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Executive function in preschool children: examination through everyday behavior.

Peter K Isquith1, Gerard A Gioia, Kimberly Andrews Espy

  • 1Department of Psychiatry, Darmouth Hitchcock Medical School, One Medical Center Dr., Lebanon, NH 03756-0001, USA. peter.k.isquith@dartmouth.edu

Developmental Neuropsychology
|July 28, 2004
PubMed
Summary

Assessing executive function in preschoolers is difficult. A modified rating scale, the Behavior Rating Inventory of Executive Function Preschool (BRIEF-P), reliably measures these skills in everyday contexts.

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Area of Science:

  • Developmental Psychology
  • Clinical Psychology
  • Child Psychiatry

Background:

  • Assessing executive function in preschool children (ages 2-5) presents challenges due to limited standardized tools and young children's participation variability.
  • Rating scales offer ecological validity by measuring behavior in natural settings, making them suitable for this age group.

Purpose of the Study:

  • To adapt the Behavior Rating Inventory of Executive Function (BRIEF) for preschoolers (BRIEF-P) to assess executive functions in everyday contexts.
  • To evaluate the psychometric properties and factor structure of the BRIEF-P.
  • To compare executive function ratings between preschool children with developmental disorders and typically developing controls.

Main Methods:

  • The BRIEF was modified into a 63-item scale (BRIEF-P) for parents and teachers of children aged 2-5 years.

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  • Scale development involved samples of 460 parents and 302 teachers.
  • Exploratory factor analyses were conducted to identify underlying executive function factors.
  • Main Results:

    • The BRIEF-P demonstrated good internal consistency and temporal stability.
    • Factor analyses identified three consistent factors: Emergent Metacognition, Flexibility, and Inhibitory Self-Control.
    • Preschool children with developmental disorders showed significantly greater executive difficulties compared to matched controls.

    Conclusions:

    • The BRIEF-P is a psychometrically sound, complementary tool for assessing executive functions in preschool children through everyday behaviors.
    • This rating-scale methodology provides reliable insights into executive function challenges in natural environments.
    • The findings highlight the utility of the BRIEF-P for identifying executive function deficits in young children, including those with developmental disorders.