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Computerized cognitive interventions for adults with ADHD: a systematic review and meta-analysis
Department of Health, Education and Technology, Luleå University of Technology, Sweden.
Department of Health, Education and Technology, Luleå University of Technology, Sweden.
Department of Health, Education and Technology, Luleå University of Technology, Sweden.
Department of Health, Education and Technology, Luleå University of Technology, Sweden.
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2023 (Engelska)Ingår i: Neuropsychology, ISSN 0894-4105, E-ISSN 1931-1559, Vol. 37, nr 5, s. 519-530Artikel, forskningsöversikt (Refereegranskat) Published
Abstract [en]

Objective: Treatments for adults with attention-deficit hyperactivity disorder (ADHD) are understudied, compared to children and adolescents with the same condition. In this systematic review and random-effects meta-analysis, we aim to evaluate the outcomes of computerized cognitive training (CCT) interventions in randomized controlled trials (RCTs) including adults with ADHD.

Method: Cognitive outcomes and ADHD symptom severity were analyzed separately. In addition, the Cattell–Horn–Carroll (CHC) theory of cognitive abilities was used to categorize outcome variables into subdomains, which were analyzed separately in a subsequent analysis.

Results: The results revealed a small positive change in overall cognitive functioning, a measure of all cognitive outcomes in each study, for individuals who took part in CCT compared to controls (k = 9, Hedge’s g = 0.235, 95% CI [0.002, 0.467], p = 0.048, τ2 = 0.000, I2 = 0.000). However, neither symptom severity nor specific cognitive outcomes (executive functioning, cognitive speed, or working memory) showed a significant improvement.

Conclusions: We analyzed the risk of bias in the chosen studies and discuss the findings in terms of effect size. It is concluded that CCT has a small positive effect in adults with ADHD. Due to the lack of heterogeneity in intervention designs across the included studies, increased heterogeneity in future studies could help inform clinicians about the aspects of CCT, such as training type and length, that are most beneficial for this group.

Ort, förlag, år, upplaga, sidor
American Psychological Association (APA), 2023. Vol. 37, nr 5, s. 519-530
Nyckelord [en]
attention-deficit hyperactivity disorder, computerized cognitive training, meta-analysis, systematic review, executive functions
Nationell ämneskategori
Neurovetenskaper Tillämpad psykologi
Identifikatorer
URN: urn:nbn:se:umu:diva-206344DOI: 10.1037/neu0000890ISI: 000946153700001PubMedID: 36892894Scopus ID: 2-s2.0-85150836585OAI: oai:DiVA.org:umu-206344DiVA, id: diva2:1753515
Forskningsfinansiär
Knut och Alice Wallenbergs Stiftelse, KAW 2014.0205Vinnova, 2021-02361Tillgänglig från: 2023-04-27 Skapad: 2023-04-27 Senast uppdaterad: 2023-08-11Bibliografiskt granskad

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Malmberg Gavelin, HannaNyberg, Lars

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Malmberg Gavelin, HannaNyberg, Lars
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Institutionen för psykologiUmeå centrum för funktionell hjärnavbildning (UFBI)Institutionen för integrativ medicinsk biologi (IMB)Diagnostisk radiologi
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