我们能否增强工作记忆?认知训练研究中的偏差和有效性。

Can we enhance working memory? Bias and effectiveness in cognitive training studies.

机构信息

Escuela de Psicología, Universidad Espíritu Santo, Samborondón, Ecuador.

School of Psychology, University College Dublin, Dublin, Ireland.

出版信息

Psychon Bull Rev. 2024 Oct;31(5):1891-1914. doi: 10.3758/s13423-024-02466-8. Epub 2024 Feb 16.

Abstract

Meta-analyses have found that working memory (WM) can be improved with cognitive training; however, some authors have suggested that these improvements are mostly driven by biases in the measurement of WM, especially the use of similar tasks for assessment and training. In the present meta-analysis, we investigated whether WM, fluid intelligence, executive functions, and short-term memory can be improved by cognitive training and evaluated the impact of possible sources of bias. We performed a risk of bias assessment of the included studies and took special care in controlling for practice effects. Data from 52 independent comparisons were analyzed, including cognitive training aimed at different cognitive functions. Our results show small improvements in WM after training (SMD = 0.18). Much larger effects were observed when the analysis was restricted to assessment tasks similar to those used for training (SMD = 1.15). Fluid intelligence was not found to improve as a result of training, and improvements in WM were not related to changes in fluid intelligence. Our analyses did however indicate that cognitive training can improve specific executive functions. Contrary to expectations, a set of meta-regressions indicated that characteristics of the training programme, such as dosage and type of training, do not have an impact on the effectiveness of training. The risk of bias assessment revealed some concerns in the randomization process and possible selective reporting among studies. Overall, our results identified various potential sources of bias, with the most significant being the choice of assessment tasks.

摘要

元分析发现,工作记忆(WM)可以通过认知训练得到提高;然而,一些作者认为这些提高主要是由 WM 测量中的偏差驱动的,特别是在评估和训练中使用相似的任务。在本元分析中,我们调查了认知训练是否可以提高 WM、流体智力、执行功能和短期记忆,并评估了可能存在的偏差来源的影响。我们对纳入的研究进行了偏倚风险评估,并特别注意控制练习效应。分析了来自 52 个独立比较的数据,包括针对不同认知功能的认知训练。我们的研究结果表明,训练后 WM 有较小的提高(SMD=0.18)。当分析仅限于与训练中使用的任务相似的评估任务时,观察到更大的效果(SMD=1.15)。训练并没有导致流体智力的提高,WM 的提高与流体智力的变化无关。然而,我们的分析表明,认知训练可以提高特定的执行功能。与预期相反,一组元回归分析表明,培训计划的特征,如剂量和培训类型,对培训的效果没有影响。偏倚风险评估显示了研究中随机过程和可能的选择性报告方面的一些关注。总体而言,我们的研究结果确定了各种潜在的偏差来源,其中最重要的是评估任务的选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c484/11543728/7734e92457b7/13423_2024_2466_Fig1_HTML.jpg

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