الفهرس 
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Abstract
Anxiety is one of the most common psychiatric disorders in children, representing the main reason children and their families seek mental health services. Generalized Anxiety Disorder is characterized by impairing worry about multiple situations. Children with GAD exhibit anxiety about potentially negative situations, and the worry may switch from topic to topic and may be associated with difficulties falling or staying asleep, restlessness, fatigue, trouble focusing, muscle tension, or irritability.
The present work aimed to study the effectiveness of neurofeedback training for reducing anxiety symptoms in children and adolescents with Generalized Anxiety Disorder and compare it with cognitive behavior therapy.
A quasi-experimental study was adopted where pre-test and post-test with two groups design were used, targeting children and adolescents who met the diagnostic and statistical manual of mental disorders fifth edition (DSM-5) criteria of Generalized Anxiety Disorder attending child psychiatry clinics at El Hadara Alexandria university hospital and private pediatric clinics in Alexandria.
Participants were subjected to:
1. Structured interview using a predesigned questionnaire to collect the following data:
• Age, gender.
• Developmental history, educational, social history, past psychiatric and medical history, drug history, family psychiatric and medical history.
• Mental status examination.
2. The DSM-5 Level 1 Cross-Cutting Symptom Measure which designed to assist clinicians in identifying additional areas of inquiry that could have a significant impact on a patient’s treatment and prognosis.
3. Level 2-Anxiety-Parent/Guardian of Child Aged 6–17 measure is the 10-item Anxiety Form that assesses the pure domain of anxiety in children and adolescents.
4. Then children below 12 years old received the State-Trait Anxiety Inventory for Children (STAI-C) while adolescents≥12 years old received State-Trait Anxiety Inventory (adult form) (STAI).
5. Neurofeedback training group (A) was subjected to an Electroencephalogram study and a Quantitively electroencephalogram (qEEG). Then the target frequency bands for neurofeedback sessions training were selected according to qEEG studies for the participants. Each individual received 20 sessions on a biweekly basis.