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Updated: May 5, 2026

Multimedia Battery for Assessment of Cognitive and Basic Skills in Mathematics BM-PROMA
Published on: August 28, 2021
Longitudinal mediators of achievement in mathematics and reading in typical and atypical development
Marcia A Barnes1, Kimberly P Raghubar2, Lianne English3
1Department of Pediatrics, University of Texas Health Science Center at Houston, Houston, TX 77030, USA; Department of Special Education, University of Texas at Austin, Austin, TX 78712, USA.
Insights
Children with spina bifida myelomeningocele (SBM) show math difficulties, not reading issues. Early visual-spatial memory and phonological awareness predict later math skills in these children.
Area of Science:
- Neurodevelopmental disorders
- Developmental psychology
- Cognitive neuroscience
Background:
- Spina bifida myelomeningocele (SBM) is a congenital neurodevelopmental disorder.
- Children with SBM often exhibit specific learning difficulties, particularly in mathematics.
- Understanding developmental precursors is crucial for addressing academic disabilities.
Purpose of the Study:
- To investigate cognitive mediators of academic outcomes in children with SBM.
- To determine if early cognitive abilities predict math and reading achievement.
- To explore differences in cognitive correlates for math versus reading development.
Main Methods:
- Longitudinal study comparing children with SBM (n=30) and typically developing children (n=35).
- Cognitive abilities (visual-spatial working memory, phonological awareness) assessed at 36 and 60 months.
- Mathematical and reading achievement measured at 8.5 and 9.5 years using multiple mediator models.
Main Results:
- Visual-spatial working memory at 36 months and phonological awareness at 60 months partially mediated math calculation outcomes.
- Phonological awareness mediated math fluency (addition/subtraction) and visual-spatial working memory mediated math problem-solving.
- No group differences in word reading; phonological awareness mediated reading fluency and comprehension.
Conclusions:
- Early visual-spatial working memory and phonological awareness are key mediators for mathematical development in SBM.
- Phonological awareness is crucial for reading development, independent of SBM status.
- Findings inform theories on mathematical development and cognitive profiles of learning disabilities.
Abstract:
Longitudinal studies of neurodevelopmental disorders that are diagnosed at or before birth and are associated with specific learning difficulties at school-age provide one method for investigating developmental precursors of later-emerging academic disabilities. Spina bifida myelomeningocele (SBM) is a neurodevelopmental disorder associated with particular problems in mathematics, in contrast to well-developed word reading. Children with SBM (n=30) and typically developing children (n=35) were used to determine whether cognitive abilities measured at 36 and 60 months of age mediated the effect of group on mathematical and reading achievement outcomes at 8.5 and 9.5 years of age. A series of multiple mediator models showed that: visual-spatial working memory at 36 months and phonological awareness at 60 months partially mediated the effect of group on math calculations, phonological awareness partially mediated the effect of group on small addition and subtraction problems on a test of math fluency, and visual-spatial working memory mediated the effect of group on a test of math problem solving. Groups did not differ on word reading, and phonological awareness was the only mediator for reading fluency and reading comprehension. The findings are discussed with reference to theories of mathematical development and disability and with respect to both common and differing cognitive correlates of math and reading.
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