The influence of metacognitive training on the improvement of working memory in children with ADHD

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The purpose of the study is to check whether the memory will be strengthened after three months of metacognitive training using such mnemonic techniques as Mind Maps and Sketchnoting in children diagnosed with ADHD. According to the most recent, the Fifth Edition of The Diagnostic and Statistical Manual of Mental Disorders, working memory plays a key role both in the symptoms of ADHD and in secondary problems such as: learning disorders, professional or social difficulties.

Method: 45 schoolchildren took part in the experimental study (M=1,42; SD = 10,41;). .Each child had a diagnosed psychomotor overexcitability and attention disorders. The participants were randomly qualified into three groups: the first group was tested for the effect of Mind Maps; the second group, for the effect of Sketchnoting while the third group was assigned the role of a control group. All of the groups were administered The Deferred Naming Test before and after the training. This assessment method belongs to the PU-1 Set of Diagnostic Tests.

Results: The working memory improved in each of the three groups. The smallest number of errors were made by the children in the group with Mind Maps, while the biggest number of errors were made by the children in the control group.

Conclusion: Mind Maps can be an important complement to other forms of therapeutic treatment for children with ADHD diagnosis. Regular use of this tool in education or therapy strengthens the memory. The improvement of this executive function can be substantial in learning to write and read (memorization of the correct shapes of letters), remembering and recalling from memory the rules agreed with the child or better time orientation.

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  • 1. Filippetti V. López M. Las funciones ejecutivas en la clínica neuropsicológica infantil. Psicología desde el Caribe/Executive functions in clinical child neuropsychology 2013; 30: 380-415.

  • 2. Nigg JT Willcutt EG. Doyle A E. Sonuga-Barke E J. Causal heterogeneity in attention-deficit/hyperactivity disorder: do we need neuropsychologically impaired subtypes? Biological Psychiatry 2005; 57(11): 1224-30. DOI: 10.1016/j.biopsych.2004.08.025

  • 3. Barkley RA. Attention-deficit hyperactivity disorder. A handbook for diagnosis and treatment 3rd edn. Guilford Press New York 2006.

  • 4. Dovis S Maric M Prins Pier JM Oord S. Does executive function capacity moderate the outcome of executive function training in children with ADHD? ADHD Attention Deficit and Hyperactivity Disorders 2019; 1: 1-16. DOI: 10.1007/s12402-019-00308-

  • 5. Barkley RA. Attention-deficit hyperactivity disorder fourth edition: A handbook for diagnosis and treatment. New York NY: Guilford 2014.

  • 6. Barkley RA. Impaired delayed responding: A unified theory of attention-deficit hyperactivity disorder. In D. K. Routh. Ed. Disruptive behavior disorders in childhood (pp. 11-57). New York NY US: Plenum Press 1994. DOI: 10.1007/978-1-4899-1501-6_2

  • 7. Yen CY. Ko CH. Yen CF. Wu HY. Yang MJ. The Comorbid Psychiatric Symptoms of Internet Addiction: Attention Deficit and Hyperactivity Disorder (ADHD) Depression Social Phobia and Hostility. Journal of Adolescent Health 2007; 41(1): 93-98. DOI:10.1016/j.jadohealth.2007.02.002

  • 8. Klingberg T. Training and plasticity of working memory. Trends in Cognitive Sciences 2010; 14: 317–324. DOI:10.1016/j.tics.2010.05.002

  • 9. Alderson RM. Patros CHG. Tarle SJ Hudec KL Kasper LJ Lea SE. Working memory and behavioral inhibition in boys with ADHD: An experimental examination of competing models Child Neuropsychology 2015; 1-18. DOI: 10.1080/09297049.2015.1105207

  • 10. Entwistle PC. Shinaver C. Working Memory Training and Cogmed In: S. Goldstein J. A. Naglier (Ed.) Handbook of Executive Functioning (pp. 475-498). London: Springer 2014. DOI 10.1007/978-1-4614-8106-5

  • 11. American Psychiatric Association. Diagnostic and statistical manual of mental disorders (5th ed.). Arlington VA: American Psychiatric Publishing 2013.

  • 12. Bigorra A. Garolera M. Guijarro S. Hervas A. Long-Term Far-Transfer Effects of Working Memory Training in Children with ADHD A Randomized controlled trial. European Child & Adolescent Psychiatry 2016; 25(8):853–867. DOI 10.1007/s00787-015-0804-3

  • 13. Diamond A. Executive functions. Annual Review of Psychology 2013; 64: 135–168. DOI: 10.1146/annurev-psych-113011-143750

  • 14. Diamond A. Lee K. Interventions shown to Aid Executive Function Development in Children 4–12 Years Old Science 2011; 333(6045): 959–964. DOI:10.1126/science.1204529.

  • 15. Deja M. Trening uwagi u dzieci z ADHD – przegląd badań. Psychiatria i Psychologia Kliniczna 2017; 17(1): 63-71. DOI: 10.15557/PiPK.2017.0007

  • 16. Antshel KM. Hier BO. Barkley RA. Executive functions theory and ADHD In: S. Goldstein J. A. Naglier (Ed.) Handbook of Executive Functioning (107-120). London: Springer 2014. DOI 10.1007/978-1-4614-8106-5

  • 17. Meltzer L. Teaching Executive Functioning Processes: Promoting Metacognition Strategy Use and Effort In: S. Goldstein J. A. Naglier (Ed.) Handbook of Executive Functioning (pp. 445-474). London: Springer 2014. DOI 10.1007/978-1-4614-8106-5

  • 18. Buzan T. Mind Mapping - kickstart your creativity and transform your life. BBC London 2009

  • 19. Paivio A. Dual coding theory and education. Draft chapter for the conference on “Pathways to Literacy Achievement for High Poverty Children” The University of Michigan School of Education September 29-October 1 2006. Pozyskano z: [26.06.2019].

  • 20. Balim AG. The Effect of Mind-Mapping Applications on Upper Primary Students’ Success and Inquiry-Learning Skills in Science and Environment Education. International Research in Geographical and Environmental Education 2013; 22(4): 337-352. DOI: 10.1080/10382046.2013.826543

  • 21. Kajka N. Szymona K. Terapia ADHD: Trening sukcesu w pracy z dzieckiem nadpobudliwym. Lublin: Wyd. Czelej 2014.

  • 22. Sacks-Zimmerman AL. Lerma VC. Mnemonic Techniques. In: Kreutzer J.S. DeLuca J. Caplan B. (eds) Encyclopedia of Clinical Neuropsychology. Springer Cham 2018.

  • 23. Perry K. Weimar H. Bell A. Sketchnoting in School: Discover the Benefits (and Fun) of Visual Note Taking. Lanham Rowman & Littlefield Publishers 2017.

  • 24. Colombo B. Mental Imagery and Learning. In: Seel N.M. (Eds) Encyclopedia of the Sciences of Learning (pp.125-211). Springer Boston MA 2012. DOI: 10.1007/978-1-4419-1428-6_68

  • 25. Dahbi M. A Picture is Worth a Thousand Words Approach to Teaching English: Integrating Mind Maps. ELT Arab World English Journal (AWEJ) 2015; 6(1): 415-519. DOI: 10.24093/awej/vol6no1.32

  • 26. Kajka N. Trudności w nauce czytania i pisania u dzieci z ADHD. Szkoła Specjalna 2018; 3: 212-218.

  • 27. Borkowska AR. Sajewicz-Radke U. Lipowska M. Kalka D. Bateria diagnozy funkcji poznawczych u dzieci w wieku 10-12 lat: PU1. Podręcznik. Gdańsk: PTPiP 2016.

  • 28. Sitnik-Wirchulska K. Izydorczyk B. Lipińska M. Wyzwania klinicznej diagnostyki psychologicznej dzieci i młodzieży. Rekomendacje konsultantów w dziedzinie psychologii klinicznej. Psychiatria i Psychologia Kliniczna 2019; 19(1): 54–62. DOI: 10.15557/PiPK.2019.0008

  • 29. Simmering VR Wood CM. The development of real-time stability supports visual working memory performance: Young children’s feature binding can be improved through perceptual structure. Developmental Psychobiology 2017;53: 1474-1493. DOI: 10.1037/dev0000358

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