Training the brain: fact and fad in cognitive and behavioral remediation.
Abstract
Putatively safe and effective for improving cognitive performance in both health and disease, products purported to train the brain appeal to consumers and healthcare practitioners. In an increasingly health-centered society, these applications constitute a burgeoning commercial market. Sparse evidence coupled with lack of scientific rigor, however, leaves claims concerning the impact and duration of such brain training largely unsubstantiated. On the other hand, at least some scientific findings seem to support the effectiveness and sustainability of training for higher brain functions such as attention and working memory. In the present paper we provide a tectonic integration and synthesis of cognitive training approaches. Specifically, we sketch the relative merits and shortcomings of these programs, which often appeal to parents who must choose between side-effect-laden medication and other less conventional options. Here we examine how neuroplasticity allows the healthy as well the impaired to benefit from cognitive training programs. We evaluate the evidence and consider whether brain training can be a stand-alone treatment or an adjunct to pharmacotherapy, outline promising future prospects, and highlight what training outcomes are plausible in line with available data. Future research would determine whether the field of brain training realizes its potential to revolutionize education and rehabilitation or withers away engulfed in controversy.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The majority of studies have found that while task performance improves, there is little evidence that training effects generalize to real-world function or improve clinical symptoms.
“In general, the majority of studies have found that while task performance improves, there is little evidence that training effects generalize to real-world function or improve clinical symptoms (e.g., for review see Rabipour and Raz, 2012).”
From Advancing understanding of executive function impairments and psychopathology: bridging the gap between clinical and cognitive approaches (2015) · cites this paper as Rabipour and Raz, 2012
Cites
Studies of interference in serial verbal reactions
Stroop, J. R. (1935) · Journal of Experimental Psychology · doi:10.1037/h0054651 · Cited by 18,622 · see citing works
The attention system of the human brain
Posner, M. I., & Petersen, S. E. (1990) · Annual Review of Neuroscience · doi:10.1146/annurev.ne.13.030190.000325 · Cited by 8,070 · cited 1× · see citing works
“A century later, Michael Posner further elaborated on this idea by putting forth a theory in which attention consists of three highly connected yet independent networks (Posner & Petersen, 1990).”
Be smart, exercise your heart: Exercise effects on brain and cognition
Hillman, C. H., Erickson, K. I., & Kramer, A. F. (2008) · Nature Reviews Neuroscience · doi:10.1038/nrn2298 · Cited by 3,563 · see citing works
(1999) · Archives of General Psychiatry · doi:10.1001/archpsyc.56.12.1073 · Cited by 3,372 · see citing works
Liu, D., Diorio, J., Tannenbaum, B., Caldji, C., Francis, D., Freedman, A., Sharma, S., Pearson, D., Plotsky, P. M., & Meaney, M. J. (1997) · Science · doi:10.1126/science.277.5332.1659 · Cited by 3,170 · see citing works
Publication bias in clinical research
Easterbrook, P. J., Gopalan, R., Berlin, J. A., & Matthews, D. R. (1991) · The Lancet · doi:10.1016/0140-6736(91)90201-y · Cited by 3,109 · see citing works
Interventions shown to aid executive function development in children 4 to 12 years old
Diamond, A., & Lee, K. (2011) · Science · doi:10.1126/science.1204529 · Cited by 2,901 · see citing works
Mental control of the bilingual lexico-semantic system
GREEN, D. W. (1998) · Bilingualism Language and Cognition · doi:10.1017/s1366728998000133 · Cited by 2,807 · see citing works
Attention regulation and monitoring in meditation
Lutz, A., Slagter, H. A., Dunne, J. D., & Davidson, R. J. (2008) · Trends in Cognitive Sciences · doi:10.1016/j.tics.2008.01.005 · Cited by 2,659 · see citing works
The cognitive benefits of interacting with nature.
Berman, M. G., Jonides, J., & Kaplan, S. (2008) · Psychological Science · doi:10.1111/j.1467-9280.2008.02225.x · Cited by 2,535 · see citing works
Pharmaceutical industry sponsorship and research outcome and quality: systematic review
Lexchin, J., Bero, L. A., Djulbegovic, B., & Clark, O. (2003) · BMJ · doi:10.1136/bmj.326.7400.1167 · Cited by 2,147 · see citing works
Kochanska, G., Murray, K. T., & Harlan, E. T. (2000) · Developmental Psychology · doi:10.1037/0012-1649.36.2.220 · Cited by 1,993 · see citing works
Computerized training of working memory in children with ADHD – a randomized, controlled trial
Klingberg, T., Fernell, E., Olesen, P. J., Johnson, M., Gustafsson, P., Dahlström, K., Gillberg, C. G., Forssberg, H., & Westerberg, H. (2005) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-200502000-00010 · Cited by 1,949 · cited 7× · see citing works
“The effects of certain forms of training, furthermore, are comparable with the effects of medication (Klingberg et al., 2005).”
InfluentialGlasgow, R. E., Lichtenstein, E., & Marcus, A. C. (2003) · American Journal of Public Health · doi:10.2105/ajph.93.8.1261 · Cited by 1,836 · see citing works
Training and plasticity of working memory
Klingberg, T. (2010) · Trends in Cognitive Sciences · doi:10.1016/j.tics.2010.05.002 · Cited by 1,585 · see citing works
Mindfulness training modifies subsystems of attention
JHA, A. P., KROMPINGER, J., & BAIME, M. J. (2007) · Cognitive, Affective, & Behavioral Neuroscience · doi:10.3758/cabn.7.2.109 · Cited by 1,580 · see citing works
The neurobiological consequences of early stress and childhood maltreatment
Teicher, M. H., Andersen, S. L., Polcari, A., Anderson, C. M., Navalta, C. P., & Kim, D. M. (2003) · Neuroscience & Biobehavioral Reviews · doi:10.1016/s0149-7634(03)00007-1 · Cited by 1,465 · see citing works
Chiesa, A., Calati, R., & Serretti, A. (2011) · Clinical Psychology Review · doi:10.1016/j.cpr.2010.11.003 · Cited by 1,295 · see citing works
Training of Working Memory in Children With ADHD
Klingberg, T., Forssberg, H., & Westerberg, H. (2002) · Journal of Clinical and Experimental Neuropsychology · doi:10.1076/jcen.24.6.781.8395 · Cited by 1,225 · cited 2× · see citing works
“The findings were later replicated in healthy adults (Olesen, Westerberg, & Klingberg, 2004; Westerberg & Klingberg, 2007), although both studies were unclear about the possibility of improvements due to test–retest effects (Shipstead, Redick, & Engle, 2010).”
Putting brain training to the test
Owen, A. M., Hampshire, A., Grahn, J. A., Stenton, R., Dajani, S., Burns, A. S., Howard, R. J., & Ballard, C. G. (2010) · Nature · doi:10.1038/nature09042 · Cited by 1,056 · see citing works
Training and transfer effects of executive functions in preschool children
Thorell, L. B., Lindqvist, S., Bergman Nutley, S., Bohlin, G., & Klingberg, T. (2009) · Developmental Science · doi:10.1111/j.1467-7687.2008.00745.x · Cited by 1,041 · see citing works
Temporal Processing Deficits of Language-Learning Impaired Children Ameliorated by Training
Merzenich, M. M., Jenkins, W. M., Johnston, P., Schreiner, C., Miller, S. L., & Tallal, P. (1996) · Science · doi:10.1126/science.271.5245.77 · Cited by 1,000 · see citing works
Promoting Academic and Social-Emotional School Readiness: The Head Start REDI Program
Bierman, K. L., Domitrovich, C. E., Nix, R. L., Gest, S. D., Welsh, J. A., Greenberg, M. T., Blair, C., Nelson, K. E., & Gill, S. (2008) · Child Development · doi:10.1111/j.1467-8624.2008.01227.x · Cited by 884 · see citing works
Neural correlates of dispositional mindfulness during affect labeling
Creswell, J. D., Way, B. M., Eisenberger, N. I., & Lieberman, M. D. (2007) · Psychosomatic Medicine · doi:10.1097/psy.0b013e3180f6171f · Cited by 835 · see citing works
Smith, G. E., Housen, P., Yaffe, K., Ruff, R., Kennison, R. F., Mahncke, H. W., & Zelinski, E. M. (2009) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.2008.02167.x · Cited by 785 · see citing works
Burke, C. A. (2010) · Journal of Child and Family Studies · doi:10.1007/s10826-009-9282-x · Cited by 730 · cited 2× · see citing works
“Despite the promise of meditative practices in improving cognitive function, research surrounding this form of training has yet to unearth optimal protocols and administration strategies that are most beneficial in various populations (Burke, 2010).”
Typologies of attentional networks
Raz, A., & Buhle, J. (2006) · Nature Reviews Neuroscience · doi:10.1038/nrn1903 · Cited by 706 · see citing works
Self-citationMindfulness Meditation Training in Adults and Adolescents With ADHD: A Feasibility Study
Zylowska, L., Ackerman, D. L., Yang, M. H., Futrell, J. L., Horton, N. L., Hale, T. S., Pataki, C., & Smalley, S. L. (2008) · Journal of Attention Disorders · doi:10.1177/1087054707308502 · Cited by 674 · see citing works
Barkley, R. A., Edwards, G., Laneri, M., Fletcher, K., & Metevia, L. (2001) · Journal of Abnormal Child Psychology · doi:10.1023/a:1012233310098 · Cited by 638 · see citing works
Willcutt, E. G., Pennington, B. F., Olson, R. K., Chhabildas, N., & Hulslander, J. (2005) · Developmental Neuropsychology · doi:10.1207/s15326942dn2701_3 · Cited by 612 · see citing works
Barkley, R. A. (1997) · Psychological Bulletin · doi:10.1037//0033-2909.121.1.65 · Cited by 580 · see citing works
Educational effects of the Tools of the Mind curriculum: A randomized trial
Barnett, W. S., Jung, K., Yarosz, D. J., Thomas, J., Hornbeck, A., Stechuk, R., & Burns, S. (2008) · Early Childhood Research Quarterly · doi:10.1016/j.ecresq.2008.03.001 · Cited by 559 · see citing works
Hölzel, B. K., Ott, U., Hempel, H., Hackl, A., Wolf, K., Stark, R., & Vaitl, D. (2007) · Neuroscience Letters · doi:10.1016/j.neulet.2007.04.074 · Cited by 535 · see citing works
Short-term meditation induces white matter changes in the anterior cingulate
Tang, Y.-Y., Lu, Q., Geng, X., Stein, E. A., Yang, Y., & Posner, M. I. (2010) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1011043107 · Cited by 514 · see citing works
Mental training enhances attentional stability: Neural and behavioral evidence
Lutz, A., Slagter, H. A., Rawlings, N. B., Francis, A. D., Greischar, L. L., & Davidson, R. J. (2009) · The Journal of Neuroscience · doi:10.1523/jneurosci.1614-09.2009 · Cited by 489 · see citing works
Daviglus, M. L., Bell, C. C., Berrettini, W., Bowen, P. E., Connolly, E. S., Cox, N. J., Dunbar-Jacob, J. M., Granieri, E. C., Hunt, G., McGarry, K., et al. (2010) · Annals of Internal Medicine · doi:10.7326/0003-4819-153-3-201008030-00260 · Cited by 463 · see citing works
Valentine, E. R., & Sweet, P. L. G. (1999) · Mental Health, Religion & Culture · doi:10.1080/13674679908406332 · Cited by 406 · see citing works
Holmes, J., Gathercole, S. E., Place, M., Dunning, D. L., Hilton, K. A., & Elliott, J. G. (2010) · Applied Cognitive Psychology · doi:10.1002/acp.1589 · Cited by 370 · see citing works
Empirical explorations of mindfulness: Conceptual and methodological conundrums.
Davidson, R. J. (2010) · Emotion · doi:10.1037/a0018480 · Cited by 361 · see citing works
Melbourne Academic Mindfulness Interest Group* (2006) · Australian and New Zealand Journal of Psychiatry · doi:10.1111/j.1440-1614.2006.01794.x · Cited by 353 · see citing works
Assessing the molecular genetics of attention networks
Fossella, J., Sommer, T., Fan, J., Wu, Y., Swanson, J. M., Pfaff, D. W., & Posner, M. I. (2002) · BMC Neuroscience · doi:10.1186/1471-2202-3-14 · Cited by 339 · see citing works
Self-monitoring: Methodological limitations and clinical applications
Kanfer, F. H. (1970) · Journal of Consulting and Clinical Psychology · doi:10.1037/h0029874 · Cited by 329 · see citing works
Effects of Brief and Sham Mindfulness Meditation on Mood and Cardiovascular Variables
Zeidan, F., Johnson, S. K., Gordon, N. S., & Goolkasian, P. (2010) · The Journal of Alternative and Complementary Medicine · doi:10.1089/acm.2009.0321 · Cited by 319 · see citing works
A Controlled Trial of Working Memory Training for Children and Adolescents with ADHD
Beck, S. J., Hanson, C. A., Puffenberger, S. S., Benninger, K. L., & Benninger, W. B. (2010) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2010.517162 · Cited by 311 · see citing works
The relationship between bilingualism and the development of cognitive processes in problem-solving
Bialystok, E., & Majumder, S. (1998) · Applied Psycholinguistics · doi:10.1017/s0142716400010584 · Cited by 292 · see citing works
Mental Training as a Tool in the Neuroscientific Study of Brain and Cognitive Plasticity
Slagter, H. A., Davidson, R. J., & Lutz, A. (2011) · Frontiers in Human Neuroscience · doi:10.3389/fnhum.2011.00017 · Cited by 288 · see citing works
Investigation of a Direct Intervention for Improving Attention in Young Children With ADHD
Kerns, K. A., Eso, K., & Thomson, J. (1999) · Developmental Neuropsychology · doi:10.1207/s15326942dn1602_9 · Cited by 209 · see citing works
Recognition of Emotional Facial Expressions in Attention-Deficit Hyperactivity Disorder
Pelc, K., Kornreich, C., Foisy, M.-L., & Dan, B. (2006) · Pediatric Neurology · doi:10.1016/j.pediatrneurol.2006.01.014 · Cited by 187 · see citing works
The exploration of meditation in the neuroscience of attention and consciousness
Raffone, A., & Srinivasan, N. (2010) · Cognitive Processing · doi:10.1007/s10339-009-0354-z · Cited by 129 · see citing works
Improving intelligence: a literature review
Buschkuehl, M., & Jaeggi, S. (2010) · Swiss Medical Weekly · doi:10.4414/smw.2010.12852 · Cited by 109 · see citing works
Review: Genetics of Attention Deficit/Hyperactivity Disorder
Wallis, D., Russell, H. F., & Muenke, M. (2008) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsn049 · Cited by 86 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Snyder, H. R., Miyake, A., & Hankin, B. L. (2015) · Frontiers in Psychology · doi:10.3389/fpsyg.2015.00328 · Cited by 946 · see citing works
Bahar-Fuchs, A., Clare, L., & Woods, B. (2013) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd003260.pub2 · Cited by 507 · see citing works
The role of individual differences in cognitive training and transfer
Jaeggi, S. M., Buschkuehl, M., Shah, P., & Jonides, J. (2014) · Memory & Cognition · doi:10.3758/s13421-013-0364-z · Cited by 432 · see citing works
Cognitive training for people with mild to moderate dementia
Bahar-Fuchs, A., Martyr, A., Goh, A. M., Sabates, J., & Clare, L. (2019) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd013069.pub2 · Cited by 342 · see citing works
Bahar-Fuchs, A., Clare, L., & Woods, B. (2013) · Alzheimer's Research & Therapy · doi:10.1186/alzrt189 · Cited by 239 · see citing works
An epigenetic framework for neurodevelopmental disorders: From pathogenesis to potential therapy
Millan, M. J. (2013) · Neuropharmacology · doi:10.1016/j.neuropharm.2012.11.015 · Cited by 229 · see citing works
Millan, M. J., Goodwin, G. M., Meyer-Lindenberg, A., & Ove Ögren, S. (2015) · European Neuropsychopharmacology · doi:10.1016/j.euroneuro.2015.01.016 · Cited by 132 · see citing works
Prins, P. J. M., Brink, E. T., Dovis, S., Ponsioen, A., Geurts, H. M., de Vries, M., & van der Oord, S. (2013) · Games for Health Journal · doi:10.1089/g4h.2013.0004 · Cited by 116 · see citing works
Snyder, H. R., & Hankin, B. L. (2016) · Clinical Psychological Science · doi:10.1177/2167702616633157 · Cited by 75 · see citing works
Lymeus, F., Lundgren, T., & Hartig, T. (2017) · Environment and Behavior · doi:10.1177/0013916516657390 · Cited by 71 · see citing works
López-Pinar, C., Martínez-Sanchís, S., Carbonell-Vayá, E., Sánchez-Meca, J., & Fenollar-Cortés, J. (2020) · Journal of Attention Disorders · doi:10.1177/1087054719855685 · Cited by 47 · see citing works
Schaffer, Y., & Geva, R. (2016) · Neuropsychological Rehabilitation · doi:10.1080/09602011.2015.1016537 · Cited by 18 · see citing works
- Authors
- Rabipour, S., & Raz, A.
- Affiliations
- McGill University (CA)
- Corresponding author
- Raz, Amir
- Venue
- Brain and Cognition
- Publisher
- Elsevier BV
- Published
- 2012-07
- Volume
- 79
- Issue
- 2
- Pages
- 159-179
- ISSN
- 0278-2626 (ISSN-L)
- OpenAlex
- W2120670062
- Cited by
- 267
- References
- 51
- Citations by year
- 2026: 6 · 2025: 8 · 2024: 12 · 2023: 11 · 2022: 16 · 2021: 11 · 2020: 21 · 2019: 24 · 2018: 16 · 2017: 20 · 2016: 25 · 2015: 31 · 2014: 30 · 2013: 26 · 2012: 9
- FWCI
- 41.12
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Brain and Cognition (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Canadian Institutes of Health Research
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Cognitive Abilities and Testing
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Cognitive Functions and Memory
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neuroscience, Education and Cognitive Function
- Keywords
- brain training, cognitive training, neuroplasticity, working memory, attention, cognitive remediation, pharmacotherapy, evidence base, rehabilitation
- MeSH terms
- Stroke Rehabilitation, Adult, Aged, Attention, Attention Deficit Disorder with Hyperactivity, Behavior Therapy, Mental Disorders, Child, Cognition Disorders, Computer-Assisted Instruction, Humans, Memory, Short-Term, Neuronal Plasticity, Psychotherapy, Remedial Teaching, Transfer, Psychology, Executive Function, Neurofeedback
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review