Child Neuropsychology最新文献

This study explores the relationship between children's academic performance and their results on cognitive function tests. Traditionally, cognitive test scores often reflect overall accuracy or speed. Yet, these overall scores are often influenced by both diverse executive functions (EF) and non-EF cognitive processes. To isolate specific cognitive functions, alternative scoring methods have been developed, which aim to measure one cognitive function more purely. We investigated whether combining traditional overall scores with alternative scores claiming to measure strategy use improves the prediction of children's academic performance. Three cognitive tests were administered: Verbal Fluency test, Design Fluency test, and Rey-Osterrieth Complex Figure test, alongside factors such as age, IQ, sex, and parental education, in a sample of 132 Dutch-speaking children (aged 9.48-12.63 years; 61 girls). For each test, we calculated traditional total scores and alternative scores. Academic performance was assessed using arithmetic and reading tests, along with secondary school advice. The findings indicate that both traditional and alternative scores positively correlate with secondary school advice and children's arithmetic and reading performance, but not with parental reports. Combining traditional and alternative scores enhances predictive accuracy for only arithmetic outcomes. However, once IQ was controlled for, the predictive value of alternative scores focused on strategy use diminished. Consequently, our findings suggest that combining both scoring methods can offer a superior prediction of academic outcomes, at least in arithmetic, underscoring their merit in psychodiagnostics assessment.

The possible impact of premorbid Attention-Deficit/Hyperactivity Disorder (ADHD) in the recovery process following sport-related concussion (SRC) in adolescents is not clear. The purpose of this study was to investigate the impact of ADHD together with other selected variables on symptom presentation and neurocognitive performance in a well-matched sample of adolescents with SRC. We hypothesized that more symptoms and poorer neurocognitive performance would be observed in those with ADHD. Symptoms from the Sideline Concussion Assessment Tool-5 and cognitive test results from the Immediate Post-Concussion Assessment and Cognitive Test (ImPACT) were examined at initial visit, and symptoms were re-assessed at 3-months in a sample of 112 participants with (n = 56) and without (n = 56) ADHD (ages 12-18 years; M = 14.68, SD = 1.77) who were matched by age, sex, ethnicity/race, and days post-injury. Exclusion criteria included severe medical illness or moderate/severe brain injury and lack of English fluency. No significant group differences were found in total symptoms (p = .145), symptom severity (p = .179), or neurocognitive functioning at initial visit (all p > .79) or at 3 months. However, athletes with ADHD reported more nausea (p = 0.22) and feeling slowed down at initial testing (p = .021). Additionally, premorbid anxiety influenced symptom report (p = .010). ADHD did not appear to pose a specific risk for greater symptom burden or neurocognitive deficits in the first 3 months post-concussion.

Biases and deficits in social information processing (SIP) skills are associated with social maladjustment in children and adolescents. There is much literature on the association between processing skills and their relationship to aggressive behavior, but there is limited knowledge about their association with other types of antisocial behavior. In this study we conducted a Spanish adaptation and validation of the Sociale Informatie Verwerkings Test, a Dutch research assessment and diagnostic instrument. For this purpose, construct, content and criterion validity were analyzed through their association with antisocial behaviors. Exploratory factor analysis supported the structure of the measure in a sample of 364 adolescents aged 12-18 years (55.2% female) from a high school in Spain. Constructs underlying the items of the new assessment were associated with SIP steps and profiles from SIP theory. SIP steps in the data of the new adaptation were related to each other being consistent with the theoretical conceptualization. The results showed associations between self-reported antisocial behaviors in adolescents with a greater tendency to aggressive SIP processing style. Treatment and training of such behaviors starts with valid assessment of the specific skills and steps that are biased or deficient, to which the current study contributes.

Lower gestational age (GA) is a risk factor for cognitive and developmental concerns following preterm birth. However, its impact on executive function (EF) is unclear based on conflicting conclusions across the literature. Moreover, as children below 4 years have largely been neglected from previous reviews, the impact of GA on EF within this early developmental period remains unclear. Hence, this systematic review investigated the impact of GA on EF following preterm birth in infancy and early-to-middle childhood. PubMed, Web of Science, and PsycInfo were searched for articles investigating the impact of GA on EF (inhibition, working memory, shifting) in preterm-born (<37 week gestation) and term-born participants aged 0-10 years. Eighteen studies were included. Most of the studies (n = 10) found no significant association between EF and GA. However, several limitations hindered conclusions to be drawn about the strength of this interpretation. Examples include inconsistencies in the theoretical underpinnings and operationalisations of EF, discrepancies in the reporting and measurement of GA, recruitment biases, and a paucity of infant or longitudinal studies available. Consequently, these issues may have contributed to inconsistent or null findings, and they must be addressed in future research to better clarify the impact of GA on EF in preterm-born infants and children.

The Childhood Executive Functioning Inventory (CHEXI) is a rating scale that evaluates everyday behaviors associated with executive functions in children. This study aimed to investigate the factor structure and the measurement invariance across parents and teachers of the CHEXI in a sample of 279 Portuguese typically developing children (6 to 12 years old, n = 160 girls and n = 119 boys). Most studies only analyzed the original two-factor model, and the few that investigated the four-factor model found a nearly identical fit between both factor structures. Confirmatory factor analysis was used to test five competing factor models and the four-factor models (slightly better than the two-factor model) demonstrated the most adequate fit to the data for both parents and teachers. The CHEXI showed adequate reliability and convergent validity with the BRIEF2. The measurement invariance of the four-factor model across parents and teachers was fully supported (configural, metric, and scalar invariance). Overall, the CHEXI showed adequate psychometric properties, suggesting that is a useful instrument to assess executive functioning based on reports of behaviors observed by parents and teachers in Portuguese typically developing children.

Children born very preterm (VP, <32 gestational weeks and/or birth weight ≤1500 g) are at risk for difficulties in language and reading. It is unclear whether early language is predictive for later reading skills in this population. We aimed to investigate the predictive value of language at 2;0 for reading at 11;0 in children born VP. The study comprised 115 Finnish-speaking children born VP. At 2;0, language skills were assessed with the Finnish long-form of the MacArthur-Bates Communicative Development Inventory. At 11;0, reading fluency and reading comprehension were evaluated using the Finnish Primary School Reading Test. The language variables explained 32%-33% of the variance in reading comprehension at 11;0. No clear associations between early language and reading fluency were found. Early language had high specificity but low sensitivity for identifying weak reading comprehension at 11;0. The findings provide support for the continuum between early language and later reading comprehension in children born VP. Evaluating language skills at 2;0 provides important predictive insight into later reading comprehension. Validated parental-report instruments offer valuable data on the language skills of children born preterm at this age. It is recommended to include these tools in the clinical follow-up of very preterm children.

The majority of children diagnosed with attention-deficit/hyperactivity disorder (ADHD) meet the criteria for at least one comorbid diagnosis. Prior literature has suggested that the assessment of emotion regulation may be helpful in the differential diagnosis of ADHD comorbidity. Thus, a primary goal of this study was to examine the clinical utility of the Behavior Rating Inventory of Executive Function, Second Edition (BRIEF2) Emotion Regulation Index (ERI) in detecting symptoms commonly comorbid with ADHD (i.e. disruptive and internalizing behaviors). This study also considered the extent to which the ERI may contribute to the overall detection of ADHD and comorbid symptoms, as compared to the BRIEF2 Behavior Regulation Index (BRI) and Cognitive Regulation Index (CRI). Archival data representing 211 male (n = 151) and female (n = 60) children ages 5 to 12 (M = 8.00, SD = 1.63) seen through a university-based ADHD Evaluation Clinic were used. Parent and teacher ratings were analyzed separately. Results revealed that the BRIEF2 ERI reliably detected the presence of ADHD comorbid symptomatology across informants. However, unlike select findings from the BRI and CRI, the ERI and its associated clinical scales did not differentiate between types of comorbidities. Overall, current data suggests that the ERI may make only a small contribution beyond what is already explained by the other two indexes on the BRIEF2 in the assessment of ADHD comorbidity. Nonetheless, from a transdiagnostic perspective, the BRIEF2 ERI clinical scales may provide helpful information for clinicians to help guide assessment and treatment recommendations.

Behavioral impairment is comorbid with pediatric medical conditions and impacts academic, social-emotional, and medical outcomes. In prior work, we applied graph-theory analysis to parent-report measures of behavior to derive multidimensional profiles in a multi-site database of children with psychiatric disorders and healthy controls (comprised of participants from Children's National Hospital, Georgetown University, and Kennedy Krieger Institute), and identified three unique profiles characterized by relative weaknesses in (a) metacognition, (b) emotion regulation, and (c) inhibition. In this study, we also found broadly the same behavioral profiles within a large (N = 466) cross-sectional clinical database collected at Children's National Hospital from 2014 to 2018 comprised of children with pediatric medical conditions affecting the central nervous system. A support vector machine (SVM) classification derived from the psychiatric sample was then applied to the medical sample and had high (but not perfect) accuracy, suggesting subtle differences in profile composition between medical and nonmedical populations, particularly within the Inhibit subgroup. These findings lend further support to the existence of three transdiagnostic profiles, representing unique targets for personalized intervention. However, findings also highlight that the etiology of behavior problems (psychiatric versus medical) may matter.

Considering that the early school year are critical for the development of visuoperceptual organization skills, we investigated the effect of stepwise training in perceptual strategies using drawing-based materials on children's perceptual and constructional performance. Forty-four children (24 girls), aged 6.5 to 9 years (M = 7.34; SD = 0.64), were randomly assigned to either the experimental or control group (N = 22 per group). All participants completed the Bender Visual- Motor Gestalt Test - II (a graphomotor test of perceptual organization) and the Block Design test (a measure of constructional ability) before and after the training. The experimental group received the stepwise training on copying of the Rey- Osterrieth Complex Figure, while the control group received drawing materials without any instructions. The study employed a 2 (Group: Experimental, Control; between-subject) × 2 (Phase: Pretest, Posttest; within-subject) design. After controlling for the pretest scores, results showed that the experimental group outperformed the control group on both tasks. No effects of age or gender were detected. We suggest that perceptual organization and planning skills promoted by our training contributed to the enhanced performance. Given the varying degree of similarity between each task and the training materials, we proposed that both near and far transfer of skills acquired through visuoperceptual organization training can occur in children.