Document Type : original article


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


Background: Children with specific learning disorders (SLDs) experience social-academic problems, mainly due to higher behavioral and emotional abnormalities, as compared to normal children. The present study aimed to investigate the effects of computer-based rehabilitation therapy on anxiety and attention in children with SLDs.
Methods: The statistical population included students with SLDs in Dezful (Iran) during the 2021–22 academic year. The convenience sampling technique was employed to select 30 students, who were then equally assigned to an experimental group and a control group (i.e., 15 participants per group). This quasi-experimental research adopted a pretest-posttest control group design. The experimental group received the computer-based cognitive rehabilitation therapy in Captain's Log (two 50-minute weekly sessions), but during this time, the control group received no intervention and was put on the waiting list. The research instruments included the Children's Anxiety Scale and Test of Variables of Attention. Data were analyzed using the analysis of covariance via SPSS-26. The significance level of the study was considered to be α=0.05.
Results: The mean and standard deviation (±SD) of the posttest scores of anxiety and attention were, respectively, 45.13±8.99 and 88.07±9.78 in the experimental group and 72.00±7.15 and 64.67±9.85 in the control group. The results revealed a significant difference between the experimental and control groups (P<0.001). According to the findings, computer-based rehabilitation therapy improved anxiety and attention in children with SLDs.
Conclusion: Hence, this therapy can alleviate anxiety and enhance attention in children with SLDs to help them improve their academic achievement and social relations.


  1. Filippello P, Buzzai C, Messina G, Mafodda AV, Sorrenti L. School Refusal in Students with Low Academic Performances and Specific Learning Disorder. The Role of Self-Esteem and Perceived Parental Psychological Control. International Journal of Disability, Development and Education. 2020; 67(6):592-607. doi: 10.1080/ 1034912X.2019.1626006.
  2. Visser L, Kalmar J, Linkersdörfer J, Görgen R, Rothe J, Hasselhorn M, Schulte-Körne G. Comorbidities between Specific Learning Disorders and Psychopathology in Elementary School Children in Germany. Front Psychiatry. 2020; 11:292. Doi: 10.3389/ fpsyt. 2020.00292.
  3. Rostambegyi P, Ghaemi SZ, Khakshour A, Yeganeh S, Abbasi Z, Poorbarat S. The Effect of Cognitive Flexibility Training on Reduction of Cognitive Problems in Adolescents with Intellectual Disabilities. International Journal of Pediatrics. 2021; 9(8):14254-65. doi: 10.22038/ ijp.2020. 51136.4059.
  4. Woodcock S, Faith E. Am I to blame? Teacher self-efficacy and attributional beliefs towards students with specific learning disabilities. Teacher Development. 2021; 25(2):215-38. doi: 10.1080/13664530.2020.1863256.
  5. Haft SL, Duong PH, Ho TC, Hendren RL, Hoeft F. Anxiety and Attentional Bias in Children with Specific Learning Disorders. J Abnorm Child Psychol. 2019; 47(3):487-497. Doi: 10.1007/s10802-018-0458-y.
  6. Johnson ES, Clohessy AB, Chakravarthy P. A Self-Regulated Learner Framework for Students with Learning Disabilities and Math Anxiety. Intervention in School and Clinic. 2020; 56(3):163-71. doi: 10.1177/ 1053451220942203.
  7. Anjomshoaa H, Snagui Moharer R, Shirazi M. The Effectiveness of Trainings based on Neuro-Linguistic programming and Cognitive Behavioral Approach on Students’ Anxiety, Depression and Stress. International Journal of Pediatrics. 2021; 9(11):14856-66. doi: 10.22038/ ijp.2021. 57871.4539.
  8. Devine A, Hill F, Carey E, Szűcs D. Cognitive and emotional math problems largely dissociate: Prevalence of developmental dyscalculia and mathematics anxiety. Journal of Educational Psychology. 2018; 110:431-44. doi: 10.1037/edu0000222.
  9. Navarro-Soria I, Juárez-Ruiz de Mier R, García-Fernández JM, González-Gómez C, Real-Fernández M, Sánchez-Múñoz de León M, Lavigne-Cervan R. Detection of Executive Performance Profiles Using the ENFEN Battery in Children Diagnosed With Attention-Deficit Hyperactivity Disorder. Front Psychol. 2020; 11:552322. doi:10.3389/fpsyg.2020.552322.
  10. Damanpak S, Sabzi AH. The Effect of Selected Motor Games on Executive Functions of Children with Developmental Coordination Disorders. International Journal of Pediatrics. 2022; 10(2):15449-59. doi: 10.22038/ijp.2021.57638.4523.
  11. Van der Fels IMJ, Smith J, de Bruijn AGM, Bosker RJ, Königs M, Oosterlaan J, Visscher C, Hartman E. Relations between gross motor skills and executive functions, controlling for the role of information processing and lapses of attention in 8-10 year old children. PLoS One. 2019; 14(10):e0224219. Doi: 10.1371/journal. pone.0224219.
  12. Bettcher BM, Mungas D, Patel N, Elofson J, Dutt S, Wynn M, Watson CL, Stephens M, Walsh CM, Kramer JH. Neuroanatomical substrates of executive functions: Beyond prefrontal structures. Neuropsychologia. 2016; 85:100-109. doi:10.1016/j.neuropsychologia.2016.03.001.
  13. Azhdari Z, Alizadeh M, Homaei R. Effects of Parent-Child Interaction Therapy on Behavioral Problems of Children with Attention Deficit/Hyperactivity Disorder in Iran. International Journal of Pediatrics. 2022; 10(8):16477-85. doi: 10.22038/ijp. 2022. 64370.4885.
  14. Chavez-Arana C, Catroppa C, Carranza-Escárcega E, Godfrey C, Yáñez-Téllez G, Prieto-Corona B, León MAd, Anderson V. A Systematic Review of Interventions for Hot and Cold Executive Functions in Children and Adolescents with Acquired Brain Injury. J Pediatr Psychol. 2018; 43(8):928-942. doi:10.1093/jpepsy/jsy013.
  15. Ferreira-Correia A, Barberis T, Msimanga L. Barriers to the implementation of a computer-based rehabilitation programme in two public psychiatric settings. S Afr J Psychiatr. 2018; 24:1163. Doi: 10.4102/ sajpsychiatry. v24.i0.1163.
  16. Sardary B. The Effectiveness of working memory strategies training on Cognitive Flexibility and Emotional Self-Regulation in Elementary Students. Thinking and Children. 2021; 12(1):103-24. doi: 10.30465/fabak.2021.6267.
  17. Jung H, Jeong JG, Cheong YS, Nam TW, Kim JH, Park CH, Park E, Jung TD. The Effectiveness of Computer-Assisted Cognitive Rehabilitation and the Degree of Recovery in Patients with Traumatic Brain Injury and Stroke. J Clin Med. 2021; 10(24):5728.doi:10.3390/jcm10245728.
  18. Yoo C, Yong MH, Chung J, Yang Y. Effect of computerized cognitive rehabilitation program on cognitive function and activities of living in stroke patients. J Phys Ther Sci. 2015; 27(8):2487-2489. Doi: 10.1589/jpts. 27. 2487.
  19. Cho DR, Lee SH. Effects of virtual reality immersive training with computerized cognitive training on cognitive function and activities of daily living performance in patients with acute stage stroke: A preliminary randomized controlled trial [retracted in: Medicine (Baltimore). 2020;99(20):e20598]. Medicine (Baltimore). 2019; 98(11):e14752. Doi: 10.1097/MD. 0000000000014752.
  20. Nazarboland N, Nohegari e, Sadeghi Firoozabadi v. Effectiveness of Computerized Cognitive Rehabilitation on working memory, sustained attention and math performance in children with autism spectrum disorders. Journal of Applied Psychology. 2019; 13(2):271-93. doi: 10.29252/apsy.13.2.271.
  21. Niemeijer M, Sværke KW, Christensen HK. The Effects of Computer Based Cognitive Rehabilitation in Stroke Patients with Working Memory Impairment: A Systematic Review. J Stroke Cerebrovasc Dis. 2020; 29(12):105265. doi:10.1016/ j.jstrokecerebrovasdis.2020.105265.
  22. Fetta J, Starkweather A, Gill JM. Computer-Based Cognitive Rehabilitation Interventions for Traumatic Brain Injury: A Critical Review of the Literature. J Neurosci Nurs. 2017; 49(4):235-240. doi:10.1097/JNN.0000000000000298.
  23. Spence SH, Rapee RM, McDonald C, Ingram M. The structure of Anxiety symptoms among preschoolers. Behaviour Research and Therapy. 2001; 39:1293-1316. (00)00098-X.
  24. Ghanbari S, Rabieenejad R, Ganje P, Khoramzadeh S. Psychometric Properties of Preschool Children Anxiety Scale (Teacher Form). Developmental Psychology (Journal of Iranian Psychologists). 2013; 10(37):29-37. [In Persian].
  25. Cohen RA. Continuous Performance Tests. In: Kreutzer JS, DeLuca J, Caplan B, editors. Encyclopedia of Clinical Neuropsychology. New York, NY: Springer New York; 2011. p. 699-701. doi: 10.1007/978-0-387-79948-3_1280.
  26. Hosseini Z, Talepasand S. Psychometric properties of the attention network test in Iranian children and adults. Advances in Cognitive Sciences. 2022; 24(1):84-97. doi: 10.30514/icss.24.1.84.
  27. Rahmani M, Rahimian Boogar I, Talepasand S, Nokani M. Comparing the Effectiveness of Computer-Based, Manual-based, and Combined Cognitive Rehabilitation on Cognitive Functions in Relapsing-Remitting Multiple Sclerosis Patients. Basic Clin Neurosci. 2020; 11(1):99-110. doi:10.32598/bcn.9.10.430.
  28. Andrews G, Basu A, Cuijpers P, Craske MG, McEvoy P, English CL, Newby JM. Computer therapy for the anxiety and depression disorders is effective, acceptable and practical health care: An updated meta-analysis. J Anxiety Disord. 2018; 55:70-78. doi:10.1016/ j.janxdis.2018.01.001.
  29. van de Ven RM, Murre JM, Veltman DJ, Schmand BA. Computer-Based Cognitive Training for Executive Functions after Stroke: A Systematic Review. Front Hum Neurosci. 2016; 10:150. doi:10.3389/fnhum.2016.00150.
  30. Chaplin TM, Aldao A. Gender differences in emotion expression in children: a meta-analytic review. Psychol Bull. 2013; 139(4):735-65. doi: 10.1037/a0030737.
  31. Nejati V. Cognitive rehabilitation in children with attention deficit- hyperactivity disorder: Transferability to untrained cognitive domains and behavior. Asian Journal of Psychiatry. 2020; 49:101949. doi: 10.1016/j. ajp.2020. 101949.
  32. Wang H, Su Q, Yan Z, Lu F, Zhao Q, Liu Z, Zhou F. Rehabilitation Treatment of Motor Dysfunction Patients Based on Deep Learning Brain-Computer Interface Technology. Front Neurosci. 2020; 14:595084. oi:10.3389/fnins.2020.595084.