Child Neuropsychology最新文献

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Clinical utility of teleneuropsychology among pediatric patients with broadly average and low intellectual functioning. 远程神经心理学在智力功能一般和较低的儿科患者中的临床应用。
IF 2.2 3区 心理学
Child Neuropsychology Pub Date : 2023-11-01 Epub Date: 2023-02-02 DOI: 10.1080/09297049.2023.2170996
Rowena Ng, Natasha N Ludwig, Rachel K Peterson, Lisa A Jacobson
{"title":"Clinical utility of teleneuropsychology among pediatric patients with broadly average and low intellectual functioning.","authors":"Rowena Ng, Natasha N Ludwig, Rachel K Peterson, Lisa A Jacobson","doi":"10.1080/09297049.2023.2170996","DOIUrl":"10.1080/09297049.2023.2170996","url":null,"abstract":"<p><p>The reliability of teleneuropsychology (teleNP) within pediatric populations, particularly those with low intellectual functioning (LIF; i.e., Intellectual Quotient <80), is largely unknown. This repeated-measures study compared performance on WISC-V and WAIS-IV subtests administered in-person before the COVID-19 pandemic and via teleNP during the pandemic in individuals with LIF versus broadly average (BA) intellectual functioning in a clinically referred pediatric cohort. Data were collected from a retrospective chart review of 35 pediatric patients who underwent in-person neuropsychological evaluation at an academic medical center before the pandemic (M<sub>age</sub> = 10.10 years, <i>SD</i> = 2.93) and videoconference teleNP assessment during the pandemic (M<sub>age</sub> = 13.47 years, <i>SD</i> = 2.88). Participants completed the Similarities, Matrix Reasoning, and Digit Span subtests from the WISC-V or WAIS-IV at both time points. After controlling for test-retest time interval, partial correlations showed relatively strong associations in test-retest performance across subtests in the whole sample and among the subset of LIF patients. Distribution of significant reliable change indices (RCI) between the LIF and BA groups were similar. Strong correlations were observed between performances on select Wechsler subtests administered in-person and via teleNP. Results lend initial support toward the utility of teleNP administration of these measures in children with a broad range of intellectual functioning.</p>","PeriodicalId":9789,"journal":{"name":"Child Neuropsychology","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9881233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Atypical procedural learning skills in children with Developmental Coordination Disorder. 发育协调障碍儿童的非典型程序性学习技能。
IF 2.2 3区 心理学
Child Neuropsychology Pub Date : 2023-11-01 Epub Date: 2022-12-02 DOI: 10.1080/09297049.2022.2152433
Dorine Van Dyck, Nicolas Deconinck, Alec Aeby, Simon Baijot, Nicolas Coquelet, Xavier De Tiège, Charline Urbain
{"title":"Atypical procedural learning skills in children with Developmental Coordination Disorder.","authors":"Dorine Van Dyck, Nicolas Deconinck, Alec Aeby, Simon Baijot, Nicolas Coquelet, Xavier De Tiège, Charline Urbain","doi":"10.1080/09297049.2022.2152433","DOIUrl":"10.1080/09297049.2022.2152433","url":null,"abstract":"<p><p>We investigated the procedural learning deficit hypothesis in Developmental Coordination Disorder (DCD) while controlling for global performance such as slower reaction times (RTs) and variability. Procedural (sequence) learning was assessed in 31 children with DCD and 31 age-matched typically developing (TD) children through a serial reaction time task (SRTT). Sequential and random trial conditions were intermixed within five training epochs. Two repeated measures ANOVAs were conducted on a Sequence-Specific Learning Index (SSLI) and a Global Performance Index (GPI, speed/accuracy measure) with Epoch (for SSLI and GPI) and Condition (for GPI) as within-subjects factors, and Group as between-subjects factor. Controlling for RTs differences through normalized RTs, revealed a global reduction of SSLI in children with DCD compared with TD peers suggesting reduced sequence learning skills in DCD. Still, a significant Group x Condition interaction observed on GPI indicated that children from both groups were able to discriminate between sequential and random trials. DCD presented reduced procedural learning skills after controlling for global performance. This finding highlights the importance of considering the general functioning of the child while assessing learning skills in patients.</p>","PeriodicalId":9789,"journal":{"name":"Child Neuropsychology","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40546577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
[Formula: see text] Post-stroke acquired childhood aphasia. A scoping review. [公式:见正文]脑卒中后获得性儿童失语症。范围审查。
IF 2.2 3区 心理学
Child Neuropsychology Pub Date : 2023-11-01 Epub Date: 2022-12-22 DOI: 10.1080/09297049.2022.2156992
Giulia Gilardone, Mauro Viganò, Dario Cassinelli, Francesca Maria Fumagalli, Irene Calvo, Marco Gilardone, Matteo Sozzi, Massimo Corbo
{"title":"[Formula: see text] Post-stroke acquired childhood aphasia. A scoping review.","authors":"Giulia Gilardone,&nbsp;Mauro Viganò,&nbsp;Dario Cassinelli,&nbsp;Francesca Maria Fumagalli,&nbsp;Irene Calvo,&nbsp;Marco Gilardone,&nbsp;Matteo Sozzi,&nbsp;Massimo Corbo","doi":"10.1080/09297049.2022.2156992","DOIUrl":"10.1080/09297049.2022.2156992","url":null,"abstract":"<p><p>Aphasia has a great impact on children's lives, with stroke being its most common and studied etiology. However, our knowledge about this disorder is limited, the studies on this topic are sparse, and a consensus regarding its definition is lacking. In particular, the interpretation of this condition varied over time: from the rigid description of the so-called \"standard doctrine\" to the adoption of adult models for post-stroke aphasia. Therefore, this review provides a critical overview of childhood aphasia after stroke, focusing on its epidemiology, definition, diagnosis, and clinical manifestation. The scoping review approach was adopted, following PRISMA-ScR guidelines. PubMed, Web of Science, and PsycInfo databases were searched for related peer-review papers in English. Forty-six records were identified; the majority were single cases and case series, only a few were reviews and observational studies. Epidemiologic data are scarce; a few studies report that aphasia affects about one-third of children post-stroke. Despite terminological differences, there is an overall agreement on the definition of post-stroke aphasia in children as a language disorder acquired after the age of two. Approaches for the diagnosis and evaluation vary widely, including both assessments for developmental language disorders and tests for aphasia in adults. The clinical manifestations described in children are numerous and varied, similar to those found in adults, in contrast with the \"standard doctrine.\" This review highlights the need for further studies to improve the knowledge of this condition, develop validated and specific assessment tools, and standardize clinical management.</p>","PeriodicalId":9789,"journal":{"name":"Child Neuropsychology","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10414118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Functional brain connectivity after corrective cardiac surgery for critical congenital heart disease: a preliminary near-infrared spectroscopy (NIRS) report. 危重先天性心脏病心脏矫正手术后的功能性脑连接:一份初步的近红外光谱(NIRS)报告。
IF 2.2 3区 心理学
Child Neuropsychology Pub Date : 2023-11-01 Epub Date: 2023-01-30 DOI: 10.1080/09297049.2023.2170340
Solène Fourdain, Sarah Provost, Julie Tremblay, Phetsamone Vannasing, Amélie Doussau, Laura Caron-Desrochers, Isabelle Gaudet, Kassandra Roger, Alejandra Hüsser, Mathieu Dehaes, Eduardo Martinez-Montes, Nancy Poirier, Anne Gallagher
{"title":"Functional brain connectivity after corrective cardiac surgery for critical congenital heart disease: a preliminary near-infrared spectroscopy (NIRS) report.","authors":"Solène Fourdain, Sarah Provost, Julie Tremblay, Phetsamone Vannasing, Amélie Doussau, Laura Caron-Desrochers, Isabelle Gaudet, Kassandra Roger, Alejandra Hüsser, Mathieu Dehaes, Eduardo Martinez-Montes, Nancy Poirier, Anne Gallagher","doi":"10.1080/09297049.2023.2170340","DOIUrl":"10.1080/09297049.2023.2170340","url":null,"abstract":"<p><p>Patients with congenital heart disease (CHD) requiring cardiac surgery in infancy are at high risk for neurodevelopmental impairments. Neonatal imaging studies have reported disruptions of brain functional organization before surgery. Yet, the extent to which functional network alterations are present after cardiac repair remains unexplored. This preliminary study aimed at investigating cortical functional connectivity in 4-month-old infants with repaired CHD, using resting-state functional near-infrared spectroscopy (fNIRS). After fNIRS signal frequency decomposition, we compared values of magnitude-squared coherence as a measure of connectivity strength, between 21 infants with corrected CHD and 31 healthy controls. We identified a subset of connections with differences between groups at an uncorrected statistical level of <i>p</i> < .05 while controlling for sex and maternal socioeconomic status, with most of these connections showing reduced connectivity in infants with CHD. Although none of these differences reach statistical significance after FDR correction, likely due to the small sample size, moderate to large effect sizes were found for group-differences. If replicated, these results would therefore suggest preliminary evidence that alterations of brain functional connectivity are present in the months after cardiac surgery. Additional studies involving larger sample size are needed to replicate our data, and comparisons between pre- and postoperative findings would allow to further delineate alterations of functional brain connectivity in this population.</p>","PeriodicalId":9789,"journal":{"name":"Child Neuropsychology","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9983661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
[Formula: see text] Trajectories of neurodevelopment and opportunities for intervention across the lifespan in congenital heart disease. [公式:见正文]先天性心脏病的神经发育轨迹和终生干预机会。
IF 2.2 3区 心理学
Child Neuropsychology Pub Date : 2023-11-01 Epub Date: 2023-02-08 DOI: 10.1080/09297049.2023.2173162
Jacqueline H Sanz, Stephany Cox, Mary T Donofrio, Nobuyuki Ishibashi, Patrick McQuillen, Shabnam Peyvandi, Sarah Schlatterer
{"title":"[Formula: see text] Trajectories of neurodevelopment and opportunities for intervention across the lifespan in congenital heart disease.","authors":"Jacqueline H Sanz, Stephany Cox, Mary T Donofrio, Nobuyuki Ishibashi, Patrick McQuillen, Shabnam Peyvandi, Sarah Schlatterer","doi":"10.1080/09297049.2023.2173162","DOIUrl":"10.1080/09297049.2023.2173162","url":null,"abstract":"<p><p>Children with congenital heart disease (CHD) are at increased risk for neurodevelopmental challenges across the lifespan. These are associated with neurological changes and potential acquired brain injury, which occur across a developmental trajectory and which are influenced by an array of medical, sociodemographic, environmental, and personal factors. These alterations to brain development lead to an array of adverse neurodevelopmental outcomes, which impact a characteristic set of skills over the course of development. The current paper reviews existing knowledge of aberrant brain development and brain injury alongside associated neurodevelopmental challenges across the lifespan. These provide a framework for discussion of emerging and potential interventions to improve neurodevelopmental outcomes at each developmental stage.</p>","PeriodicalId":9789,"journal":{"name":"Child Neuropsychology","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10406974/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10113115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Correction. 校正
IF 2.2 3区 心理学
Child Neuropsychology Pub Date : 2023-11-01 Epub Date: 2022-11-22 DOI: 10.1080/09297049.2022.2150381
{"title":"Correction.","authors":"","doi":"10.1080/09297049.2022.2150381","DOIUrl":"10.1080/09297049.2022.2150381","url":null,"abstract":"","PeriodicalId":9789,"journal":{"name":"Child Neuropsychology","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40700828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The relation between executive functions, error-related brain activity, and ADHD symptoms in clinically evaluated school-aged children. 临床评估学龄儿童执行功能、错误相关大脑活动和多动症症状之间的关系。
IF 2.2 3区 心理学
Child Neuropsychology Pub Date : 2023-11-01 Epub Date: 2023-01-16 DOI: 10.1080/09297049.2023.2166029
Carolyn L Marsh, Nicole B Groves, Lushna M Mehra, Katie E Black, Lauren N Irwin Harper, Alexandria Meyer, Michael J Kofler
{"title":"The relation between executive functions, error-related brain activity, and ADHD symptoms in clinically evaluated school-aged children.","authors":"Carolyn L Marsh, Nicole B Groves, Lushna M Mehra, Katie E Black, Lauren N Irwin Harper, Alexandria Meyer, Michael J Kofler","doi":"10.1080/09297049.2023.2166029","DOIUrl":"10.1080/09297049.2023.2166029","url":null,"abstract":"<p><p>Two event-related potentials (ERPs) elicited following errors, the <i>error-related negativity</i> (ERN) and <i>error positivity</i> (Pe), have been proposed to reflect cognitive control, though the specific processes remain debated. Few studies have examined the ERN and Pe's relations with individual differences in cognitive control/executive functioning using well-validated tests administered separately from the inhibition tasks used to elicit the ERN/Pe. Additionally, neurocognitive tests of executive functions tend to strongly predict ADHD symptoms, but the extent to which task-based and EEG-based estimates of executive functioning/cognitive control account for the same variance in ADHD symptoms remains unclear. The current study addressed these limitations by examining relations between the ERN/Pe and three core executive functions (working memory, inhibitory control, set shifting) in a clinically-evaluated sample of 53 children ages 8-12 (M<sub>age</sub> = 10.36, SD = 1.42; 77.4% White/Non-Hispanic; 16 girls) with and without ADHD. Results demonstrated that neither the ERN nor Pe were related to overall cognitive control/executive functioning, or to working memory or set shifting specifically (all 95%CIs include 0.0). In contrast, a larger Pe was associated with better-developed inhibitory control (β=-.35, 95%CI excludes 0.0), but did not capture aspects of inhibitory control that are important for predicting ADHD symptoms. Neither the ERN nor Pe predicted ADHD symptoms (95%CIs include 0.0). Results were generally robust to control for age, sex, SES, ADHD symptom cluster, and anxiety, and emphasize the need for caution when interpreting the ERN/Pe as indices of broad-based cognitive control/executive functioning, as well as using the ERN/Pe to examine cognitive processes contributing to ADHD symptomatology.</p>","PeriodicalId":9789,"journal":{"name":"Child Neuropsychology","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10349902/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9770678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Social-environmental factors as mediators of IQ and achievement differences across race groups in adolescents with high risk congenital heart disease. 社会环境因素是高危先天性心脏病青少年智商和成就差异的中介因素。
IF 2.2 3区 心理学
Child Neuropsychology Pub Date : 2023-11-01 Epub Date: 2022-09-15 DOI: 10.1080/09297049.2022.2117798
Dawn Ilardi, Nneka Alexander, Yijin Xiang, Janet Figueroa, Laura Blackwell
{"title":"Social-environmental factors as mediators of IQ and achievement differences across race groups in adolescents with high risk congenital heart disease.","authors":"Dawn Ilardi, Nneka Alexander, Yijin Xiang, Janet Figueroa, Laura Blackwell","doi":"10.1080/09297049.2022.2117798","DOIUrl":"10.1080/09297049.2022.2117798","url":null,"abstract":"<p><p>An increasing number of neuropsychologists are evaluating children with congenital heart disease (CHD). When conceptualizing results, the provider must consider medical risks such as abnormal neuroimaging and comorbidities, along with social risks such as socioeconomic status. The aim of the current study was to examine the influence of parent income and education on IQ and achievement across race groups in adolescents with CHD, while also accounting for medical risk (e.g., gestational age, number of ventricles, neuroimaging). This is a single-center cross-sectional study, including 92 children ages 12-19 years (median 14.9 years; 59% male; 71% White; 29% Black) with high risk CHD (i.e., cardiac surgery <12 months) who were referred for a neuropsychological evaluation. Retrospective data were retrieved from a larger clinical registry. Patients completed an intellectual assessment (WISC-V; WAIS-IV; WASI-II), Word Reading and Math Calculation tests. Parents completed questionnaires assessing the family environment [income, parent education]. Results revealed significant differences in IQ when comparing children who were Black versus White (11.4 point IQ difference); however, around 70% of this variance was explained by parent income and education. Medical variables accounted for 12% of the variance in IQ. For academics, parent income and education accounted for 91.5% and 78.8% of the variance in race group differences for reading and math, respectively. Medical risk and sex explained 11.7% and 14.7% of the variance in reading and math, respectively. Findings suggest that sociodemographic factors should be weighed heavily during the neuropsychological evaluation, including prioritizing risk, making recommendations, and facilitating referrals.</p>","PeriodicalId":9789,"journal":{"name":"Child Neuropsychology","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9973951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
[Formula: see text] Domain-general and domain-specific cognitive correlates of developmental dyscalculia: a systematic review of the last two decades' literature. [公式:见正文]发展性计算障碍的一般领域和特定领域认知相关性:对过去二十年文献的系统综述。
IF 2.2 3区 心理学
Child Neuropsychology Pub Date : 2023-11-01 Epub Date: 2022-11-28 DOI: 10.1080/09297049.2022.2147914
Ankit Mishra, Azizuddin Khan
{"title":"[Formula: see text] Domain-general and domain-specific cognitive correlates of developmental dyscalculia: a systematic review of the last two decades' literature.","authors":"Ankit Mishra,&nbsp;Azizuddin Khan","doi":"10.1080/09297049.2022.2147914","DOIUrl":"10.1080/09297049.2022.2147914","url":null,"abstract":"<p><p>Developmental dyscalculia is a neurodevelopmental disorder, influencing the learning of mathematics in developing children. In the last two decades, continuous growth of research has helped in the advancement of the state of knowledge of dyscalculia. This upsurge in the number of studies makes it relevant to conduct a systematic review, covering all the empirical evidence, but there is a dearth of review studies synthesizing findings of the studies in the recent past. Therefore, the current study aims to systematically review studies investigating the underlying cognitive causal factors associated with developmental dyscalculia in the last two decades. To investigate the underlying cognitive factors associated with dyscalculia, two prominent approaches have been used: domain-general and domain-specific. While the domain-general approach argues for the deficit in general cognitive abilities, the domain-specific approach argues for the deficit in core numerical abilities. In the present review, the PRISMA method is followed. Articles were searched using two methods: firstly, through database sources of Google Scholar, Web of Science, and ScienceDirect, 1738 abstracts were screened, of which 46 articles met the specific inclusion criteria; and secondly, through recently published systematic reviews and meta-analyses, 29 studies were included. A total of 75 studies, 48 studies from domain-general and 27 studies from domain-specific approaches, have been selected. This review discusses domain-general and domain-specific approaches of developmental dyscalculia, along with specific theories associated with both approaches. Based on the discussed findings, visuospatial working memory and symbolic number processing abilities emerged as the best predictor of math ability in children with dyscalculia.</p>","PeriodicalId":9789,"journal":{"name":"Child Neuropsychology","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40710230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Implications of attention and executive functioning weaknesses in youth with Fontan circulation. Fontan循环对年轻人注意力和执行功能弱点的影响。
IF 2.2 3区 心理学
Child Neuropsychology Pub Date : 2023-11-01 Epub Date: 2022-09-09 DOI: 10.1080/09297049.2022.2120191
Yasmine R Jassal, Sarah Kelly, Michael DiMaria, Roni Jacobsen, Dania Brigham, Stephen Hawkins, Carey Rafferty, Kelly R Wolfe
{"title":"Implications of attention and executive functioning weaknesses in youth with Fontan circulation.","authors":"Yasmine R Jassal, Sarah Kelly, Michael DiMaria, Roni Jacobsen, Dania Brigham, Stephen Hawkins, Carey Rafferty, Kelly R Wolfe","doi":"10.1080/09297049.2022.2120191","DOIUrl":"10.1080/09297049.2022.2120191","url":null,"abstract":"<p><p>Youth with Fontan circulation (Fontan) are at-risk for impairments in attention and executive functioning (EF) due to a confluence of genetic, prenatal, surgical, and medical risk factors. We sought to describe attention and EF in this population, measured via standardized performance-based tests and caregiver rating scales. We then examined how weaknesses in attention and EF were related to outcomes in other neurobehavioral domains, including adaptive behavior and academic achievement. Our sample included 93 youth with Fontan who were referred for neuropsychological evaluations as part of standard clinical care. The cohort as a whole measured between 0.18 to 0.99 standard deviations below normative means across domains of attention, EF, academic achievement, and intellectual ability. In addition, caregiver-reported concerns for attention, EF, anxiety, and depression were elevated, and approximately 0.35 to 0.85 standard deviations above normative means. Lastly, caregiver-reported adaptive behavior measured 0.93 to 1.24 standard deviations below normative values. Academic outcomes were differentially affected by demographic and attention/EF variables, while depression and caregiver-reported EF predicted adaptive behavior. Findings from this study underscore the importance of routine neuropsychological evaluation as part of comprehensive, multidisciplinary care for individuals with Fontan, with the goal of enhancing neurobehavioral and functional outcomes across the lifespan.</p>","PeriodicalId":9789,"journal":{"name":"Child Neuropsychology","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9980990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
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