51⁄2至6岁儿童视觉空间处理的认知训练 非常早产,有工作记忆功能障碍:一项随机临床试验
Catherine Gire1,2, Any Beltran Anzola1,2, Stéphane Marret3
1Department of Neonatology, North Hospital, Assistance Publique-Hôpitaux de Marseille University Hospital, Marseille, France.
JAMA network open
|September 7, 2023
概括
对于有工作记忆问题的非常早产儿进行认知训练并没有长期改善视觉空间技能. 虽然观察到一些短期工作记忆的增长,但它们并没有持续,这表明执行功能的好处有限.
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
- 儿科 儿科 儿科
背景情况:
- 非常早产的孩子经常表现出执行功能缺陷,特别是在工作记忆和抑制方面.
- 计算机化认知训练通过利用神经可塑性为增强认知功能提供了一个潜在的途径.
研究的目的:
- 评估认知工作记忆训练对工作记忆障碍的非常早产 (5.5-6岁) 儿童视觉空间处理的长期影响.
主要方法:
- 一个开放的,随机的临床试验 (EPIREMED) 涉及169名非常早产的儿童.
- 参与者被分配到标准护理或为期8周的认知培训计划 (Cogmed软件).
- 视觉空间指数得分在基线,干预后6个月和16个月被评估.
主要成果:
- 干预组和对照组在干预后12.9个月没有观察到视觉空间指数得分的显著差异.
- 干预组在6个月后显示工作记忆指数得分的短暂改善,在16个月后没有持续.
- 认知训练计划并没有在视觉空间处理或执行功能方面产生持久的改善.
结论:
- 认知工作记忆训练在非常早产的儿童中对视觉空间处理没有持续的益处.
- 这项研究表明,这种干预措施在增强该人群的执行功能方面具有有限的长期疗效.
- 暂时的改善可能与执行功能的发展轨迹有关.
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