Executive function skills are associated with reading and parent-rated child function in children born prematurely.

Background: Preterm children are at risk for executive function (EF) problems, which have been linked to behavior and learning problems in full term children. In this study, we examine the relationship between EF and functional outcomes in preterm children.Aim: To evaluate (1) EF skills of 9- to 16-...

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Publicado en:Early Human Development Vol. 88; no. 2; pp. 111 - 119
Autores principales: Loe IM, Lee ES, Luna B, Feldman HM, Loe, Irene M, Lee, Eliana S, Luna, Beatriz, Feldman, Heidi M
Formato: research Journal Article
Publicado: Elsevier B.V. Feb2012
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2012
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      pub: Elsevier B.V.
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        10.1016/j.earlhumdev.2011.07.018
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        atl: Executive function skills are associated with reading and parent-rated child function in children born prematurely.
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        au:
          Loe IM
          Lee ES
          Luna B
          Feldman HM
          Loe, Irene M
          Lee, Eliana S
          Luna, Beatriz
          Feldman, Heidi M
        affil: Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine, Palo Alto, CA, USA
      sug:
        subj:
          Infant, Premature
          Mental Processes
          Motor Skills
          Reading
          Adolescence
          Child
          Female
          Human
          Infant, Newborn
          Male
          Parent-Child Relations
          Parents Psychosocial Factors
          Study Design
          Adolescent: 13-18 years
          Child: 6-12 years
          Infant, Newborn: birth-1 month
          Female
          Male
      ab: Background: Preterm children are at risk for executive function (EF) problems, which have been linked to behavior and learning problems in full term children. In this study, we examine the relationship between EF and functional outcomes in preterm children.Aim: To evaluate (1) EF skills of 9- to 16-year-old children born across the spectrum of gestational age (GA), (2) relationship of degree of prematurity to EF skills, and (3) contributions of EF skills to two functional outcomes - reading scores and parent-rated child function.Method: Preterm children <36 weeks gestation (n=72) were compared to full term children (n=42) of similar age, gender and SES, on measures of EF, reading, and parent-ratings of child function. Multiple regression models evaluated contributions to EF skills and functional outcomes.Results: Compared to full term controls, preterm children had poorer EF performance on a complex planning and organization task and did not increase planning time as task difficulty increased. Their spatial memory capacity was not different. GA contributed to EF skills, but was mediated by IQ. EF contributed to the variance in reading skills but did not add to the variance in reading when IQ was considered. EF skills significantly contributed to the variance in parent-rated child function, but IQ did not.Conclusion: EF skills contribute to measures of functional outcome in this high-risk population. The use of EF skills as an early marker for learning and functional problems and as a target for intervention in children born preterm warrants future study.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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