DOI: 10.14704/nq.2017.15.2.1071

Behavioral Inhibition Improvement Through an Emotional Working Memory (EWM) Training Intervention in Children with Attention Deficit/Hyperactivity Disorder

Xiaoxu WEI, Xiaoxiang CHEN, Li HE, Liqun LIU


The study was undertaken to examine the effects of a short-term Emotional Working Memory (EWM) training program on executive reaction of time and executive functions. The sample of 20 children with Attention Deficit/Hyperactivity Disorder (ADHD) was randomly assigned to a EWM training (n = 11) and an active control group (n = 9). Our study hypothesized that an increase in ADHD inattention and ADHD impulsive during the first weeks of the referral would lead to weak executive functions in the control group, but not in the EWM training group, due to the EWM intervention. The results revealed the beneficial effects of executive functions in the EWM group, but not in the control group. According to our data, executive reaction ability of time increased in the EWM training group but remained unchanged in the control group. Even a rather short intervention of 1.5h can protect children with ADHD from weak executive functions at the beginning of the referral.


Emotional Working Memory (EWM); training program; behavioral inhibition; ADHD inattention; ADHD impulsive

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Alloway TP, Gathercole SE, Pickering SJ. Verbal and visuospatial short‐term and working memory in children: Are they separable? Child Development 2006; 77(6): 1698-716.

Best JR, Miller PH. A developmental perspective on executive function. Child Development 2010; 81(6): 1641-60.

Bannon S, Gonsalvez CJ, Croft RJ, Boyce PM. Response inhibition deficits in obsessive–compulsive disorder. Psychiatry Research 2002; 110(2): 165-74.

Barkley RA. Behavioral inhibition, sustained attention, and executive functions: constructing a unifying theory of ADHD. Psychological Bulletin 1997; 121(1): 65-94.

Barkley RA. Hyperactive children: A handbook for diagnosis and treatment. New York: Guilford press; 1981.

Barkley RA. ADHD and the nature of self-control. New York: Guilford Press; 1997.

Barkley R. Attention deficit hyperactiv disorder-A handbook for diagnosis and treatment. New York: Guilford Press; 1998.

Barkley RA. Adolescents with attention-deficit/hyperactivity disorder: An overview of empirically based treatments. Journal of Psychiatric Practice 2004; 10(1): 39-56.

Barkley RA, Biederman J. Toward a broader definition of the age-of-onset criterion for attention-deficit hyperactivity disorder. Journal of the American Academy of Child & Adolescent Psychiatry 1997; 36(9): 1204-10.

Carlson SM. Developmentally sensitive measures of executive function in preschool children. Developmental Neuropsychology 2005; 28(2): 595-616.

Chamberlain SR, Menzies L, Hampshire A, Suckling J, Fineberg NA, del Campo N, Aitken M, Craig K, Owen AM, Bullmore ET, Robbins TW. Orbitofrontal dysfunction in patients with obsessive-compulsive disorder and their unaffected relatives. Science 2008; 321(5887): 421-22.

Denckla MB, Rudel RG. Anomalies of motor development in hyperactive boys. Annals of Neurology 1978; 3(3): 231-33.

Fowles DC. Psychophysiology and psychopathology: A motivational approach. Psychophysiology 1988; 25(4): 373-91.

Fuster JM. The prefrontal cortex. New York: Raven; 1989.

Ge S, Liu Z, Li R, Furuta Y, Peng W. Desulphurization characteristics of bamboo charcoal from sulfur solution. Saudi Journal of Biological Sciences 2017; 24(1): 127-31.

Joormann J, Levens SM, Gotlib IH. Sticky thoughts: depression and rumination are associated with difficulties manipulating emotional material in working memory. Psychological Science 2011; 22(8): 979-83.

Kalff AC, De Sonneville LM, Hurks PP, Hendriksen JG, Kroes M, Feron FJ, Steyaert J, Van Zeben TM, Vles JS, Jolles J. Low‐and high‐level controlled processing in executive motor control tasks in 5–6‐year‐old children at risk of ADHD. Journal of Child Psychology and Psychiatry 2003; 44(7): 1049-57.

Leen-Feldner EW, Zvolensky MJ, Feldner MT, Lejuez CW. Behavioral inhibition: Relation to negative emotion regulation and reactivity. Personality and Individual Differences 2004; 36(6): 1235-47.

Li T, Li Q, Gong H, Chen ZF, Peng XW. Treatment with glial derived neurotropic factor (GDNF) attenuates oxidative damages of spinal injury in rat model. Saudi Pharmaceutical Journal 2016; 24(3): 348-53.

Li Y, Xu Y, Chen Z. Effects of the behavioral inhibition system (BIS), behavioral activation system (BAS), and emotion regulation on depression: A one-year follow-up study in Chinese adolescents. Psychiatry Research 2015; 230(2): 287-93.

Li W, Zhang W, Xiao L, Nie J. The association of Internet addiction symptoms with impulsiveness, loneliness, novelty seeking and behavioral inhibition system among adults with attention-deficit/hyperactivity disorder (ADHD). Psychiatry Research 2016; 243: 357-64.

Li Y, Zhang Y, Jiang Y, Li H, Mi S, Yi G, Gu H, Jiang Y. The Chinese version of the BIS/BAS scale: reliability and validity. Chinese Mental Health Journal 2008; 22: 613-16.

Maccoby EE. Social development: Psychological growth and the parent-child relationship. New York: Harcourt Brace Jovanovich; 1980.

Morrison AB, Chein JM. Does working memory training work? The promise and challenges of enhancing cognition by training working memory. Psychonomic Bulletin & Review 2011; 18(1): 46-60.

Pinto-Meza A, Caseras X, Soler J, Puigdemont D, Pérez V, Torrubia R. Behavioural inhibition and behavioural activation systems in current and recovered major depression participants. Personality and Individual Differences 2006; 40(2): 215-26.

Raggio DJ. Visuomotor perception in children with attention deficit hyperactivity disorder-combined type. Perceptual and Motor Skills 1999; 88(2): 448-50.

Rapport MD, Orban SA, Kofler MJ, Friedman LM. Do programs designed to train working memory, other executive functions, and attention benefit children with ADHD? A meta-analytic review of cognitive, academic, and behavioral outcomes. Clinical Psychology Review 2013; 33(8): 1237-52.

Rienties B, Beausaert S, Grohnert T, Niemantsverdriet S, Kommers P. Understanding academic performance of international students: the role of ethnicity, academic and social integration. Higher Education 2012; 63(6): 685-700.

Rubia K, Smith AB, Brammer MJ, Toone B, Taylor E. Abnormal brain activation during inhibition and error detection in medication-naive adolescents with ADHD. American Journal of Psychiatry 2005; 162(6): 1067-75.

Schmeichel BJ, Volokhov RN, Demaree HA. Working memory capacity and the self-regulation of emotional expression and experience. Journal of Personality and Social Psychology 2008; 95(6): 1526-40.

Schweizer S, Dalgleish T. Emotional working memory capacity in posttraumatic stress disorder (PTSD). Behaviour Research and Therapy 2011; 49(8): 498-504.

Schweizer S, Grahn J, Hampshire A, Mobbs D, Dalgleish T. Training the emotional brain: improving affective control through emotional working memory training. Journal of Neuroscience 2013; 33(12): 5301-11.

Swanson JM, Schuck S, Porter MM, Carlson C, Hartman CA, Sergeant JA, Clevenger W, Wasdell M, McCleary R, Lakes K, Wigal T. Categorical and Dimensional Definitions and Evaluations of Symptoms of ADHD: History of the SNAP and the SWAN Rating Scales. The International Journal of Educational and Psychological Assessment 2012; 10(1): 51-70.

McCabe DP, Roediger III HL, McDaniel MA, Balota DA, Hambrick DZ. The relationship between working memory capacity and executive functioning: evidence for a common executive attention construct. Neuropsychology 2010; 24(2): 222-43.

Traverso L, Mantini C, Usai MC, Viterbori P. The Relationship Between Inhibition and Working Memory In Preschoolers: Evidence For Different Inhibitory Abilities. InEAPCogSci 2015.

Verbruggen F, Logan GD. Response inhibition in the stop-signal paradigm. Trends in Cognitive Sciences 2008; 12(11): 418-24.

Wang T, Miao M, Li Y, Li M, Zhang Y, Tian S. Effect of cynomorium flavonoids on morphology of perimenopausal depression mice model. Saudi Pharmaceutical Journal 2016; 24(3): 322-28.

Wardell JD, Read JP, Colder CR. The role of behavioral inhibition and behavioral approach systems in the associations between mood and alcohol consequences in college: A longitudinal multilevel analysis. Addictive Behaviors 2013; 38(11): 2772-81.

Wodka EL, Mark Mahone E, Blankner JG, Gidley Larson JC, Fotedar S, Denckla MB, Mostofsky SH. Evidence that response inhibition is a primary deficit in ADHD. Journal of Clinical and Experimental Neuropsychology 2007; 29(4): 345-56.

Wright A, Diamond A. An effect of inhibitory load in children while keeping working memory load constant. Frontiers in Psychology 2014; 5: 1-9.

Supporting Agencies

This research was financially supported by National Social Science Fund of China (Grant No.14BYY144).

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