Although ADHD used to be con­sid­ered a dis­or­der of child­hood, follow-up stud­ies indi­cate that between 30% and 60% of chil­dren with ADHD con­tinue to expe­ri­ence symp­toms and impair­ment in adult­hood. And, even when ADHD symp­toms decline over time, many indi­vid­u­als con­tinue to expe­ri­ence sig­nif­i­cant impair­ment in impor­tant areas of functioning.

For exam­ple, chil­dren with ADHD have Read the rest of this entry »

Work­ing mem­ory is our abil­ity to store and manip­u­late infor­ma­tion for a brief time. It is typ­i­cally mea­sured by dual-tasks, where the indi­vid­ual has to remem­ber an item while simul­ta­ne­ously pro­cess­ing a some­times unre­lated piece of infor­ma­tion. A widely used work­ing mem­ory task is the read­ing span task where the indi­vid­ual reads a sen­tence, ver­i­fies it, and then recalls the final word. Indi­vid­ual dif­fer­ences in work­ing mem­ory per­for­mance are closely related to a range of aca­d­e­mic skills such as read­ing, spelling, com­pre­hen­sion, and math­e­mat­ics. Cru­cially, there is emerg­ing research that work­ing mem­ory pre­dicts learn­ing out­comes inde­pen­dently of IQ. One expla­na­tion for the impor­tance of work­ing mem­ory in aca­d­e­mic attain­ment is that because it appears to be rel­a­tively unaf­fected by envi­ron­men­tal influ­ences, such as parental edu­ca­tional level and finan­cial back­ground, it mea­sures a student’s capac­ity to acquire knowl­edge rather than what they have already learned.

How­ever lit­tle is known about the con­se­quences of low work­ing mem­ory capac­ity per se, inde­pen­dent of other asso­ci­ated learn­ing dif­fi­cul­ties. In par­tic­u­lar, it is not known either what pro­por­tion of stu­dents with low work­ing mem­ory capac­i­ties has sig­nif­i­cant learn­ing dif­fi­cul­ties or what their behav­ioral char­ac­ter­is­tics are. The aim of a recent study pub­lished in Child Devel­op­ment (ref­er­ence below) was to pro­vide the first sys­tem­atic large-scale exam­i­na­tion of the cog­ni­tive and behav­ioral char­ac­ter­is­tics of school-aged stu­dents who have been iden­ti­fied solely on the basis of very low work­ing mem­ory scores.

In screen­ing of over 3000 school-aged stu­dents in main­stream schools, 1 in 10 was iden­ti­fied as hav­ing work­ing mem­ory dif­fi­cul­ties. There were sev­eral key find­ings regard­ing their cog­ni­tive skills. The first is that the major­ity of them per­formed below age-expected lev­els in read­ing and math­e­mat­ics. This sug­gests that Read the rest of this entry »

Neu­ro­feed­back — also known as EEG Biofeed­back — is an approach for treat­ing ADHD in which indi­vid­u­als are pro­vided real-time feed­back on their brain­wave pat­terns and taught to alter their typ­i­cal EEG pat­tern to one that is con­sis­tent with a focused, atten­tive state. This is typ­i­cally done by col­lect­ing EEG data from indi­vid­u­als as they focus on stim­uli pre­sented on a com­puter screen. Their abil­ity to con­trol the stim­uli, for exam­ple, keep­ing the smile on a smi­ley face, is con­tin­gent on main­tain­ing the par­tic­u­lar EEG state being trained. Accord­ing to neu­ro­feed­back pro­po­nents, learn­ing how to do this dur­ing train­ing gen­er­al­izes to real world sit­u­a­tions and this results in improved atten­tion and reduced hyperactive/impulsive behavior.

Neu­ro­feed­back treat­ment for ADHD has been con­tro­ver­sial in the field for many years and remains so today. Although a num­ber of pub­lished stud­ies have reported pos­i­tive results many promi­nent ADHD researchers believe that prob­lems with the design of these stud­ies pre­clude con­clud­ing that neu­ro­feed­back is an effec­tive treat­ment. These lim­i­ta­tions have included the absence of ran­dom assign­ment, the lack of appro­pri­ate con­trol groups, raters who are not ‘blind’ to children’s treat­ment sta­tus, and small sam­ples. For addi­tional back­ground, you can find a recent review I wrote on exist­ing research sup­port for neu­ro­feed­back treat­ment of ADHD — along with links to exten­sive reviews of sev­eral recently pub­lished stud­ies -: How Strong is the Research Sup­port for Neu­ro­feed­back in Atten­tion Deficits?

- Results from a New Study of Neurofeedback -

Recently, a study of neu­ro­feed­back treat­ment for ADHD was pub­lished that addresses sev­eral lim­i­ta­tions that have under­mined prior research [Gevensleben, et al., (2009). Is neu­ro­feed­back an effi­ca­cious treat­ment for ADHD? A ran­dom­ized con­trolled clin­i­cal trial. Jour­nal of Child Psy­chol­ogy and Psychiatry.]

The study was con­ducted in Ger­many and began with 102 chil­dren aged 8 to 12. All had been care­fully diag­nosed with ADHD and approx­i­mately over 90% had never received med­ica­tion treat­ment. About 80% were boys. Chil­dren were ran­domly assigned to Read the rest of this entry »