Gathercole Susan E
MRC Cognition and Brain Sciences Unit, Cambridge, UK.
J Child Psychol Psychiatry. 2014 Mar;55(3):256-7. doi: 10.1111/jcpp.12196. Epub 2014 Jan 20.
Chacko et al.'s investigation of the clinical utility of WM training to alleviate key symptoms of ADHD is timely and substantial, and marks a significant point in cognitive training research. Cogmed Working Memory Training (CWMT) involves intensive practice on multiple memory span tasks that increase in difficulty as performance improves with practice. Relative to a placebo version in which the span level of the memory tasks are kept at a low fixed level, Chacko et al. () found that CWMT boosted the performance of children with ADHD on short-term memory (STM) tasks similar to trained activities. Complex WM span measures sharing little overlap with the structure of training activities were not enhanced. Neither did active CWMT ameliorate classic symptoms of ADHD such as parent or teacher ratings of attentional problems, or direct measures of motor impulsivity and sustained attention. Reading, spelling, comprehension or mathematics scores similarly showed no response to training.
查科等人对工作记忆(WM)训练缓解注意力缺陷多动障碍(ADHD)关键症状的临床效用进行的调查及时且全面,标志着认知训练研究中的一个重要节点。考格德工作记忆训练(CWMT)涉及对多个记忆广度任务进行强化练习,这些任务的难度会随着练习中表现的提高而增加。与记忆任务的广度水平保持在低固定水平的安慰剂版本相比,查科等人发现,CWMT提高了患有ADHD的儿童在类似于训练活动的短期记忆(STM)任务上的表现。与训练活动结构几乎没有重叠的复杂WM广度测量指标并未得到改善。积极的CWMT也没有改善ADHD的典型症状,如家长或教师对注意力问题的评分,或对运动冲动和持续注意力的直接测量。阅读、拼写、理解或数学成绩同样对训练没有反应。