Thursday, January 13, 2011

Computer-based Program May Help Relieve Some ADHD Symptoms In Children

An intensive, five-week working memory training program shows promise in relieving some of the symptoms of attention deficit hyperactivity disorder in children, a new study suggests.

Researchers found significant changes for students who completed the program in areas such as attention, ADHD symptoms, planning and organization, initiating tasks, and working memory.

"This program really seemed to make a difference for many of the children with ADHD," said Steven Beck, co-author of the study an associate professor of psychology at Ohio State University.

"It is not going to replace medication, but it could be a useful complementary therapy."

Beck conducted the study with Christine Hanson and Synthia Puffenberger, graduate students in psychology at Ohio State. Their findings are published in the November/December 2010 issue of the Journal of Clinical Child & Adolescent Psychology.

The researchers tested software developed by a Swedish company called Cogmed, in conjunction with the Karolinska Institute, a medical university in Stockholm.

The software is designed to improve one of the major deficiencies found in people with ADHD working memory.

Working memory is the ability to hold onto information long enough to achieve a goal. For example, you have to remember a phone number long enough for you to dial it. Students have to remember the passage of a book they just read, in order to understand what they're currently reading.

"Working memory is critical in everyday life, and certainly for academic success, but it is one of the things that is very difficult for children with ADHD," Hanson said.

The study involved 52 students, aged 7 to 17, who attended a private school in Columbus that serves children with learning disabilities, many of whom also have an ADHD diagnoses. All the children used the software in their homes, under the supervision of their parents and the researchers.

The software includes a set of 25 exercises that students had to complete within 5 to 6 weeks. Each session is 30 to 40 minutes long. The exercises are in a computer-game format and are designed to help students improve their working memory. For example, in one exercise a robot will speak numbers in a certain order, and the student has to click on the numbers the robot spoke, on the computer screen, in the opposite order.

"At first the kids love it, because it is like a game," Puffenberger said. "But the software has an algorithm built in that makes the exercises harder as the students get better. So the children are always challenged."

Half the students participated at the beginning of the study. The other half were wait-listed, and completed the software program after the others were finished.

Parents and teachers of the participating students completed measures of the children's ADHD symptoms and working memory before the intervention, one month after treatment, and four months after treatment.

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