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Ahari L, Nakhostin Goldoost A, Ghaffari Nouran O. Determining the Effectiveness of Emotional Working Memory Training on Emotion Processing of Students with Attention-Deficit/Hyperactivity Disorder (ADHD). MEJDS 2023; 13 :96-96
URL: http://jdisabilstud.org/article-1-3145-en.html
1- PhD Student in Educational Psychology, Ardabil Branch, Islamic Azad University, Ardabil, Iran
2- Assistant Professor, Islamic Azad University, Ardabil, Iran
3- Associate Professor, Islamic Azad University, Ardabil, Iran
Abstract:   (910 Views)

Abstract
Background & Objectives: Attention–deficit/hyperactivity disorder (ADHD) is one of the most common psychiatric disorders in school children, characterized by an inappropriate developmental pattern of attention deficit, impulsivity, or hyperactivity. This disorder has severely affected the lives of many children around the world. However, much research has been conducted on the etiology and treatment of this disorder. There is growing evidence that a problem particularly associated with ADHD is the inability of these children to process emotions. In recent years, many interventions, such as working memory training programs, have been proven effective in alleviating the symptoms of ADHD, promising favorable outcomes. While working memory has a limited capacity, by enhancing working memory in an emotional context, we can hope for more effective and changeable training. Considering this, researchers used a modified sample of traditional working memory training derived from the Schweizer et al. protocol (called emotional working memory training) to improve working memory. Therefore, the present study was conducted to determine the effectiveness of emotional working memory training on the executive functions of students with ADHD.
Methods: This research was quasi–experimental with a pretest–posttest design and a control group. The study's statistical population included elementary school students of Ardabil City, Iran, with ADHD, studying in the academic year of 2022–2023. Of whom, 30 qualified students were selected by the available sampling method. The inclusion criteria involved students with definite symptoms of ADHD from both genders, having an IQ between 95 and 120 based on the Wechsler Children Intelligent Scale, and studying at the same grade (both study groups from the sixth grade). The exclusion criteria were dissatisfaction with the study process, receiving simultaneous similar psychological intervention, and absence of more than three sessions from the intervention. The study was conducted in two groups of 15 students: experimental and control. The research tools were the Swanson, Nolan, and Pelham Scale–Fourth Edition (SNAP–IV) and the Emotional Processing Scale (Baker et al., 2010). Emotional working memory training with the software was implemented during fifteen 30–40-minute sessions for the experimental group. The obtained data were analyzed at two levels of descriptive statistics (mean and standard deviation) and inferential (univariate covariance analysis) using SPSS26 software.
Results: Univariate covariance analysis showed that emotional working memory training improved the emotional processing of students with ADHD (p=0.005). Emotional working memory training explains about 26% of the changes in emotional processing in the posttest.
Conclusion: Overall, this research showed that emotional working memory training effectively improved the emotional processing of students with ADHD, influencing the brain areas related to emotional regulation and improving the performance of neuro–cognitive–emotional circuits. These results have important implications for psychology. Emotional working memory training has a minimum cost for patients and needs the least training for practitioners and specialists. Thus, it is suggested that researchers and specialists, along with other treatment methods, improve the emotional processing of children with ADHD and also take help from this educational program as a complementary treatment.

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Type of Study: Original Research Article | Subject: Psychology

References
1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th edition. Washington, DC: American Psychiatric Association; 2013. [DOI]
2. Corrigan N, Păsărelu CR, Voinescu A. Immersive virtual reality for improving cognitive deficits in children with ADHD: a systematic review and meta-analysis. Virtual Reality. 2023. [DOI]
3. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th edition. Rezaee F, Fakhraee A, Farmand A, Niloufari A, Hashemi Azar J, Shamloo F. (Persian translator). Tehran: Arjomand Pub; 2021.
4. Cénat JM, Kokou-Kpolou CK, Blais-Rochette C, Morse C, Vandette MP, Dalexis RD, et al. Prevalence of ADHD among black youth compared to white, Latino and Asian youth: a meta-analysis. J Clin Child Adolesc Psychol. 2022;1–16. [DOI]
5. Barkley RA. Behavioral inhibition, sustained attention, and executive functions: constructing a unifying theory of ADHD. Psychol Bull. 1997;121(1):65–94. [DOI]
6. Barkley RA. Issues in the diagnosis of attention-deficit/hyperactivity disorder in children. Brain Dev. 2003;25(2):77–83. [DOI]
7. Schein J, Adler LA, Childress A, Cloutier M, Gagnon-Sanschagrin P, Davidson M, et al. Economic burden of attention-deficit/hyperactivity disorder among children and adolescents in the United States: a societal perspective. J Med Econ. 2022;25(1):193–205. [DOI]
8. Ottosen C, Petersen L, Larsen JT, Dalsgaard S. Gender differences in associations between attention-deficit/hyperactivity disorder and substance use disorder. J Am Acad Child Adolesc Psychiatry. 2016;55(3):227–34. [DOI]
9. Sadock VA, Sadock BJ. Kaplan & Sadock's synopsis of psychiatry: behavioral sciences/clinical psychiatry. Pourafkari N. (Persian translator). Tehran: Shahr-e-Ab Pub; 2014.
10. Rapport LJ, Friedman SL, Tzelepis A, Van Voorhis A. Experienced emotion and affect recognition in adult attention-deficit hyperactivity disorder. Neuropsychology. 2002;16(1):102–10. [DOI]
11. Theule J, Wiener J, Tannock R, Jenkins JM. Parenting stress in families of children with ADHD: a meta-analysis. J Emot Behav Disord. 2013;21(1):3–17. [DOI]
12. Rachman S. Emotional processing, with special reference to post-traumatic stress disorder. Int Rev Psychiatry. 2001;13(3):164–71. [DOI]
13. Baker R, Thomas S, Thomas PW, Owens M. Development of an emotional processing scale. J Psychosom Res. 2007;62(2):167–78. [DOI]
14. Forslund T, Brocki KC, Bohlin G, Granqvist P, Eninger L. The heterogeneity of attention‐deficit/hyperactivity disorder symptoms and conduct problems: cognitive inhibition, emotion regulation, emotionality, and disorganized attachment. Br J Dev Psychol. 2016;34(3):371–87. [DOI]
15. Musser ED, Backs RW, Schmitt CF, Ablow JC, Measelle JR, Nigg JT. Emotion regulation via the autonomic nervous system in children with attention-deficit/hyperactivity disorder (ADHD). J Abnorm Child Psychol. 2011;39(6):841–52. [DOI]
16. Brotman MA, Rich BA, Guyer AE, Lunsford JR, Horsey SE, Reising MM, et al. Amygdala activation during emotion processing of neutral faces in children with severe mood dysregulation versus ADHD or bipolar disorder. Am J Psychiatry. 2010;167(1):61–9. [DOI]
17. Newcorn JH, Stein MA, Cooper KM. Dose–response characteristics in adolescents with attention-deficit/hyperactivity disorder treated with OROS methylphenidate in a 4-week, open-label, dose-titration study. J Child Adolesc Psychopharmacol. 2010;20(3):187–96. [DOI]
18. Adler LD, Nierenberg AA. Review of medication adherence in children and adults with ADHD. Postgrad Med. 2010;122(1):184–91. [DOI]
19. Chueh TY, Hsieh SS, Tsai YJ, Yu CL, Hung CL, Benzing V, et al. Effects of a single bout of moderate-to-vigorous physical activity on executive functions in children with attention-deficit/hyperactivity disorder: a systematic review and meta-analysis. Psychol Sport Exerc. 2022;58:102097. [DOI]
20. Ramesh S, Samimi Z, Mirdoraghi F, Heirati H, Parooei M. The effectiveness of emotional working memory training on improvement of symptoms of attention deficit/hyperactivity disorder. Journal of Psychological Studies. 2016;12(3):27–46. [Persian] [Article]
21. Wehmeier PM, Schacht A, Barkley RA. Social and emotional impairment in children and adolescents with ADHD and the impact on quality of life. J Adolesc Health. 2010;46(3):209–17. [DOI]
22. Schweizer S, Dalgleish T. Emotional working memory capacity in posttraumatic stress disorder (PTSD). Behav Res Ther. 2011;49(8):498–504. [DOI]
23. Morrison AB, Chein JM. Does working memory training work? The promise and challenges of enhancing cognition by training working memory. Psychon Bull Rev. 2011;18(1):46–60. [DOI]
24. Schweizer S, Dalgleish T. The impact of affective contexts on working memory capacity in healthy populations and in individuals with PTSD. Emotion. 2016;16(1):16–23. [DOI]
25. Schweizer S, Grahn J, Hampshire A, Mobbs D, Dalgleish T. Training the emotional brain: improving affective control through emotional working memory training. J Neurosci. 2013;33(12):5301–11. [DOI]
26. Etkin A, Egner T, Kalisch R. Emotional processing in anterior cingulate and medial prefrontal cortex. Trends Cogn Sci. 2011;15(2):85–93. [DOI]
27. Engen H, Kanske P. How working memory training improves emotion regulation: neural efficiency, effort, and transfer effects. J Neurosci. 2013;33(30):12152–3. [DOI]
28. Du Toit SA, Kade SA, Danielson CT, Schweizer S, Han J, Torok M, et al. The effect of emotional working memory training on emotional and cognitive outcomes in individuals with elevated social anxiety. J Affect Disord. 2020;261:76–83. [DOI]
29. Samimi Z, Hasani J, Kord Tamini M, Afzoon J. The effectiveness of emotional working memory training in cognitive and affective control of adolescents with post- traumatic stress disorder (PTSD). J Child Ment Health. 2015;2(3):21–37. [Persian] [Article]
30. Samimi Z, Hassani J. The effectiveness of emotional working memory training in cognitive emotion regulation strategies of adolescents with post-traumatic stress disorder. Clinical Psychology Studies. 2016;6(23):113–32. [Persian] [Article]
31. Ghaffari F, Ghanbari Hashem Abadi B, Eslami M. Comparison of the effectiveness of emotional and neutral working memory training on cognitive flexibility and intolerance of uncertainty in people with OCD. Journal of Modern Psychological Researches. 2023;17(68):191–99. [Persian] [Article]
32. Mohammadinezhad Motlagh M, Talepasand S, Rahimian Bouger E. The effectiveness of emotional working memory education on the ability to control affection and cognitive emotion regulation in women hurt by infidelity. Journal of School of Public Health and Institute of Public Health Research. 2021;19(2):213–24. [Persian] [Article]
33. Farrokhzad F, Izadi F. The effectiveness of emotional working memory training on cognitive control and emotion regulation in adolescents with a tendency to risky behaviors. Razi Journal of Medical Sciences. 2023;29(12):386–97. [Persian] [Article]
34. Sardary, B. The effectiveness of working memory strategies training on cognitive flexibility and emotional self-regulation in elementary students. Tafakor va Kudak (Thinking and Children). 2021;12(1):103–24. [Persian] [Article]
35. Swanson JM, Schuck S, Porter MM, Carlson C, Hartman CA, Sergeant JA, et al. Categorical and dimensional definitions and evaluations of symptoms of ADHD: history of the SNAP and the SWAN rating scales. Int J Educ Psychol Assess. 2012;10(1):51–70.
36. Aghaei A, Abedi A, Mohammadi E. A study of psychometric characteristics of SNAP-IV rating scale (parent form) in elementary school students in Isfahan. Research in Cognitive and Behavioral Sciences. 2011;1(1):43–58. [Persian] [Article]
37. Baker R, Thomas S, Thomas PW, Gower P, Santonastaso M, Whittlesea A. The emotional processing scale: scale refinement and abridgement (EPS-25). J Psychosom Res. 2010;68(1):83–8. [DOI]
38. Gholami M, Abolmaalialhoseini K. Investigate the validity and reliability of the emotional processing questionnaire in young people. Journal of Psychometry. 2019;8(31):79–90. [Persian] [Article]
39. Khord Tamini M. The effect of emotional working memory training on the ability of cognitive-emotional control and emotional regulation of people with high trait anxiety [Master's thesis]. [Mashhad, Iran]: Faculty of Educational Sciences, Ferdosi University of Mashhad; 2015.
40. Nazari MA, Khayati F, Poursharifi H, Hakimi M, Shojaei Z. Primary normalization of emotional Farsi words. Journal of Applied Psychological Research. 2014;4(4):41–71. [Persian] [Article]
41. Lundqvist D, Flykt A, Öhman A. The Karolinska Directed Emotional Faces-KDEF. Stockholm, Sweden: Karolinska Institutet; 1998.
42. Studer-Luethi B, Bauer C, Perrig WJ. Working memory training in children: Effectiveness depends on temperament. Mem Cogn. 2016;44(2):171–86. [DOI]
43. Schweizer S, Hampshire A, Dalgleish T. Extending brain-training to the affective domain: increasing cognitive and affective executive control through emotional working memory training. Plos One. 2011;6(9):e24372. [DOI]
44. Banich MT, Mackiewicz KL, Depue BE, Whitmer AJ, Miller GA, Heller W. Cognitive control mechanisms, emotion and memory: a neural perspective with implications for psychopathology. Neurosci Biobehav Rev. 2009;33(5):613–30. [DOI]
45. Ochsner KN, Bunge SA, Gross JJ, Gabrieli JDE. Rethinking feelings: an fMRI study of the cognitive regulation of emotion. J Cogn Neurosci. 2002;14(8):1215–29. [DOI]
46. Miller EK, Cohen JD. An integrative theory of prefrontal cortex function. Annu Rev Neurosci. 2001;24(1):167–202. [DOI]
47. Schmeichel BJ, Volokhov RN, Demaree HA. Working memory capacity and the self-regulation of emotional expression and experience. J Pers Soc Psychol. 2008;95(6):1526–40. [DOI]
48. Baddeley AD, Hitch G. Working memory. In: Federmeier KD, Fairbairn CE; editors. Psychology of learning and motivation. Elsevier; 1974. [DOI]
49. Johnstone SJ, Roodenrys S, Phillips E, Watt AJ, Mantz S. A pilot study of combined working memory and inhibition training for children with AD/HD. Atten Defic Hyperact Disord. 2010;2(1):31–42. [DOI]
50. Chein JM, Morrison AB. Expanding the mind's workspace: Training and transfer effects with a complex working memory span task. Psychon Bull Rev. 2010;17(2):193–9. [DOI]
51. Mikels JA, Reuter-Lorenz PA, Beyer JA, Fredrickson BL. Emotion and working memory: Evidence for domain-specific processes for affective maintenance. Emotion. 2008;8(2):256–66. [DOI]

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