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Neurocognitive training for children with and without AD/HD

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ADHD Attention Deficit and Hyperactivity Disorders

Abstract

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.

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References

  • Barkley RA (1990) Attention-deficit hyperactivity disorder: a handbook for diagnosis and treatment. The Guilford Press, New York

    Google Scholar 

  • Barkley RA (1997) Behavioral inhibition, sustained attention, and executive functions: constructing a unifying theory of ADHD. Psychol Bull 121:65–94

    Article  PubMed  CAS  Google Scholar 

  • Barkley RA (2006) Attention deficit hyperactivity disorder: a handbook for diagnosis and treatment, 3rd edn. Guilford Press, New York

  • Barry RJ, Clarke AR, Johnstone SJ (2003) A review of electrophysiology in attention-deficit/hyperactivity disorder: I. Qualitative and quantitative electroencephalography. Clin Neurophysiol 114:171–183

    Article  PubMed  Google Scholar 

  • Clark JM (1996) Contributions of inhibitory mechanisms to unified theory in neuroscience and psychology. Brain Cogn 30:127–152

    Article  PubMed  CAS  Google Scholar 

  • Clarke AR, Barry RJ, McCarthy R, Selikowitz M (2001) Electroencephalogram differences in two subtypes of attention-deficit/hyperactivity disorder. Psychophysiology 38:212–221

    Article  PubMed  CAS  Google Scholar 

  • Conners CK (1997) Conners parent rating scale revised. Abbott Laboratories, Chicago

    Google Scholar 

  • Engle RW, Tuholski SW, Laughlin JE, Conway ARA (1999) Working memory, short-term memory, and general fluid intelligence: a latent-variable approach. J Exp Psychol Gen 128:309–331

    Article  PubMed  CAS  Google Scholar 

  • Geurts HM, Verte S, Oosterlaan J, Roeyers H, Sergeant JA (2005) ADHD subtypes: do they differ in their executive functioning profile? Arch Clin Neuropsychol 20:457–477

    Article  PubMed  Google Scholar 

  • Houben K (2011) Overcoming the urge to splurge: influencing eating behavior by manipulating inhibitory control. J Behav Ther Exp Psychiatry 42:384–388

    Article  PubMed  Google Scholar 

  • Houben K, Jansen A (2011) Training inhibitory control. A recipe for resisting sweet temptations. Appetite 56:345–349

    Article  PubMed  Google Scholar 

  • Houben K, Nederkoorn C, Wiers RW, Jansen A (2011a) Resisting temptation: decreasing alcohol-related affect and drinking behavior by training response inhibition. Drug Alcohol Depend 116:132–136

    Google Scholar 

  • Houben K, Wiers RW, Jansen A (2011b) Getting a grip on drinking behavior: training working memory to reduce alcohol abuse. Psychol Sci 22:968–975

    Google Scholar 

  • Johnstone SJ (2010) Preliminary validation of portable single-channel EEG recording device. Psychophysiology 47(Supplement):93

    Google Scholar 

  • Johnstone SJ, Roodenrys S, Phillips E, Watt AJ, Mantz S (2010) Combined working memory and inhibition training for children with AD/HD. ADHD Atten Deficit Hyperact Disord 2:31–42

    Google Scholar 

  • Johnstone SJ, Bruggemann J, and Blackman R (in press) EEG from a single channel dry sensor recording device. Clinical EEG Neurosci. Accepted 30/06/2011

  • Kida N, Oda S, Matsumura M (2005) Intensive baseball practice improves the Go/Nogo reaction time, but not the simple reaction time. Cogn Brain Res 22:257–264

    Article  Google Scholar 

  • Klingberg T, Forssberg H, Westerberg H (2002) Training of working memory in children with ADHD. J Clin Exp Neuropsychol 24:781–791

    Article  PubMed  Google Scholar 

  • Klingberg T, Fernell E, Olesen PJ et al (2005) Computerized training of working memory in children with ADHD: a randomized, controlled trial. J Am Acad Child Adolesc Psychiatry 44:177–186

    Article  PubMed  Google Scholar 

  • Kotwal DB, Burns WJ, Montgomery DD (1996) Computer-assisted cognitive training for ADHD: a case study. Behav Modif 20:85–96

    Article  Google Scholar 

  • Mannuzza S, Klein RG, Moulton JL (2008) Lifetime criminality among boys with attention deficit hyperactivity disorder: a prospective follow-up study into adulthood using official arrest records. Psychiatry Res 160:237–246

    Article  PubMed  Google Scholar 

  • Manuel AL, Grivel G, Bernasconi F, Murray MM, Spierer L (2010) Brain dynamics underlying training-induced improvement in suppressing inappropriate action. J Neurosci 30:13670–13678

    Article  PubMed  CAS  Google Scholar 

  • Martinussen R, Hayden J, Hogg-Johnson S, Tannock R (2005) A meta-analysis of working memory impairments in children with attention-deficit/hyperactivity disorder. J Am Acad Child Adolesc Psychiatry 44:377–384

    Article  PubMed  Google Scholar 

  • Massetti GM, Lahey BB, Pelham WE et al (2008) Academic achievement over 8 years among children who met modified criteria for attention-deficit/hyperactivity disorder at 4-6 years of age. J Abnorm Child Psychol 36:399–410

    Google Scholar 

  • Mitchell P (2007) Attention deficit hyperactivity disorder in children and adolescents in New South Wales—2007. Final report of the special review. Clinical Excellence Commission, Sydney

    Google Scholar 

  • Monastra VJ, Monastra DM, George S (2002) The effects of stimulant therapy, EEG biofeedback, and parenting style on the primary symptoms of attention-deficit/hyperactivity disorder. Appl Psychophysiol Biofeedback 27:231–249

    Article  PubMed  Google Scholar 

  • Oosterlaan J, Sergeant JA (1996) Inhibition in ADHD, aggressive, and anxious children: a biologically based model of child psychopathology. J Abnorm Child Psychol 24:19–36

    Article  PubMed  CAS  Google Scholar 

  • PA A (2000) Diagnostic and statistical manual of mental disorders (Revised 4th edn). Author, Washington, DC

    Google Scholar 

  • Pauli-Pott U, Albayrak O, Hebebrand J, Pott W (2010) Does inhibitory control capacity in overweight and obese children and adolescents predict success in a weight-reduction program? Eur Child Adolesc Psychiatry 19:135–141

    Article  PubMed  Google Scholar 

  • Pennington BF, Ozonoff S (1996) Executive functions and developmental psychopathology. J Child Psychol Psychiatry 37:51–87

    Article  PubMed  CAS  Google Scholar 

  • Quay HC (1997) Inhibition and attention deficit hyperactivity disorder. J Abnorm Child Psychol 25:7–13

    Article  PubMed  CAS  Google Scholar 

  • Schapkin SA, Falkenstein M, Marks A, Griefahn B (2007) Practice-related effects in a Go-Nogo task. Percept Mot Skills 105:1275–1288

    PubMed  Google Scholar 

  • Sergeant J (2000) The cognitive-energetic model: an empirical approach to attention-deficit hyperactivity disorder. Neurosci Biobehav Rev 24:7–12

    Article  PubMed  CAS  Google Scholar 

  • St Clair-Thompson HL, Gathercole SE (2006) Executive functions and achievements in school: shifting, updating, inhibition, and working memory. Q J Exp Psychol 59:745–759

    Article  Google Scholar 

  • Swanson JM, Elliott GR, Greenhill LL et al (2007) Effects of stimulant medication on growth rates across 3 years in the MTA follow-up. J Am Acad Child Adolesc Psychiatry 46:1015–1027

    Article  PubMed  Google Scholar 

  • Swanson J, Arnold LE, Kraemer H et al (2008) Evidence, interpretation, and qualification from multiple reports of long-term outcomes in the multimodal treatment study of children with ADHD (MTA): part II: supporting details. J Atten Disord 12:15–43

    Article  PubMed  Google Scholar 

  • Thorell LB, Lindqvist S, Nutley SB, Bohlin G, Klingberg T (2009) Training and transfer effects of executive functions in preschool children. Dev Sci 12:106–113

    Article  PubMed  Google Scholar 

  • Verbruggen F, Logan GD (2008) Automatic and controlled response inhibition: associative learning in the go/no-go and stop-signal paradigms. J Exp Psychol Gen 137:649–672

    Article  PubMed  Google Scholar 

  • Verté S, Geurts HM, Roeyers H, Oosterlaan J, Sergeant JA (2006) The relationship of working memory, inhibition, and response variability in child psychopathology. J Neurosci Method 151:5–14

    Article  Google Scholar 

  • Yasui Y (2009) A brainwave signal measurement and data processing technique for daily life applications. J Physiol Anthropol 28:145–150

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

The research was supported in part by NeuroCog Solutions Pty Ltd (Australia).

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The authors declare that they have no conflict of interest.

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Correspondence to Stuart J. Johnstone.

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Johnstone, S.J., Roodenrys, S., Blackman, R. et al. Neurocognitive training for children with and without AD/HD. ADHD Atten Def Hyp Disord 4, 11–23 (2012). https://doi.org/10.1007/s12402-011-0069-8

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  • DOI: https://doi.org/10.1007/s12402-011-0069-8

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