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        <identifier>oai:figshare.com:article/33922147</identifier>
        <datestamp>2026-09-18T07:10:56Z</datestamp>
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          <dc:title>Supplemental Material for:A Single-Center Retrospective Analysis of Artificial Intelligence-Based Emotion Recognition Systems for Attention-Regulation Training in Children with Attention-Deficit/Hyperactivity Disorder</dc:title>
          <dc:creator>figshare admin karger (2628495)</dc:creator>
          <dc:creator>Chenggang Chen (23511309)</dc:creator>
          <dc:creator>Chunbao Zhi (25070762)</dc:creator>
          <dc:creator>Lili Zhu (219363)</dc:creator>
          <dc:creator>BinRong Chen (20675129)</dc:creator>
          <dc:creator>Tingting Wang (123983)</dc:creator>
          <dc:subject>Medicine</dc:subject>
          <dc:subject>medicine</dc:subject>
          <dc:description>&lt;p dir="ltr"&gt;&lt;b&gt;Introduction:&lt;/b&gt; Children with attention-deficit/hyperactivity disorder (ADHD) often experience attention instability and emotion dysregulation. Existing interventions typically lack real-time responsiveness and ecological validity. This study retrospectively examined historical training records from an AI-assisted closed-loop system integrating emotion recognition and behavioral feedback for attention regulation in children with ADHD.&lt;/p&gt;&lt;p dir="ltr"&gt;&lt;b&gt;Methods:&lt;/b&gt; This single-center retrospective analysis included historical training records from 60 children with ADHD who had completed either AI-assisted attention training or conventional attention training between 2021 and 2024. The AI-assisted training-record group comprised children whose archived records included 12 sessions of integrated cognitive training involving Go/No-Go, CPT, and Flanker tasks with real-time AI-generated feedback based on task performance and facial-emotion monitoring. The conventional training-record group completed the same attention tasks without AI-based feedback. Assessments included task performance, Conners Continuous Performance Test, 3rd Edition (CPT-3), teacher ratings, and emotion metrics, analyzed using linear mixed-effects models, linear growth modeling, and structural equation modeling (SEM).&lt;/p&gt;&lt;p dir="ltr"&gt;&lt;b&gt;Results:&lt;/b&gt; Compared with conventional training records, AI-assisted training records showed greater pre-post changes in reaction time (RT), RT variability, and task accuracy, together with fewer commission errors in CPT-3. Post-feedback behavioral recovery was observed in 78.3% of feedback events. Teacher ratings showed consistent pre-post improvements across attention maintenance, emotional regulation, and task execution. Negative emotion labels decreased from 42.3% to 24.6% (p = 0.003). SEM supported an associative pathway linking emotion recognition frequency, feedback frequency, and RT reduction (95% CI: 0.15-0.38).&lt;/p&gt;&lt;p dir="ltr"&gt;&lt;b&gt;Conclusions:&lt;/b&gt; The retrospective findings suggest that AI-assisted closed-loop training records were associated with favorable changes in attention and emotional-state indicators in children with ADHD. These exploratory results support further prospective, externally validated studies before broader clinical or educational implementation.&lt;/p&gt;</dc:description>
          <dc:date>2026-09-18T07:10:56Z</dc:date>
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          <dc:identifier>10.6084/m9.figshare.33922147.v1</dc:identifier>
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          <dc:rights>CC BY 4.0</dc:rights>
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