学龄早产儿执行功能评估:临床与实验方法的初步研究。

IF 1.4 4区 心理学 Q4 CLINICAL NEUROLOGY
Marion Décaillet, Solange Denervaud, Cléo Huguenin-Virchaux, Laureline Besuchet, Myriam Bickle-Graz, Céline Julie Fischer-Fumeaux, Juliane Schneider
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引用次数: 0

摘要

虽然在过去的几十年里,极早产儿(VPT)的存活率有所增加,但他们仍然面临长期神经发育障碍的风险,特别是在自我调节能力和目标导向行为方面。这些技能依赖于执行功能(EFs),这是一个涵盖了抑制、转移和工作记忆等核心能力的总称。现有的综合测试是耗时的,因此不适合所有儿科神经心理学评估。侧卫任务是一个实验性的电脑游戏,它的优点是持续不到十分钟,同时提供多个ef测量。在这里,我们在31名年龄在8-10岁的VPT儿童的临床评估中测试了这项任务的效力。首先,我们发现VPT儿童在大多数临床测试(即WISC-V, BRIEF和NEPSY)中表现正常,除了CPT-3,他们速度较慢,遗漏错误较多,这可能表明注意力不集中。第二,一些Flanker任务得分与标准化临床测试相关,没有抵抗多重比较校正。最后,与足月儿童相比,VPT儿童在整体EFs测量中的表现较差,在Flanker任务中的准确性较低。这些发现表明,尽管VPT儿童有轻微的困难,但这种儿童友好版本的Flanker任务在捕获EFs方面表现出合理的敏感性,并且在VPT儿童和足月儿童之间有很好的区分。它可能是一种有前途的神经心理学评估工具,适合作为筛选试验,提供进一步验证更大规模的研究。此外,虽然VPT学童在全球范围内表现出正常的智力,但观察到似乎与EFs有关的微妙困难。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Executive functions assessment in very preterm children at school age: A pilot study about a clinical and experimental approach.

While the survival rate of very preterm (VPT) infants has increased in the last decades, they are still at risk of developing long-term neurodevelopmental impairments, especially regarding self-regulatory abilities, and goal-directed behaviors. These skills rely on executive functions (EFs), an umbrella term encompassing the core capacities for inhibition, shifting, and working memory. Existing comprehensive tests are time-consuming and therefore not suitable for all pediatric neuropsychological assessments. The Flanker task is an experimental computer game having the advantage to last less than ten minutes while giving multiple EFs measures. Here, we tested the potency of this task in thirty-one VPT children aged 8-10 years during their clinical assessment. First, we found that VPT children performed in the norm for most clinical tests (i.e., WISC-V, BRIEF, and NEPSY) except for the CPT-3 where they were slower with more omission errors, which could indicate inattentiveness. Second, some Flanker task scores were correlated with standardized clinical testing without resisting to multiple comparisons correction. Finally, compared to full-term children, VPT children showed poorer performance in global EFs measure and lower accuracy in the Flanker task. These findings suggest that this child-friendly version of the Flanker task demonstrated a reasonable sensitivity in capturing EFs with good discrimination between VPT and term children despite VPT children's mild difficulties. It may represent a promising tool for neuropsychological assessments and be suitable as a screening test, providing further validating larger studies. Moreover, while VPT schoolchildren globally display normal intelligence, subtle difficulties that seem to relate to EFs are observed.

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来源期刊
Applied Neuropsychology: Child
Applied Neuropsychology: Child CLINICAL NEUROLOGY-PSYCHOLOGY
CiteScore
4.00
自引率
5.90%
发文量
47
期刊介绍: Applied Neuropsychology: Child publishes clinical neuropsychological articles concerning assessment, brain functioning and neuroimaging, neuropsychological treatment, and rehabilitation in children. Full-length articles and brief communications are included. Case studies of child patients carefully assessing the nature, course, or treatment of clinical neuropsychological dysfunctions in the context of scientific literature, are suitable. Review manuscripts addressing critical issues are encouraged. Preference is given to papers of clinical relevance to others in the field. All submitted manuscripts are subject to initial appraisal by the Editor-in-Chief, and, if found suitable for further considerations are peer reviewed by independent, anonymous expert referees. All peer review is single-blind and submission is online via ScholarOne Manuscripts.
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