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针对智力发育障碍儿童的多领域计算机化认知训练:一项随机对照试验。

Multi-domain computerized cognitive training for children with intellectual developmental disorder: A randomized controlled trial.

作者信息

Wu Jingsong, Peng Juan, Li Zhaoying, Deng Haiyin, Huang Zhenming, He Youze, Tu Jingnan, Cao Lei, Huang Jia

机构信息

College of Rehabilitation Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou, Fujian Province, China.

出版信息

Front Psychol. 2023 Jan 9;13:1059889. doi: 10.3389/fpsyg.2022.1059889. eCollection 2022.

Abstract

PURPOSE

To verify the effects of multi-domain computerized cognitive training on intellectual function and adaptive functioning in children with intellectual developmental disorder (IDD).

METHODS

Children with IDD were randomized to a multi-domain computerized cognitive training (CCT) group (n = 30) and control group (n = 30). Both groups received a 5-week training program. Intellectual function was assessed by Chinese-Wechsler Young Children scale (C-WYCSI) and adaptive functioning was assessed by the Chinese Vineland Adaptive Behavior Rating Scale (VABS-C), which were used at baseline, post-training, and 3-month follow-up.

RESULTS

There were significant differences for intellectual function and adaptive functioning between the two groups. The CCT group showed significant improvements in total full-scale intelligence quotient (FSIQ) score the Wechsler Intelligence Scale ([60] = 31.97,  < 0.01) and its subdomain VIQ score ([60] = 33.83,  < 0.01). For adaptive functioning, CCT had a better adaptive developmental quotient (ADQ) score ([60] = 28.05,  < 0.01), and subdomain communication ([60] = 10.86,  < 0.01) and socialization scores ([60] = 4.35,  < 0.015). Moreover, there was a positive correlation between FSIQ changes and ADQ changes in the CCT group (r = 0.74,  < 0.01). A greater increase in VIQ score was associated with a greater increase in adaptive functioning (bootstrapping CI: [0.16, 3.30]) in the CCT group.

CONCLUSION

Multi-domain CCT improves the intellectual function and adaptive functioning of children with IDD.

摘要

目的

验证多领域计算机化认知训练对智力发育障碍(IDD)儿童智力功能和适应性功能的影响。

方法

将IDD儿童随机分为多领域计算机化认知训练(CCT)组(n = 30)和对照组(n = 30)。两组均接受为期5周的训练计划。采用中国韦氏幼儿智力量表(C-WYCSI)评估智力功能,采用中国文兰适应行为评定量表(VABS-C)评估适应性功能,在基线、训练后和3个月随访时进行测评。

结果

两组在智力功能和适应性功能方面存在显著差异。CCT组在韦氏智力量表的总全量表智商(FSIQ)得分([60]=31.97,<0.01)及其子领域言语智商(VIQ)得分([60]=33.83,<0.01)上有显著改善。对于适应性功能,CCT组的适应性发展商(ADQ)得分更好([60]=28.05,<0.01),以及子领域沟通([60]=10.86,<0.01)和社会化得分([60]=4.35,<0.015)。此外,CCT组中FSIQ变化与ADQ变化之间存在正相关(r = 0.74,<0.01)。CCT组中VIQ得分的更大增加与适应性功能的更大增加相关(自抽样置信区间:[0.16, 3.30])。

结论

多领域CCT可改善IDD儿童的智力功能和适应性功能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33ef/9868813/74b76af05c90/fpsyg-13-1059889-g001.jpg

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