The DOI matches its Crossref record; 36 of the 37 references it cites were found in a registry or an index.
Training of Working Memory in Children With ADHD
Abstract
Working memory (WM) capacity is the ability to retain and manipulate information during a short period of time. This ability underlies complex reasoning and has generally been regarded as a fixed trait of the individual. Children with attention deficit hyperactivity disorder (ADHD) represent one group of subjects with a WM deficit, attributed to an impairment of the frontal lobe. In the present study, we used a new training paradigm with intensive and adaptive training of WM tasks and evaluated the effect of training with a double blind, placebo controlled design. Training significantly enhanced performance on the trained WM tasks. More importantly, the training significantly improved performance on a nontrained visuo-spatial WM task and on Raven's Progressive Matrices, which is a nonverbal complex reasoning task. In addition, motor activity--as measured by the number of head movements during a computerized test--was significantly reduced in the treatment group. A second experiment showed that similar training-induced improvements on cognitive tasks are also possible in young adults without ADHD. These results demonstrate that performance on WM tasks can be significantly improved by training, and that the training effect also generalizes to nontrained tasks requiring WM. Training improved performance on tasks related to prefrontal functioning and had also a significant effect on motor activity in children with ADHD. The results thus suggest that WM training potentially could be of clinical use for ameliorating the symptoms in ADHD.
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In the citing paper
“However, there are some obvious weaknesses in this study: the group sizes (7 children per group) are tiny – this study is, like many other studies in this area, severely underpowered.”
From Working Memory Training Does Not Improve Performance on Measures of Intelligence or Other Measures of “Far Transfer”: Evidence From a Meta-Analytic Review (2016) · cites this paper as Klingberg et al. (2002)
In the citing paper
“Another problem with the design of this study is that any differences found as a result of training may reflect differences in the duration of the computerized tasks performed by the two groups, rather than being effects of adaptive working memory training per se.”
From Working Memory Training Does Not Improve Performance on Measures of Intelligence or Other Measures of “Far Transfer”: Evidence From a Meta-Analytic Review (2016) · cites this paper as Klingberg et al. (2002)
In the citing paper
“The largest effect size for working memory training on nonverbal ability came from the earliest study (d = 2.18; Klingberg et al., 2002), which included only 7 subjects in each of the training and control groups.”
From Working Memory Training Does Not Improve Performance on Measures of Intelligence or Other Measures of “Far Transfer”: Evidence From a Meta-Analytic Review (2016) · cites this paper as Klingberg et al., 2002
In the citing paper
“However, while some studies [84,85] show subsequent improvement in ADHD symptoms, others do not (e.g. [86], reviewed in e.g. [87]).”
From Linking ADHD to the Neural Circuitry of Attention (2017) · cites this paper as [84]
In the citing paper
“Training individuals with ADHD on one specific cognitive domain, e.g. working memory, has been found to result in improved performance on the trained and similar tasks [84–86].”
From Linking ADHD to the Neural Circuitry of Attention (2017) · cites this paper as [84]
In the citing paper
“but they only used the incongruent trials as outcome measure; baseline response times to congruent trials were not controlled for, making it impossible to calculate the interference score)”
In the citing paper
“([85] and [86] also found differential effects on the STROOP”
In the citing paper
“In many ways our findings are similar to those of previous placebo controlled (single) EF training studies in children with ADHD [21], [84], [85], [86], [23] (but note that only one of these studies [21] corrected for multiple testing).”
In the citing paper
“Several studies have provided evidence for the effectiveness of CogMed training in children with ADHD (e.g., Klingberg et al., 2002, 2005).”
From Executive control training from middle childhood to adolescence (2014) · cites this paper as Klingberg et al., 2002
In the citing paper
“Therefore, the idea that WM-training programs such as CWMT exert stronger benefits to low-WM individuals (e.g., Klingberg et al., 2002;Weicker et al., 2016) is not supported.”
From The cognitive and academic benefits of Cogmed: A meta-analysis (2019) · cites this paper as Klingberg et al., 2002
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“Consistent with this account, targeted practice of working-memory (Klingberg et al., 2002) and task-switching (Karbach and Kray, 2009) paradigms beget measureable changes in cognitive and neurophysiological measures of higher-order cognition (Olesen et al., 2004).”
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Changes in Error Patterns during N-back Training Indicate Reliance on Subvocal Rehearsal
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“The WMT protocol has been used before [35, 41] and has been proven feasible and acceptable.”
Mammarella, I. C., Coltri, S., Lucangeli, D., & Cornoldi, C. (2009) · Neuropsychological Rehabilitation · doi:10.1080/09602010902819731 · Cited by 10
Smith, G. N. L., Conway, C. M., Kaminske, A. N., & Pisoni, D. B. (2015) · PLoS ONE · doi:10.1371/journal.pone.0127148 · Cited by 11
“If SSP supports language, then it may be possible to improve language function by enhancing this basic learning ability, similar to the way that computerized working memory (WM) training has been demonstrated to transfer to non-trained tasks of executive function, attention, and other aspects of cognition [7], [8], [9…”
BackgroundMethodEffectiveness of therapeutic programs for students with ADHD with executive function deficits
Chaimaha, N., Sriphetcharawut, S., Lersilp, S., & Chinchai, S. (2017) · Journal of Occupational Therapy Schools & Early Intervention · doi:10.1080/19411243.2017.1359131 · Cited by 18
“For instance, Klingberg et al. (2002) used a computerized training program for working memory in children with ADHD.”
BackgroundMethodAwofala, A. O. A., & Odogwu, H. N. (2017) · Acta Didactica Napocensia · doi:10.24193/adn.10.2.7 · Cited by 10
Learning a musical instrument can benefit a child with special educational needs.
Rose, D., Bartoli, A. J., & Heaton, P. F. (2018) · Psychomusicology Music Mind and Brain · doi:10.1037/pmu0000209 · Cited by 18
Castillo, A., Khislavsky, A. L., Altman, M. N., & Gilger, J. W. (2020) · International Journal of Bilingual Education and Bilingualism · doi:10.1080/13670050.2020.1742649 · Cited by 11
“Several studies have examined children’s working memory using the digit span backwards tasks (Chen and Stevenson 1988; Klingberg, Forssberg, and Westerberg 2002).”
Dentz, A., Guay, M., Gauthier, B., Romo, L., & Parent, V. (2020) · Applied Cognitive Psychology · doi:10.1002/acp.3631 · Cited by 14
Takeuchi, H., Maruyama, T., Taki, Y., Motoki, K., Jeong, H., Kotozaki, Y., Shinada, T., Nakagawa, S., Nouchi, R., Iizuka, K., et al. (2020) · Brain Imaging and Behavior · doi:10.1007/s11682-020-00324-4 · Cited by 15
“When there were hypotheses, one-tailed tests were used as described previously (H. Takeuchi et al. 2011a; H. Takeuchi et al. 2011d; Klingberg et al. 2002; Klingberg et al. 2005).”
BackgroundMethodInfluentialvon Mentzer, C. N. (2014) · Linköping University Electronic Press eBooks · doi:10.3384/diss.diva-108902 · Cited by 11
Cognitive Training Enhances Working Memory Capacity in Healthy Adults. A Pilot Study
Tulbure, B. T., & Siberescu, I. (2013) · Procedia - Social and Behavioral Sciences · doi:10.1016/j.sbspro.2013.04.274 · Cited by 11
“Other studies also demonstrated that the cognitive training effects generalize to other tasks such as problem solving and reasoning (Klingberg et al., 2002), and improves IQ scores (Klingberg et al., 2005).”
ResultDoyen, C., Contejean, Y., Risler, V., Asch, M., Amado, I., Launay, C., Redon, P. D. B., Burnouf, I., & Kaye, K. (2015) · Archives de Pédiatrie · doi:10.1016/j.arcped.2015.01.012 · Cited by 10
Edebol, H., Helldin, L., Holmberg, E., Gustafsson, S.-A., & Norlander, T. (2011) · Europe’s Journal of Psychology · doi:10.5964/ejop.v7i3.143 · Cited by 10
Improvement of Visual Attention and Working Memory through a Web-based Cognitive Training Program
Scanlon, M., Drescher, D., & Sarkar, K. (2007) · Cited by 10
Investigating the mediating effect of working memory on intentional forgetting in dysphoria
Noreen, S., Cooke, R. W. I., & Ridout, N. (2019) · Psychological Research · doi:10.1007/s00426-019-01225-y · Cited by 13
Jaquerod, M. E., Mesrobian, S. K., Villa, A. E. P., Bader, M., & Lintas, A. (2020) · Brain Sciences · doi:10.3390/brainsci10010038 · Cited by 11
The effect of foreign language acquisition on preschool children’s self-regulation and social skills
Uslu, B. (2020) · European Early Childhood Education Research Journal · doi:10.1080/1350293x.2020.1783928 · Cited by 10
“…of the self-regulation scale, is related to the temporary storage of verbal and auditory information, the storage of visual and spatial information, the ability to store and process information for a short time (Klingberg, Forssberg, and Westerberg 2002; Preßler, Krajewski, and Hasselhorn 2013).”
BackgroundDekkers, T. J., & der Oord, S. V. (2022) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.13751 · Cited by 11
Okur, M., & Aksoy, V. (2025) · Journal of Intelligence · doi:10.3390/jintelligence13020016 · Cited by 14
“Proper strategy training has been shown to significantly enhance learning performance, while WM training improves attention, problem solving, and general cognitive functions (Klingberg et al. 2002; Jaeggi et al. 2008).”
Development and Evaluation of an Online, Multicomponent Working Memory Battery
Englund, J. A., Decker, S. L., Woodlief, D. T., & DiStefano, C. (2014) · Assessment · doi:10.1177/1073191114524016 · Cited by 12
Working memory training does not improve executive functioning or fluid intelligence
Rodas, J. A., & Greene, C. M. (2021) · Quarterly Journal of Experimental Psychology · doi:10.1177/17470218211039502 · Cited by 10
“Part of this increased interest comes from several studies investigating working memory (WM) training programmes that reported achieving significant improvements in WM and fluid intelligence (Gf; Jaeggi et al., 2008; Klingberg et al., 2002; Olesen et al., 2004), two different components of cognition that are key to in…”
BackgroundAsymmetric negative transfer effects of working memory training
Ni, N., Gathercole, S. E., Norris, D. G., & Saito, S. (2023) · Memory & Cognition · doi:10.3758/s13421-023-01412-8 · Cited by 12
“This strategy mediation account captures training outcomes as the improved efficacy of unchanged WM capacity (Dunning & Holmes, 2014; Fellman et al., 2020; Forsberg et al., 2020; Laine et al., 2018; Malinovitch et al., 2021).”
Vergara, R. G., & Gallardo, M. M. (2023) · Acta Colombiana de Psicología · doi:10.14718/acp.2023.26.2.4 · Cited by 9
“Children with ADHD, after six weeks of working memory training, decreased their motor activity and improved their working memory (Klingberg et al., 2002).”
BackgroundRao, P. S., Pandey, M. K., Mishra, P., Deshmukh, S., Jahan, M., & Manohar, S. (2023) · Annals of Neurosciences · doi:10.1177/09727531231198639 · Cited by 9
“28 But, the claim has yet to be backed up with enough data and follow-up of long-term cognitive training studies to support it and requires further research.”
BackgroundDoes Experience of Failure Decrease Executive, Regulatory Abilities and Increase Aggression?
Pahlavan, F., Mouchiroud, C., & Manis, E. (2012) · Global Journal of Health Science · doi:10.5539/gjhs.v4n6p60 · Cited by 10
Metadata
- Authors
- Klingberg, T., Forssberg, H., & Westerberg, H.
- Affiliations
- Karolinska Institutet (SE)
- Venue
- Journal of Clinical and Experimental Neuropsychology
- Publisher
- Informa UK Limited
- Published
- 2002-09
- Volume
- 24
- Issue
- 6
- Pages
- 781-791
- ISSN
- 0165-0475 (ISSN-L)
- 1380-3395
- 1744-411X
- OpenAlex
- W2163254754
- Semantic Scholar
- 249861f2f06d32f1a763a5afb883bad83639a164
- Cited by
- 1,225
- References
- 37
- Citations by year
- 2026: 15 · 2025: 35 · 2024: 30 · 2023: 31 · 2022: 44 · 2021: 52 · 2020: 65 · 2019: 75 · 2018: 62 · 2017: 79 · 2016: 75 · 2015: 98 · 2014: 84 · 2013: 91 · 2012: 90
- FWCI
- 8.41
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Clinical and Experimental Neuropsychology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Cognitive Abilities and Testing
- Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Developmental and Educational Neuropsychology
- Keywords
- working memory training, attention deficit hyperactivity disorder, children, adaptive training, transfer of training, visuospatial working memory, Raven's Progressive Matrices, nonverbal reasoning, prefrontal cortex, motor activity, head movement
- MeSH terms
- Adolescent, Adult, Attention Deficit Disorder with Hyperactivity, Child, Cognition, Double-Blind Method, Female, Humans, Male, Memory, Neuropsychological Tests, Task Performance and Analysis, Treatment Outcome
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