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Processing speed and executive abilities in children with phenylketonuria
Alicia L Janos1, Dorothy K Grange, Robert D Steiner
1Department of Psychology, Campus Box 1125, Washington University, St. Louis, MO 63130, USA.
Insights
Children with phenylketonuria (PKU) exhibit slower and more variable information processing. While processing speed improves with age, PKU impacts executive functions like working memory and inhibitory control.
Area of Science:
- Neuroscience
- Developmental Psychology
- Metabolic Disorders
Background:
- Phenylketonuria (PKU) is an inherited metabolic disorder.
- Early and continuous treatment is crucial but may not fully prevent neuropsychological deficits.
Purpose of the Study:
- To investigate processing speed and its variability in children with PKU.
- To examine the relationship between processing speed variables and executive functions in this population.
Main Methods:
- 42 children with PKU and 81 controls (ages 7-18) completed computerized reaction time tasks.
- Executive abilities were assessed using 7 tasks measuring working memory, inhibitory control, and strategic processing.
Main Results:
- Children with PKU demonstrated significantly slower and more variable processing speeds than controls.
- Processing speed improved with age similarly in both groups, but processing speed variability decreased more with age in the PKU group.
- Processing speed and variability influenced most executive tasks, with residual impairments in working memory and inhibitory control noted in the PKU group.
Conclusions:
- Information processing is demonstrably slower and less efficient in children with PKU.
- Processing speed and variability partially explain, but do not fully account for, executive function impairments in PKU.
Objective:
Phenylketonuria (PKU) is a hereditary metabolic disorder that often results in neuropsychological impairment, even in individuals treated early and continuously. This study was conducted to examine processing speed, variability in processing speed, and the relationship between processing speed variables and executive abilities in children with early and continuously treated PKU.
Method:
Participants were 42 children with PKU and 81 typically developing children from 7 to 18 years of age. Children completed 3 computerized reaction time (RT) tasks (simple RT, go/no-go, stimulus-response compatibility) and 7 tasks assessing executive abilities (working memory, inhibitory control, strategic processing).
Results:
Performance of children with PKU was significantly slower and more variable than that of controls across the 3 tasks administered. When age was considered, it was shown that processing speed improved with age to a comparable degree for both groups. Variability in processing speed, however, decreased more with age for the PKU than control group, reflecting the fact that variability in younger, but not older, children with PKU was greater than that of controls. With regard to executive abilities, processing speed and variability contributed to performance on most, but not all, executive tasks; and after controlling for processing speed and variability, executive impairments were still identified in working memory and inhibitory control (not strategic processing).
Conclusions:
These findings indicate that information processing is slower and less efficient in children with PKU. In addition, processing speed and variability contribute to some, but not all, of the impairments in executive abilities observed in children with PKU.
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