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工作记忆训练的远迁移对 ADHD 影响甚微:一项随机对照试验。

Few effects of far transfer of working memory training in ADHD: a randomized controlled trial.

机构信息

Division of Mental Health & Addiction, Vestfold Hospital Trust, Tønsberg, Norway ; Department of Psychology, University of Oslo, Oslo, Norway.

出版信息

PLoS One. 2013 Oct 4;8(10):e75660. doi: 10.1371/journal.pone.0075660. eCollection 2013.

Abstract

OBJECTIVE

Studies have shown that children with ADHD profit from working memory training, although few studies have investigated transfer effects comprehensively. The current Randomized Controlled Trial analyzes transfer to other neuropsychological (NP) domains, academic performance and everyday functioning at home and school.

METHOD

Sixty-seven children with ADHD were randomized into a control group or a training group. The training group underwent Cogmed's RoboMemo program. All participants were assessed pre-training, immediately after and eight months later with a battery of NP tests, measures of mathematical and reading skills, as well as rating scales filled out by parents and teachers.

RESULTS

There was a significant training effect in psychomotor speed, but not to any other NP measures. Reading and mathematics were improved. There were no training induced changes in symptom rating scales either at home or at school. The increased reading scores remained significant eight months later.

CONCLUSION

The study is the most comprehensive study of transfer effects to date, and with mixed results compared to previous research. More research is needed regarding how to improve the training program and the conditions and thresholds for successful training.

TRIAL REGISTRATION

Controlled-Trials.com ISRCTN19133620.

摘要

目的

研究表明,多动症儿童从工作记忆训练中受益,尽管很少有研究全面调查转移效应。目前的随机对照试验分析了向其他神经心理学(NP)领域、学业成绩以及家庭和学校日常功能的转移效应。

方法

67 名多动症儿童被随机分为对照组或训练组。训练组接受 Cogmed 的 RoboMemo 计划。所有参与者在训练前、训练后立即以及 8 个月后接受一系列 NP 测试、数学和阅读技能测量以及由家长和教师填写的量表评估。

结果

在心理运动速度方面有显著的训练效果,但对其他 NP 测量值没有影响。阅读和数学能力有所提高。在家或在校的症状评定量表也没有训练引起的变化。8 个月后,阅读成绩的提高仍然显著。

结论

该研究是迄今为止关于转移效应的最全面研究,与之前的研究结果喜忧参半。需要进一步研究如何改进训练计划以及成功训练的条件和阈值。

试验注册

controlled-trials.com ISRCTN19133620。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83b1/3790857/7ef6a1e2dd9c/pone.0075660.g001.jpg

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