Executive function skills are associated with reading and parent-rated child function in children born prematurely

Irene M Loe1, Eliana S Lee, Beatriz Luna

  • 1Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine, Palo Alto, CA, USA. iloe@stanford.edu

Early Human Development
|August 19, 2011
PubMed

Insights

Preterm children often struggle with executive function (EF) skills, impacting their learning and behavior. This study shows EF skills are crucial for functional outcomes in preterm children, suggesting potential for early intervention.

Area of Science:

  • Neuroscience
  • Developmental Psychology
  • Pediatrics

Background:

  • Preterm children face elevated risks for executive function (EF) deficits.
  • These EF challenges are associated with later behavioral and academic difficulties.
  • Understanding EF in preterm populations is critical for identifying at-risk individuals.

Purpose of the Study:

  • To assess executive function (EF) skills in children aged 9-16 born preterm across varying gestational ages (GA).
  • To determine the relationship between degree of prematurity and executive function (EF) abilities.
  • To investigate the contribution of executive function (EF) to reading scores and parent-rated child functioning.

Main Methods:

  • Compared preterm children (<36 weeks gestation) with full-term controls on EF, reading, and functional outcome measures.
  • Utilized multiple regression models to analyze contributions to EF skills and functional outcomes.
  • Controlled for age, gender, socioeconomic status (SES), and intelligence quotient (IQ).

Main Results:

  • Preterm children exhibited poorer performance on complex planning and organization tasks compared to controls.
  • Gestational age (GA) influenced EF skills, though this effect was mediated by IQ.
  • Executive function (EF) significantly predicted parent-rated child function, independent of IQ.
  • EF contributed to reading skills variance, but this was not significant when IQ was accounted for.

Conclusions:

  • Executive function (EF) skills play a significant role in the functional outcomes of children born preterm.
  • EF skills may serve as early indicators for learning and functional impairments in this high-risk group.
  • Targeting EF interventions for preterm children warrants further investigation for improved developmental trajectories.
Abstract

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