Effect of Spaced Training in ADHD: Study on SHR Population

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Spaced Training in the
5CSRTT Proves Beneficial
in Early Levels For SHRs
Rebecca Warren
Abstract
ADHD is a neurodevelopmental disorder that typically leads to
lower academic performance. Spaced training involves studying
over short periods for multiple days rather than multiple hours
in one day, or massed training. Yet no study has performed
spacing in an ADHD population. Using a rat model of ADHD,
known as the SHR strain, the present study assessed how
spacing training from 90-trials a day to 45-trials a day in the
5CSRTT would improve performance abilities. It was found that
spacing was beneficial during earlier levels of 5CSRTT training,
that required less focused attention. In addition, during the
earliest level of training, males in the spaced condition
benefited more than females, closing the previously reported
sex gap. These findings imply that by spacing training, the SHRs
demonstrate a significant improvement in some training levels
of the 5CSRTT.  Future studies should assess spacing academic
work and attentiveness training in children with ADHD.
Why this
topic?
Introduction: What is ADHD
Introduction: What is Spaced
Training
Massed training involves training continuously without
significant rest while spaced training involves rest between
training intervals
For example, studying for multiple hours in one day is
massed training and studying for one hour a day for multiple
days is spaced training
Spacing has been proven to improve academic performance
and memory in both neurotypical and non-neurotypical
populations
Spacing out attention on tasks has been little studied
There has been little research on spacing in either SHRs or
children with ADHD.
Introduction: What
is the 5CSRTT
The 5-Choice Serial Reaction Time Task is an
attentiveness task given to rats
The rats are shown 5 slots and are taught that
when they poke their nose in a slot where the
lightbulb is on, they receive a reward
As levels increase, the lightbulb, and therefore the
time to respond, stays on for a shorter period
Therefore, the levels become more difficult as they
increase because more attention is required
Introduction: Hypotheses
The present study aimed to discover if spacing attentiveness training
affected ADHD symptoms including inattention, impulsivity, and
hyperactivity.
An overall improvement in performance on the 5CSRTT and an overall
decrease in hyperactivity was expected to be seen in both groups due
to the positive benefits cognitive training can lead to in humans with
ADHD
This decrease in inattention, impulsivity, and hyperactivity was
hypothesized to be more significant in the spaced condition because of
spacing’s well-known effect on memory and attention in both rodents
and humans
Moreover, males in the spaced condition were expected to experience a
larger improvement in their 5CSRTT attention scores than females in
the spaced condition.
Methods:
5CSRTT
.
 This table was adapted from
Asinof & Paine's (2014) paper
on the 5-Choice Serial
Reaction Time Task and was
modified to include spaced
training. The stimulus duration
(SD) indicates how long the
lightbulb was on in seconds.
The ITI or the intertrial interval
was the amount of time
between each trial. Limited
hold (LH) was the amount of
time the SHR had to respond.
Time out (TO) was the amount
of time the SHR had to wait
after giving an incorrect
response. SD, ITI, LH, and TO
were all recorded in seconds.
Methods
Premature responses and
percent correct
responses were recorded
Open field data was also
collected to measure for
hyperactivity in the SHR
This was recorded
after each training
session was
completed in the
5CSRTT
This figure is directly
taken from the Asinof &
Paine (2014) paper
RESULTS: SEX
DIFFERENCES
IN TR1
Results:
Spaced
Training
Beneficial
TR1 & TR3
For both TR1 and TR3, the spaced group made significantly
more percent correct responses
During TR3, the spaced group made significantly less
premature responses
The spaced group and massed group both improved
significantly over days of training, but the spaced group
improved significantly more
The effects seen in theses training levels were not seen in TR4
or TR5
Results: Carry-Over Effects
When comparing day four of TR1 to day one of TR3, the spaced group showed a significant increase in their percent
correct scores and a significant decrease in their premature responses while the massed group did not.
Spaced group remembered more from training during TR1 than massed group
When comparing day four of TR3 to day one of TR4, the spaced group showed almost a significant decrease in their
percent correct scores while the massed group did not.
Shows how difficult the transition into TR4 was and how the massed group may have depicted TR3 and TR4 as being equally difficult
When comparing day four of TR4 to day one of TR5, both groups showed a significant decrease in their percent correct
scores
For premature responses on day four of TR3 and day one of TR4, there was no significant difference in the spaced group
because they had already decreased by a lot and the massed group was catching up
Results: No
Decrease in
Activity in
Open Field
SHRs remained
hyperactive in the open
field despite training
Females were more
active than males in the
open field
Discussion:
Wrapping
It Up
Spacing was beneficial during 5CSRTT learning. Giving the
spaced group fewer trials to focus on in each session increased
their ability to pay attention and therefore improved their overall
score.
ADHD is a disorder that pervades many children’s academic
lives because of their difficulties with maintaining focus. If
spacing is instituted in school settings, an increase in academic
performance for children with ADHD could be observed.
Furthermore, if spacing is given during attentiveness training,
training that has been proven to reduce ADHD symptoms, there
is a high possibility the training could be more effective
Helping children with ADHD does not have to preferentially
involve giving medication, it can also circulate around changing
systems or practices that currently do not benefit those with
ADHD.
Future studies should consider spacing out the harder training
levels for longer to see if performance could improve
Future studies may also consider spacing trials for shorter
intervals to see if performance is effected
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Spaced training in the 5CSRTT proves beneficial for Spontaneously Hypertensive Rats (SHRs) in early levels, showing potential improvement in attention and performance abilities. The study explores the impact of spacing training sessions and highlights a significant improvement, especially in males during earlier training levels. Research on spacing in ADHD is limited, making this study crucial for understanding how spacing can enhance focus and reduce symptoms in individuals with ADHD.

  • Spaced training
  • ADHD
  • 5CSRTT
  • SHRs
  • Attention

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  1. Spaced Training in the 5CSRTT Proves Beneficial in Early Levels For SHRs Rebecca Warren

  2. ADHD is a neurodevelopmental disorder that typically leads to lower academic performance. Spaced training involves studying over short periods for multiple days rather than multiple hours in one day, or massed training. Yet no study has performed spacing in an ADHD population. Using a rat model of ADHD, known as the SHR strain, the present study assessed how spacing training from 90-trials a day to 45-trials a day in the 5CSRTT would improve performance abilities. It was found that spacing was beneficial during earlier levels of 5CSRTT training, that required less focused attention. In addition, during the earliest level of training, males in the spaced condition benefited more than females, closing the previously reported sex gap. These findings imply that by spacing training, the SHRs demonstrate a significant improvement in some training levels of the 5CSRTT. Future studies should assess spacing academic work and attentiveness training in children with ADHD. Abstract

  3. Research on spacing in ADHD is very limited Why this topic? Improving children s focus and limiting debilitating symptoms should be focused on from many angles. Not simply giving medication The 5CSRTT measures ADHD-like symptoms well and the SHR is a very good correlate to children with ADHD

  4. Introduction: What is ADHD Attention Deficit Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder characterized by inattention, impulsivity, and hyperactivity ADHD often leads to lower performance in academic settings Children with ADHD have altered brain function in areas like the frontal lobe that make it more difficult to focus Teaching studies have revealed that children with ADHD benefit from breaks in school Attentiveness training via cognitive video games have proved useful in limiting symptoms for children with ADHD The Spontaneously Hypertensive Rat (SHR) has proved to be a good comparison to children with ADHD

  5. Introduction: What is Spaced Training Massed training involves training continuously without significant rest while spaced training involves rest between training intervals For example, studying for multiple hours in one day is massed training and studying for one hour a day for multiple days is spaced training Spacing has been proven to improve academic performance and memory in both neurotypical and non-neurotypical populations Spacing out attention on tasks has been little studied There has been little research on spacing in either SHRs or children with ADHD.

  6. Introduction: What is the 5CSRTT The 5-Choice Serial Reaction Time Task is an attentiveness task given to rats The rats are shown 5 slots and are taught that when they poke their nose in a slot where the lightbulb is on, they receive a reward As levels increase, the lightbulb, and therefore the time to respond, stays on for a shorter period Therefore, the levels become more difficult as they increase because more attention is required

  7. Introduction: Hypotheses The present study aimed to discover if spacing attentiveness training affected ADHD symptoms including inattention, impulsivity, and hyperactivity. An overall improvement in performance on the 5CSRTT and an overall decrease in hyperactivity was expected to be seen in both groups due to the positive benefits cognitive training can lead to in humans with ADHD This decrease in inattention, impulsivity, and hyperactivity was hypothesized to be more significant in the spaced condition because of spacing s well-known effect on memory and attention in both rodents and humans Moreover, males in the spaced condition were expected to experience a larger improvement in their 5CSRTT attention scores than females in the spaced condition.

  8. Methods: 5CSRTT . This table was adapted from Asinof & Paine's (2014) paper on the 5-Choice Serial Reaction Time Task and was modified to include spaced training. The stimulus duration (SD) indicates how long the lightbulb was on in seconds. The ITI or the intertrial interval was the amount of time between each trial. Limited hold (LH) was the amount of time the SHR had to respond. Time out (TO) was the amount of time the SHR had to wait after giving an incorrect response. SD, ITI, LH, and TO were all recorded in seconds.

  9. Methods Premature responses and percent correct responses were recorded Open field data was also collected to measure for hyperactivity in the SHR This was recorded after each training session was completed in the 5CSRTT This figure is directly taken from the Asinof & Paine (2014) paper

  10. RESULTS: SEX DIFFERENCES IN TR1

  11. Results: Spaced Training Beneficial TR1 & TR3 For both TR1 and TR3, the spaced group made significantly more percent correct responses During TR3, the spaced group made significantly less premature responses The spaced group and massed group both improved significantly over days of training, but the spaced group improved significantly more The effects seen in theses training levels were not seen in TR4 or TR5

  12. Results: Carry-Over Effects When comparing day four of TR1 to day one of TR3, the spaced group showed a significant increase in their percent correct scores and a significant decrease in their premature responses while the massed group did not. Spaced group remembered more from training during TR1 than massed group When comparing day four of TR3 to day one of TR4, the spaced group showed almost a significant decrease in their percent correct scores while the massed group did not. Shows how difficult the transition into TR4 was and how the massed group may have depicted TR3 and TR4 as being equally difficult When comparing day four of TR4 to day one of TR5, both groups showed a significant decrease in their percent correct scores For premature responses on day four of TR3 and day one of TR4, there was no significant difference in the spaced group because they had already decreased by a lot and the massed group was catching up

  13. Results: No Decrease in Activity in Open Field SHRs remained hyperactive in the open field despite training Females were more active than males in the open field

  14. Spacing was beneficial during 5CSRTT learning. Giving the spaced group fewer trials to focus on in each session increased their ability to pay attention and therefore improved their overall score. ADHD is a disorder that pervades many children s academic lives because of their difficulties with maintaining focus. If spacing is instituted in school settings, an increase in academic performance for children with ADHD could be observed. Discussion: Wrapping It Up Furthermore, if spacing is given during attentiveness training, training that has been proven to reduce ADHD symptoms, there is a high possibility the training could be more effective Helping children with ADHD does not have to preferentially involve giving medication, it can also circulate around changing systems or practices that currently do not benefit those with ADHD. Future studies should consider spacing out the harder training levels for longer to see if performance could improve Future studies may also consider spacing trials for shorter intervals to see if performance is effected

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