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Updated: Apr 26, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
[Development of executive functions in preterm children]
C Borradori Tolsa1, K Barisnikov2, F Lejeune2
1Service du développement et de la croissance, département de l'enfant et de l'adolescent, hôpitaux universitaire de Genève, 1211 Genève, Suisse.
Insights
Preterm birth is linked to executive function (EF) deficits, impacting cognitive and social development. Early assessment during preschool is crucial for targeted interventions to support these children.
Area of Science:
- Neuroscience
- Developmental Psychology
- Pediatrics
Background:
- Premature birth rates have risen, raising concerns about long-term developmental outcomes.
- Children born preterm often exhibit cognitive and behavioral issues linked to executive function (EF) deficits.
- EF skills, including attention, memory, and planning, are vital for development and academic success.
Purpose of the Study:
- To review studies on executive function development and social behavior in preterm children.
- To highlight the importance of early neuropsychological assessment in preschool-aged preterm children.
- To emphasize the need for tailored interventions to enhance executive processes in this high-risk group.
Main Methods:
- Literature review focusing on executive function and social behavior in preterm infants.
- Analysis of studies examining cognitive and behavioral outcomes related to prematurity.
- Identification of critical developmental periods for assessment and intervention.
Main Results:
- Preterm birth is associated with a spectrum of executive function challenges.
- Deficits in selective attention, working memory, and inhibition are commonly observed.
- These EF challenges can impact social development and school achievement.
Conclusions:
- The preschool period is a critical window for identifying and addressing EF deficits in preterm children.
- Neuropsychological assessment, alongside IQ testing, is essential for detecting specific needs.
- Early, targeted interventions can significantly enhance executive function development and improve outcomes for high-risk children born preterm.
Abstract:
The rate of children born prematurely has increased considerably in the last few decades, and their developmental outcome remains of great concern. The literature on the impact of prematurity has reported a wide range of cognitive and behavioral problems that may be related to deficits in executive function (EF) skills. EF refers to a series of high-level processes (selective attention, inhibition, set shifting, working memory, planning, goal setting) that develop throughout childhood and adolescence and play an important role in cognitive and social development as well as in school achievement. EF skills have been linked to the prefrontal cortex, as well as to other neural networks and brain regions including the basal ganglia and cerebellum. This paper focuses on studies related to the development of EF and social behavior in children born preterm. The preschool period is a critical time to perform neuropsychological assessment in addition to IQ testing, and to detect the child's specific needs in order to adapt effective intervention to enhance the development of executive processes in these high-risk children.
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