The effect of cognitive rehabilitation on executive functions (decision-making, flexibility, emotion control) in children with attention deficit hyperactivity disorder

Document Type : Research Paper

Authors

1 Department of Health Psychology, Khorramshahr International Branch, Islamic Azad University, Khorramshahr, Iran.

2 Department of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran. (Corresponding Author)

3 Department of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran.

Abstract

Introduction: Attention Deficit / Hyperactivity Disorder (ADHD) is a developmental neurological disorder that is described by three main characteristics: Attention Deficit / Hyperactivity Disorder and Impulsivity. The symptoms often create impairments in one or more major areas of the person’s life, especially in those cognitive areas that require levels of attention and concentration ، decision making and flexibility. The purpose of this study was to investigate the effects of cognitive rehabilitation on executive functions (decision making, flexibility, emotion control) in children with ADHD.
Methods: The present study is a semi experimental study, designed with pre-test / post-test clinical trial and a control group. It was diagnosed and matched with the Raven Intelligence Test using the CSI-4 Diagnostic Test and selected by purposive sampling. Sample was randomly divided into the experimental and control groups. Children in the Experimental group were given 10 one hourly sessions of rehabilitation program each week .Response inhibition was measured using Wisconsin and Planned with Bariff test.
Results: Pre and Post test scores were significantly different in measures of executive functions (both decision making, flexibility, emotion control) in children with ADHD (P <0/001).
Conclusion: Training on cognitive rehabilitation appears to be effective in improving the executive functions (decision making, flexibility, emotional) of children with ADHD and can be offered as an appropriate replacement against the effects of psycho stimulants medications.

Keywords


1. Kaplan, H., & Saduk, B.. Summary psychiatry. Volume III. Translator. Nusratullah Pvrafkary. (2006); Tehran: Water
city. [Persian].
2. A.D.A.M «Attention deficit hyperactivity disorder (ADHD)».. Medical Encyclopedia
3. Shahbazi, M .What is Cognitive Ability? Quarterly Journal of Education and Information children. Journal of
Developmental Medicine & Child Neurology.(2011); 44(11), 753-760. [In Persian]
4. Moradi A, Mohammad Alizadeh Charandabi S, Asadollahi M, Alaei V, Fakhari A .Symptoms of Attention Deficit
Hyperactivity Disorder in School-Based Children According to Parents and Teachers in Kindergartens. .(2005);
Volume 12, Number 57; From page 47 to page 54. [In Persian]
5. Ghamari Givi Hossin. Comparison of executive functions in children with attention deficit hyperactivity disorder,
learning disabilities and normal children. (2009); Volume 11, Number 44 - Serial Number 44,p322. [In Persian]
6. Bashi Abdolabadi Hossin. The effect of cognitive rehabilitation on cognitive functions, memory, depression and
anxiety in patients with multiple Sclerosis.(2016); Department of Psychology, Torbat-e Jam Branch, Islamic Azad
University, Torbat-e Jam, Iran, Volume 4, Number 3, Summer . [In Persian]
7. CARF is an independent nonprofit dedicated to ensuring that various areas of healthcare treatment meet lofty
standards". American Addiction Centers. Retrieved .2020-11-21
8. Salman ,M, Alizadeh,N,Zarei, M, et al. Formal validity and reliability of the Persian version of the Behavioral
Assessment Questionnaire for executive functions in children aged 6 to 11 years with Attention Deficit /
Hyperactivity Disorder. ( 2016);Journal of Disability Studies, 306-299.[In Persian].
9. Alizadeh, Hamid , Relationship between neurological executive functions and developmental disorders. (2006);
Cognitive Science Updates, 8 (4), 70-57
10. Abdollahi-Pourforouzan et al. Preparation of Persian version of "Executive Functional Behavior Assessment
Questionnaire - Preschool Version" and review of its apparent validity and content of Rehabilitation Journal of
Spring. 2016; Volume 17. number 1. [In Persian]
11. Janeh Mozhdeh, Ebrahimi Ghavam Soghari et al.A Study of the Executive Functions of Reasoning, PlanningOrganizing and Working Memory in Students with and without Mathematical Disorders .2012;in Primary School of
Tehran Province, Second Journal of Psychology.[In Persian]
12. Najmi, Badruddin (2007) Psychological Neural Quality of Attention Deficit Hyperactivity Disorder, Journal of
Behavioral Sciences Research, Volume 5, Number 1
13. Nejati V.. Cognitive Abilities Questionnaire: Development and Evaluation of Psychometric Properties. Advances in
Cognitive Science. (2013); 15(2), 11-18. [In Persian]
14. Jahanbakhshi Z, khoshkonesh A, khasmohamadi M, keshavarz afshar A. The Effectiveness of occupational
Perpetrating Program with Group Method on making decision styles Female Students. (2012); Quarterly Journal of
Career & Organizational Counseling, 4(12), 50-65. [In Persian]
15. Abbasi M, Pirani Z, Dargahi Sh. The relationship between cognitive impairment and emotional insufficiency by
delaying decision making in students. Iranian Journal of Medical Education. . (2014). 14(10), 905-915. [In Persian]
16. Barkley RA. Behavioral inhibition, sustained attention, and executive functions: Constructing a unifying theory of
ADHD. Psychological Bulletin. 1997; 121(1): 65-94.
17. Vasilescu Cezar. Effective strategic decision making. Journal of Defense Resources Management. (2011). 1, 101-
106
18. Najian Asal. The effectiveness of movement-based cognitive rehabilitation on improving the cognitive abilities of
children with attention deficit / hyperactivity disorder, Shahid Beheshti University, Campus, Faculty of Educational
Sciences and Psychology.(2015 );Thesis.[In Persian].
19. Ramadan Nia Zahr. Effect of Pars Rehabilitation on Executive Functions of Children with Attention Deficit
Hyperactivity Disorder. 2014; Shahid Beheshti University School of Education and Psychology, Thesis. [In Persian].
20. Javanmard Ghulam Hussain, Alilou Majid Mahmoud, Ahmadi Parichehr. Performance of Schizophrenic Patients
with Positive and Negative Symptoms on Bandar Gestalt Neuropsychological Test and Its Correlation with
Performance on Wisconsin Card Classification Test (WCST) Volume 3, Number 10, Summer 2008; p. 41-59. [In
Persian]
21. Nodehei Khadijeh, Sarami Gholamreza. The Relationship between Executive Functions and Working Memory
Capacity with Students' Reading Performance: The Role of Age, Gender and Intelligence, Cognitive Psychology
Quarterly .2016;Volume 4, Number 3, Fall. [In Persian]
22. Arjmandpour Mina. The effect of rehabilitation on improving high-risk decisions Shahid Beheshti
University.Thesis.2016; [In Persian]
23.Levine Mel . The realization and utilization of organization . All kinds of minds. Masterson, j.evans, Julie. lea, Helen
. aloia , mark . (2008) . verbal analogical reasoning in children with language – learning disabilities; ASHA .
www.elsevier.com