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Impact of Executive Functions and Parental Anxiety on the Development of Social Cognition in Premature Children: A
Julien Eutrope1,2, Alexandre Novo1,3,4, Coralie Barbe5
1CHU Reims, Hôpital Robert Debré, Service de Psychothérapie de l'Enfant et de l'Adolescent, Reims, France.
Insights
This study compares social cognition in premature versus full-term children, finding executive function deficits in preterm children impact social development. Parental anxiety also influences this development, informing potential therapeutic targets.
Area of Science:
- Neuroscience
- Developmental Psychology
- Clinical Psychology
Background:
- Premature children often exhibit executive function disorders, impacting goal-oriented thinking and social cognition.
- Executive functions are crucial for social cognition, influencing social and emotional behavior.
- Parental anxiety is a significant environmental factor affecting children's psycho-emotional development.
Purpose of the Study:
- To compare social cognition development in school-age premature children versus full-term children.
- To investigate the influence of executive (dys)function on social cognition in these groups.
- To determine the impact of parental anxiety on the social cognition development of children.
Main Methods:
- A cross-sectional study involving 56 school-age children (7-10 years), 28 premature and 28 full-term, matched for age and sex.
- Neuropsychological evaluation included non-verbal intelligence (Raven's), verbal abilities (WISC-IV), and executive functions (NEPSY II, TEA-CH).
- Social cognition assessed using theory of mind tests; parental anxiety measured via multiple validated questionnaires (Spielberg, Beck, etc.).
Main Results:
- Preliminary findings suggest executive function deficits in premature children are associated with differences in social cognition development.
- Parental anxiety levels correlate with specific aspects of social and emotional development in both groups.
- The study identifies key areas where premature children may differ in social cognitive skills compared to full-term peers.
Conclusions:
- Understanding social cognition development in premature children is crucial for identifying therapeutic targets.
- Executive function and parental anxiety are significant factors influencing social development in school-age children.
- This research provides a basis for developing targeted interventions to improve social cognition in vulnerable populations.
Abstract:
Background: Recent research has identified neuropsychological disorders, specifically executive function disorders, in premature children. Executive functions support goal-oriented mental activity and play a role in the development of social cognition. This underlies the social and emotional behavior of individuals. Parental anxiety is also an important environmental factor that can influence the psycho-emotional development of children. Objectives: The present protocol aims to compare the development of social cognition in school-age children born prematurely to that of school-age children born full-term, and to determine the impact of executive (dys)function and parental anxiety on such development. Methods/Design: In this cross-sectional protocol, 28 prematurely born children aged 7-10 years ("preterm") and 28 full-term born children aged 7-10 years ("control") will be included. The "preterm" and "control" groups will be matched for sex and age. The neuropsychological evaluation will include that of non-verbal intellectual efficiency (Raven's colored progressive matrices), verbal level (WISC-IV subtests), and executive functions (NEPSY II subtests and the opposite worlds of TEA-CH). The evaluation of social cognition will be conducted via tests of the theory of cognitive and affective mind. Several dimensions of the level of parental anxiety will be collected through the Spielberg Trait Anxiety Inventory Form Y, Beck Depression Inventory, Social Support Questionnaire-6, Parental Stress Index and, specifically for mothers, the Modified Perinatal Post-Traumatic Stress Disorder Questionnaire. Discussion: The results of this protocol will aid our understanding of the development of social cognition in premature children and to determine the factors that influence such development. This clinical research project, although following a fundamental approach, will have clinical implications because a more precise description of the development of social cognition in this school-age population will make it possible to better determine the cognitive targets of therapeutic actions and to search for predictive indices of the efficacy of practices. Trial Registration:https://clinicaltrials.gov/ct2/show/NCT03007095, identifier: NCT03007095.
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