Cogmed Working Memory Training for youth with ADHD: a closer examination of efficacy utilizing evidence-based criteria.
Cogmed Working Memory Training for youth with ADHD: a closer examination of efficacy utilizing evidence-based criteria.
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DOI：
10.1080/15374416.2013.787622
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发表时间：
2013
期刊：
影响因子：
--
通讯作者：
Chimiklis A
中科院分区：
文献类型：
--
作者：
Chacko A;Feirsen N;Bedard AC;Marks D;Uderman JZ;Chimiklis A
当前的综述应用了临床儿童和青少年心理学会倡导的循证治疗（EBT）标准，专门评估认知工作记忆训练（CWMT）作为治疗青少年注意力缺陷/多动障碍（ADHD）的短期和长期疗效。通过系统文献检索，本次综述确定了七项采用学龄版 CWMT 的研究。本文审查的数据表明，关于 CWMT 对患有 ADHD 的青少年的益处，结果不一。两项随机对照研究表明，与等待名单对照和安慰剂治疗条件相比，CWMT 可以改善神经心理学结果和家长评价的 ADHD 症状。另一项研究证明了 CWMT 相对于安慰剂条件对学术任务期间行为的模拟观察的影响，尽管这项研究没有发现 CWMT 对家长评价的 ADHD 的影响。最后，另一项利用主动比较控制条件的研究并未发现 CWMT 对家长或教师评定的 ADHD 具有增量益处。解释现有研究的关键问题包括已证实的结果与 CWMT 治疗益处的假设模型之间缺乏一致性、控制条件的等效性问题以及可能调节治疗反应的个体差异。总的来说，所审查的研究的优点和局限性表明，CWMT 最好被定义为治疗患有 ADHD 的青少年的一种可能有效的治疗方法。我们提出了未来的研究方向，并总结了我们的研究结果对治疗青少年多动症的临床意义。
The current review applied the evidence-based treatment (EBT) criteria espoused by the Society for Clinical Child and Adolescent Psychology to specifically evaluate the short- and longer-term efficacy of Cogmed Working Memory Training (CWMT) as a treatment for youth with Attention-Deficit/Hyperactivity Disorder (ADHD). Utilizing a systematic literature search, seven studies that employed the school-age version of CWMT were identified for this review. The data reviewed herein suggest mixed findings regarding the benefit of CWMT for youth with ADHD. Two randomized controlled studies have demonstrated that CWMT led to improvements in neuropsychological outcomes and parent-rated ADHD symptoms relative to wait-list control and placebo treatment conditions. Another study demonstrated effects of CWMT relative to a placebo condition on an analog observation of behavior during an academic task, although this study did not find an effect of CWMT on parent-rated ADHD. Finally, an additional study utilizing an active comparison control condition did not find incremental benefits of CWMT on parent- or teacher-rated ADHD. Critical issues in interpreting existing studies include lack of alignment between demonstrated outcomes and the hypothesized model of therapeutic benefit of CWMT, issues with equivalence of control conditions, and individual differences that may moderate treatment response. Collectively, the strengths and limitations of the studies reviewed suggest that CWMT is best defined as a Possibly Efficacious Treatment for youth with ADHD. We suggest future directions for research and conclude with clinical implications of our findings for the treatment of youth with ADHD.
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DOI：
10.1097/00004583-200502000-00010
发表时间：
2005-02-01
影响因子：
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影响因子：
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