Attention and executive function in children with and without single-suture craniosynostosis

Children with single-suture craniosynostosis (SSC) have higher rates of learning disabilities and related neurocognitive problems than unaffected peers. Executive function (EF) and attention are thought to be areas of particular vulnerability, though studies to date have been limited by small sample sizes and a lack of control groups. We evaluated 179 school-aged children with SSC (cases) and 183 unaffected controls at an average age of 7 years using clinician-administered and parent and teacher report measures of EF and attention. Among children with SSC, we examined differences as a function of suture location (sagittal, metopic, unicoronal, or lambdoid) and age of corrective surgery. We used linear regression analyses, adjusted for potential confounders, to compare the two groups on all outcome measures. Cases scored lower than controls on most measures, though the magnitude of these differences was small and most were statistically insignificant. The largest relative deficit was on a measure of inhibitory control. Results changed little in sensitivity analyses adjusting for potential attrition bias and for the effects of developmental and academic interventions. Among cases, there were few differences in relation to the location of suture fusion or timing of surgery. Overall, we found limited evidence of broad deficits in EF or attention in children with SSC relative to unaffected controls. Neurocognitive development for children with SSC appears to be variable, across affected children and outcomes assessed. Further research is needed to understand the potential sources of this variability.     

Spatial memory and executive functions in children

A computerized hidden pathway maze-learning task was used to examine the development of spatial memory and executive functions in 6- to 9-year-olds. Pathway length was manipulated to investigate the impact of increases in maze matrix size on these abilities. Analysis showed that maze matrix size (and ipso facto pathway length) and age interacted to affect executive functions but not spatial memory. Executive errors differed as a function of age on the most difficult maze. Results are discussed in terms of factors affecting the development of executive functions and spatial memory.     

Latent structure of executive function in five- and six-year-old children: A longitudinal study

This longitudinal study analyses the structure of executive function in children assessed at five and six years of age and examines the longitudinal relationships between the executive function dimensions identified at the two age levels. Confirmatory factor analysis was used to examine the latent structure of executive function at both age levels. The best fit to the data at both age levels was a two-factor model in which inhibition was distinguished, while working memory and shifting emerged as a unitary component. Some variables show a moderate longitudinal stability and the inhibitory control tasks display reduced continuity across ages.     

Differential changes in the development of motor coordination and executive functions in children with motor coordination impairments

Cognitive and motor coordination skills of children with and without motor coordination impairments were examined with a one-year follow-up investigation. Initially, children were between 4 and 6 years old. Age-appropriate tests of executive functions (updating, switching, inhibition, interference control), motor coordination (the Movement Assessment Battery for Children-2) and fitness (the Körperkoordinations-Test für Kinder) were administered in two consecutive years. Several background variables (age, socioeconomic status, medical support, clinical interventions, leisure activities) and potential moderators (nonverbal intelligence, reaction time, visual perception) were controlled. The matched sample consisted of 48 control children and 48 children with motor coordination impairments. The children’s executive functions dramatically improved during the one-year period. With regard to motor coordination performance, half of the impaired children caught up to the control children’s level (“remission group”), while the remaining half showed no improvement (“persisting group”). Compared to the persisting group, the children in the remission group showed markedly better interference control at both measurement points. The correlation between executive functions and motor coordination is significant in the persisting group, but not in the remission group. The results of the study are discussed in the light of the role of executive functions, especially inhibition processes, for the automatization of motor coordination tasks.     

The development of and interaction among alerting,orienting, and executive attention in children

A sex-balanced sample (N = 96) of children from age 6.5 to age 12.5 completed a modified Attention Network Test. Across these ages, we found evidence for developmental changes to alerting and executive control but stable orienting. Additionally, we found that the youngest members of our sample manifested an interaction between alerting and executive control that is opposite to that typically found in adults; a reversal that diminishes with age to achieve the adult pattern by the older end of the age range of our sample.     

Executive functions after age 5: Changes and correlates

Research and theorizing on executive function (EF) in childhood has been disproportionately focused on preschool age children. This review paper outlines the importance of examining EF throughout childhood, and even across the lifespan. First, examining EF in older children can address the question of whether EF is a unitary construct. The relations among the EF components, particularly as they are recruited for complex tasks, appear to change over the course of development. Second, much of the development of EF, especially working memory, shifting, and planning, occurs after age 5. Third, important applications of EF research concern the role of school-age children’s EF in various aspects of school performance, as well as social functioning and emotional control. Future research needs to examine a more complete developmental span, from early childhood through late adulthood, in order to address developmental issues adequately.     

Relations between key executive functions and aggression in childhood

The present study examined relationships between three key executive functions (working memory, inhibition, and mental set-shifting) and multiple types of aggression in a general population sample of 9-year-old children. One hundred and forty-eight children completed a battery of executive function tasks and were rated on aggression by their primary teachers. All executive function (EF) composites were related to a composite measure of aggression. Working memory (WM) was most consistently related to the different types of aggression (overt, relational, reactive, and proactive), whereas inhibition and mental set-shifting only were related to relational and reactive aggression, respectively. Specificity in relations (studied as independent contributions) was generally low with the exception of the relation between WM and relational aggression. Taken together, our results highlight the roles of WM and relational aggression in EF-aggression relations in middle childhood.     

Components of executive control with advantages for bilingual children in two cultures

The present study used a behavioral version of an anti-saccade task, called the ‘faces task’, developed by [Bialystok, E., Craik, F. I. M., & Ryan, J. (2006). Executive control in a modified anti-saccade task: Effects of aging and bilingualism. Journal of Experimental Psychology: Learning, Memory, and Cognition, 32, 1341-1354] to isolate the components of executive functioning responsible for previously reported differences between monolingual and bilingual children and to determine the generality of these differences by comparing bilinguals in two cultures. Three components of executive control were investigated: response suppression, inhibitory control, and cognitive flexibility. Ninety children, 8-years old, belonged to one of three groups: monolinguals in Canada, bilinguals in Canada, and bilinguals in India. The bilingual children in both settings were faster than monolinguals in conditions based on inhibitory control and cognitive flexibility but there was no significant difference between groups in response suppression or on a control condition that did not involve executive control. The children in the two bilingual groups performed equivalently to each other and differently from the monolinguals on all measures in which there were group differences, consistent with the interpretation that bilingualism is responsible for the enhanced executive control. These results contribute to understanding the mechanism responsible for the reported bilingual advantages by identifying the processes that are modified by bilingualism and establishing the generality of these findings across bilingual experiences. They also contribute to theoretical conceptions of the components of executive control and their development.     

The p factor in children: Relationships with executive functions and effortful control

Lower levels of self-regulation have been implicated in multiple psychological disorders. Despite conceptual overlap (broadly reflecting self-regulatory functions), executive functions (EF) and effortful control (EC) are rarely jointly studied in relation to broadband psychopathology. The present study investigated associations of correlated factors (internalizing-externalizing) and bifactor psychopathology models with EF and EC in a large (N = 895) childhood community sample (M_age = 11.54, SD_age = 2.25). Associations between both self-regulation constructs (EF and EC) with psychopathology were largely accounted for via a general psychopathology factor. However, EC evidenced stronger associations, questioning the utility of task-based EF measures to inform self-regulatory psychopathology.     

Cognitive and behavioral rating measures of executive function as predictors of academic outcomes in children

Interrelations of two measurement methods (cognitive versus behavioral ratings) for executive function (EF) were examined and related to reading comprehension and math calculations in fourth and fifth grade students (n = 93) in the context of a diverse urban student population. Relations among measures within four EF processes (working memory, planning, inhibition and shifting) were modest; relations to academics were stronger. EF measures contributed to both academic outcomes even in the context of relevant covariates (age, language and educational program). Working memory was particularly important for reading comprehension across measurement type. Cognitive measures from all EF processes, particularly inhibition and planning, and behavioral ratings of working memory were important for math.     

Development of executive functioning in school-age Tunisian children

Research regarding executive functioning (EF) in children rarely focuses on populations in African or Middle-Eastern Arabic-speaking countries. The current study used a cross-sectional design to examine the developmental trajectories of school-age Tunisian children in three domains of executive control (inhibition of prepotent responses, cognitive flexibility, and working memory) as well as their mutual interactions and the effects of gender and parents’ education level. Inhibitory processes, cognitive flexibility, and working memory were assessed using the Stroop test, a version of the Hayling test adapted for children, simple and alternating tasks of verbal fluency, and verbal and visuospatial span tasks (forward and backward spans). The study population included 120 7- to 12-year-old Tunisian children (60 girls, 60 boys) who were grouped and matched for age, gender, and parents’ education level. The results revealed an overall effect of age on executive performance, whereas gender and parents’ education level showed non-significant effects. In addition, executive indices were significantly associated with fluid intelligence level. Partial correlation analyses (controlled for age) found significant links between indices that assessed the same executive process, except for inhibitory processes; the temporal indices for inhibitory processes showed relative independence. The correlations between indices that assessed distinct executive processes were weaker (but significant). Overall, the results suggest that executive components in school-age Tunisian children operate according to relatively homogeneous developmental trajectories, marked by peaks of maturity that differ according to the assessed index. A transcultural approach to EF is discussed in terms of the unity and diversity of its components.     

The role of executive functions in bilingual children with reading difficulties

To explore the joint effect of reading difficulties (RD) and bilingualism on executive functions, 190 children of four groups of 9–12 year‐olds (41 bilinguals with RD, 45 monolinguals with RD, 45 bilinguals without RD, and 59 monolinguals without RD) were examined on the Concentration game, Tower of Hanoi, and Stroop as measures of executive functioning tapping into inhibitory/attentional control, working memory and planning ability. The most prominent finding was that in terms of RD, the speed of performances decreased dramatically. This general decrease was more pronounced for bilingual children with RD than for their monolingual counterparts. In conclusion, the findings suggest that while bilinguals gain more from executive functions in normal reading, they lose in terms of RD. Such an outcome confirms that executive functions are essential components of both reading and bilingualism, which depending on whether reading conditions are normal or difficult will produce cognitive advantages or disadvantages. Further, it is argued that dissimilarity between the Farsi and Swedish languages may complicate handling of such a situation.     

Individual differences in executive functioning and theory of mind: An investigation of inhibitory control and planning ability

This research examined the relative contributions of two aspects of executive function-inhibitory control and planning ability-to theory of mind in 49 3- and 4-year-olds. Children were given two standard theory of mind measures (Appearance-Reality and False Belief), three inhibitory control tasks (Bear/Dragon, Whisper, and Gift Delay), three planning tasks (Tower of Hanoi, Truck Loading, and Kitten Delivery), and a receptive vocabulary test (Peabody Picture Vocabulary Test [PPVT-3]). Multiple regression analyses indicated that two inhibition tasks (Bear/Dragon and Whisper) were significantly related to theory of mind after accounting for age, receptive vocabulary, and planning. In contrast, the planning tasks did not share unique variance with theory of mind. These results increase our understanding of the specific nature of executive function-theory of mind relations during early childhood.     

Motor planning between 4 and 7 years of age: Changes linked to executive functions

In the present study, we adopted the conceptual frameworks of Miyake et al. (2000) (organization of executive functions) and Sergeant (2000) (linking executive function to motor behaviour) to assess developmental changes in executive functions and motor behaviour, using a planning task with a sample of 4–7-years old children. More precisely, the aim of the study was to characterize the development of motor response planning between the ages of 4 and 7 as a measure of the integration of multiple executive function processes, namely inhibition, shifting and working memory, and to gain insight into the concurrent developmental contributions of these processes. Participants were divided into two groups: group 1 was composed of 24 children aged 4–5 years and group 2 was composed of 20 children aged 6–7 years. Each participant took tests for shifting, inhibition, working memory and motor planning (the egg-planning task). Our results suggest that the egg-planning task requires the inhibition of a pre-potent but inappropriate response, and to a lesser extent the manipulation of working memory strategies. These results are discussed in relation to the development of each executive function component.     

Cognitive estimations as a measure of executive dysfunction in childhood epilepsy

Children and adolescents with epilepsy are known to demonstrate executive function deficits. Despite prior work that has shown that cognitive estimation tasks are sensitive to executive dysfunction in children, such tasks have not been studied in children with epilepsy. This is particularly important given the fact that executive tasks have heretofore shown poor ecological validity, and it has been speculated that estimation tasks may show stronger ecological validity than other executive tests. One hundred and thirteen clinically referred children and adolescents with epilepsy were included. The Biber Cognitive Estimations Test was sensitive to cognitive dysfunction, with about half showing impairments on this task in comparison to age-matched normative data; the most frequently impaired subscales were quantity estimation and time estimation. Moreover, the Biber Cognitive Estimation Test showed moderate correlations with not only overall intellectual functions and academic achievement but also other commonly administered tests of executive functions, including digit span, Trailmaking, and the Tower of London but not with the contingency naming test. Cognitive estimations were also modestly correlated with age of epilepsy onset but not other epilepsy-severity variables such as number of antiepilepsy drugs (AEDs) or seizure frequency. Unfortunately, the hypothesis that the Biber Cognitive Estimation Test would show strong ecological validity was not supported, as it showed weak relations with parent-reported executive function deficits. The significance and limitations of this investigation are discussed.     

The executive demands of strategic reasoning are modified by the way in which children are prompted to think about the task: Evidence from 3- to 4-year-olds

We investigated a test of strategic reasoning (the Windows task) that in different studies has yielded contrasting pictures of young children's executive abilities [Russell, J., Mauthner, N., Sharpe, S., & Tidswell, T. (1991). The “windows task” as a measure of strategic deception in preschoolers and autistic subjects. British Journal of Developmental Psychology, 9, 331–349; Samuels, M. C., Brooks, P. J., & Frye, D. (1996). Strategic game playing through the windows task. British Journal of Developmental Psychology, 14, 159–172]. An experiment with 52 three- to four-year-olds showed robust effects of different wordings for the prompts used to ask children to respond, and found that a single exposure to the facilitating wording led to improved performance on subsequent trials where the standard wording was used. This suggests that the effect of the wording was to help children infer an appropriate basis for responding, and not to reduce the trial-by-trial working memory or inhibitory demands of the task.     

Tai Chi exercise training enhances executive function and fluid intelligence of healthy older adults: Cross-sectional and longitudinal evidence

Executive function and fluid intelligence are two of the crucial frontal lobe functions susceptible to aging. Tai Chi as a mind-body exercise has been proposed for preventing cognitive aging. However, whether Tai Chi has similar effects on multiple components of executive functions in older adults remains underspecified. Moreover, it is not currently known whether Tai Chi exercise training improvements in lower-order executive functions are able to explain improvements in higher-order fluid intelligence. Study 1 included a cross-sectional design based on a large sample of healthy older adults (55–79 years old). Modeling results showed that experience of Tai Chi training exerted significantly positive effects on fluid intelligence, inhibition and updating after controlling for age and education. Both inhibition and updating mediated effects of Tai Chi on fluid intelligence. Study 2 carried out a 12-month Tai Chi training intervention on a novice group and an experienced group of older adults. Results indicated that only the novices exhibited significant improvements in inhibition and fluid intelligence. In addition, improvements in fluid intelligence were no longer significant after controlling for improvements in inhibition. These results shed lights on the mechanism by which mind-body training enhances intelligence.     

Mindfulness meditation practice and executive functioning: Breaking down the benefit

This paper focuses on evidence for mindfulness meditation-related benefits to executive functioning, processes important for much of human volitional behaviour. Miyake et al. (2000) have shown that executive functions can be fractionated into three distinct domains including inhibition, working memory updating, and mental set shifting. Considering these separable domains, it is important to determine whether the effects of mindfulness can generalize to all three sub-functions or are specific to certain domains. To address this, the current review applied Miyake et al.’s (2000) fractionated model of executive functioning to the mindfulness literature. Empirical studies assessing the benefits of mindfulness to measures tapping the inhibition, updating, and shifting components of executive functioning were examined. Results suggest a relatively specific as opposed to general benefit resulting from mindfulness, with consistent inhibitory improvement, but more variable advantages to the updating and shifting domains. Recommendations surrounding application of mindfulness practice and future research are discussed.     

Coordination of executive functions in monolingual and bilingual children

Two groups of 8-year-old children who were monolingual or bilingual completed a complex classification task in which they made semantic judgments on stimuli that were presented either visually or auditorily. The task requires coordinating a variety of executive control components, specifically working memory, inhibition, and shifting. When each of the visual and auditory tasks was presented alone, performance was comparable for children in the two groups. Combining the two modalities into a dual-task paradigm made the task more difficult, and on this combined task bilingual children maintained better accuracy than monolingual children, especially on the visual task. The results are interpreted in terms of the enhanced ability of bilingual children to coordinate the executive control components required in performing this complex task.     

Before and after entering school: The development of attention and executive functions from 6 to 8 years in Finnish children

In this 2‐year prospective follow‐up study we examined typical and atypical development of attention and executive function (AEF) across the transition to school. The NEPSY‐battery was used to evaluate the AEFs of the children before school at 6 years of age. Two subgroups, typical AEF (n = 25) and atypical AEF (n = 25), were formed according to the performance in AEF tasks. Children were assessed again at 8 years, when they were at the 2nd grade. The same subtests of the NEPSY‐battery and the ATTEX behavioral rating completed by a teacher were used. The effects of AEF deficits were compared with and without controlling for IQ. The group effect was significant in four out of the six NEPSY subtests used. The atypical AEF group had problems especially on subtests measuring motor inhibition both at the age of 6 and 8. The group‐time interaction effect was found in the subtest measuring attentional shifting. A catch‐up effect on shifting skills was observed in the atypical AEF group by the age of 8 years. In school at the 2nd grade, the early AEF problems were still observable, and related especially to inattention problems. Our results support the interpretation that inhibitory problems are at the core of executive dysfunction, that the problems are stable from preschool to 2nd grade, and that the effects of early AEF problems go over and beyond intellectual deficits. Our results also support the use of performance based measures of inhibition as an important part of the neuropsychological evaluation for school readiness.