has developed a computerized
training program to improve
working memory, which is a frequent problem for children and adults
with ADHD. Research has shown that Cogmed's program can enhance
working memory, and that improvements in working memory are associated
with reductions in attention and learning problems. You can learn
more at
Clinicians interested
in learning about the
benefits of
incorporating working memory training into their practice are invited
to
.
Disclosure
- Attention Research Update receives financial support from Cogmed, a
company that is introducing Working Memory Training through a network
of professionals. The financial support provided by Cogmed has the
potential to bias my review of studies that examine Working Memory
Training and it is important that readers are aware of this. Rather
than not reviewing this study, which I believe represents important
work for subscribers to be aware of, I have chosen to include this
article in Attention Research Update and make sure that my financial
relationship with Cogmed is clear. Of course, I have also tried to
review the study as objectively as I can.
Fluid intelligence (Gf) is "...a complex
human ability that allows us to adapt our thinking to a new cognitive
problem or situation." It is critical for a wide variety of
cognitive tasks and one of the most important factors in
learning. Fluid intelligence is highly heritable, i.e.,
determined in significant ways by genetic factors, and does not
typically increase with education. It is generally regarded as a
relatively fixed capacity of individuals that cannot be meaningfully
enhanced.
A study published last year in The Proceedings of the National Academy
of Sciences challenges this view, however, by providing strong initial
evidence that fluid intelligence can be improved with working memory
training [Jaeggi, et. al., (2008). Improving fluid intelligence with
training on working memory. The question examined was whether
intensive working memory training of working memory would produce gains
in fluid intelligence. The theoretical underpinning of this
possibility is the idea that fluid IQ and working memory share a common
capacity constraint, i.e., the number of elements that can be retained
in working memory and the number of elements that can be simultaneously
considered during an abstract reasoning task. In addition to this
theoretical bridge between working memory and fluid intelligence,
recent work suggests that the two abilities rely on similar neural
circuits. Thus, training WM could conceivably transfer to gains
in fluid intelligence.
To test this hypothesis, 70 healthy young adults attending the
University of Bern in Switzerland (mean age 25.6 years) were randomly
assigned to a control condition or one of four WM training
conditions. Control participants engaged in no training activity;
those in the WM training groups received training that lasted 8, 12,
17, or 19 days.
Fluid IQ was measured before and after training; the post-test
assessment occurred within 2 days of the final training session.
The time interval between fluid IQ assessments for control participants
was comparable to that of training participants. Standardized
assessments of fluid IQ - the Ravens Advanced Progressive Matrices and
the BOMAT, which is a more difficult variant of the RAVENS - were used
to measure fluid IQ. In these tests, each problem presents a
matrix of patterns from which one pattern is missing. Subjects
are required to select the missing pattern from a set of
alternatives. Thus, the test is measuring non-verbal reasoning
ability.
- Working
Memory Training -
The WM training task employed was complex and I will do my best to
explain it clearly. Squares that would appear at one of eight
different locations on a computer screen were presented sequentially at
a rate of 3 per second. Each stimulus appeared for 2500
milliseconds with 500 milliseconds in between.
At the time each square was presented, subjects heard one of eight
consonants that were read through headphones. The task was to
decide on each trial whether the square location and consonant
presented matched those presented a fixed number of trials
earlier.
In the easiest condition, called the one-back condition, the subject
had to indicate whether the consonant and square location matched the
consonant and location that came right before it. If the
consonant matched they would hit one key and if the location matched
they hit another key. In the two-back condition, they had to
decide whether the consonant and location matched those that were
presented two trials earlier.
Thus, to respond correctly, subjects had to retain both auditory and
visual spatial information in working memory. This is referred to
as an 'n-back' task where n represents the number of prior
presentations in the sequence that subjects compare new presentations
to. The farther back they have to go, i.e., the higher n, the
more difficult the task.
Each training session consisted of 20 blocks of 20 trials (400 trials
total) and took about 20 minutes to complete. After each block,
subjects' performance was analyzed and 'n' either increased, decreased,
or stayed the same depending on how well the subject
performed. Thus, the difficulty level for each block of
trials was adjusted to match the subject's most recent level of
performance.
As you can imagine, this is an extremely challenging task that requires
both intense focus and excellent working memory capacity to do well
at. Working memory is evoked because subjects have to retain each
location and consonant pair in mind so they can be compared to the new
stimuli presented.
- Results -
- Gains in Working Memory -
The first outcome examined was whether participants' working memory
capacity increased with training. This was computed by plotting
the average level of 'n' achieved during each training session.
Because 'n' represents the number of presentations 'back' that subjects
have to match, increases in 'n' reflect increased working memory
capacity.
All four training groups showed gains in working memory capacity.
The average 'n' at the start of training increased steadily over
training sessions. For the group that trained 19 days, the
average 'n' on the final day had increased to roughly 5. The
slope of the increase was comparable in all 4 groups and there was no
indication that gains had leveled off by the end of training.
Thus, if training had persisted additional gains in WM capacity may
have been made.
- Gains in Fluid Intelligence
-
The above results demonstrate that participants improved on the task
they trained on. Gains on trained tasks are not difficult to
demonstrate and the key question is whether training led to gains on
the test of fluid intelligence. As is hopefully clear from the
above description, the test used to assess fluid IQ bears little
similarity to the task used for WM training, so getting better on the
WM training task would not automatically result in better scores on the
fluid IQ assessment.
Although fluid IQ test performance was identical for training and
control participants at baseline, follow-up testing indicated
significantly higher scores for trained participants. In
addition, gains in fluid IQ showed a linear relationship to training
days, such that subjects who trained for more days tended to make
greater gains on the fluid IQ test. Furthermore, although fluid
IQ improved more for participants whose scores were lower to begin
with, improvements were found across the full range of initial ability.
- Summary and
Implications -
Results from this study provide compelling evidence that intensive
training of working memory can improve fluid IQ. Thus, an
extremely important cognitive ability that was previously believed to
be fixed (as, by the way, working memory was also thought to be) can be
increased with training. It is easy to imagine that this finding may
have important educational implications.
While these are exciting results, additional research is required to
better understand the practical applications of these findings.
First, it will be necessary to determine how long the gains in fluid IQ
persist, as no long-term follow up was conducted in this study.
Second, although the fluid IQ measure used in this study is known to
have important real world correlates, it will be important to
demonstrate that the benefits of WM training transfer not just to tests
of fluid IQ, but also to meaningful real world outcomes, e.g., school
performance. In that regard, see a recent study of Cogmed Working
Memory Training that was associated with long-term gains in mathematics
reasoning - http://www.helpforadd.com/2009/april.htm
Third, it is possible that the external validity of fluid IQ
assessments, i.e., the aspects of real-world functioning that such
tests predict, may change when scores have been influenced by WM
training. For example, imagine two children with fluid IQ scores of
120, which is well above average. One child obtains that score
naturally, i.e., without training, and the other child obtains that
score after training has led to a 15-point improvement. In this
case, would the two children truly have equal capability to succeed at
academic tasks that depend on fluid IQ? This seems likely but
remains an open question until empirically demonstrated.
Fourth, the control group in this study received no training of any
kind. A stronger design would be one where control participants
received training on some other task that was not related to either WM
or fluid IQ. This would help document that it is WM training
specifically, and not spending time on any cognitive demanding task,
that is necessary to improve fluid IQ.
Fifth, participants were all Swedish college students and replicating
these findings with a more diverse group of participants is
essential.
It is likely that this impressive initial demonstration will stimulate
further studies to address these issues, as well as others. In
the meantime, however, the authors have already made a significant
contribution to the literature on cognitive training and intelligence,
as their findings modify existing notions of fluid intelligence as a
relatively fixed and immutable trait.