Au Jacky, Berkowitz-Sutherland Laura, Schneider Andrea, Schweitzer Julie B, Hessl David, Hagerman Randi
Department of Pediatrics, Medical Investigation of Neurodevelopmental Disorders (MIND) Institute, University of California, Davis Medical Center, Sacramento, CA, USA.
J Pediatr Genet. 2014 Sep;3(3):147-56. doi: 10.3233/PGE-14098.
Individuals with fragile X syndrome (FXS) often present with an array of neurocognitive deficits, particularly in working memory (WM) and other executive functions. Evidence is accumulating that WM training can be effective in certain clinical populations in improving WM abilities and decreasing attention deficit hyperactivity disorder symptoms. We report preliminary findings evaluating the feasibility of Cogmed JM program, a computer-based WM intervention, within the FXS population. Twenty-five participants were evaluated for training. Seventeen were deemed eligible, of whom eight enrolled in the 5-wk training. Baseline characteristics were analyzed, as well as training progress and parental impressions. We conclude that Cogmed JM is a feasible intervention in FXS, though a certain baseline level of ability is required, and urge future controlled trials to determine efficacy.
患有脆性X综合征(FXS)的个体常常表现出一系列神经认知缺陷,尤其是在工作记忆(WM)和其他执行功能方面。越来越多的证据表明,WM训练在某些临床人群中对于提高WM能力和减轻注意力缺陷多动障碍症状是有效的。我们报告了评估Cogmed JM程序(一种基于计算机的WM干预)在FXS人群中的可行性的初步结果。对25名参与者进行了训练评估。17名被认为符合条件,其中8名参加了为期5周的训练。分析了基线特征、训练进展和家长的看法。我们得出结论,Cogmed JM在FXS中是一种可行的干预措施,尽管需要一定的基线能力水平,并敦促未来进行对照试验以确定其疗效。