Executive functions in extremely low birth weight and late-preterm preschoolers: Effects on working memory and response inhibition

被引:86
作者
Baron, Ida Sue [1 ,2 ]
Kerns, Kimberly A. [3 ]
Mueller, Ulrich [3 ]
Ahronovich, Margot D. [1 ,2 ]
Litman, Fern R. [1 ,2 ]
机构
[1] Inova Fairfax Hosp Children, Fairfax Neonatal Associates, Falls Church, VA 22042 USA
[2] Inova Fairfax Hosp Children, Dept Pediat, Falls Church, VA 22042 USA
[3] Univ Victoria, Dept Psychol, Victoria, BC V8W 2Y2, Canada
关键词
Premature outcome; Cognition; Development; Attention; Neurocognition; Prematurity; SCHOOL-AGED CHILDREN; MISSING-DATA; BORN; INFANTS; DEFICITS; POPULATION; OUTCOMES;
D O I
10.1080/09297049.2011.631906
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Executive function (EF) refers to fundamental capacities that underlie more complex cognition and have ecological relevance across the individual's lifespan. However, emerging executive functions have rarely been studied in young preterm children (age 3) whose critical final stages of fetal development are interrupted by their early birth. We administered four novel touch-screen computerized measures of working memory and inhibition to 369 participants born between 2004 and 2006 (52 Extremely Low BirthWeight [ELBW]; 196 late preterm; 121 term-born). ELBW performed worse than term-born on simple and complex working memory and inhibition tasks and had the highest percentage of incomplete performance on a continuous performance test. The latter finding indicates developmental immaturity and the ELBW group's most at-risk preterm status. Additionally, late-preterm participants performed worse compared with term-born on measures of complex working memory but did not differ from those term-born on response inhibition measures. These results are consistent with a recent literature that identifies often subtle but detectable neurocognitive deficits in late-preterm children. Our results support the development and standardization of computerized touch-screen measures to assess EF subcomponent abilities during the formative preschool period. Such measures may be useful to monitor the developmental trajectory of critical executive function abilities in preterm children, and their use is necessary for timely recognition of deficit and application of appropriate interventional strategies.
引用
收藏
页码:586 / 599
页数:14
相关论文
共 61 条
[1]   Executive Function in Very Preterm Children at Early School Age [J].
Aarnoudse-Moens, Cornelieke S. H. ;
Smidts, Diana P. ;
Oosterlaan, Jaap ;
Duivenvoorden, Hugo J. ;
Weisglas-Kuperus, Nynke .
JOURNAL OF ABNORMAL CHILD PSYCHOLOGY, 2009, 37 (07) :981-993
[2]   Neurodevelopmental outcome of the late preterm infant [J].
Adams-Chapman, Ira .
CLINICS IN PERINATOLOGY, 2006, 33 (04) :947-+
[3]   Cognitive and educational deficits in children born extremely preterm [J].
Anderson, Peter J. ;
Doyle, Lex W. .
SEMINARS IN PERINATOLOGY, 2008, 32 (01) :51-58
[4]   Executive functioning in school-aged children who were born very preterm or with extremely low birth weight in the 1990s [J].
Anderson, PJ ;
Doyle, LW .
PEDIATRICS, 2004, 114 (01) :50-57
[5]  
[Anonymous], 2008, Obstetrics Gynecology, V111, P1029, DOI DOI 10.1097/AOG.0B013E31817327D0
[6]  
[Anonymous], J COGNITION IN PRESS
[7]  
[Anonymous], MULTIPLE REGRESSION
[8]   Prevalence and associated factors of minor neuromotor dysfunctions at age 5 years in prematurely born children [J].
Arnaud, Catherine ;
Daubisse-Marliac, Laetitia ;
White-Koning, Melanie ;
Pierrat, Veronique ;
Larroque, Beatrice ;
Grandjean, Helene ;
Alberge, Corine ;
Marret, Stephane ;
Burguet, Antoine ;
Ancel, Pierre-Yves ;
Supernant, Karine ;
Kaminski, Monique .
ARCHIVES OF PEDIATRICS & ADOLESCENT MEDICINE, 2007, 161 (11) :1053-1061
[9]  
Baron I.S., 2004, NEUROPSYCHOLOGICAL E
[10]   Neuropsychological and Behavioral Outcomes of Extremely Low Birth Weight at Age Three [J].
Baron, Ida Sue ;
Erickson, Kristine ;
Ahronovich, Margot D. ;
Baker, Robin ;
Litman, Fern R. .
DEVELOPMENTAL NEUROPSYCHOLOGY, 2011, 36 (01) :5-21