工作记忆训练对注意缺陷多动障碍患儿疗效的研究进展

李焱, 江文庆, 钱昀, 杜亚松

中国儿童保健杂志 ›› 2021, Vol. 29 ›› Issue (6) : 641-644.

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中国儿童保健杂志 ›› 2021, Vol. 29 ›› Issue (6) : 641-644. DOI: 10.11852/zgetbjzz2020-1194
综述

工作记忆训练对注意缺陷多动障碍患儿疗效的研究进展

  • 李焱, 江文庆, 钱昀, 杜亚松
作者信息 +

Research advances on working memory training for children with attentiondeficit hyperactivity disorder

  • LI Yan, JIANG Wen-qing, QIAN Yun, DU Ya-song
Author information +
文章历史 +

摘要

注意缺陷多动障碍(ADHD)患儿广泛存在明显的工作记忆缺陷,并且影响其症状发展和推理、组织计划、选择注意等方面的表现,因此针对工作记忆的干预对于ADHD患儿有实质性意义。本文针对目前国内外开展的工作记忆训练的研究,对其理论依据、执行功能的影响及行为的疗效以及研究不足之处做一综述。

Abstract

Children with attention deficit hyperactivity disorder (ADHD) have extensive and obvious working memory deficits, which affect their symptom development and performance in reasoning, organizational planning, selective attention, and other aspects. Therefore, the training of working memory is of substantial significance for ADHD children. This review focuses on the domestic and foreign studies of working memory training in recent years, summarizes its theoretical basis, executive function and behavioral efficacy, and reviews the limitations.

关键词

注意缺陷多动障碍 / 工作记忆训练 / 执行功能

Key words

attention deficit hyperactivity disorder / working memory training / clinical efficacy

引用本文

导出引用
李焱, 江文庆, 钱昀, 杜亚松. 工作记忆训练对注意缺陷多动障碍患儿疗效的研究进展[J]. 中国儿童保健杂志. 2021, 29(6): 641-644 https://doi.org/10.11852/zgetbjzz2020-1194
LI Yan, JIANG Wen-qing, QIAN Yun, DU Ya-song. Research advances on working memory training for children with attentiondeficit hyperactivity disorder[J]. Chinese Journal of Child Health Care. 2021, 29(6): 641-644 https://doi.org/10.11852/zgetbjzz2020-1194
中图分类号: R749.94   

参考文献

[1] Polanczyk GV, Willcutt E, Salum GA, et al. ADHD prevalence estimates across three decades:an updated systematic review and meta-regression analysis[J]. Int J Epidemiol, 2014, 43:434-442.
[2] Biederman J, Hammerness P, Sadeh B, et al. Diagnostic utility of brain activity flow patterns analysis in attention deficit hyper- activity disorder[J]. Psychol Med, 2017, 47(7):1259-1270.
[4] Francx W, Llera A, Mennes M, et al. Integrated analysis of gray and white matter alterations in attention-deficit/hyperactivity disorder[J]. NeuroImage Clin, 2016, 11(4):357-367.
[4] Chamberlain SR,Del Campo N,Dowson J,et al. Atomoxetine improved response inhibition in adults with attention deficit/hyperactivity disorder[J]. Biol Psychiatry,2007,62(9):977-984.
[5] Baddeley A. Working memory [J]. Curr Biol, 2010,20:136-140.
[6] Rapport MD,Bolden J,Kofler MJ,et al. Hyperactivity in boys with attention-deficit/hyperactivity disorder (ADHD):a ubiquitous core symptom or manifestation of working memory deficits[J]? J Abnorm Child Psychol,2009,37(4):521-534.
[7] Hudec K, Alderson R, Patros C, et al. Hyperactivity in boys with ADHD:the role of executive & non-executive functions[J]. Res in Deve Disabi, 2015, 45:103-109.
[8] van Lieshout M, Luman M, Twisk JW, et al. A 6-year follow-up of a large European cohort of children with ADHD-C:outcomes in late adolescence and young adulthood[J]. Eur Child Adoles Psy, 2016,25:1007-1017.
[9] Barkley RA,Fischer M. Predicting impairment in major life activities and occupational functioning in hyperactive children as adults:self-reported executive function (EF) deficits versus EF tests [J]. Dev Neuropsychol,2011,36:137-161.
[10] Martinussen R,Hayden J,Hogg-Johnson S,et al. A meta-analysis of working memory impairments in children with attention-deficit/hyperactivity disorder [J]. J Am Acad Child Adolesc Psychiatry,2005,44(4):377-384.
[11] Sheridan MA, Hinshaw S,D'Esposito M. Efficiency of the prefrontal cortex during working memory in attention-deficit/hyperactivity disorder [J]. J Am Acad Child Adolesc Psychiatry,2007,46(10):1357-1366.
[12] Pauli-Pott U,Becker K. Neuropsychological basic deficits in preschoolers at risk for ADHD:a meta-analysis [J]. Clin Psychol Rev,2011,31(4):626-637.
[13] Rapport MD, Alderson RM, Kofler MJ, et al. Working memory deficits in boys with attention-deficit/hyperactivity disorder (ADHD):the contribution of central executive and subsystem processes [J]. J Abnorm Child Psychol,2008,36(6):825-837.
[14] Kasper LJ, Alderson RM, Hudec KL. Moderators of working memory deficits in children with ADHD:a meta-analytic review[J]. Clini Psychol Rev, 2012,32:605-617.
[15] 赵鑫,付丽,周仁来.我国注意缺陷多动障碍儿童工作记忆研究的文献计量分析[J].中国特殊教育,2011,12(1):73-76,43.
[16] Karalunas SL, Gustafsson HC, Dieckmann NF, et al. Heterogeneity in development of aspects of working memory predicts longitudinal attention deficit hyperactivity disorder symptom change[J]. J Abnorm Psychol, 2017, 126:774-792.
[17] Klingberg T,Forssberg H,Westerberg H. Training of working memory in children with ADHD [J]. Clin Exp Neuropsychol,2002,24(6):781-791.
[18] Klingberg T,Fernell E,Olesen PJ,et al. Computerized training of working memory in children with ADHD--a randomized, controlled trial [J]. J Am Acad Child Adolesc Psychiatry,2005,44(2):177-186.
[19] Klingberg T. Training and plasticity of working memory [J]. Trends Cogn Sci,2010,14(7):317-324.
[20] Brehmer Y,Westerberg H,Bäckman L,et al. Working-memory training in younger and older adults:training gains, transfer,and maintenance [J].Front Hum Neurosci,2012,6:1-7.
[21] Ackermann S, Halfon O, Fornari E,et al. Cognitive working memory training (CWMT) in adolescents suffering from attention-deficit/hyperactivity disorder (ADHD):a controlled trial taking into account concomitant medication effects[J]. Psychiatry Res, 2018, 269:79-85.
[22] Thorell LB,Lindqvist S,Bergman Nutley S,et al. Training and transfer effects of executive functions in preschool children [J]. Dev Sci, 2009,12 (1):106-113.
[23] Holmes J,Gathercole SE,Dunning DL. Adaptive training leads to sustained enhancement of poor working memory in children [J]. Dev Sci, 2009,12 (4):9-15.
[25] Beck SJ,Hanson CA,Puffenberger SS,et al. A controlled trial of working memory training for children and adolescents with ADHD [J]. J Clin Child Adolesc Psychol,2010,39(6):825-836.
[25] Olesen PJ,Westerberg H,Klingberg T. Increased prefrontal and parietal activity after training of working memory [J]. Nat Neurosci,2004,7(1):75-79.
[26] Linden DE. The working memory networks of the human brain [J]. Neuroscientist,2007,13(3):257-267.
[27] Virginia de OR, Alexandre RF, Giovanni ASJ,et al. Effects of computerized cognitive training as add-on treatment to stimulants in ADHD:a pilot fMRI study [J]. Brain Imaging Behav, 2019. doi:10.1007/s11682-019-00137-0.
[28] Mezzacappa E,Buckner JC. Working memory training for children with attention problemsor hyperactivity:a school-based pilot study [J]. School Mental Health,2010,2:202-208.
[29] Green CT,Long DL,Green D,et al. Will working memory training generalize to improve off-task behavior in children with attention-deficit/Hyperactivity disorder? [J] Neurotherapeutics, 2012,9:639-648.
[30] Cortese S, Ferrin M, Brandeis D, et al. Cognitive training for ADHD:Meta-analysis of clinical and neuropsychological outcomes from randomized controlled trials[J]. J Am Acad Child Psy, 2015, 54:164-174.
[31] Mawjee K, Woltering S, Lai N, et al. Working memory training in ADHD:controlling for engagement, motivation, and expectancy of improvement (Pilot Study) [J]. J Atten Disord, 2017, 21:956-968.
[32] Karizma M, Steven W, Rosemary T. Working memory training in post-secondary students with ADHD:a randomized controlled study [J]. PLoS One, 2015, 10(9):e0137173.
[33] 李焱,江文庆,李梦瑶,等. 计算机辅助的执行功能训练对注意缺陷多动障碍患儿的干预研究[J]. 中国儿童保健杂志, 2017,25(3):237-241.
[35] 宋蕊, 江文庆, 樊宁,等. 低频度执行功能计算机训练对注意缺陷多动障碍患儿干预效果的研究[J].中国儿童保健杂志, 2020.doi:10.11852/zgetbjz2019-0166.
[35] Michael JK, Dustin ES, Kristin EA. Can working memory training work for ADHD? Development of central executive training and comparison with behavioral parent training [J]. J Consult Clin Psychol, 2018 ,86(12):964-979.
[36] Bikic A,Leckman JF,Christensen T,et al. Attention and executive functions computer training for attention-deficit/ hyperactivity disorder(ADHD):results from a randomized,controled trial[J]. Eur Child Adoles Psy, 2018,27:1573-1574.
[37] Roberts G, Quach J, Spencer-Smith M, et al. Academic outcomes 2 years after WM training for children with low WM:a randomized clinical trial[J]. JAMA Pediatrics, 2016, 170 (5):e154568.

基金

重大慢性非传染疾病防控研究(2016YFC1306102);国家自然科学基金面上项目(81771477);上海市精神卫生中心院级课题一般项目(2018-YJ-14);上海市公共卫生体系建设三年行动计划(2020-2022年)重点学科建设计划项目(GWV-10.1-XK19)

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