The Effect of Computer-Assisted Cognitive Rehabilitation on Working Memory in Children with ADHD

S. Robatmili
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引用次数: 7

Abstract

Working memory (WM) is responsible for producing, maintaining, and manipulating cognitive representations of stimuli, searching for the same or similar stimuli in memory, and maintaining appropriate behavioral responses. WM is assumed to play a significant role in extant models of Attention Deficit Hyperactivity Disorder (ADHD). Using a single-case design with multiple baselines, we applied a computer-based cognitive rehabilitation program with adaptive training of WM tasks on 6 children with ADHD (inattention type) during 15 sessions – with each lasting 30 min– and evaluated the effects of the training. The obtained data were analyzed using visual analysis, percentage of recovery, and Reliable Change Index. The findings suggested that the program significantly enhanced the trainee’s performance in abilities pertaining to central executive functioning (CE), phonological loop (PH), and visuospatial sketchpad (VS) subsystems of WM. These results demonstrate that performance on WM tasks can be significantly improved by training, implying that that WM training has the potential to be of clinical use for ameliorating the symptoms of ADHD.
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计算机辅助认知康复对ADHD儿童工作记忆的影响
工作记忆(WM)负责产生、维持和操纵刺激的认知表征,在记忆中寻找相同或相似的刺激,并维持适当的行为反应。WM被认为在现有的注意缺陷多动障碍(ADHD)模型中起着重要作用。采用单例多基线设计,我们对6名ADHD(注意力不集中型)儿童进行了基于计算机的认知康复计划和适应性训练任务,为期15次,每次持续30分钟,并评估了训练的效果。采用目视分析、回收率和可靠变化指数对所得数据进行分析。研究结果表明,该计划显著提高了受训人员在WM的中央执行功能(CE)、语音回路(PH)和视觉空间素描板(VS)子系统方面的能力表现。这些结果表明,训练可以显著提高WM任务的表现,这意味着WM训练具有改善ADHD症状的临床应用潜力。
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