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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.
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.
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