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首页> 外文期刊>Journal of pediatric psychology >Systematic review and meta-analysis of cognitive interventions for children with central nervous system disorders and neurodevelopmental disorders
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Systematic review and meta-analysis of cognitive interventions for children with central nervous system disorders and neurodevelopmental disorders

机译：对中枢神经系统疾病和神经发育障碍儿童的认知干预的系统评价和荟萃分析

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Objective: To assess the efficacy of cognitive interventions for children with neurological disorders, acquired brain injuries, and neurodevelopmental disorders. Method: We searched for randomized controlled trials of cognitive interventions; 13 studies met inclusion criteria. Risk of bias was rated for each study. Standardized effect size estimates were examined in 7 outcome domains. The overall quality of evidence was rated using the Grading of Recommendations Assessment, Development and Evaluation system. Results: Significant positive treatment effects were found in all outcome domains aside from inhibitory control. Effects were large for attention, working memory, and memory tasks, and small for academic achievement and behavior rating scales. Results exhibited substantial heterogeneity in all domains. Overall quality of evidence was rated very low in all domains, suggesting substantial uncertainty about effect size estimates. Discussion: The results provide some evidence of a positive benefit from cognitive interventions, but cannot be regarded as robust given the overall very low quality of the evidence.
机译：目的：评估认知干预对神经系统疾病，后天性脑损伤和神经发育障碍儿童的疗效。方法：我们搜索了认知干预的随机对照试验; 13个研究符合纳入标准。对每项研究的偏倚风险进行了评估。在7个结果域中检查了标准化的效应量估计。总体证据质量使用“建议评估，制定和评估系统分级”进行评级。结果：除抑制性对照外，在所有结局领域均发现了显着的积极治疗效果。对于注意力，工作记忆和记忆任务的影响较大，而对学业成就和行为等级量表的影响较小。结果在所有域中均表现出明显的异质性。在所有领域中，证据的总体质量都非常低，这表明效应大小估算值存在很大的不确定性。讨论：结果提供了一些认知干预措施的积极益处的证据，但是鉴于证据的总体质量非常低，因此不能将其视为可靠的证据。

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