhang, PhD, Department of Neurological Rehabilitation, China Rehabilitation Research Center, No. 10 Jiaomen North Road, Fengtai District, Beijing 100068, China. zhangtong20230620@163.com
Received: July 4, 2025
Revised: July 18, 2025
Accepted: September 8, 2025
Published online: December 19, 2025
Processing time: 146 Days and 1.5 Hours
Core Tip

Core Tip: By combining electroencephalogram-driven neurofeedback with cartoon-based attention training, this study introduces a child-friendly, noninvasive protocol that directly modulates prefrontal γ-band activity in preschoolers with autism spectrum disorder. Unlike conventional rehabilitation alone, this approach strengthens self-regulated cortical networks underpinning social cognition and emotional control, leading to clinically and statistically superior improvements in Social Responsiveness Scale, Aberrant Behavior Checklist, Emotion Regulation Checklist, and Social Communication Questionnaire scores, without increasing adverse events. The strategy offers an easily scalable, low-risk adjunct that can be embedded into existing early-intervention services to enhance long-term neurodevelopmental outcomes.