Shepard Emily, Sweeney Caroline, Thompson Lauren, Jacobs Sophie, Grimm Jessica, Weyandt Lisa L
Department of Psychology, University of Rhode Island, Kingston, Rhode Island, USA.
Interdisciplinary Neuroscience Program, University of Rhode Island, Kingston, Rhode Island, USA.
Appl Neuropsychol Child. 2023 Oct-Dec;12(4):327-343. doi: 10.1080/21622965.2022.2106436. Epub 2022 Aug 1.
The aim of the present systematic review was to discuss the reported efficacy of executive functioning training techniques among adolescents. A systematic review of the literature was conducted to retrieve and consolidate findings from articles evaluating executive functioning training techniques among adolescents. A total of 26 articles were located that examined the role of executive functioning training techniques among adolescents (age 10-19 years). Articles retrieved enabled comparison across psychiatric and medical diagnoses including attention deficit hyperactivity disorder (ADHD), autism spectrum disorder (ASD), as well as adolescents with physical health concerns. Results revealed that among typically developing adolescents, executive functioning training was non-significant or yielded small effect size improvements in executive functioning as measured by behavioral and neuroimaging tasks among 62.5% of studies reviewed. In contrast, in those with medical conditions, ASD, ADHD, and conduct disorder, all but two studies reviewed yielded a medium to large effect size, supporting the effectiveness of EF training. Future research is needed to identify the long-term efficacy of these treatments, as well as their generalizability to real-world conditions.
本系统评价的目的是探讨已报道的青少年执行功能训练技术的疗效。我们对文献进行了系统回顾,以检索和整合评估青少年执行功能训练技术的文章中的研究结果。共找到26篇文章,这些文章研究了执行功能训练技术在青少年(10 - 19岁)中的作用。检索到的文章使得能够对包括注意力缺陷多动障碍(ADHD)、自闭症谱系障碍(ASD)以及有身体健康问题的青少年在内的各种精神和医学诊断进行比较。结果显示,在发育正常的青少年中,在所审查的62.5%的研究中,通过行为和神经影像学任务测量,执行功能训练在执行功能方面无显著效果或仅产生小效应量的改善。相比之下,在患有医学疾病、ASD、ADHD和品行障碍的青少年中,除两项研究外,所有其他研究均产生了中等至大的效应量,支持了执行功能训练的有效性。未来需要开展研究,以确定这些治疗方法的长期疗效及其在现实世界条件下的普遍性。