“Maghzineh”注意力认知电子游戏对自闭症谱系障碍儿童执行功能的影响

Afin Ahmad Mahmood, Leila Kashani-Vahid, Hadi Moradi
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摘要

执行功能障碍是自闭症谱系障碍儿童的主要问题之一。这表明,这些儿童遇到的部分问题,如社会沟通,可能是执行功能障碍的结果。因此,本研究旨在探讨Maghzineh认知电子游戏对自闭症儿童执行功能的影响。为了研究基于这些游戏的训练的有效性,我们设计了一个准实验研究,包括前测和后测以及一个对照组。这项研究是在伊拉克苏莱曼尼赫的两组5至12岁的患有自闭症谱系障碍的男孩身上进行的。所有这些孩子都是由康复中心的精神病医生诊断出来的。10名儿童随机分为实验组,10名儿童分为对照组。实验组进行24次认知游戏,对照组不进行干预,在等候名单中等待。执行功能行为评定量表(Gioia, 2000)被用作评估这些儿童执行功能的工具。采用多变量方差分析(MANCO VA)对收集的数据进行分析。多变量方差分析结果显示,实验组与对照组整体执行功能差异有统计学意义(P≤0.05)。具体来说,结果显示了对这些儿童的注意力转移、工作记忆、组织和任务监控的显著影响,这些都是Maghzineh电子游戏的直接目标。相比之下,干预在执行功能的一些子量表上,如抑制或启动,显着有效。综上所述,由于Maghzineh视频游戏对执行功能的一组量表和总分的影响,我们建议这些游戏可以提供给自闭症儿童及其家庭和学校,作为改善执行功能的补充教育工具,正如文献所表明的那样,这可能对这些儿童的社会沟通和学业成绩有效。
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Effectiveness of “Maghzineh” Attention Cognitive Video Games on Executive Functions of Children with Autism Spectrum disorder
Disfunction in executive functions is considered to be one of main problems of children with autism spectrum disorder. It is indicated that part of problems encountered by these children such as social communication might be the results of executive malfunction. Thus, in the present study, the effectiveness of Maghzineh cognitive video games on executive functions of children with autism was investigated. In order to study the effectiveness of a training based on these games, a quasi-experimental study was designed, with pre-test and post test and a control group. It was conducted on two groups of male children with autism spectrum disorder, aged 5 to 12 years in Soleimanieh, Iraq. All these children were diagnosed by the psychiatrist in a rehabilitation center. Ten children were randomly assigned to the experimental group and ten children to the control group. The experimental group played with cognitive games for 24 sessions while the control group received no intervention and waited in the waiting list. The Behavior Rating Inventory of Executive Functions (Gioia, 2000) was used as the tool for evaluating the executive functions of these children. The collected data were analyzed by multivariate analysis of variance (MANCO VA). The results of multivariate analysis of variance showed a significant difference between the overall executive functions in the experimental and the control group (P≤0.05). Specifically, the results showed significant impact on attention shift, working memory, organization, and task monitoring of these children, which are directly targeted by Maghzineh video games. In contrast, the intervention was significantly effective on a some of sub-scales of exactutive functions, such as inhibition or initiation. In summary, due to the impact of Maghzineh video games on a group of the scales and the overall score of executive functions, it is recommended that these games would be available to children with autism and their families and schools as a complimentary educational tool in improving executive functions, which as it is indicated in the literature, might be effective on social communication and academic achievement of these children.
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