Predictors of learning and memory in pediatric critical congenital heart disease: the important role of working memory.

IF 1.9 3区 心理学 Q3 CLINICAL NEUROLOGY
Kirsty L Coulter, Samantha van Terheyden, Rachel Richie, Mary T Donofrio, Jacqueline H Sanz
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Abstract

Learning and memory are crucial neuropsychological skills, linked with the development of play, adaptive skills, and academic functioning. Children and adolescents with critical congenital heart disease (cCHD) are at risk for a range of neurodevelopmental difficulties. Here, we examine visual and verbal learning and memory skills in a school-age sample of children and adolescents with cCHD, and explore how medical, neuropsychological, and social variables predict school-age learning and memory. This is a retrospective observational study of 189 patients with cCHD (age 5-18 years) who attended a neuropsychological evaluation through the Cardiac Neurodevelopmental Program. Results demonstrate that on average, children and adolescents with cCHD show relatively poorer performance on tasks of visual learning and memory and list learning and memory, skills with a higher executive burden, whereas there are no differences in story learning and memory compared to normative samples. Working memory is identified as the most consistent predictor of learning and memory. Medical variables also contribute to learning and memory at school age, whereas social determinants of health are less closely linked. These findings demonstrate the importance of considering downstream effects of core aspects of attention and executive functioning skills on other neurodevelopmental abilities.

儿童危重型先天性心脏病学习和记忆的预测因素:工作记忆的重要作用。
学习和记忆是至关重要的神经心理学技能,与游戏、适应技能和学术功能的发展有关。患有严重先天性心脏病(cCHD)的儿童和青少年面临一系列神经发育困难的风险。在这里,我们检查了学龄儿童和青少年cCHD的视觉和语言学习和记忆技能,并探讨了医学、神经心理学和社会变量如何预测学龄学习和记忆。这是一项回顾性观察性研究,189名cCHD患者(5-18岁)通过心脏神经发育项目参加了神经心理学评估。结果表明,儿童和青少年cCHD在视觉学习和记忆、列表学习和记忆、执行负担较高的技能任务上的平均表现相对较差,而在故事学习和记忆方面与正常样本没有差异。工作记忆被认为是学习和记忆最一致的预测指标。医学变量也有助于学龄期的学习和记忆,而健康的社会决定因素则没有那么密切的联系。这些发现证明了考虑注意力和执行功能技能的核心方面对其他神经发育能力的下游影响的重要性。
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来源期刊
Child Neuropsychology
Child Neuropsychology 医学-临床神经学
CiteScore
4.10
自引率
9.10%
发文量
71
审稿时长
>12 weeks
期刊介绍: The purposes of Child Neuropsychology are to: publish research on the neuropsychological effects of disorders which affect brain functioning in children and adolescents, publish research on the neuropsychological dimensions of development in childhood and adolescence and promote the integration of theory, method and research findings in child/developmental neuropsychology. The primary emphasis of Child Neuropsychology is to publish original empirical research. Theoretical and methodological papers and theoretically relevant case studies are welcome. Critical reviews of topics pertinent to child/developmental neuropsychology are encouraged. Emphases of interest include the following: information processing mechanisms; the impact of injury or disease on neuropsychological functioning; behavioral cognitive and pharmacological approaches to treatment/intervention; psychosocial correlates of neuropsychological dysfunction; definitive normative, reliability, and validity studies of psychometric and other procedures used in the neuropsychological assessment of children and adolescents. Articles on both normal and dysfunctional development that are relevant to the aforementioned dimensions are welcome. Multiple approaches (e.g., basic, applied, clinical) and multiple methodologies (e.g., cross-sectional, longitudinal, experimental, multivariate, correlational) are appropriate. Books, media, and software reviews will be published.
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