Supporting school-aged children with executive dysfunction

Heather Burke M.D.
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Abstract

Since the 1940s, scientists have been interested in how we maintain attention, balance multiple tasks, and carry out instructions. From this, the term executive function (EF) was born. Although its definition has changed over the years, it can be simply described as the processes of our brain that allow us to focus on what we find important. Alternatively, executive dysfunction is the inability to focus on what we find important. In the age of cell phone notifications, doom scrolling, and a general feeling of information overload, many of us can relate to wanting to stay on-task. At the time of writing this article, TikTok videos with the hashtag “executive dysfunction” have accumulated over 168 million views, reflecting a growing interest in what makes up executive function, and alternatively, what can be done when our focus feels impaired. As families inevitably bring their questions about EF to the clinic, how do we discuss it? What recommendations can we make for children with executive dysfunction?

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支持有执行功能障碍的学龄儿童
自20世纪40年代以来,科学家们一直对我们如何保持注意力、平衡多项任务和执行指令感兴趣。由此产生了“执行职能”一词。尽管多年来它的定义发生了变化,但它可以简单地描述为我们大脑的过程,使我们能够专注于我们认为重要的事情。或者,执行功能障碍是指无法专注于我们认为重要的事情。在手机通知、厄运滚动和信息过载的普遍感觉的时代,我们中的许多人都会想继续执行任务。在撰写本文时,标签为“执行功能障碍”的TikTok视频已累积超过1.68亿次观看,反映出人们对构成执行功能的东西越来越感兴趣,或者,当我们的注意力受到损害时,可以做些什么。由于家庭不可避免地会把他们关于EF的问题带到诊所,我们该如何讨论呢?我们能为患有执行功能障碍的儿童提出什么建议?
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