Executive Functioning and Learning Skills of Adolescent Children Born at Fewer than 26 Weeks of Gestation

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Fältnamn	Indikatorer	Metadata
000		04972naa a2200409 4500
001		oai:DiVA.org:umu-119281
003		SwePub
008		160415s2016 \| \|\|\|\|\|\|\|\|\|\|\|000 \|\|eng\|
009		oai:DiVA.org:uu-286656
024	7	a https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-1192812 URI
024	7	a https://doi.org/10.1371/journal.pone.01518192 DOI
024	7	a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-2866562 URI
040		a (SwePub)umud (SwePub)uu
041		a engb eng
042		9 SwePub
072	7	a ref2 swepub-contenttype
072	7	a art2 swepub-publicationtype
100	1	a Farooqi, Aijazu Umeå universitet,Pediatrik,Umea Univ, Inst Clin Sci, Pediat, Umea, Sweden.4 aut0 (Swepub:umu)aifa0002
245	1 0	a Executive Functioning and Learning Skills of Adolescent Children Born at Fewer than 26 Weeks of Gestation
264		c 2016-03-21
264	1	b Public Library of Science (PLoS),c 2016
338		a electronic2 rdacarrier
520		a Aims To assess the cognitive and behavioral aspects of executive functioning (EF) and learning skills in extremely preterm (EPT) children compared with term control children aged 10 to 15 years. Methods A total of 132 of 134 (98% of all eligible survivors) EPT children born at the 2 Swedish regional tertiary care centers from 1992 to 1998 (mean age = 12 years, mean birth weight = 718 g, and mean gestational age = 24.4 weeks) and 103 matched term controls were assessed. General intelligence was assessed using the Wechsler Intelligence Scale for Children (WISC-III-R), and cognitive aspects of EF were analyzed using EF-sensitive sub-scales of the WISC-III-R and Tower test of the Delis-Kaplan Executive Function Scale (D-KEFS). Behaviors related to EF and learning skills were assessed using the Five to Fifteen questionnaire, which is a validated parent and teacher instrument. Academic performance in school was assessed by teachers' responses on Achenbach's Teachers Report Form. Analyses performed included multivariate analyses of covariance (ANCOVA and MANCOVA) and logistic regression analyses. Results The EPT children displayed significant deficits in cognitive aspects of EF compared with the controls, exhibiting decreases on the order of 0.9 SD to 1.2 SD for tasks of verbal conceptual reasoning, verbal and non-verbal working memory, processing speed and planning ability (P < 0.001 for all). After excluding the children with major neurosensory impairment (NSI) or a Full Scale intelligence quotient (FSIQ) of < 70, significant differences were observed on all tests. Compared with controls, parents and teachers of EPT children reported significantly more EF-related behavioral problems. MANCOVA of teacher-reported learning skills in children with FSIQ > 70 and without major NSI revealed no interactions, but significant main effects were observed for the behavioral composite executive function score, group status (EPT vs control) and FSIQ, for which all effect sizes were medium to large. The corresponding findings of MANCOVA of the parent-reported learning skills were very similar. According to the teachers' ratings, the EPT children were less well adjusted to the school environment. Conclusion EPT children born in the 1990s who received active perinatal care are at an increased risk of executive dysfunction, even after excluding children with significant neurodevelopmental disabilities. Even mild to moderate executive dysfunctions has a significant impact on learning skills. These findings suggest the need for timely interventions that address specific cognitive vulnerabilities and executive dysfunctions.
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Pediatrik0 (SwePub)302212 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Pediatrics0 (SwePub)302212 hsv//eng
700	1	a Adamsson, Marieu Umeå universitet,Pediatrik,Umea Univ, Inst Clin Sci, Pediat, Umea, Sweden.4 aut0 (Swepub:umu)majo0081
700	1	a Serenius, F.u Uppsala universitet,Umeå universitet,Pediatrik4 aut0 (Swepub:uu)frser021
700	1	a Hägglöf, Brunou Umeå universitet,Barn- och ungdomspsykiatri,Umea Univ, Inst Clin Sci Child & Adolescent Psychiat, Umea, Sweden.4 aut0 (Swepub:umu)brha0001
710	2	a Umeå universitetb Pediatrik4 org
773	0	t PLOS ONEd : Public Library of Science (PLoS)g 11:3q 11:3x 1932-6203
856	4	u https://doi.org/10.1371/journal.pone.0151819y Fulltext
856	4	u https://umu.diva-portal.org/smash/get/diva2:932848/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print
856	4	u https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0151819&type=printable
856	4	u https://uu.diva-portal.org/smash/get/diva2:923706/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print
856	4 8	u https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-119281
856	4 8	u https://doi.org/10.1371/journal.pone.0151819
856	4 8	u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-286656

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Av författaren/redakt...: Farooqi, Aijaz; Adamsson, Marie; Serenius, F.; Hägglöf, Bruno

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Pediatrik

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Av lärosätet: Umeå universitet; Uppsala universitet

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