Attention and executive functions computer training for attention-deficit/hyperactivity disorder (ADHD): results from a randomized, controlled trial

被引:55
作者
Bikic, Aida [1 ,2 ]
Leckman, James F. [3 ]
Christensen, Torben O. [4 ]
Bilenberg, Niels [2 ,5 ]
Dalsgaard, Soren [6 ,7 ,8 ]
机构
[1] Reg Southern Denmark, Dept Child & Adolescent Mental Hlth Serv Southern, Kresten Phillipsens Vej 15, Aabenraa, Denmark
[2] Univ Southern Denmark, Dept Clin Res, Winslowspk 19, Odense, Denmark
[3] Yale Univ, Yale Child Study Ctr, 230 South Frontage Rd, New Haven, CT USA
[4] Klin Psykiatri, Reg Nordjylland, Psychiat Dept, Nord Hjorringvej 180, Bronderslev, Denmark
[5] Psychiat Hosp Reg Southern, Dept Child & Adolescent Mental Hlth Serv Odense, Odense, Denmark
[6] Aarhus Univ, Dept Econ & Business, Natl Ctr Register Based Res, Fuglesangs Alle 4, Aarhus, Denmark
[7] iPSYCH, Lundbeck Fdn Initiat Integrat Psychiat Res, Aarhus, Denmark
[8] Hosp Telemark, Dept Child & Adolescent Psychiat, Kragero, Norway
关键词
ADHD; Cognitive training; Cognitive remediation; Executive function training; Computer training; Non-pharmacological treatment; SCHOOL-AGE-CHILDREN; DRUG-NAIVE BOYS; WORKING-MEMORY; METHYLPHENIDATE; INTERVENTION; VALIDITY; METAANALYSIS; ADOLESCENTS; AGREEMENT; PROGRAM;
D O I
10.1007/s00787-018-1151-y
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
Multicenter randomized clinical superiority single-blind trial investigated the effect of a computer training program targeting multiple cognitive functions. Seventy children with ADHD, aged 6-13, were randomized to intervention or control group. The intervention group used ACTIVATE for 8weeks and both groups received treatment as usual and were assessed in regard to cognitive functions, symptoms, behavioral and functional outcome measures after 8, 12 and 24weeks. There was no significant effect on the primary outcome, sustained attention (=-0.047; CI -0.247 to 0.153) or the secondary outcomes [parent-rated ADHD-RS, =-0.037; CI (-0.224 to 0.150); teacher-rated-ADHD-RS, =0.093; CI (-0.107 to 0.294); parent-rated-BRIEF, =-0.119; CI (-0.307 to 0.069); and teacher-rated-BRIEF, =0.136; CI (-0.048 to 0.322)]. This multicenter randomized clinical trial found no significant beneficial effects of cognitive training using the computer program ACTIVATE on the primary or secondary outcome measures in children with ADHD. Nevertheless, our study was likely underpowered to detect small to moderate changes.Trial registration ClinicalTrials.gov: NCT01752530, date of registration: December 10, 2012.
引用
收藏
页码:1563 / 1574
页数:12
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