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首页> 外文期刊>Journal of consulting and clinical psychology >Can Working Memory Training Work for ADHD? Development of Central Executive Training and Comparison With Behavioral Parent Training
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Can Working Memory Training Work for ADHD? Development of Central Executive Training and Comparison With Behavioral Parent Training

机译:可以为ADHD工作记忆培训工作吗? 发展中央执行培训和与行为父母培训的比较

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Objective: Working memory deficits have been linked experimentally and developmentally with attention-deficit/hyperactivity disorder (ADHD)-related symptoms/impairments. Unfortunately, substantial evidence indicates that extant working memory training programs fail to improve these symptoms/impairments. We hypothesized that this discrepancy may reflect insufficient targeting, such that extant protocols do not adequately engage the specific working memory components linked with the disorder's behavioral/functional impairments. Method: The current study describes the development, empirical basis, and initial testing of central executive training (CET) relative to gold-standard behavioral parent training (BPT). Children with ADHD ages 8-13 (M = 10.43, SD = 1.59; 21 girls; 76% Caucasian/non-Hispanic) were treated using BPT (n = 27) or CET (n = 27). Detailed data analytic plans for the pre/post design were preregistered. Primary outcomes included phonological and visuospatial working memory, and secondary outcomes included actigraphy during working memory testing and two distal far-transfer tasks. Multiple feasibility/acceptability measures were included. Results: The BPT and CET samples did not differ on any pretreatment characteristics. CET was rated as highly acceptable by children and was equivalent to BPT in terms of feasibility/acceptability as evidenced by parent-reported high satisfaction, low barriers to participation, and large ADHD symptom reductions. CET was superior to BPT for improving working memory (Group x Time d = 1.06) as hypothesized. CET was also superior to BPT for reducing actigraph-measured hyperactivity during visuospatial working memory testing and both distal far-transfer tasks (Group x Time d = 0.74). Conclusions: Results provide strong support for continued testing of CET and, if replicated, would support recent hypotheses that next-generation ADHD cognitive training protocols may overcome current limitations via improved targeting.
机译:目的:工作记忆缺陷已经通过实验和发育,注意力缺陷/多动障碍(ADHD) - 相关症状/损伤。不幸的是,实质性证据表明,现存的工作记忆培训计划未能改善这些症状/损伤。我们假设这种差异可能反映目标不足,使得现时协议不会充分接合与疾病的行为/功能损伤相关的具体工作存储器组件。方法:目前的研究描述了相对于金标准行为父母培训(BPT)的中央执行培训(CET)的开发,实证和初步测试。患有ADHD 8-13岁的儿童(M = 10.43,SD = 1.59; 21个女孩;使用BPT(n = 27)或CET(n = 27)对待76%白种人/非西班牙裔。预先记录了预/后设计的详细数据分析计划。主要结果包括语音和探索工作记忆,二次结果包括工作记忆测试期间的戏法和两个远端传输任务。包括多种可行性/可接受性措施。结果:BPT和CET样品对任何预处理特征没有差异。 CET被儿童的高度可接受的评为,并且在可行性/可接受性方面相当于BPT,通过父母报告的高度满意度,低障碍和大的ADHD症状减少而证明。 CET优于BPT,用于改善工作记忆(Group X时间D = 1.06)作为假设。 CET还优于BPT,用于减少粘面空间工作记忆测试期间的AITIGAPH测量的多动症,并且远端远传输任务(组X时间D = 0.74)。结论:结果为CET的持续测试提供了强有力的支持,如果复制,将支持最近的假设,即下一代ADHD认知培训协议可能通过改进的目标来克服当前限制。

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