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Updated: Jun 3, 2026

Assessing Working Memory in Children: The Comprehensive Assessment Battery for Children – Working Memory (CABC-WM)
Published on: June 12, 2017
Inattentive behaviour is associated with poor working memory and slow processing speed in very pre-term children in
Hanna Mulder1, Nicola J Pitchford, Neil Marlow
1Division of Human Development, School of Clinical Sciences, University of Nottingham, UK. nicola.pitchford@nottingham.ac.uk
Insights
Very pre-term (VPT) children show more behavioral issues, including inattention and hyperactivity. These difficulties are linked to impairments in processing speed and working memory, not inhibition.
Area of Science:
- Neuroscience
- Developmental Psychology
- Pediatrics
Background:
- Problem behaviors are common in children born very pre-term (VPT).
- The specific mechanisms underlying these behavioral difficulties remain unclear.
- Inattention and overactivity are frequently observed in VPT children.
Purpose of the Study:
- To investigate the neuropsychological underpinnings of behavioral problems in VPT children.
- To compare VPT children with term-born peers on cognitive tasks.
- To relate cognitive performance to parent and teacher behavioral assessments.
Main Methods:
- VPT children (gestational age < 31 weeks) and term-born controls (aged 9-10 years) were assessed.
- Cognitive functions including working memory, inhibition, and processing speed were evaluated.
- Parent and teacher reports using standardized questionnaires captured behavioral problems.
Main Results:
- VPT children exhibited higher rates of total difficulties, hyperactivity, emotional, and peer problems.
- VPT children also showed increased overactive/impulsive behavior and inattention.
- Impaired processing speed and working memory correlated with inattentive and overactive/impulsive behaviors.
Conclusions:
- Cognitive impairments in processing speed and working memory may explain behavioral issues in VPT children.
- The expected link between overactive/impulsive behavior and inhibitory control was not found.
- The nature of behavioral difficulties in VPT children may differ from term-born children.
Abstract:
BACKGROUND. Problem behaviour is common following pre-term birth, but the underlying nature of these difficulties is not well known. AIMS. We sought to establish the mechanisms underpinning behavioural difficulties in very pre-term (VPT) children in middle childhood by comparing their performance to that of term born peers on tasks of working memory, inhibition, and processing speed, and relating these to parent and teacher assessments of their behaviour. Particular focus was given to inattention and overactive/impulsive behaviour, as these behaviours have been associated with different neuropsychological problems in term children. SAMPLES. A group of VPT children (gestational age < 31 weeks, N= 56) aged 9-10 years and term controls (N= 22) participated in the study. METHOD. Children were assessed with measures of working memory, inhibition, and processing speed. Parents and teachers reported behavioural problems using the Strengths and Difficulties Questionnaire and two additional scales measuring overactive/impulsive behaviour and inattention. RESULTS. Results revealed increased rates of problem behaviour in VPT compared to term children for parent-rated total difficulties, hyperactivity, emotional problems, peer problems, prosocial behaviour, overactive/impulsive behaviour, and parent- and teacher-rated inattention. Processing speed and working memory, but not inhibition, were significantly related to inattentive and overactive/impulsive behaviour. CONCLUSIONS. The increased rates of inattention and overactive/impulsive behaviour in VPT children may be explained by impairment in processing speed and working memory. Expected links between overactive/impulsive behaviour and inhibitory control were not identified, suggesting the nature of such difficulties may be different in VPT compared to term children.
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