工作记忆训练及对数学能力的迁移作用

工作记忆缺陷会影响个体数学能力发展。通过记忆策略、广度、刷新、转换等功能的工作记忆训练,可以改善个体认知功能。然而,工作记忆训练对个体的阅读、数学、流体智力等方面的远迁移效果并不一致。研究表明,工作记忆训练可以改善数感、视觉空间能力、推理能力等数学一般技能;也会通过改善语音工作记忆以及空间能力促进数学计算能力,或者通过改善中央执行系统,提升数学问题表征、模式识别、解题迁移、策略选择等复杂的过程,从而促进数学问题解决能力。因此,区分不同数学任务的认知过程,可以获得工作记忆训练对数学能力迁移效果的进一步证据。今后,神经影像学的证据或许也是未来工作记忆训练对数学能力提高的又一佐证。     

工作记忆训练及对数学能力的迁移作用

工作记忆缺陷会影响个体数学能力发展。通过记忆策略、广度、刷新、转换等功能的工作记忆训练,可以改善个体认知功能。然而,工作记忆训练对个体的阅读、数学、流体智力等方面的远迁移效果并不一致。研究表明,工作记忆训练可以改善数感、视觉空间能力、推理能力等数学一般技能;也会通过改善语音工作记忆以及空间能力促进数学计算能力,或者通过改善中央执行系统,提升数学问题表征、模式识别、解题迁移、策略选择等复杂的过程,从而促进数学问题解决能力。因此,区分不同数学任务的认知过程,可以获得工作记忆训练对数学能力迁移效果的进一步证据。今后,神经影像学的证据或许也是未来工作记忆训练对数学能力提高的又一佐证。     

数学能力的改善:针对工作记忆训练的元分析

工作记忆训练指针对工作记忆各成分进行的训练,以实现个体记忆与其他认知能力的提升。该领域一直都是研究者关注的热点,越来越多的研究正在试图利用工作记忆训练改善个体的数学能力。然而回顾过往的研究,发现研究所关注的数学能力类型、针对的被试人群、使用的方法、结论等存在较大差异,目前尚没有系统性综述专门探讨工作记忆训练对数学能力的影响。因此,本文首先回顾和数学能力有关的工作记忆训练方式,然后结合元分析,从数感、运算能力和数学推理能力三个方面,分别回顾归纳工作记忆训练对数学能力的提升作用。具体而言,尽管研究数量相对有限,工作记忆训练可能有效改善数感,其效应量为中等(Cohen’s d=0.51);而可能无法有效改善运算和数学推理能力,它们的效应量小(运算:Cohen’s d=0.04;数学推理:Cohen’s d=-0.06)。此外,训练目标类型与训练效果有着密切的联系。     

工作记忆刷新功能的可塑性

从工作记忆刷新功能的训练入手, 以不同人群为研究对象, 采用活动记忆任务, 从行为层面和认知神经层面探讨工作记忆刷新功能的可塑性。结果发现, 工作记忆刷新功能具有可塑性。具体表现为, 通过刷新功能训练, 个体在工作记忆刷新任务上的成绩提高。工作记忆刷新功能训练使得个体对刺激的识别能力增强, 对无关信息的抑制能力提高, 进而促使工作记忆中的更新能力得到提升。通过工作记忆刷新训练可以提高个体其它认知功能, 但是, 相对于认知能力稳定以及衰退的个体, 这种迁移效应在工作记忆能力发展个体中的表现更为明显。     

基于手机APP的双维n-back训练的认知与情绪效益

工作记忆训练的训练获益能够迁移至与工作记忆相关的各项基础认知活动中去。基于情绪认知控制与工作记忆之间的密切关联, 本研究设计了一种新型情绪性双维n-back训练, 并且验证利用手机APP搭载训练任务的适用性。结果表明：基于APP的短期双维n-back训练能够使个体在视空间工作记忆任务、活动记忆任务、数字转换任务、Stroop任务上的成绩产生相较控制组更大的进步, 表明训练可以提高个体工作记忆的容量和中央执行功能。然而, 基于不同情绪材料的训练(中性、负性、正性)在各类迁移上差异不大。短期训练无法迁移到情绪Stroop任务中, 即无法产生特异的情绪控制上的效益。双维n-back任务通道单一, 且搭载于手机APP, 拥有较为广阔的应用前景。但将情绪材料单纯地糅合进工作记忆任务中的价值与意义须被进一步考察。     

策略的使用对工作记忆训练迁移效应的影响

近期有研究发现,在工作记忆训练中给予一定策略指导会产生训练的迁移,但也有研究发现,工作记忆训练中的策略指导仅产生有限的迁移。这可能与不同策略的使用有关,如果在工作记忆训练前就已经获得并熟悉有关策略,在工作记忆训练过程中使用该策略就成为一种自动化加工,未产生足够的认知负荷,任务对认知资源的需求降低,降低个体的注意力,未能真正提高个体的工作记忆能力,仅产生了有限的迁移。今后的研究应该关注策略的使用对工作记忆训练迁移效应的神经机制,在特殊群体中验证该问题并建立影响工作记忆训练迁移效应的综合模型。     

基于即时反馈的反应抑制训练对青少年和成人执行功能的训练效应和迁移效应

本研究以基于即时反馈的Stop Signal范式为训练任务, 考察3周训练是否对青少年和成人的执行功能产生训练效应和迁移效应。发现青少年、成人实验组和积极控制组都出现了训练效应。两个实验组均产生了对反应抑制Go/No-go任务的迁移效应; 但只有青少年实验组出现了对干扰抑制Stroop任务的迁移效应。成人实验组和积极控制组都出现了对2-back任务的迁移效应; 但只有青少年实验组出现了在2-和3-back任务上的迁移效应。所有组别都未能出现对推理能力的迁移。研究证明从青春期到成年期, 基于即时反馈的反应抑制训练能够对执行功能产生训练和迁移效应, 但迁移仅限于抑制和工作记忆等基础成分, 无法改善推理能力。     

认知训练对健康老年人认知能力的影响

近年来,认知训练被广泛应用于防治和延缓老年人的认知功能衰退。通过总结近7年(2008~2014年)关于老年人认知功能训练的研究,比较训练的有效性、训练效果的迁移和保持,结果表明,大部分实验都发现了积极的即时训练效果,训练效果得到保持的研究以认知控制和综合认知能力训练为主;大部分的迁移都集中在与流体智力联系较密切的认知功能如工作记忆和注意力等上;部分研究探索了认知功能提升的大脑神经可塑性基础。未来研究应进一步将行为训练与神经测量手段相结合考察训练效果的迁移与保持,更加注重个体差异的影响,并深入考察认知训练对日常生活能力的迁移。     

任务结构相似性对工作记忆训练迁移效应的影响

研究发现,个体的工作记忆能力通过训练可以提高。但是,目前对于工作记忆训练的迁移效应,尚未有统一的结论。本文通过梳理相关研究,发现训练任务与评估迁移效应任务之间的结构相似性会对迁移效应产生影响。结构相似性即训练任务和未训练任务之间共享加工和加工程序,而这个共享加工和加工程序能通过发展相似的策略实现工作记忆训练的迁移。今后研究应该更加注意以往研究设计中的不足,针对不同群体的工作记忆训练效果的机制分别进行研究。     

汉、英工作记忆的加工和储存对中学生英语阅读理解的影响

本研究采用"视空间和言语交替"任务范式分离言语工作记忆的加工和储存两个成分,分别探讨了英语工作记忆的加工和储存成分对我国中学生英语阅读理解的作用及其途径,以及汉语工作记忆的加工和储存成分对中学生英语阅读理解是否具有跨语言影响。98名初中二年级学生完成了一般认知能力、英语阅读理解、汉语和英语工作记忆任务。结果表明:(1)英语工作记忆的加工和储存成分对英语阅读理解均有显著的独立预测作用;(2)英语工作记忆的储存成分对英语阅读理解的作用部分是由加工成分引起的;(3)汉语工作记忆的加工成分对英语阅读理解没有显著的直接预测作用,但却以英语工作记忆的加工成分为中介间接作用于英语阅读理解;汉语工作记忆的储存成分对英语阅读理解没有显著的预测作用。可见,言语工作记忆是一个多成分系统,加工和储存两个成分是相对分离的,并且它们具有不同的跨语言特性,加工存在跨语言一般性,而储存则具有语言特异性。     

Mental Health Clinicians' Beliefs About the Biological, Psychological, and Environmental Bases of Mental Disorders

The current experiments examine mental health clinicians' beliefs about biological, psychological, and environmental bases of the DSM-IV-TR mental disorders and the consequences of those causal beliefs for judging treatment effectiveness. Study 1 found a large negative correlation between clinicians' beliefs about biological bases and environmental/psychological bases, suggesting that clinicians conceptualize mental disorders along a single continuum spanning from highly biological disorders (e.g., autistic disorder) to highly nonbiological disorders (e.g., adjustment disorders). Study 2 replicated this finding by having clinicians list what they thought were the specific causes of nine familiar mental disorders and rate their bio–psycho–environmental bases. Study 3 further found that clinicians believe medication to be more effective for biologically based mental disorders and psychotherapy to be more effective for psychosocially based mental disorders. These results demonstrate that even expert mental health clinicians make strong distinctions between psychological and biological phenomena.     

Autobiographical Memory, Self, and Stress-Related Psychiatric Disorders: Which Implications in Cancer Patients?

Autobiographical memory refers to information and memories of personal life events, accumulated since childhood, which enable the construction of a feeling of identity and continuity. Autobiographical memory retrieval is a dynamic and reconstructive process, as mental representations change with the passage of time. This flexible aspect of memory is linked to one’s changing self and aspirations over time, that evolve according to our personal status and environment. Hence, any breakdown in the continuity of life involves a distortion of memory. Such distortions can be observed in stress-related psychiatric disorders, such as major depression or post-traumatic stress disorder, where autobiographical memory retrieval is characterized by overgenerality (i.e., the tendency to recall generic memories rather than specific events in response to cue words). Such memory disorders can be observed at different degrees in cancer patients. We will report studies focusing on the above-mentioned psychiatric disorders and cancer, and will attempt to establish a relation with autobiographical memory disturbances. The better understanding of such memory deficits could permit new pathophysiological hypotheses to emerge. Recommendations for future research that will enhance understanding of the factors that contribute to autobiographical memory in cancer are suggested.     

Visuospatial and verbal memory in mental arithmetic

Working memory allows complex information to be remembered and manipulated over short periods of time. Correlations between working memory and mathematics achievement have been shown across the lifespan. However, only a few studies have examined the potentially distinct contributions of domain-specific visuospatial and verbal working memory resources in mental arithmetic computation. Here we aimed to fill this gap in a series of six experiments pairing addition and subtraction tasks with verbal and visuospatial working memory and interference tasks. In general, we found higher levels of interference between mental arithmetic and visuospatial working memory tasks than between mental arithmetic and verbal working memory tasks. Additionally, we found that interference that matched the working memory domain of the task (e.g., verbal task with verbal interference) lowered working memory performance more than mismatched interference (verbal task with visuospatial interference). Findings suggest that mental arithmetic relies on domain-specific working memory resources.     

Experimental Evaluation of Near‐ and Far‐Transfer Effects of an Adaptive Multicomponent Working Memory Training

An important question in cognitive science today is whether working memory training leads to transfer effects. Training studies reported no transfer as well as far transfer to untrained abilities (e.g., reasoning), but different methodological problems have not allowed reliable conclusions to be drawn. Furthermore, most samples have consisted of young adults, whereas older adults have rarely been included. This study attempted to address these limitations. Ninety‐one older adults were randomly assigned to a training group or an active or passive control group. Short‐term memory, speed, and reasoning were assessed as far‐transfer criteria. In addition, transfer to everyday life was investigated using an ambulatory assessment method. Although there were significant training effects, no transfer effects were found. Instead, the active control group showed the same increase in the near‐transfer tasks (i.e., working memory) as the experimental group indicating that unspecific factors explain the training gains of older adults. Copyright © 2015 John Wiley & Sons, Ltd.     

Dual diagnosis in an Australian forensic psychiatric hospital: prevalence and implications for services

Despite a growing awareness of the unique needs of psychiatric patients with co-occurring substance abuse and dependence disorders (i.e. dual diagnosis), there is a dearth of research investigating the prevalence of dual diagnosis in forensic psychiatric populations. Similarly, little work has been done to determine the implications of dual diagnosis for forensic psychiatric patients. Patients at the Thomas Embling Hospital in Victoria, Australia, were assessed to determine the prevalence of substance abuse disorders and mental illnesses within this population. Results reveal that the majority of patients (approximately 74%) have a lifetime substance abuse or dependence disorder. Information was collected concerning patients' criminal histories and the Level of Service Inventory, Revised, was completed for each patient who participated. Results suggest that patients with both major mental illnesses and substance abuse disorders have more extensive criminal histories and demonstrate a higher level of risks and needs when compared with patients with major mental illness alone. The implications for the development and delivery of effective forensic mental health services that address both co-occurring disorders are also discussed.     

Targeting Common Factors Across Anxiety and Depression Using the Unified Protocol for the Treatment of Emotional Disorders in Adolescents

Clinical approaches to mood and anxiety disorders in children and adolescents have historically been confined to either diagnosis- [e.g., for obsessive–compulsive disorder vs. generalized anxiety disorder (GAD), etc.] or domain-specific (e.g., for anxiety disorders vs. depressive disorders) treatments. However, as conceptualizations of mental illness shift towards a more dimensional model [e.g., the recent Research Domain Criteria (RDoC) from the National Institutes of Health], transdiagnostic treatments, such as the unified protocol for the treatment of emotional disorders in adolescents (UP-A; Ehrenreich et al. in Child Fam Behav Ther 31(1):20–37, 2008), are gaining support in the empirical literature. This paper reviews the common treatment targets across three emotional disorders commonly found in adolescence: GAD, social anxiety disorder, and major depressive disorder. In particular, similarities and differences across potential treatment mechanisms, including cognitive and information processing deficits, problem-solving difficulties, and avoidance strategies are examined. Finally, the case of 17-year-old “Andrea” is presented to demonstrate how transdiagnostic approaches like the UP-A can be effective in treating a range of emotional disorders in youth.     

内表型方法在精神疾病研究中的应用

精神疾病在很大程度上受到遗传的影响,而对疾病的遗传学研究却没有得到一致的结论,内表型正是在这一背景下提出。内表型是可以通过生化测试或显微镜检查发现的内在的表现型,即内表型不是很明显的、外在的而是微观的、内在的,内表型比疾病的外在表现更接近疾病的生物学基础,更少受到外在因素的影响,因而通过内表型来研究疾病的遗传基因有着显著的优势。现有的精神疾病诊断和分类标准都是以临床症状和行为描述为基础的,缺少生物学基础,基于内表型的分析对建立疾病的诊断和分类的生物学基础是非常重要的。内表型可以是神经生理的,生物化学的,神经解剖的,认知的,神经心理学的测量。作为内表型需要满足与疾病共同存在,可遗传,状态独立,在家庭中和疾病共分离,在病人未发病亲属中比一般人群的比率要高等标准。该文在介绍了内表型的概念,说明了内表型的原理,优点与用处,以及作为内表型需要满足的标准之后,进而以几种常见的精神疾病（多动症、精神分裂症、抑郁症）为例说明了目前认知内表型研究的进展,其中反应抑制和工作记忆可以作为多动症的内表型,注意、言语记忆和工作记忆可以作为精神分裂症和抑郁症的内表型,文章回顾了它们作为内表型所满足的标准的相关文献。最后对内表型的研究做出了展望     

Sequenced neurocognitive and behavioral parent training for the treatment of ADHD in school-age children

The present study examines the potential of sequencing a neurocognitive intervention with behavioral parent training (BPT) to improve executive functions (EFs), psychiatric symptoms, and multiple indices of functional impairment in school-age children aged 7 to 11 years who have been diagnosed with attention-deficit/hyperactivity disorder (ADHD). Specifically, in a randomized controlled trial design, 85 children were assigned to either Cogmed Working Memory Training (CWMT) followed by an empirically supported, manualized BPT intervention, or to a placebo version of CWMT followed by the same BPT intervention. Working memory maintenance (i.e., attention control/short-term memory), working memory processing and manipulation, ADHD and oppositional defiant disorder (ODD) symptoms, impairment in parent–child dynamics, familial impairment, and overall functional compromise were evaluated as outcomes. The results suggest specific effects of the combined CWMT and BPT program on verbal and nonverbal working memory storage and nonverbal working memory processing and manipulation but no incremental benefits in regard to ADHD symptoms, ODD symptoms, and functional outcomes. The present findings do not support the hypothesis regarding the complementary and augmentative benefits of sequenced neurocognitive and BPT interventions for the treatment of ADHD. These results, the study’s limitations, and future directions for research are further discussed.     

Understanding general and specific connections between psychopathology and marital distress: a model based approach

Marital distress is linked to many types of mental disorders; however, no study to date has examined this link in the context of empirically based hierarchical models of psychopathology. There may be general associations between low levels of marital quality and broad groups of comorbid psychiatric disorders as well as links between marital adjustment and specific types of mental disorders. The authors examined this issue in a sample (N = 929 couples) of currently married couples from the Minnesota Twin Family Study who completed self-report measures of relationship adjustment and were also assessed for common mental disorders. Structural equation modeling indicated that (a) higher standing on latent factors of internalizing (INT) and externalizing (EXT) psychopathology was associated with lower standing on latent factors of general marital adjustment for both husbands and wives, (b) the magnitude of these effects was similar across husbands and wives, and (c) there were no residual associations between any specific mental disorder and overall relationship adjustment after controlling for the INT and EXT factors. These findings point to the utility of hierarchical models in understanding psychopathology and its correlates. Much of the link between mental disorder and marital distress operated at the level of broad spectrums of psychopathological variation (i.e., higher levels of marital distress were associated with disorder comorbidity), suggesting that the temperamental core of these spectrums contributes not only to symptoms of mental illness but to the behaviors that lead to impaired marital quality in adulthood.     

L’entraînement de la mémoire de travail par le programme Cogmed et le TDAH

IntroductionAttention-deficit/hyperactivity disorder (ADHD) is a prevalent neurodevelopmental disorder. Inattention, hyperactivity, and impulsivity are key symptoms of ADHD. It is typically associated with working memory deficits at the cognitive level. For this reason, interventions have been designed to train working memory in ADHD. Currently, Cogmed Working Memory Training program is the most commonly used and studied program in clinical practice and research. This program is proposed as an intervention for ADHD that targets working memory deficits with specific exercises through intensive training sessions.ObjectivesThe goal of this literature review is to examine the effects of the Cogmed program in children and adolescents with ADHD on working memory, inhibition, non-verbal reasoning, attention functioning, ADHD symptoms and academic achievement. All existing studies on the subject that included a control group (n = 8) are reviewed.ResultsIt is clear from most studies that Cogmed training program increases and verbal and visuospatial working memory (or the phonological loop and visuospatial sketchpad in Baddeley's model (1986, 2007), among ADHD participants. However, transfer of learning is not demonstrated on other components of working memory that are not directly targeted by the program such as the central executive described in Baddeley's model or the secondary memory defined by Unsworth & Engle (2007). With regards to far transfer measures, results are controversial for inhibition, non-verbal reasoning, ADHD symptoms reported by parents, and reading abilities. No improvement is demonstrated for attentional capacities, ADHD symptoms reported by teachers and mathematic reasoning.ConclusionCogmed training improves verbal and visuospatial working memory, two cognitive functions that play an important role in ADHD. However, Cogmed's exercises need to be modified in order to train more complex working memory components such as the central executive (Baddeley, 1986, 2007) and the secondary memory (Unsworth & Engle, 2007), which are more impaired in ADHD than the phonological loop and visuospatial sketchpad. Another approach would be to design programs that can tackle a larger range of cognitive functions that are impaired in ADHD (e.g., inhibition). In future, studies evaluating such modified programs, direct observation instruments that are more sensitive to short-term changes need to be included. Follow-up measures should also be systematically included.