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Updated: Jul 15, 2025

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Published on: February 26, 2020
A Preliminary Study of Executive Functioning in Preterm-Born Children: A Bilingual Advantage
Caroline J Gillenson1, Daniel M Bagner, Ashley Darcy Mahoney
1Department of Psychology and Center for Children and Families (Ms Gillenson and Dr Bagner) and Department of Modern Languages and Center for Children and Families (Dr Baralt), Florida International University, Miami; and School of Nursing, George Washington University, Washington, District of Columbia (Dr Darcy Mahoney).
Background:
Preterm-born children are at increased risk for deficits in executive function (EF). EF is a set of cognitive processes including inhibition, attention, memory, and decision-making, among others. Bilingualism, operationalized as productive capacity in 2 languages (ie, English and Spanish), may enhance EF in children born preterm and in term-born children.
Purpose:
The purpose of this study was to examine the impact of bilingualism on executive functioning in bilingual and monolingual preterm and term-born children using a robust measure of bilingualism.
Methods:
This study examined the impact of bilingualism on EF in 17 monolingual or bilingual preterm-born children, aged 6 to 7. The preterm-born sample was also compared with a normed, term-born sample of 38 monolingual, typically developing 6- to 7-year-olds.
Results:
On the Creature Counting task of EF, bilingual preterm-born children performed with more accuracy and total switches than monolingual preterm-born children. There was no difference in accuracy between the term-born and entire preterm-born samples. The bilingual, preterm-born children performed more accurately than the term-born sample.
Implications For Practice And Research:
This preliminarily suggests bilingualism confers an advantage to preterm-born children's EF. Further research is needed on bilingual advantage of preterm-born children.
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