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Updated: Aug 6, 2025

Multimedia Battery for Assessment of Cognitive and Basic Skills in Mathematics BM-PROMA
Published on: August 28, 2021
Mathematics abilities associated with adaptive functioning in preschool children born preterm
Leanne Tamm1,2, Kelly A McNally3, Mekibib Altaye1,2
1Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Insights
Mathematical skills are linked to better adaptive functioning in very preterm (VPT) preschoolers. Early math support may improve daily life skills for VPT children.
Area of Science:
- Developmental Psychology
- Pediatric Neuroscience
- Early Childhood Education
Background:
- Infants born very preterm (VPT) often experience mathematical deficits impacting academic success.
- The relationship between mathematical skills and adaptive functioning in VPT children remains unexplored.
- Mathematical abilities are crucial for broader life functioning beyond academics.
Purpose of the Study:
- To investigate the association between early mathematics skills and adaptive functioning in children born very preterm (VPT).
- To determine if mathematical performance predicts adaptive behaviors in VPT preschoolers.
- To identify specific domains of adaptive functioning linked to mathematical skills in VPT children.
Main Methods:
- Longitudinal study recruiting infants born at ≤31 weeks gestation (VPT) and full-term controls.
- Assessment at 36-month corrected age using the Early Number Concepts subtest (mathematics) and the Adaptive Behavior Assessment System (adaptive functioning).
- Statistical analysis controlling for age, sex, cognitive abilities, and caregiver education.
Main Results:
- Mathematics performance was uniquely and positively associated with adaptive behavior in the VPT group only, after controlling for covariates.
- This association was specifically linked to the Practical and Social composites of adaptive functioning.
- Stronger mathematical understanding correlated with better functioning at home, in the community, and in social/play settings for VPT children.
Conclusions:
- Early mathematical skills are significantly associated with adaptive functioning in preschool children born very preterm (VPT).
- Mathematical abilities may be a crucial target for early intervention to enhance adaptive behaviors in VPT populations.
- Findings suggest that supporting early numeracy could improve daily life skills and social integration for VPT children.
Abstract:
It is well known that infants born very preterm (VPT) often demonstrate deficits in mathematical abilities in early childhood which are associated with poorer academic outcomes. Mathematic skills are also critical for other areas of functioning. However, it is not known whether mathematics skills are associated with adaptive functioning in children born preterm. Infants born at ≤31 weeks gestation and full term were recruited at birth and followed over time. At the 36-month corrected age assessment, children were administered the Early Number Concepts subtest of the Differential Abilities Scale, Second Edition, and caregivers completed the Adaptive Behavior Assessment System, Third Edition. After controlling for age, sex, cognitive abilities, and caregiver education, performance on the mathematics measure was uniquely and positively associated with adaptive behavior for preschool children in the VPT group only. Exploratory analyses revealed this association to be specifically related to the Practical and Social composites. Knowledge of concepts of number and quantity were associated with better adaptive functioning, particularly for behaviors related to functioning at home and in the community and play/social functioning, for children born VPT. Although replication is warranted, it would appear that mathematical skills may be an important early intervention target for children born VPT.
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