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计算机化渐进式注意训练(CPAT)与正念减压(MBSR)对 ADHD 成人的近迁移和远迁移效应。

Near and Far Transfer Effects of Computerized Progressive Attention Training (CPAT) Versus Mindfulness Based Stress Reduction (MBSR) Practice Among Adults With ADHD.

机构信息

Tel-Aviv University, Israel.

Hebrew University of Jerusalem, Israel.

出版信息

J Atten Disord. 2023 May;27(7):757-776. doi: 10.1177/10870547231155877. Epub 2023 Feb 16.

Abstract

OBJECTIVE

The present study evaluated the near (attention) and far (reading, ADHD symptoms, learning, and quality of life) transfer effects of a Computerized Progressive Attention Training (CPAT) versus Mindfulness Based Stress Reduction (MBSR) practice among adults with ADHD compared to a passive group.

METHOD

Fifty-four adults participated in a non-fully randomized controlled trial. Participants in the intervention groups completed eight 2-hr weekly training sessions. Outcomes were assessed before, immediately after, and 4 months post-intervention, using objective tools: attention tests, eye-tracker, and subjective questionnaires.

RESULTS

Both interventions showed near-transfer to various attention functions. The CPAT produced far-transfer effects to reading, ADHD symptoms, and learning while the MBSR improved the self-perceived quality of life. At follow-up, all improvements except for ADHD symptoms were preserved in the CPAT group. The MBSR group showed mixed preservations.

CONCLUSION

Both interventions have beneficial effects, however only the CPAT group exhibited improvements compared to the passive group.

摘要

目的

本研究评估了计算机渐进注意训练(CPAT)与正念减压(MBSR)对 ADHD 成人的近转移(注意力)和远转移(阅读、ADHD 症状、学习和生活质量)效果,与被动组相比。

方法

54 名成年人参加了一项非完全随机对照试验。干预组的参与者完成了八次每周 2 小时的培训课程。使用客观工具:注意力测试、眼动追踪和主观问卷,在干预前、干预后立即和 4 个月后评估结果。

结果

两种干预措施均显示出对各种注意力功能的近转移。CPAT 对阅读、ADHD 症状和学习产生了远转移效果,而 MBSR 提高了自我感知的生活质量。在随访中,CPAT 组除 ADHD 症状外,所有改善均得以保留。MBSR 组显示出混合保留。

结论

两种干预措施均有有益效果,但只有 CPAT 组与被动组相比显示出改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c16c/10173353/af2cb9b79333/10.1177_10870547231155877-img2.jpg

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