attention-training
در نشریات گروه پزشکی-
Background and Aim
Tinnitus, characterized by the perception of sound without the presence of an external auditory stimulus, can profoundly affect the quality of life. This review study aims to assess the role of attention modulation in tinnitus management and investigate the neurophysiological mechanism of attention and its interaction with emotional processing in patients with tinnitus.
Recent FindingsThe studies revealed differences in the function of attentional networks among individuals with tinnitus. The studies showed the positive impact of various techniques for attention modulation through direct attention training or indirect mechanisms influencing attention. These techniques could modify attentional biases, enhance attention control, and alleviate tinnitus-related distress.
ConclusionThe results of studies suggest the potential role of attention modulation in tinnitus management. By targeting attentional processes, researchers and clinicians can provide more effective interventions for individuals with tinnitus. However, there is a need for further investigation to optimize the intervention protocols by collaboration between researchers, clinicians, and individuals with tinnitus to achieve success in tinnitus management.
Keywords: Tinnitus, Attention, Tinnitus Management, Neurophysiological Mechanism, Attention Training -
Background
We aimed to compare and determine the effectiveness of three methods of attention training based on Fletcher’s program, Delacato’s neuropsychological treatment, and computerized cognitive rehabilitation, on executive functions of children with special learning disability (SLD).
MethodsThis was a four-group pretest-posttest design with a control group (three experimental groups and one control group) quasi-experimental study. The population included all students aged 7 to 12 years with learning disorders referred to the learning disorders treatment centers in Tehran during 2019. First, 40 students were selected from these centers by convenience sampling. This number was then randomly divided into four groups of attention training based on Fletcher’s program, Delacato’s neuropsychological treatment, computerized cognitive rehabilitation, and one group as a control group (N=10). Three methods of attention training based on Fletcher’s program (12 sessions of 45 minutes), Delacato’s neuropsychological method (12 sessions of 50 minutes), computerized cognitive rehabilitation (10 sessions of 30 minutes individually), were separately trained to the three experimental groups. Gerard and colleagues’ Behavioral Rating Inventory of Executive Functions (parent form) was used to collect data.
ResultsThe results of the study revealed that the three methods were effective on executive functions in children with a SLD (P< 0.05). Based on the results of the post hoc test, the scores of both attention training groups based on Fletcher’s program and computerized cognitive rehabilitation method were significantly different from the control group (P< 0.0001). This indicates that both interventions had an effect on increasing the executive function of children with SLD, but there was no significant difference between the three experimental groups (P>0.05).
ConclusionGiven that computers are available in almost all schools, such programs can be considered as part of the curriculum for students with learning disabilities. Accordingly, through Fletcher’s attention-based training method and computerized cognitive rehabilitation improved the performance of this group and prevented the creation of a defective process of failure in these students by improving their executive functions.
Keywords: Executive functions, Special learning disability, Attention-training, Fletcher’s program, Delacato’s neuropsychological treatment, Computerized cognitive rehabilitation -
زمینه و هدف
توسعه روش های ارتقاء عملکردی در تاکتیک های نظامی و بخصوص تیراندازی، برای نظامیان ضروری است. هدف از پژوهش حاضر بررسی اثربخشی مداخلات نوروسایکولوژیکی بر بهبود کارکردهای شناختی مرتبط با دقت و توجه تیراندازان نظامی با اثر تعدیل کنندگی قیود فردی بود.
روش هااین پژوهش نیمه آزمایشی با طرح پیش آزمون-پس آزمون و پیگیری با گروه کنترل، بر روی 64 نفر (32 نفر دارای اضطراب حالتی-رقابتی و 32 نفر بدون اضطراب حالتی-رقابتی) از تیراندازان نظامی با محدود سنی 25 تا 34 سال انجام شد. شرکت کنندگان به صورت در دسترس از یک مرکز نظامی در شهر تهران انتخاب شدند و به طور هدفمند در چهار گروه 1) تجربی بدون اضطراب حالتی-رقابتی، 2) کنترل بدون اضطراب حالتی-رقابتی، 3) تجربی دارای اضطراب حالتی-رقابتی و 4) کنترل دارای اضطراب حالتی-رقابتی قرار گرفتند. گروه های تجربی به مدت 7 هفته مداخلات نوروسایکولوژیکی را در کنار آموزش تیراندازی (سه جلسه در هفته) دریافت کردند. گروه های کنترل تنها در آموزش تیراندازی شرکت نمودند. اضطراب حالتی-رقابتی به عنوان متغیر تعدیل کننده قیود فردی در نظر گرفته شد. ابزار پژوهش شامل برنامه کامپیوتری توان بخشی نوروسایکولوژیکی، آزمون عملکرد پیوسته و سیاهه اضطراب حالتی- رقابتی کاکس بود.
یافته هاآزمون تحلیل واریانس با اندازه گیری های مکرر تفاوت معنی داری را بین چهار گروه در هر سه عامل تعداد خطای ارتکاب، تعداد خطای حذف و زمان پاسخ تیراندازان نظامی نشان داد. گروه تجری بدون اضطراب حالتی-رقابتی و همچنین گروه تجربی دارای اضطراب حالتی-رقابتی، به دنبال انجام مداخلات نوروسایکولوژیکی، بهبود معنی داری در کارکردهای شناختی مرتبط با دقت و توجه نشان دادند؛ درحالی که در گروه های کنترل تغییری مشاهده نشد (001/0<p). اضطراب حالتی-رقابتی نیز در ایجاد تفاوت میان گروه های تعریف شده اثرگذار بود.
نتیجه گیریبر اساس یافته های حاصل از این پژوهش، می توان مداخلات نوروسایکولوژیکی را به عنوان روشی کارآمد برای بهبود کارکردهای شناختی مرتبط با دقت و توجه تیراندازان نظامی در حالت های بدون اضطرابی حالتی-رقابتی و دارای اضطراب حالتی-رقابتی مورداستفاده قرار داد.
کلید واژگان: کارکرد شناختی، آموزش توجه، عصب روانشناسی، سرعت پاسخBackground and AimThe development of functional promotion methods in military tactics, especially shooting, is essential for the military. The aim of this study was to investigate the effect of neuropsychological rehabilitation on the improvement of cognitive function related to accuracy and attention in military shooters with moderating effect of organism constraint.
MethodsThe current study was a quasi-experimental with pre-test, post-test and retention design with control group, it was performed on 64 military shooters aged 25 to 34 (32 people with competitive state anxiety and 32 people without competitive state anxiety). Participants were randomly selected from a military base in Tehran, Iran and were purposefully divided into four groups 1) experimental without competitive state anxiety, 2) control without competitive state anxiety, 3) experimental with competitive state anxiety and 4) control with competitive state anxiety. Experimental groups received neuropsychological rehabilitation for 7 weeks in addition to shooting training (three sessions per week). Control groups participated only in shooting training. Competitive state anxiety was considered as moderator of organism constraint. Instruments included neuropsychological rehabilitation program, the continuous performance test and the cox competitive state anxiety inventory.
ResultsResults of data analyzed by repeated measures ANOVA showed a significant difference between the mean scores commission error, omission error and hit reaction time of the pre-test and post-test experimental and control groups. the experimental group without competitive state anxiety as well as the experimental group without competitive state anxiety, showed significant improvements in cognitive functions related to accuracy and attention following neuropsychological interventions; while no change was observed in the control groups (p<0/001). Competitive state anxiety also contributed to differences among groups.
ConclusionAccording to the findings of this study neuropsychological rehabilitation can be applied as an efficient method to the improvement of cognitive function related to accuracy and attention in military shooters in status without competitive state anxiety and with competitive state anxiety.
Keywords: Cognitive Function, Attention Training, Neuropsychology, Reaction Time -
هدفهدف پژوهش بررسی اثربخشی آموزش توجه بر پیشرفت تحصیلی ریاضی و خودکارآمدی تحصیلی دانش آموزان با بهره هوشی مرزی بود.روش بررسیاین پژوهش آزمایشی با طرح پیش آزمون-پس آزمون با گروه کنترل بود. از بین تمامی دانش آموزان دختر دیرآموز در پایه چهارم دبستان و ناحیه یک کرمان، به صورت نمونه گیری خوشه ایساده، 24 دانش آموز مرزی انتخاب شدند. سپس در هرگروه آزمایش و کنترل، هر یک، 12 دانش آموز جایگزین گردید. گروه آزمایش به مدت 12 جلسه 45 دقیقه ای آموزش توجه را دریافت کردند، در حالی که گروه کنترل آموزشی را دریافت نکرد. برای گردآوری داده ها از مقیاس هوش وکسلر به عنوان ابزار شناسایی بهره هوشی مرزی و آزمون پیشرفت تحصیلی ریاضی و پرسشنامه خودکارآمدی تحصیلی، به عنوان ابزارهای اندازه گیری استفاده شد. داده ها با تحلیل کواریانس چندمتغیری (MANCOVA) به کمک SPSS نسخه 20 تحلیل شدند.یافته هانتایج نشان داد که اثر آموزش توجه بر افزایش پیشرفت تحصیلی ریاضی (0٫001>p) و بر خودکارآمدی در مقیاس های استعداد (0٫001>p)، بافت (0٫001>p) معنادار است، ولی بر مقیاس تلاش معنادار نیست.نتیجه گیریدرمجموع، براساس یافته های این پژوهش می توان گفت که آموزش توجه، نقش اساسی در بهبود پیشرفت تحصیلی ریاضی تحصیلی دانش آموزان دختر با هوش مرزی دارد و با درنظرگرفتن استعداد و بافت در خودکارآمدی آنان موثر خواهد بود.کلید واژگان: آموزش توجه، پیشرفت تحصیلی ریاضی، خودکارآمدی تحصیلی، بهره هوشی مرزیBackground & ObjectiveThe Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) of the American Psychiatric Association has introduced the Borderline Intellectual Functioning (BIF) individuals under the category of a group of individuals with intelligence deficiencies, with 70-85 IQ, and individuals who are prone to many obstacles including academic achievement. About 13.5-14% of the population of any society constitutes borderline intelligence individuals; therefore, these individuals have to share the same educational, developmental opportunities as others do. Academic achievement defined as the cumulative of knowledge, skills, and abilities in cognitive, affective, and psychomotor domains, including math academic achievement. Due to the short attention span of the borderline intelligence, low intelligence and or slow-paced students are not able to learn materials and solve problems with the speed of their peers and their classmates. Attention span refers to the extent that the individuals can perceive as many as objects in a short segment of time as they can. Slowly paced individuals do not have such ability and confront with specific problems; thus, the slow-paced students do not gain the necessary and the efficient academic achievements. Attention is composed of a series of complex cognitive processes that put the focus on goals and working to achieve them, along with retaining and keeping information while being alert for an extended period. If one were not able to pay attention to class material, he or she would pay attention to things that are not related to class activities. In rehabilitation sense, having an ability to focus on curriculum materials to acquire educational objectives is necessary because it speeds up learning. Math academic achievement affects borderline individuals, and it is related to the academic self-efficacy. It defined as a trait, as a characteristic, or as a global self-confidence in mastering various abilities related to environmental demands and perceiving self-competence; it is the individual's belief in having the skills to finish a job in a specific condition that would have an effect on his or her effort and persistence. The individuals with high self-efficacy pay attention to their class activities. Bandura believes that low achieved individuals have less self-efficacy and slow paced ones have low self-efficacy as well. Therefore, instructing the attention would have an impact on the slow-paced children’s academic performance. Hence, the purpose of the present research is to investigate the effect of the attention training on math academic achievement and the academic self-efficacy items on students with borderline IQ.MethodsThe research method was experimental with a pretest-posttest design with a control group. Using the simple cluster sampling method, from the entire 4th-grade elementary slow-paced girl students of the first district in Kerman, 24 borderline students were recruited and placed into two control and experimental groups, each group 12 students. The experimental group trained for 12 sessions of 45 minutes, while the control group did not receive any training. The training sessions based on the “Learning disabilities: From identification to intervention.” book and “Effect of Panoura and Filippo's metacognitive instruction model on improving knowledge and metacognitive problem-solving skills among students with a special disability in dyscalculia” article. To gather data Wechsler Intelligence Scale was used as a borderline screening tool and the math academic achievement test and academic self-efficacy questionnaire used as the measurement tools. Data analysed with multivariable analyses of covariance (MANCOVA) method was used, along with the aid of SPSS-20.ResultsFindings indicated that the impact of attention training on the slow-paced students with the math academic achievement (p˂0.001), with the aptitude (p˂0.001), and with the context (p˂0.001) are significant but with the effort is not significant.ConclusionOverall, can be concluded that attention training, considering the aptitude and the context, leads to improving the slow-paced girl students’ math academic achievement and attention training would be useful on their academic self-efficacy.Keywords: Attention Training, Math Academic Achievement, Academic Self-Efficacy, Borderline Intelligence Quotient, IQ.
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BackgroundAttention deficit hyperactivity disorder (ADHD) symptoms are difficult to treat. As ADHD is naturally a disorder of attention and related executive functions, attention training (ATT) has been considered as a treatment for the disorder. Although there are few studies investigating the utility of ATT in the ADHD population, published studies provide support for ATT in reducing the symptoms of ADHD.ObjectivesThe aim of the current study was to examine the effects of training attention on ADHD symptoms in a group of preschool-aged children at risk for ADHD disorder.MethodsIn this study, a group of 5-year-old children (n = 30) with ADHD symptoms were assigned randomly to either a training- group who participated in 11 sessions of visual attention training based on Pay Attention Program or a non-trained control group. Both versions of Child symptom inventory-4 (CSI-4) were employed to assess ADHD symptoms based on parent and teachers rating. Also the accuracy and the continuous performance of children were examined with Tolouse-Pierron test. The Assessment was performed in three phases: (1) before, (2) after, and (3) one month after the termination of training.ResultsResults of the multivariate analysis of the covariance demonstrate that there was a significant difference (PConclusionsIt seems that the performance of childrens attention with ADHD improves by visual attention training.Keywords: Attention Deficit Hyperactivity Disorder (ADHD), Attention Training, Pay Attention Program, Preschool Children
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زمینه و هدفاضطراب امتحان حالتی از اضطراب عمومی بوده و شامل پاسخ های شناختی، جسمانی و رفتاری مرتبط با ترس از شکست است که به هنگام وقوع عملکرد تحصیلی دانش آموزان را تحت تاثیر قرار می دهد؛ بنابراین هدف از پژوهش حاضر بررسی اثربخشی آموزش توجه بر مهار توجه، توجه متمرکز و توجه پراکنده دانش آموزان دختر دارای اضطراب امتحان بود.روشروش پژوهش از نوع آزمایشی با طرح پیش آزمون- پس آزمون با گروه گواه است. به منظور انجام این پژوهش نمونه ای متشکل از 30 نفر از دانش آموزان دختر با اضطراب امتحان دوره متوسطه اول شهر اصفهان در سال تحصیلی 94-1393 به روش نمونه گیری خوشه ایچند مرحله ای انتخاب و در گروه های آزمایش و گواه به صورت تصادفی جایدهی شدند. ابزارهای استفاده شده در این پژوهش شامل پرسشنامه اضطراب (ساراسون، 1984) و ابزار اندازه گیری توجه متمرکز و پراکنده و پرسشنامه مهار توجه (دیری بری و رید، 2002) بود. قبل از اجرای متغیر مستقل از هر دو گروه پیش آزمون گرفته شد. سپس گروه آزمایش مداخله آموزشی را در طی 8 جلسه آموزشی در طول 2 ماه دریافت کرد. داده های به دست آمده توسط تحلیل کوواریانس مورد تجزیه وتحلیل قرار گرفت.یافته هانتایج نشان داد که آموزش توجه بر مهار توجه، توجه متمرکز و پراکنده تاثیر معناداری داشته است (p < 0/001). میزان تاثیر آموزش توجه بر مولفه های مهار توجه، توجه متمرکز و پراکنده به ترتیب 53، 54 و 40 درصد بود.نتیجه گیریبنابراین با توجه به نتایج پژوهش حاضر می توان از آموزش توجه جهت افزایش توجه و تمرکز دانش آموزان دارای اضطراب امتحان استفاده کرد.کلید واژگان: آموزش توجه، مهار توجه، توجه متمرکز و پراکنده، اضطراب امتحانBackground andPurposeTest anxiety is a state of general anxiety and it includes cognitive, physiologic and behavioral responses related to the fear of failure that affects students at the time of their academic performance. Therefore, the purpose of this study was to investigate the effectiveness of attention training on attention control, focused attention and dispersed attention in female students with exam anxiety.MethodThe research method is experimental with pretest-posttest design with control group. Thus a sample of 30 female high school students with anxiety test in Isfahan during the academic year of 2015-2016 selected by multistage cluster sampling and randomly assigned to experimental and control groups. The tools used in this study were anxiety questionnaire (Sarason, 1984) and measurement instrument of focused and dispersed attention (Yazdi, 2011) and attention control questionnaire (Diri Beri & Reed, 2002). Before intervention, both groups were evaluated. Then, the experimental group received educational intervention during 8 sessions in 2 months. Data were analyzed using covariance analysis.ResultsThe results showed that attention training has a significant effect on attention control, focused attention and dispersed attention (PConclusionTherefore, according to the results of this study, attention training can be used to increase the attention and concentration of students with test anxiety.Keywords: Attention training, attention control, focused, dispersed attention, test anxiety
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زمینه و هدفبا توجه به اهمیت نارسانویسی در دانش آموزان و لزوم ارائه مداخلاتی برای بهبود این اختلال به منظور پیشگیری از مشکلات بعدی، هدف پژوهش حاضر، بررسی اثربخشی آموزش توجه بر بهبود عملکرد تحصیلی دانش آموزان با مبتلا به اختلال نارسانویسی بود.روشروش پژوهش حاضر نیمه آزمایشی با طرح پیش آزمون- پس آزمون با گروه گواه بود. جامعه آماری شامل تمامی دانش آموزان پایه سوم و چهارم مقطع ابتدایی مبتلا به اختلال نارسانویسی شهر اصفهان در سال تحصیلی 94-1393 بودند که 60 نفر از آنها به روش نمونه گیری خوشه ایتصادفی چندمرحله ای انتخاب و به شیوه تصادفی در دو گروه آزمایش و گواه قرار گرفتند. برنامه آموزش توجه در پانزده جلسه 80 دقیقه ای بر روی گروه آزمایشی ارائه شد. برای جمع آوری داده ها از آزمون های سنجش توجه (تولوز- پیه رون، 1994)، اختلال نارسایی توجه (جردن، 1992) و اختلال نارسانویسی (فلاح چای، 1375) استفاده شد. داده ها با استفاده از آزمون تحلیل کوواریانس تجزیه وتحلیل شد.یافته هانتایج تحلیل داده ها نشان داد که آموزش توجه به صورت معنی داری میانگین نمرات عملکرد تحصیلی گروه آزمایش را نسبت به گروه گواه در مرحله پسر آزمون افزایش داد (0/01 > p). همچنین تفاوت معنا داری بین میانگین نمرات پسران و دختران در آزمون نارسانویسی مشاهده گردید (0/05 > p).نتیجه گیرییافته ها از اثربخشی آموزش توجه بر بهبود عملکرد تحصیلی دانش آموزان با اختلال نارسانویسی حمایت می کند و تلویحات مهمی در توجه به مداخلات مرتبط با آموزش توجه در کاهش مشکلات تحصیلی دانش آموزان با اختلال یادگیری دارد.کلید واژگان: آموزش توجه، عملکرد تحصیلی، ناتوانی یادگیری، اختلال نارسانویسیBackground andPurposeGiven the importance of interventions to improve the spelling disability and the need to prevent future problems, the purpose of this study was evaluate the effectiveness of attention training on improving the academic performance of students with spelling learning disability.MethodThe method research of current study was semi-experimental and research design is pretest- posttest with control group. The statistical population consisted of all third and forth grades primary school students with spelling learning disability in Isfahan in 2014-2015 year. Sixty student were selected through multistage random sampling, and allocated into control and exprimental groups. The program of attention training was presented in fifteen sessions of 80 minutes on the experimental group. Pieron Precision Test (Pieron,1986), Jordan Attention Deficite Disorder Scale (Jordan,1992) and Fallah Chay Spelling Learning Disability Test (Fallah Chay,1998) were used as the research instruments. Data were analyzed using analysis of covariance.ResultsThe results of data analysis showed that attention training significantly increased the mean scores of the academic performance in experimental group compared to the control group at the post-test stage (P 0.01). Also, there was a significant difference between the mean scores of boys and girls in the spelling scores (P 0.05).ConclusionThe results supported the effectiveness of attention training on improving spelling ability and academic performance in student with learning disability and have important implications in regard to attention training to reduce academic problems of students with spelling learning disability.Keywords: Attention training, acacademic performance, spelling learning lisability
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