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关于ADHD的中央执行培训:对家庭和学校的组织技能的影响. 一个随机对照试验

Elizabeth S M Chan¹, Fatou Gaye¹, Alissa M Cole¹

¹Department of Psychology, Florida State University.

Neuropsychology

|July 13, 2023

概括

中央执行培训 (CET) 显著改善了ADHD儿童的组织技能,超过了抑制控制培训 (ICT). 这些收益是长期持续的,支持工作记忆和组织赤字之间的联系.

科学领域:

神经科学是一个神经科学.
发展心理学发展心理学
临床心理学临床心理学

背景情况:

患有多动症的儿童往往表现出显著的组织技能缺陷.
工作记忆 (WM) 对执行功能,包括组织至关重要.
中央执行培训 (CET) 针对WM组件,可能提高下游技能.

研究的目的:

与抑制控制训练 (ICT) 相比,研究CET在改善ADHD儿童的组织技能方面的有效性.
为了确定组织技能的改进是否随着时间的推移而持续.

主要方法:

一项随机对照试验 (RCT) 涉及73名患有多动症的儿童 (8-13岁).
参与者接受了10周的CET或ICT干预.
用家长和教师在治疗前,治疗后和随访时的评分来评估组织技能.

主要成果:

与ICT相比,教师报告的组织技能与CET相比显著改善 (d = 0.61,p = .01).
父母报告的改善总体上是显著的,但在各组之间没有显著差异.
对于大多数结局,CET显示了临床上有意义的收益 (NNT = 3-8),在随访时保持.

结论:

对于ADHD儿童来说,CET在学校的组织技能方面提供了强有力的,持久的改进,特别是在教师报告的基础上.
研究结果支持这样一个假设:与ADHD相关的组织困难可能源于潜在的工作记忆障碍.

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