Bottom-up and top-down dynamics in young children's executive function: Labels aid 3-year-olds’ performance on the Dimensional Change Card Sort

Executive function (EF) improves between the ages of 3 and 5 and has been assessed reliably using the Dimensional Change Card Sort (DCCS), a task in which children first sort bivalent cards by one dimension (e.g., shape) and then are instructed to sort by a different dimension (e.g., color). Three-year-olds typically perseverate on the pre-switch dimension, whereas 5-year-olds switch flexibly. Labeling task stimuli can facilitate EF performance (0110 and 0060), but the nature of this effect is unclear. In 3 experiments we examined 2 hypotheses deriving from different theoretical perspectives: first, that labels facilitate performance in a more bottom-up fashion, by biasing attention to relevant task rules (Kirkham et al., 2003); and second, that labels aid performance in a more top-down fashion by prompting reflection and an understanding of the hierarchical nature of the task (Zelazo, 2004). Children performed better on the DCCS when labels referred to the relevant sorting dimension (Experiment 1). This was a function of the content of the labels rather than the change in auditory signal across phases (Experiment 2). Furthermore, labeling the opposite dimension only did not have a symmetrically negative effect on performance (Experiment 3). Together, these results suggest external, verbal labels bias children to attend to task-relevant information, likely through interaction with emerging top-down, endogenous control.     

Executive functioning and prospective memory in young children

The current study examined the role of executive functioning (EF) in children's prospective memory (PM) by assessing the effect of delay and number of intentions to-be-remembered on PM, as well as relations between PM and EF. Ninety-six 4-, 5-, and 6-year-olds completed a PM task and two executive function tasks. The PM task required children to interrupt an ongoing card game to perform one action (single intention) or two actions (dual intention) with target cards after a short delay (1 min) or a long delay (5 min). There was no main effect of number of intentions or delay on the PM task. However, performance improved with age, and age and delay interacted such that 4-year-olds’ performance remained the same after a long delay whereas 5-year-olds’ performance improved after a long delay. We suggest that the age by delay interaction is a product of age differences in cognitive monitoring. Working memory but not inhibitory control predicted PM with age controlled. We argue that an executive function framework permits an integrative understanding of many processes involved in young children's prospective memory.     

The facilitative effect of positive stimuli on 3-year-olds’ flexible rule use

This study examined the effect of emotional stimuli on 3- to 4-year old children's flexible rule use, as measured by the Dimensional Change Card Sort (DCCS). In Experiment 1, children in two countries (Canada and China) were given 2 versions of the DCCS. The Standard version required children to sort red and blue boats and rabbits first by shape and then by color (or vice versa); the Emotional Faces version required children to sort happy and sad male and female faces first by emotion and then by gender (or vice versa). Children performed significantly better on the Emotional Faces version, and performance on the 2 versions was related. Order in which dimensions were presented had no effect. Experiment 2 examined which aspects of the emotional faces were responsible for the facilitation of children's performance. Performance on the Standard version was compared to performance on three contextual faces versions, in which children were shown happy, sad, or neutral faces and required to sort them by age (child versus adult) and then by gender (or vice versa). Facilitation was only seen in the context of happy faces. Results are consistent with the suggestion that positive stimuli promote cognitive flexibility, perhaps by increasing dopamine levels in prefrontal cortex.     

Inhibition and working memory in young preschool children with symptoms of ADHD and/or oppositional-defiant disorder

Background: Early symptoms of attention deficit/hyperactivity disorder (ADHD) and oppositional-defiant disorder (ODD) are associated with deficits in cognitive self-regulatory processes or executive functions (EF)s. However, the hypothesis that neurocognitive deficits underlying the two disorders are already evident during early preschool years still has limited empirical support. The present study investigated associations between symptoms of ADHD and/or ODD and two core EFs, inhibition and working memory, in a large nonclinical sample of 3-year old children. Method: Participants were 1045 children (554 boys, age 37–47 months), recruited from the population based Norwegian Mother and Child Cohort Study (MoBa). Relations between behavioral symptoms and measures of inhibition and working memory were studied both categorically and dimensionally. Results: Children with co-occurring symptoms of ADHD and ODD performed at a significantly lower level than typically developing children in 4 out of 5 EF measures. Symptoms of ADHD, both alone and in combination with ODD, were associated with reduced performance on tests of inhibition in the group comparisons. Dimensional analyses showed that performance within both EF domains contributed to variance primarily in ADHD symptom load. The associations between test results and behavioral symptoms remained significant after gender and verbal skills had been controlled. Conclusion: Young preschoolers show the same pattern of relations between EF and behavioral symptoms of ADHD and/or ODD as previously described in older children diagnosed with ADHD and/or ODD. Effect sizes were generally small, indicating that measures of EF have limited clinical utility at this stage in development.     

Age-related trends of stroop-like interference in animal size tests in 5- to 12-year-old children and young adults

Few studies have examined the development of Prepotent Response Inhibition (Nigg's interference control) from childhood to adulthood. This cross-sectional study examined differences in Prepotent Response Inhibition among children of 5 age groups: twenty 5- to 6-year-olds, twenty-one 7- to 8-year-olds, twenty-two 9- to 10-year-olds, eighteen 11- to 12-year-olds, and 24 young adults (18- to 24-year-olds). Participants were administered two Stroop-like tasks: the Real Animal Size Test described in 2009 by Catale and Meulemans, which requires that participants decide the real size of animals (big vs. small) displayed in a mismatching pictorial size; and the Pictorial Animal Size Test (an original test), which requires that participants report the pictorial size of the animals. Results showed clear differences between the tests. The Pictorial Animal Size Test elicited robust interference whereas the Real Animal Size Test elicited no interference. The Pictorial Animal Size Test also revealed the development of Prepotent Response Inhibition in children of 5–12 years and between children and young adults. These results were discussed with respect to differences in strengths of processing. The Pictorial Animal Size Test can be a useful tool for assessment of Prepotent Response Inhibition in children older than 5 years of age.     

The effect of labeling on preschool children's performance in the Dimensional Change Card Sort Task

Previous research suggests that experimenter-induced labeling of test cards improves preschoolers’ performance on the Dimensional Change Card Sort Task (DCCS), a measure of flexible rule use. Three experiments attempted to further clarify how labeling aids performance on the DCCS. Experiment 1 examined the nature of the labeling effect but failed to show any benefit of labeling on children's performance. Experiment 2 failed to replicate the labeling effect reported by [Kirkham, N. Z., Cruess, L. M., & Diamond, A. (2003). Helping children apply their knowledge to their behavior on a dimension-switching task. Developmental Science, 6, 449–467] despite closely matching their procedures. Experiment 3 demonstrated that labeling procedures designed to counteract the suppression of the post-switch sorting dimension also failed to improve performance on the DCCS. We discuss the implications of these findings for identifying factors that positively affect preschoolers’ cognitive flexibility.     

The contribution of executive function and social understanding to preschoolers’ letter and math skills

The influence of executive function and social understanding on letter and math skills was examined in 129 3–5-year-olds. Tasks were administered to measure working memory, inhibition, social understanding, letter and math skills, and vocabulary. Using latent variable analyses, multiple models were compared in order to examine the influence of executive function and social understanding on participants’ emerging academic skills. In the best-fitting model, working memory contributed to letter and math skills, over and above inhibition, social understanding, age, and vocabulary. Inhibition and social understanding did not uniquely contribute to letter and math skills, but significant relations were found among working memory, inhibition, and social understanding. Findings are discussed with respect to improving ways to examine the complex relations among preschoolers’ executive function, social understanding, and school readiness skills.     

The effects of Promoting Alternative Thinking Strategies Preschool Program on teacher–children relationships and children's social competence in Turkey

This quasi‐experimental study examined the effects of the Promoting Alternative Thinking Strategies (PATHS) Preschool Program on the outcomes of children's social‐emotional competence, perceived relationships between teacher and children and teachers' ability to create a positive classroom atmosphere. Two hundred and eighty five children (48–72 months) and teachers in Izmir participated in the intervention, and 280 children (48–72 months) and teachers participated as comparison group. Intervention teachers implemented PATHS in their classrooms. For data triangulation, multiple sources of data were collected in the study. Classrooms were observed using two different scales. Teacher rated students using another two different scales. Children were assessed with an interview to evaluate their perceptions of relationships. Intervention group teachers reported greater improvement of children's social‐emotional skills, interpersonal relationship skills and emotion regulation. Furthermore, when observed intervention group children showed higher levels of pro‐social behaviour, increased levels of compliance, better problem solving skills and more positive feelings. Intervention group children also described their relationships with their teachers as significantly more positively. Finally, intervention group teachers perceived more dependency in their relationships with children.     

Development of norms for executive functions in typically-developing Indian urban preschool children and its association with nutritional status

Executive functions (EFs) are essential and important for achieving success in children’s everyday lives and play a fundamental role in children’s cognitive, academic, social, emotional and behavioral functioning. A cross-sectional study was carried out to develop age- and sex-specific norms for EFs using the Behavior Rating Inventory of Executive Function – Preschool Version (BRIEF-P) among 2- to 5-year-olds from urban Bangalore, India. In addition, the association between EFs and anthropometric measures, a marker of nutritional status, is also examined. Primary caregivers of 412 children, equally distributed by age and sex, participated. Raw scores for each domain and indices were converted to standard t-scores and percentiles were computed. A t-score at or above 63 corresponding to the 90th percentile was considered as the cutoff for executive dysfunction in this sample. The prevalence of executive dysfunction is 10% based on the Global Executive Composite score of the BRIEF-P. The cutoff score for identifying executive dysfunction using existing United States (US) norms is higher compared to the cutoff score obtained in the current study. Therefore, using US norms for Indian children could result in the prevalence of executive dysfunction been underestimated. Multiple linear regression analysis revealed that stunted and underweight children have significantly elevated EF scores after adjusting for age, sex and socioeconomic status (SES; p < .01). A greater understanding of EFs in preschool children is important for the early identification of executive dysfunction and implementing interventions to improve their future prospects. This study also shows that undernourished children are more likely to have executive dysfunction.     

Automatic shifts of attention in the Dimensional Change Card Sort task: Subtle changes in task materials lead to flexible switching

Two experiments tested a hypothesis that reducing demands on executive control in a Dimensional Change Card Sort task will lead to improved performance in 3-year-olds. In Experiment 1, the shape dimension was represented by two dissimilar values (stars and flowers), and the color dimension was represented by two similar values (red and pink). This configuration of stimuli rendered shape more salient than color. In Experiment 2, attentional weights of each dimension value were manipulated by using two versus four values to represent the dimensions of shape and color. The results indicated that increasing saliency of the postswitch dimension (Experiment 1) and reducing attentional weights of individual dimension values (Experiment 2) lead to a marked improvement in the postswitch sorting accuracy in 3-year-olds.     

Impact of cognitive profile on social functioning in prepubescent females with Turner syndrome

Social deficits are prevalent in Turner syndrome (TS); however, the extent to which these difficulties are secondary to characteristic cognitive impairments is not well known. Here, we sought to establish the relative contribution of executive functions, visuospatial abilities, and IQ to social difficulties in young girls with TS. Forty TS girls and 19 typically developing (TD) children were assessed with the Social Responsiveness Scale (SRS), the Motor-Free Visual Spatial Test (MVPT-3), the Behavior Rating Inventory of Executive Function (BRIEF), and an IQ test. Hierarchical multiple regression analyses were conducted with the SRS subscales as outcome variables. In a first step, the cognitive factors were entered (verbal IQ, BRIEF global score, MVPT-3, and age), followed by the group variable in a second step. In comparison to TD, TS participants were significantly impaired on all main measures. All six regression models with the SRS subscales were significant and revealed that global executive functions explained the largest portion of the variance on all subscales and the total score. Even after controlling for cognitive elements, the group factor still explained a significant portion of the variance of the Social Cognition, Social Awareness, and Autistic Mannerisms subscales. In contrast, the group factor was not a significant predictor of Social Motivation and Social Communication scores. These results suggest that executive dysfunctions play a role in social impairments encountered in TS, but also that some specific aspects of social behavior are altered beyond what can be attributed to cognitive difficulties in this population.     

Age-related changes in cognitive processing of moral and social conventional violations

Moral and conventional violations are usually judged differently: Only moral violations are treated as independent of social rules. To investigate the cognitive processing involved in the development of this distinction, undergraduates (N = 34), adolescents (N = 34), and children (N = 14) read scenarios presented on a computer that had 1 of 3 endings: moral violations, conventional violations, or neutral acts. Participants judged whether the act was acceptable or unacceptable in a condition in which social rules were assumed, or in a condition in which they imagined the absence of rules (rule-removed condition). At all ages reaction times (RTs) were faster for moral than conventional violations when a rule was assumed. RTs in the rule-removed condition were longer than in the rule-assumed condition, only for adults’ moral judgments. In addition to this age difference, adolescents made more normative judgments than children. These findings extend previous work by showing different time courses of processing conventional versus moral violations and revealing age-related differences in the tendency to make normative judgments.     

Validation of the BRIEF-P in a sample of Canadian preschool children

The Behavior Rating Inventory for Executive Function-Preschool (BRIEF-P) is an instrument designed to assess preschoolers’ executive function (EF) in the context of where the behavior occurs. The present study examined the psychometric properties and measurement structure of the BRIEF-P using parents’ and teachers’ reports on 625 typically developing children aged 25 to 74 months. Results indicated that the BRIEF-P scales had good internal consistency and convergent validity in this sample of children. However, the measurement models examined exhibited poor fit statistics and showed that the EF construct was not unidimensional but rather multidimensional with interrelated subconstructs. Further analyses showed that three of the clinical scales (Emotional Control, Plan/Organize, and Working Memory) were unidimensional and invariant across informant. The other two clinical scales (Inhibit and Shift) were multidimensional and differed by informant. Results support a multidimensional construct of EF and, accordingly, different measurement models are proposed by informant.     

The role of executive functions in social impairment in Autism Spectrum Disorder

Autism Spectrum Disorder (ASD) is a neurodevelopmental disorder characterized by socio-communicative impairments. Executive dysfunction may explain some key characteristics of ASD, both social and nonsocial hallmarks. Limited research exists exploring the relations between executive function and social impairment in ASD and few studies have used a comparison control group. Thus, the objective of the present study was to investigate the relations between executive functioning using the Behavioral Rating Inventory of Executive Functioning (BRIEF), social impairment as measured by the Social Responsiveness Scale (SRS), and overall autistic symptomology as measured by the Autism Diagnostic Observation Schedule (ADOS) in children and adolescents with and without ASD. Seventy children and adolescents diagnosed with ASD and 71 typically developing controls were included in this study. Findings showed that behavioral regulation executive processes (i.e., inhibition, shifting, and emotional control) predicted social function in all children. However, metacognitive executive processes (i.e., initiation, working memory, planning, organization, and monitoring) predicted social function only in children with ASD and not in typically developing children. Our findings suggest a distinct metacognitive executive function-social symptom link in ASD that is not present in the typical population. Understanding components of executive functioning that contribute to the autistic symptomology, particularly in the socio-communicative domain, is crucial for developing effective interventions that target key executive processes as well as underlying behavioral symptoms.     

The role of goal representation in preschoolers' flexibility and inhibition

This study addressed the role of goal representation in preschoolers’ inhibition and flexibility performance. A total of 56 4- and 5-year-olds were tested in an adapted version of the Shape School task where the difficulty of goal representation was manipulated by varying the degree of transparency of task cues. The findings showed that both age groups’ performance in the flexibility phase was increased when demands on goal representation were alleviated by using transparent cues instead of arbitrary cues. Furthermore, 4-year-olds performed more accurately on go trials in the inhibition phase with transparent cues than with arbitrary cues. These results confirm the critical role of goal representation in flexibility and reveal its influence in inhibition contexts. Altogether, this study suggests that goal representation is a key element for efficient executive function across a variety of settings involving different executive functions.     

Multifaceted emotion regulation,stress and affect in mothers of young children

We tested a novel multi-component emotion self-regulation construct that captured physiological (vagal tone), cognitive (reappraisal) and temperament (effortful control) aspects of emotion regulation (ER) as a moderator of the link between more stressors and greater negative/less positive affectivity (NA and PA). A socio-economically diverse sample of 151 women with young children completed questionnaires and a laboratory visit (including cognitive and parent–child interaction tasks and vagal tone measurement). Women with more stressors had more NA and less PA. Furthermore, for NA only, having more stressors was substantially associated with NA but only among women with the lowest ER. This pattern was evident for the composite as well as individual indicators of ER. Results were not attributable to individual differences in executive function. Findings are discussed in light of the diathesis-stress model of stress and coping.     

The influence of provocateurs' emotion displays on the social information processing of children varying in social adjustment and age

This study examined the effect of provocateurs' emotion displays on first through fourth graders' social information processing (SIP). Rating and nomination sociometric techniques were used to identify rejected-aggressive, rejected-nonaggressive, average-nonaggressive, and popular-nonaggressive groups. Children viewed videotaped ambiguous provocation situations in which provocateurs' emotion displays were varied systematically. After each vignette, children's recall of story details, attribution of intent, and problem-solving responses were obtained. Half of the children were randomly assigned to a condition where they were asked directly about provocateurs' emotions, and the remaining children were not asked about provocateurs' feelings. Results revealed both developmental and social adjustment differences in SIP. In addition, provocateurs' emotion displays and asking versus not asking about those displays influenced multiple aspects of SIP.     

Effects of the EXAT neuropsychological multilevel intervention on behavior problems in children with executive function deficits

This is a clinical intervention study of children with executive function (EF ) deficits. A neuropsychological multimodal group intervention called EXAT (rehabilitation of EX ecutive function and AT tention) was developed at the Psychology Clinic of the University of Tampere. Based on the principles of neuropsychological rehabilitation and behavioral modification, EXAT combines child group training, parent training, and teacher consultations. The aims of this study were to investigate behavior problems before and after the intervention in children attending EXAT and in controls, and to compare intervention effects in hyperactive, inattentive, and EF subgroups based on the primary deficit described in the referral. The participants were 86 children (6–12 years) with a mean IQ of 91.4 attending EXAT and 45 controls. The participants’ parents and teachers completed the Conners’ Rating Scales‐Revised. In addition, the Strengths and Difficulties Questionnaire was completed by the parents attending EXAT . The parents reported statistically significant decreases with medium effect sizes for the CPRS ‐R subscales for impulsivity, hyperactivity, and oppositional behavior. In the controls within the same time interval, there was increase in restless and impulsive behavior, and a decrease in total problems. The teachers reported positive changes after the intervention in ADHD symptoms and anxiousness/shyness, but the effects sizes were small. The intervention effects were larger in the hyperactive subgroup. Positive intervention effects were related to a younger age, lower IQ , and simultaneous learning support. In conclusion, EXAT – a structured multilevel group intervention – has positive effects on children's behavior regulation skills by decreasing impulsivity and restless behavior.     

Examining the relationship between performance-based and questionnaire assessments of executive function in young preterm children: Implications for clinical practice

The aim of this study was to determine whether specific performance-based executive function assessment tools were associated with executive functioning in everyday life as reported by parents and teachers of four- to five-year-old preterm and term children. At the age of 4 years, 141 preterm children born <33 weeks’ gestation and 77 term children were assessed using performance-based intelligence (WPPSI-III) and executive function (EF) assessment tools (NEPSY-II, Day-Night and Shape School tasks). The assessment results were compared with the parent and teacher completed questionnaires of EF (BRIEF-P) when the children started kindergarten at the age of 4 to 5 years. The performance-based intelligence and EF assessment results were not consistently associated with the parent and teacher reports of EF in everyday life for either preterm or term groups. Clinical implications of using and interpreting performance-based EF assessment tools and EF questionnaires are discussed with a particular focus on young preterm children at the commencement of formal schooling.     

The effect of persistent posttraumatic stress disorder symptoms on executive functions in preadolescent children witnessing a single incident of death

We compared executive functions (EFs) of traumatized preadolescent children with and without marked posttraumatic stress disorder (PTSD) symptoms to the performance of a nontraumatized control group, and examined the relationships between EF deficits and functional status in traumatized preadolescent children. Fifty-one preadolescent children who had witnessed a death at school 30 months prior (26 with marked PTSD symptoms and 25 without) and 30 healthy controls who had not been traumatized participated. EFs were examined using the Comprehensive Attention Test (CAT). The functional state of traumatized children was measured by the Parent Report Form-Children's Health and Illness Profile-Children's Edition (PRF-CHIP-CE). The traumatized children, regardless of status of PTSD symptomatology, showed poorer working memory performance than nontraumatized healthy controls. The traumatized children with marked PTSD symptoms performed more poorly on measures of interference control compared to those children without marked PTSD symptoms. Lower levels of EFs were associated with lower risk avoidance and diminished academic achievement in traumatized children. These results indicate that an inhibitory control deficit is specifically associated with the current PTSD symptoms but not with trauma exposure per se.