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Keren A, Fisher O, Hamde A, Tsafrir S, Ratzon NZ. Reducing Driving Risk Factors in Adolescents with Attention Deficit Hyperactivity Disorder (ADHD): Insights from EEG and Eye-Tracking Analysis. SENSORS (BASEL, SWITZERLAND) 2024; 24:3319. [PMID: 38894111 PMCID: PMC11174634 DOI: 10.3390/s24113319] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/24/2024] [Revised: 05/13/2024] [Accepted: 05/20/2024] [Indexed: 06/21/2024]
Abstract
Adolescents with attention deficit hyperactivity disorder (ADHD) face significant driving challenges due to deficits in attention and executive functioning, elevating their road risks. Previous interventions targeting driving safety among this cohort have typically addressed isolated aspects (e.g., cognitive or behavioral factors) or relied on uniform solutions. However, these approaches often overlook this population's diverse needs. This study introduces the "Drive-Fun" innovative intervention (DFI), aimed at enhancing driving skills among this vulnerable population. The intervention was tested in a pilot study including 30 adolescents aged 15-18, comparing three groups: DFI, an educational intervention, and a control group with no treatment. Assessments included a driving simulator, EEG, and Tobii Pro Glasses 2. Evaluation was conducted pre- and post-intervention and at a 3-month follow-up. Results indicated that the DFI group significantly improved in the simulated driving performance, attentional effort, and focused gaze time. The findings underscore that holistic strategies with personalized, comprehensive approaches for adolescents with ADHD are particularly effective in improving driving performance. These outcomes not only affirm the feasibility of the DFI but also highlight the critical role of sensor technologies in accurately measuring and enhancing simulator driving performance in adolescents with ADHD. Outcomes suggest a promising direction for future research and application.
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Affiliation(s)
- Anat Keren
- Department of Occupational Therapy, Tel Aviv University, Tel Aviv 6997801, Israel; (A.K.); (O.F.); (A.H.)
| | - Orit Fisher
- Department of Occupational Therapy, Tel Aviv University, Tel Aviv 6997801, Israel; (A.K.); (O.F.); (A.H.)
| | - Anwar Hamde
- Department of Occupational Therapy, Tel Aviv University, Tel Aviv 6997801, Israel; (A.K.); (O.F.); (A.H.)
| | - Shlomit Tsafrir
- The Child and Adolescent Psychiatry Division, Edmond and Lily Safra Children’s Hospital, Sheba Medical Center, Tel Hashomer, Ramat Gan 5262000, Israel;
- The Faculty of Medicine & Health Professions, Tel Aviv University, Tel Aviv 6997801, Israel
| | - Navah Z. Ratzon
- Department of Occupational Therapy, Tel Aviv University, Tel Aviv 6997801, Israel; (A.K.); (O.F.); (A.H.)
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Effects of Physical Activity Level on Attentional Networks in Young Adults. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19095374. [PMID: 35564768 PMCID: PMC9105944 DOI: 10.3390/ijerph19095374] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/05/2022] [Revised: 04/26/2022] [Accepted: 04/27/2022] [Indexed: 02/05/2023]
Abstract
Although physical activity is associated with better attentional functioning in elderly populations or in specific clinical populations, the association between physical activity level and attention has been less studied in young adult populations. Thus, the purpose of this study was to investigate whether the positive effects of physical activity on attentional networks extend to young adults. In total, 57 college students were recruited and assigned to one of three groups of physical activity levels (high, moderate, and low) based on their self-reported exercise. Each participant completed the Attention Network Test to evaluate the efficiency of three components of attention: alerting, orienting, and executive control. Compared with the low physical activity group, both the high and moderate physical activity groups exhibited better executive control. In addition, the efficiency of the executive control network was positively correlated with physical activity. By contrast, no statistically significant differences were detected among these three groups for the functioning of the alerting or orienting networks. These findings suggested that physical activity had a positive effect on attention in young adults, with the benefit primarily observed for the executive control component rather than for the alerting and orienting components of attention.
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Coll-Martín T, Carretero-Dios H, Lupiáñez J. Attentional networks, vigilance, and distraction as a function of attention-deficit/hyperactivity disorder symptoms in an adult community sample. Br J Psychol 2021; 112:1053-1079. [PMID: 34089269 DOI: 10.1111/bjop.12513] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2020] [Revised: 05/09/2021] [Indexed: 01/29/2023]
Abstract
Attentional difficulties are a core axis in attention-deficit/hyperactivity disorder (ADHD). However, establishing a consistent and detailed pattern of these neurocognitive alterations has not been an easy endeavour. Based on a dimensional approach to ADHD, the present study aims at comprehensively characterizing three key attentional domains: the three attentional networks (alerting, orienting, and executive attention), two components of vigilance (executive and arousal vigilance), and distraction. To do so, we modified a single, fine-grained task (the ANTI-Vea) by adding irrelevant distractors. One hundred and twenty undergraduates completed three self-reports of ADHD symptoms in childhood and adulthood and performed the ANTI-Vea. Despite the low reliability of some ANTI-Vea indexes, the task worked successfully. While ADHD symptoms in childhood were related to alerting network and arousal vigilance, symptoms in adulthood were linked to executive vigilance. No association between ADHD symptom severity and executive attention and distraction was found. In general, our hypotheses about the relationships between ADHD symptoms and attentional processes were partially supported. We discuss our findings according to ADHD theories and attention measurement.
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Affiliation(s)
- Tao Coll-Martín
- Mind, Brain, and Behavior Research Center (CIMCYC), University of Granada, Spain.,Department of Behavioral Sciences Methodology, University of Granada, Spain
| | - Hugo Carretero-Dios
- Mind, Brain, and Behavior Research Center (CIMCYC), University of Granada, Spain.,Department of Behavioral Sciences Methodology, University of Granada, Spain
| | - Juan Lupiáñez
- Mind, Brain, and Behavior Research Center (CIMCYC), University of Granada, Spain.,Department of Experimental Psychology, University of Granada, Spain
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Abdoli N, Farnia V, Alikhani M, Sadeghi-Bahmani D, Dürsteler KM, Esmaeili M, Brühl A, Brand S. Validation and Psychometric Properties of the Persian Version of the 21-Item Game Addiction Scale With a Sample of Adolescents and Young Adults. Front Psychiatry 2021; 12:649276. [PMID: 34108895 PMCID: PMC8180588 DOI: 10.3389/fpsyt.2021.649276] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/04/2021] [Accepted: 04/13/2021] [Indexed: 01/07/2023] Open
Abstract
Background: Excessive gaming has become a psychological health issue for both gamers and their social environments. This observation holds true for western but also non-western countries such as Iran. The aim of the present study was to translate and validate a Persian version of the Game Addiction Scale 21 (GAS 21) using a sample of adolescents and adults. Methods: A total of 412 participants (mean age: 22.16 years; 55.3% females) took part in the study. They completed questionnaires covering sociodemographic information and gaming-related information, as well as the Persian version of the GAS 21, the GAS 7, the Internet Addiction Test, and the Generalized Self-Efficacy Scale. Results: Of the initial 21 items of the Persian version of the GAS 21, five proved redundant and were eliminated. Factors analyses yielded four factors explaining 66.35% of the variance: 1. Withdrawal; 2. Feelings of guilt and addiction; 3. Mood modification; 4. Issues of time budget. Cronbach's alphas were satisfactory (alphas > 0.87). To validate the results, scores on the translated version were compared with the well-established Young Internet Addiction test. Factors correlated positively (rs between 0.21 and 0.31) with overall score on this latter test but, against expectations, positively with the generalized self-efficacy scale. Conclusions: A Persian version of the Game Addiction Scale-21 proved to be a useful tool for assessing the risk of game addiction behavior. Further, the solution with 16 items loading on four factors appears respond to the ecological need of parsimony.
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Affiliation(s)
- Nasrin Abdoli
- Substance Abuse Prevention Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Vahid Farnia
- Substance Abuse Prevention Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Mostafa Alikhani
- Substance Abuse Prevention Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Dena Sadeghi-Bahmani
- Substance Abuse Prevention Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran.,Sleep Disorders Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran.,Center for Affective, Stress and Sleep Disorders Zentrum fär Affektive-, Stress- und Schlafstörungen (ZASS), University of Basel, Psychiatric Clinics Universitäre Psychiatrische Kliniken (UPK), Basel, Switzerland.,Departments of Physical Therapy, University of Alabama at Birmingham, Birmingham, AL, United States
| | - Kenneth M Dürsteler
- Division of Substance Use Disorders Basel, University of Basel, Psychiatric Clinics, Basel, Switzerland
| | - Maryam Esmaeili
- Department of Psychology, Faculty of Education, University of Isfahan, Isfahan, Iran
| | - Annette Brühl
- Center for Affective, Stress and Sleep Disorders Zentrum fär Affektive-, Stress- und Schlafstörungen (ZASS), University of Basel, Psychiatric Clinics Universitäre Psychiatrische Kliniken (UPK), Basel, Switzerland
| | - Serge Brand
- Substance Abuse Prevention Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran.,Sleep Disorders Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran.,Center for Affective, Stress and Sleep Disorders Zentrum fär Affektive-, Stress- und Schlafstörungen (ZASS), University of Basel, Psychiatric Clinics Universitäre Psychiatrische Kliniken (UPK), Basel, Switzerland.,Division of Sport Science and Psychosocial Health, Department of Sport, Exercise, and Health, University of Basel, Basel, Switzerland.,School of Medicine, Tehran University of Medical Sciences (TUMS), Tehran, Iran
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Román-Mata SS, Zurita-Ortega F, Puertas-Molero P, Badicu G, González-Valero G. A Predictive Study of Resilience and Its Relationship with Academic and Work Dimensions during the COVID-19 Pandemic. J Clin Med 2020; 9:E3258. [PMID: 33053785 PMCID: PMC7601764 DOI: 10.3390/jcm9103258] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2020] [Revised: 10/02/2020] [Accepted: 10/08/2020] [Indexed: 02/07/2023] Open
Abstract
BACKGROUND The aim of the present study was to describe the resilience levels in a Spanish population during the Coronavirus (COVID-19) pandemic and to analyze the existing associations between high resilience and socio-demographic, work, and academic parameters. METHOD 1176 individuals aged 18-67 years participated in a descriptive cross-sectional study. The participants were administered the 10-item resilience scale developed by Connor-Davidson (CD-RISC-10) and an ad-hoc questionnaire that collected information on socio-demographic, work, and academic variables. Basic descriptive data were used to statistically analyze the data, and a binary logistic regression model was developed incorporating the professional occupation, academic level, whether the respondent worked in emergency services, and whether the respondent had dependents. RESULTS Slightly more than a quarter of the participants showed low resilience, almost half reported moderate resilience, and slightly more than a quarter had high resilience. Those who were employed were 2.16-times more likely to have high resilience, whilst those with higher education were 1.57-times more likely. Those working in emergency services were 1.66-times more likely, and those with dependents were 1.58-times more likely to have high resilience. CONCLUSION In addition to the relationships found, a need to improve the resilience levels in the population was found.
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Affiliation(s)
- Silvia San Román-Mata
- Nursing Department, University of Granada (Spain), Campus Universitario de Melilla, Calle Santander 1, 52005 Melilla, Spain;
| | - Félix Zurita-Ortega
- Department of Didactics of Musical, Plastic and Corporal Expression, University of Granada (Spain), Campus de Cartuja, s/n, 18071 Granada, Spain; (F.Z.-O.); (P.P.-M.); (G.G.-V.)
| | - Pilar Puertas-Molero
- Department of Didactics of Musical, Plastic and Corporal Expression, University of Granada (Spain), Campus de Cartuja, s/n, 18071 Granada, Spain; (F.Z.-O.); (P.P.-M.); (G.G.-V.)
| | - Georgian Badicu
- Department of Physical Education and Special Motricity, Faculty of Physical Education and Mountain Sports, Transilvania University of Brașov, 500068 Brașov, Romania
| | - Gabriel González-Valero
- Department of Didactics of Musical, Plastic and Corporal Expression, University of Granada (Spain), Campus de Cartuja, s/n, 18071 Granada, Spain; (F.Z.-O.); (P.P.-M.); (G.G.-V.)
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