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针对目前因复杂症状而休病假的受试者进行工作记忆训练的效果

Effectiveness of Working Memory Training among Subjects Currently on Sick Leave Due to Complex Symptoms.

作者信息

Aasvik Julie K, Woodhouse Astrid, Stiles Tore C, Jacobsen Henrik B, Landmark Tormod, Glette Mari, Borchgrevink Petter C, Landrø Nils I

机构信息

Department of Circulation and Medical Imaging, Faculty of Medicine, Norwegian University of Science and Technology Trondheim, Norway.

Hysnes Rehabilitation Center, St. Olav's University HospitalTrondheim, Norway; National Competence Centre for Complex Disorders, St. Olav's University HospitalTrondheim, Norway; Department of Public Health and General Practice, Norwegian University of Science of TechnologyTrondheim, Norway.

出版信息

Front Psychol. 2017 Jan 6;7:2003. doi: 10.3389/fpsyg.2016.02003. eCollection 2016.

Abstract

The current study examined if adaptive working memory training (Cogmed QM) has the potential to improve inhibitory control, working memory capacity, and perceptions of memory functioning in a group of patients currently on sick leave due to symptoms of pain, insomnia, fatigue, depression and anxiety. Participants who were referred to a vocational rehabilitation center volunteered to take part in the study. Participants were randomly assigned to either a training condition ( = 25) or a control condition ( = 29). Participants in the training condition received working memory training in addition to the clinical intervention offered as part of the rehabilitation program, while participants in the control condition received treatment as usual i.e., the rehabilitation program only. Inhibitory control was measured by The Stop Signal Task, working memory was assessed by the Spatial Working Memory Test, while perceptions of memory functioning were assessed by The Everyday Memory Questionnaire-Revised. Participants in the training group showed a significant improvement on the post-tests of inhibitory control when compared with the comparison group ( = 0.025). The groups did not differ on the post-tests of working memory. Both groups reported less memory problems at post-testing, but there was no sizeable difference between the two groups. Results indicate that working memory training does not improve general working memory capacity . Nor does it seem to give any added effects in terms of targeting and improving self-perceived memory functioning. Results do, however, provide evidence to suggest that inhibitory control is accessible and susceptible to modification by adaptive working memory training.

摘要

当前的研究探讨了适应性工作记忆训练(Cogmed QM)是否有潜力改善一组因疼痛、失眠、疲劳、抑郁和焦虑症状而正在休病假的患者的抑制控制、工作记忆容量以及对记忆功能的认知。被转介到职业康复中心的参与者自愿参加了该研究。参与者被随机分配到训练组(n = 25)或对照组(n = 29)。训练组的参与者除了接受作为康复计划一部分提供的临床干预外,还接受了工作记忆训练,而对照组的参与者则接受常规治疗,即仅接受康复计划。通过停止信号任务测量抑制控制,通过空间工作记忆测试评估工作记忆,同时通过修订后的日常记忆问卷评估对记忆功能的认知。与对照组相比,训练组的参与者在抑制控制的后测中表现出显著改善(p = 0.025)。两组在工作记忆的后测中没有差异。两组在测试后都报告记忆问题减少,但两组之间没有显著差异。结果表明,工作记忆训练并不能提高一般工作记忆容量。在针对和改善自我感知的记忆功能方面,它似乎也没有任何额外的效果。然而,结果确实提供了证据表明,抑制控制可以通过适应性工作记忆训练得到改善且易于改变。

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