Neurocognitive training for children with and without AD/HD

There is accumulating evidence that computerised cognitive training of inhibitory control and/or working memory can lead to behavioural improvement in children with AD/HD. Using a randomised waitlist control design, the present study examined the effects of combined working memory and inhibitory control training, with and without passive attention monitoring via EEG, for children with and without AD/HD. One hundred and twenty-eight children (60 children with AD/HD, 68 without AD/HD) were randomly allocated to one of three training conditions (waitlist; working memory and inhibitory control with attention monitoring; working memory and inhibitory control without attention monitoring) and completed with pre- and post-training assessments of overt behaviour (from 2 sources), trained and untrained cognitive task performance, and resting EEG activity. The two active training conditions completed 25 sessions of training at home over a 4- 5-week period. Results showed significant improvements in overt behaviour for children with AD/HD in both training conditions compared to the waitlist condition as rated by a parent and other adult. Post-training improvements in the areas of spatial working memory, ignoring distracting stimuli, and sustained attention were reported for children with AD/HD. Children without AD/HD showed behavioural improvements after training. The improvements for both groups were maintained over the 6-week period following training. The passive attention monitoring via EEG had a minor effect on training outcomes. Overall, the results suggest that combined WM/IC training can result in improved behavioural control for children with and without AD/HD.

[1]  W. Burns,et al.  Computer-Assisted Cognitive Training for ADHD , 1996 .

[2]  Lucas Spierer,et al.  Brain Dynamics Underlying Training-Induced Improvement in Suppressing Inappropriate Action , 2010, The Journal of Neuroscience.

[3]  Katrijn Houben,et al.  Resisting temptation: decreasing alcohol-related affect and drinking behavior by training response inhibition. , 2011, Drug and alcohol dependence.

[4]  A. Jansen,et al.  Training inhibitory control. A recipe for resisting sweet temptations , 2011, Appetite.

[5]  Darryl W. Schneider,et al.  Automatic and Controlled Response Inhibition: Associative Learning in the Go/no-go and Stop-signal Paradigms the Go/no-go Paradigm and the Stop-signal Paradigm , 2022 .

[6]  A. Marks,et al.  Practice-Related Effects in a Go-Nogo Task , 2007, Perceptual and motor skills.

[7]  J. Swanson,et al.  Effects of stimulant medication on growth rates across 3 years in the MTA follow-up. , 2007, Journal of the American Academy of Child and Adolescent Psychiatry.

[8]  R. Barry,et al.  A review of electrophysiology in attention-deficit/hyperactivity disorder: I. Qualitative and quantitative electroencephalography , 2003, Clinical Neurophysiology.

[9]  S. Johnstone,et al.  A pilot study of combined working memory and inhibition training for children with AD/HD , 2010, Attention deficit and hyperactivity disorders.

[10]  Reinout W. Wiers,et al.  Getting a Grip on Drinking Behavior , 2011, Psychological science.

[11]  Johannes Hebebrand,et al.  Does inhibitory control capacity in overweight and obese children and adolescents predict success in a weight-reduction program? , 2010, European Child & Adolescent Psychiatry.

[12]  B. Pennington,et al.  Executive functions and developmental psychopathology. , 1996, Journal of child psychology and psychiatry, and allied disciplines.

[13]  Janet B W Williams,et al.  Diagnostic and Statistical Manual of Mental Disorders , 2013 .

[14]  J. Sergeant,et al.  Inhibition in ADHD, aggressive, and anxious children: A biologically based model of child psychopathology , 1996, Journal of abnormal child psychology.

[15]  H. Forssberg,et al.  Training of Working Memory in Children With ADHD , 2002 .

[16]  J. Sergeant.  The cognitive-energetic model: an empirical approach to Attention-Deficit Hyperactivity Disorder , 2000, Neuroscience & Biobehavioral Reviews.

[17]  Benjamin B. Lahey,et al.  Academic Achievement Over 8 Years Among Children Who Met Modified Criteria for Attention-deficit/Hyperactivity Disorder at 4–6 Years of Age , 2008, Journal of abnormal child psychology.

[18]  Herbert Roeyers,et al.  The relationship of working memory, inhibition, and response variability in child psychopathology , 2006, Journal of Neuroscience Methods.

[19]  Noriyuki Kida,et al.  Intensive baseball practice improves the Go/Nogo reaction time, but not the simple reaction time. , 2005, Brain research. Cognitive brain research.

[20]  Katrijn Houben,et al.  Overcoming the urge to splurge: influencing eating behavior by manipulating inhibitory control. , 2011, Journal of behavior therapy and experimental psychiatry.

[21]  S. Hogg-Johnson,et al.  A meta-analysis of working memory impairments in children with attention-deficit/hyperactivity disorder. , 2005, Journal of the American Academy of Child and Adolescent Psychiatry.

[22]  H. Forssberg,et al.  Computerized training of working memory in children with ADHD--a randomized, controlled trial. , 2005, Journal of the American Academy of Child and Adolescent Psychiatry.

[23]  S. Gathercole,et al.  Executive functions and achievements in school: Shifting, updating, inhibition, and working memory , 2006, Quarterly journal of experimental psychology.

[24]  R. Barkley.  Behavioral inhibition, sustained attention, and executive functions: constructing a unifying theory of ADHD. , 1997, Psychological bulletin.

[25]  H. Quay.  Inhibition and Attention Deficit Hyperactivity Disorder , 1997, Journal of abnormal child psychology.

[26]  Vincent J Monastra,et al.  The Effects of Stimulant Therapy, EEG Biofeedback, and Parenting Style on the Primary Symptoms of Attention-Deficit/Hyperactivity Disorder , 2002, Applied psychophysiology and biofeedback.

[27]  R. Barry,et al.  Electroencephalogram differences in two subtypes of attention-deficit/hyperactivity disorder. , 2001, Psychophysiology.

[28]  James M. Clark.  Contributions of Inhibitory Mechanisms to Unified Theory in Neuroscience and Psychology , 1996, Brain and Cognition.

[29]  Yoshitsugu Yasui,et al.  A brainwave signal measurement and data processing technique for daily life applications. , 2009, Journal of physiological anthropology.

[30]  Torkel Klingberg,et al.  Training and transfer effects of executive functions in preschool children. , 2009, Developmental science.

[31]  Randall W Engle,et al.  Working memory, short-term memory, and general fluid intelligence: a latent-variable approach. , 1999, Journal of experimental psychology. General.

[32]  R. Klein,et al.  Lifetime criminality among boys with attention deficit hyperactivity disorder: A prospective follow-up study into adulthood using official arrest records , 2008, Psychiatry Research.

[33]  H. Kraemer,et al.  Evidence, Interpretation, and Qualification From Multiple Reports of Long-Term Outcomes in the Multimodal Treatment Study of Children With ADHD (MTA) , 2008, Journal of attention disorders.

[34]  H. Geurts,et al.  ADHD subtypes: do they differ in their executive functioning profile? , 2005, Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists.

[35]  Stuart J Johnstone,et al.  EEG From a Single-Channel Dry-Sensor Recording Device , 2012, Clinical EEG and neuroscience.

[36]  Larry B. Silver,et al.  Attention Deficit Hyperactivity Disorder. A Handbook for Diagnosis and Treatment , 1991 .