تاثیر توانبخشی شناختی مبتنی بر حرکت بر بهبود توجه پایدار و انعطافپذیری شناختی کودکان مبتلا به اختلال نقص توجه و بیش فعالی

نوع مقاله: مقاله پژوهشی

نویسندگان

1 کارشناس ارشد روانشناسی بالینی کودک و نوجوان، دانشگاه شهید بهشتی، تهران، ایران

2 دانشیار علوم اعصاب شناختی، گروه علوم شناختی، پژوهشکده علوم شناختی و مغز، دانشگاه شهید بهشتی، تهران، ایران.

چکیده

مقدمه و اهداف
اختلال نقص­توجه و بیش­فعالی، اختلالی عصب-تحولی است. نقص کارکردهای اجرایی خصیصه فراگیر این اختلال محسوب می­شود. هدف از مطالعه حاضر بررسی اثربخشی توانبخشی شناختی مبتنی بر حرکت بر بهبود توجه پایدار و انعطاف­پذیری شناختی در کودکان مبتلا به اختلال نقص­توجّه/بیش­فعالی می­باشد.
مواد و روش ها
پژوهش حاضر از نوع شبه آزمایشی که در آن از طرح کارآزمایی بالینی تصادفی (پیش­آزمون-پس­آزمون با گروه کنترل) استفاده شده است. در مطالعه حاضر30 کودک 7 تا 12 ساله مراجعه­کننده به کلینیک­های شهر تهران که توسط روان پزشک دارای تشخیص اختلال نقص توجّه/بیش فعالیبودند با استفاده از نمونه­گیری در دسترس انتخاب و به صورت تصادفی به دو گروه آزمایش و کنترل تقسیم شدند.توجه پایدار و انعطاف­پذیری شناختی با آزمون­های ثبت توجه و ردیابی الف و ب ارزیابی شد. داده­های پژوهش حاضر با آزمون آماری  tمستقل، تحلیل واریانس آمیخته و به کمک نرم­افزار  SPSS20مورد تجزیه و تحلیل قرار گرفت.
یافته ها
نتایج به دست آمده از پژوهش نشان داد که در توجه پایدار (01/0>P) و انعطاف­پذیری شناختی (01/0>P) گروه درمان بعد از مداخله بهبود حاصل شد. به این صورت که در پیش آزمون تفاوت چندانی بین گروه کنترل و آزمایش در توجه پایدار و انعطاف­پذیری شناختی دیده نشد، امّا در پس آزمون نمرات گروه آزمایش به طور معناداری از گروه کنترل افزایش یافته بود.
نتیجه گیری
نتایج حاصل از تحلیل آماری داده­ها نشان می­دهد که با در نظر گرفتن گروه کنترل و درمان توانبخشی شناختی مبتنی بر حرکت موجب تقویت توجه پایدارو انعطاف­پذیری شناختی کودکان مبتلا به اختلال نقص­توجّه/ بیش­فعالی شده است.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

Effectiveness of Motor Based Cognitive Rehabilitation on Improvement of Sustained Attention and Cognitive Flexibility of Children with ADHD

نویسندگان [English]

  • Asal Najian 1
  • Vahid Nejati 2
1 MA Student in Clinical Psychology, Shahid Beheshti University, Tehran, Iran
2 Associate Professor in Cognitive Sciences, Brain and Cognitive Science Institute, Shahid Beheshti University, Tehran, Iran.
چکیده [English]

Background and Aim: Attention Deficit and Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder. Executive functions defect is considered as a general feature of the disorder. The aim of the present study was to examine the effectiveness of motor based cognitive rehabilitation on the improvement of sustained attention and cognitive flexibility in children with ADHD.
Materials and Methods: The present study followed a quasi-experimental randomized clinical trial design (pretest-posttest with control group). A total of 30 children aged 7 to 12 referring to the clinics in Tehran were diagnosed by a psychiatrist with ADHD. Participants were selected using convenience sampling and then randomly divided into control and experimental groups. Sustained attention and cognitive flexibility were evaluated using recording attention tests and tracking A and B. Data were analyzed running independent t-test and mixed ANOVA in SPSS, version 20.
Results: The results of the study showed that sustained attention (P<0/01) and cognitive flexibility (P<0/01) of the experimental group improved after the intervention, meaning that in the pretest, little difference was observed between the control and experimental groups in sustained attention and cognitive flexibility, but in post-test, scores of experimental group were significantly higher than those of the control group.
Conclusions: The results of the statistical analysis showed that with regard to the control group, gesture-based cognitive rehabilitation therapy improved sustained attention and cognitive flexibility in children with ADHD.

کلیدواژه‌ها [English]

  • Attention Deficit and Hyperactivity Disorder (ADHD)
  • Motor based cognitive rehabilitation
  • Cognitive flexibility
  • Sustained attention
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