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基于静视训练的干预可以改善 ADHD 儿童的抑制控制能力,但不能改善其视空间工作记忆。

Quiet eye training-based intervention can ameliorate inhibitory control but not visuospatial working memory in children with ADHD.

机构信息

Faculty of Physical Culture, Palacky University, Olomouc, Czech Republic.

College of Physical Education and Sport PALESTRA, Prague, Czech Republic.

出版信息

Brain Behav. 2023 Nov;13(11):e3251. doi: 10.1002/brb3.3251. Epub 2023 Sep 15.

Abstract

INTRO

The purpose of this study was to investigate the effects of quiet eye training (QET) on inhibitory control, visuospatial working memory (WM), and tonic attention in children with attention-deficit hyperactivity disorder (ADHD).

METHODS

Forty-eight children with ADHD aged 9-12 years were randomly assigned to QET and control (CON) groups. The QET group practiced targeted hand-eye tasks within a QET protocol developed to optimize controlled attention and gaze through eye fixations. We used the go/no-go (GNG) test, the Corsi test, and the reaction test of alertness (RTA) to verify the effects of QET on inhibition control, WM, and tonic attention.

RESULTS

QET group showed significantly shorter reaction times, a higher number of correct responses, and a lower number of omissions in the GNG inhibition test after QET as compared to the pre-measurements, whereas the CON group did not demonstrate significant changes in this test. The measures of WM (Corsi test) and tonic attention (RTA) did not change significantly with the QET-based intervention.

CONCLUSION

The study demonstrated that the QET protocol, which includes instructions and a video demonstration to optimize eye fixation on a target during aiming tasks, is acceptable and usable for children with ADHD. Overall, a short-term, 5-week visuomotor training intervention based on the quiet eye paradigm was shown to be effective in improving inhibitory control and focused visual attention, but not visuospatial WM and intrinsic attention in 9-12-year-old children with inattentive or combined ADHD.

摘要

简介

本研究旨在探讨安静眼训练(QET)对注意力缺陷多动障碍(ADHD)儿童抑制控制、视空间工作记忆(WM)和紧张注意的影响。

方法

48 名 9-12 岁的 ADHD 儿童被随机分配到 QET 和对照组(CON)。QET 组通过一项旨在通过注视眼睛固定来优化控制注意力和注视的 QET 协议来练习有针对性的手眼任务。我们使用 Go/No-Go(GNG)测试、Corsi 测试和警觉反应测试(RTA)来验证 QET 对抑制控制、WM 和紧张注意的影响。

结果

与基线测量相比,QET 组在 GNG 抑制测试中表现出明显更短的反应时间、更高的正确反应次数和更低的遗漏次数,而 CON 组在该测试中没有显示出显著变化。WM(Corsi 测试)和紧张注意(RTA)的测量值在 QET 干预后没有显著变化。

结论

该研究表明,包括在瞄准任务中注视目标时优化眼睛固定的说明和视频演示的 QET 方案,对于 ADHD 儿童是可接受和可用的。总体而言,为期 5 周的基于安静眼范式的短期视觉运动训练干预在改善 9-12 岁注意力不集中或混合型 ADHD 儿童的抑制控制和集中视觉注意力方面是有效的,但对视空间 WM 和内在注意力没有影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74a7/10636405/3ab3bb8a8f26/BRB3-13-e3251-g001.jpg

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