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Updated: Apr 25, 2026

Multimedia Battery for Assessment of Cognitive and Basic Skills in Mathematics BM-PROMA
Published on: August 28, 2021
Neurodevelopmental pathways to preterm children's specific and general mathematic abilities
Julia Jaekel1, Peter Bartmann2, Wolfgang Schneider3
1Department of Developmental Psychology, Ruhr-University Bochum, Bochum, Germany; Department of Psychology, University of Warwick, Coventry, UK.
Insights
Preterm birth can impact children's math skills. Prolonged hospital stays and mechanical ventilation (MV) are linked to specific math difficulties in preterm children.
Area of Science:
- Neuroscience
- Developmental Psychology
- Pediatrics
Background:
- Preterm children often exhibit mathematical deficits.
- Predictors of specific mathematical abilities in preterm populations are not well understood.
Purpose of the Study:
- Investigate neurodevelopmental pathways to general and specific mathematical abilities.
- Examine the full gestational age range in preterm children.
Main Methods:
- Longitudinal, population-based study in Germany.
- Included 947 children (23-41 weeks gestational age).
- Assessed cognitive and mathematical abilities at 8 years; specific abilities identified using IQ-adjusted residuals.
Main Results:
- Neurodevelopmental models showed neonatal risk mediates preterm birth effects on mathematical abilities.
- Duration of hospitalization and mechanical ventilation uniquely predicted specific mathematical abilities.
Conclusions:
- Extended neonatal medical care, especially mechanical ventilation, may cause specific mathematical impairments.
- Findings inform respiratory support strategies, follow-up care, and research on brain reorganization post-preterm birth.
Background:
Preterm children have problems with mathematics but knowledge about the predictors of specific mathematic abilities in preterm populations is scarce.
Aims:
This study investigated neurodevelopmental pathways to children's general and specific mathematic abilities across the full gestational age range.
Study Design:
Prospective geographically defined longitudinal investigation in Germany.
Subjects:
947 children across the full gestational age range (23-41 weeks). Outcome measures. At 8 years, children's cognitive and mathematic abilities were measured and residuals of a regression predicting mathematic scores by IQ were used to identify specific mathematic abilities.
Results:
Neurodevelopmental cascade models revealed that adverse effects of preterm birth on mathematic abilities were mediated by neonatal risk. Specific mathematic abilities were uniquely predicted by the duration of hospitalization and ventilation.
Conclusions:
Prolonged neonatal medical treatment and, in particular, mechanical ventilation may lead to specific impairments in mathematic tasks. These findings have implications for the mode of respiratory support in neonates, routine follow-up and intervention planning as well as research about brain reorganization after preterm birth.
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