Effect of Cognitive Rehabilitation Therapy on Performance (Memory and Problem Solving) of Children with Attention Deficit Hyperactivity Disorder

Document Type : Original article

Authors

1 PhD Student of Health Psychology, Khorramshahr International Branch, Persian Gulf, Islamic Azad University, Khorramshahr, Iran

2 Associate Professor ,Department of psychology, Ahvaz Branch ,Islamic Azad University,Ahvaz, Iran

3 Associate Professor ,Department of psychology, Ahvaz Branch ,Islamic Azad University, Ahvaz,Iran

Abstract

Background and Aims: Attention Deficit Hyperactivity Disorder (ADHD) is one of the most common disorders in children affecting three to seven percent of children. It is a neuro-developmental disorder with three major criteria: attention deficit, hyperactivity, and impulsiveness. Executive function deficits hamper academic achievement and create high risk behaviors. Children with ADHD have neuropsychological findings in the assessment of executive functions. The ain of the present study was to examin the effect of cognitive rehabilitation therapy on the performance (memory and problem solving) of 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 9, who were referred to the clinic at the Ministery of Education, Destrict 1, in Shiraz in 1397-98, were recruited and the diagnosis was made using CSI-4 diagnostic test. Next, they were homogenized using Raven's Intelligence Test and selected as targeted sampling. Then, they were randomly divided into experimental and control groups. The experimental group received cognitive rehabilitation trainings for 10 sessions (two sessions per week). Children were identical in terms of intelligence capability based on Raven's test. Statistical analyses were done using SPSS, version 23. Descriptive statistics and standard deviation were used for data analysis. Data were analyzed using a clinical trial with pretest and post-test design with control group. Assessment of active memory was done using 1Beck, 2Beke, and memory fragmentation tests, which are accurate tools for evaluation of memory disorders. Also, the Wisconsin Cards was used for evaluation of problem solving.
Results: The results showed that there is a significant difference between the performance scores of memory performance in pre-test and post-test in children with ADHD (P<0.001). There was also a significant difference between the performance scores in pre-test and post-test in problem solving skills (P<0.001).
Conclusion: It was found that cognitive rehabilitation is effective in improving memory performance and problem solving in male children with ADHD. Cognitive rehabilitation can help children with ADHD so that they can perform their functions (memory and problem solving) more efficiently and it can be used as a substitute for mental stimulus for children with ADHD.

Keywords

Main Subjects

References

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The Scientific Journal of Rehabilitation Medicine
Volume 8, Issue 4
January 2020
Pages 165-176

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History

  • Receive Date: 13 January 2019
  • Revise Date: 09 March 2019
  • Accept Date: 24 May 2019
  • First Publish Date: 22 December 2019

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