Measuring executive function skills in young children in Kenya: Associations with school readiness

Most of what is known about the association between children’s executive function (EF) and school readiness skills is derived from research conducted in Western countries. We tested whether these associations were evident in a middle‐income country context. Participants were 1,480 children, aged 4–7 years old, who participated in an endline assessment of the Tayari program, an early childhood education (ECE) model that is being delivered by the Kenyan education system. High rates of task completion, low rates of floor effects, and high rates of assessor quality ratings supported the feasibility of large‐scale direct assessments of EF with young children. Assessor ratings of children’s attention‐related behaviors during testing were positively associated with their performance on EF tasks (rs = 0.12–0.27). An EF composite score was not related to demographic factors or to children’s exposure to the Tayari program. However, the EF composite score was uniquely associated with performance‐based measures of early literacy (β = 0.18, 95% confidence interval [CI] = 0.05, 0.31), early numeracy (β = 0.16, 95% CI = 0.07, 26), and social‐emotional competencies (β = 0.12, 95% CI = 0.03, 0.20), even after adjustment for multiple covariates. These results are discussed with respect to the ways in which EF skills inform ongoing efforts to invest in ECE in low‐ and middle‐income countries.     

Early executive control and risk for overweight and obesity in elementary school

An emerging literature suggests that poor executive control (EC) may be associated with clinical weight problems, e.g., body mass index (BMI) for age percentile ≥85 in children. However, our understanding of the impact of EC on overweight and obesity in childhood is limited by the lack of longitudinal studies spanning critical developmental periods and assessing EC using comprehensive performance-based batteries. The current study addresses these limitations in a longitudinal examination of 212 children who completed an extensive laboratory-based EC task battery in preschool (age 4 years and 6 months) and were followed through elementary school (Grades 1 through 4) with objective measures of weight status. The logistic regression results indicate that poorer EC in preschool is associated with significantly greater risk for clinical weight problems (either overweight or obese status, as defined by BMI-for-age percentile ≥ 85) in elementary school, controlling for maternal education. EC in preschool was not significantly associated with risk for obese status, specifically (defined by BMI-for-age percentile ≥ 95), but the trend was in the expected direction. The results suggest that early executive abilities are relevant for children’s subsequent health status, with deficits in EC in the critical period of preschool conferring risk for later problems with weight. Based on these findings, early interventions to promote stronger EC may be a promising, yet currently overlooked, component in pediatric obesity prevention efforts.     

Interaction between the development of postural control and the executive function of attention

The authors examined the interaction between the development of postural control and the development of the executive function of attention in 13 children and 6 adults in dual-task conditions. Participants performed an attentionally demanding cognitive task and a postural task simultaneously. The authors equalized the attentional load of the cognitive task across age groups. Comparative changes in the center of pressure in dual- and single-task conditions indicated that dual tasks interfered with postural performance in the wide stance (WS) and the modified Romberg stance (RS). Children at 4-6 years of age (but not children at ages 7-12 years of age or adults) experienced postural control interference in both stance positions, but interference was greater in the RS (p = .018). For all participants, cognitive task performance in RS was unchanged from that in WS. The knowledge gained from the results of this study will contribute to the design and implementation of academic and preacademic programming for young children. Their performance of an intentionally demanding cognitive task would be enhanced by the provision of appropriately sized desks and chairs or their use of an alternate, less demanding position.     

Relation of perinatal risk and early parenting to executive control at the transition to school

Executive control (EC) develops rapidly during the preschool years and is central to academic achievement and functional outcome. Although children with perinatal adversity are at known risk for EC impairments, little is known about the underlying nature of these impairments or the mechanisms that contribute to their development over time. Drawing on a cohort of 110 high‐risk children born very preterm (VPT; < 33 weeks / < 1500 g) and 113 healthy full‐term children, this study examined the implications of perinatal adversity and early parenting for children's EC as they transitioned to formal schooling. Parent supportive presence, intrusiveness, and parent–child synchrony were observed during a series of problem‐solving tasks at ages 2 and 4 years. At age 6, children completed a comprehensive battery of EC tasks. Academic outcomes were assessed at age 9. The VPT group showed global EC impairments at age 6, although the unitary factor that best characterized the structure of EC was the same in both groups. High‐risk dyads were characterized by more intrusive and less synchronous parent–child interactions in early childhood, which in turn predicted poorer child EC at age 6. EC partially mediated the relation of risk status to poorer academic achievement at age 9. Findings demonstrate the cumulative effects of perinatal adversity on children's EC in the crucial transition to schooling. They also highlight the importance of the parent–child relationship as a target for intervention efforts to help mitigate these effects.     

How bilingual experience and executive control influence development in language control among bilingual children

This longitudinal study investigates whether the development in executive control and bilingual experience predicts change in language control in bilingual children. Children were tested twice over the course of 1 year, using the language‐switching paradigm and the Simon task. The participants were Japanese‐English bilingual “returnee” children (ages 7–13), who returned to their first language (L1) environment after spending some years in a second language (L2) dominant environment. Testing these children upon their return to the L1 environment allowed us to disentangle the effect of age from bilingual experience, as they experienced an increase in age but a decrease in L2 exposure over time. Children who had less L2 exposure showed smaller improvement in baseline performance when naming pictures in English (i.e., when English was relevant across all trials). Moreover, development in trials where children had to switch between languages were modulated by development in executive control. That is, children who increased their performance in the English mixed repetition trials also performed better on the executive control task over time. Thus, development in executive control modulated change in language control among bilingual children, suggesting a positive relationship between language control and executive control in children's development.     

Measuring the executive regulation of emotion with self-rating scales in a nonclinical population

Prefrontal systems play an important role in the regulation of emotion as evidenced by clinical neuroimaging studies. Both subjective and objective neuropsychological tests provide functional evidence of executive dysfunction in emotional deregulation. The present authors evaluated these relationships here in a nonclinical community sample using the Frontal Systems Behavior Scale, Profile of Mood States (POMS), and Depression Anxiety Stress Scales (DASS). Positive correlations uniformly emerged between prefrontal system dysfunction and negative emotional states (anger, depression, anxiety, stress, confusion, and fatigue), whereas positive emotion (vigor) showed a modest inverse correlation with prefrontal system dysfunction, even after control for demographic influences. These relationships may result from cognitive strategies for managing emotion mediated by reciprocal connections between prefrontal systems and the limbic system. The findings corroborated those of other methodologies, supporting the Frontal Systems Behavior Scale (FrSBe) as a valid tool to measure prefrontal function in nonclinical populations.     

Cortico-subcortical contributions to executive control

The term "executive functions" refers to a range of cognitive processes, their common feature being the coordination of information processing and action control. Cortico-subcortical circuits which connect the prefrontal cortex (PFC), the basal ganglia and the cerebellum via the thalamus are believed to serve as neuroanatomical substrates of executive processing. This paper focuses on information processing related to executive functions by the PFC and related subcortical regions. Findings are mainly derived from neuropsychological investigations of brain-damaged patients but also from imaging studies in healthy subjects. There is evidence for subtle differences between these regions with respect to the cognitive mechanisms contributing to inhibition of habitual responses, task management/multitasking and set shifting, although the data base is sparse so far.     

The executive control of mnemonic activity

The present study focused on the executive monitoring of a rehearsal strategy by sixth (11 years 5 months), tenth (15 years 8 months), and twelfth (17 years 9 months) graders and adults (27 years 4 months). The results showed that all of the adults spontaneously adopted an “optimal” strategy and generalized it to a second task. However, none of the sixth graders and only two tenth and three twelfth graders did so. All of the school subjects subsequently trained to rehearse, maintained the strategy without prompting, and showed evidence of transfer. In comparison to adults, the trained subjects' generalized routines became more similar to the adults' as grade increased. This study supports the notion that efficient executive functioning includes the case where continued use of a mnemonic routine is a reasonable response to an objective change in an information-processing task.     

The executive control of face memory

Patients with frontal lobe damage and cognitively normal elderly individuals demonstrate increased susceptibility to false facial recognition. In this paper we review neuropsychological evidence consistent with the notion that the common functional impairment underlying face memory distortions in both subject populations is a context recollection/source monitoring deficit, coupled with excessive reliance on relatively preserved facial familiarity signals in recognition decisions. In particular, we suggest that due to the breakdown of strategic memory retrieval, monitoring, and decision operations, individuals with frontal lobe impairment caused by focal damage or age-related functional decline do not have a reliable mechanism for attributing the experience of familiarity to the correct context or source. Memory illusions are mostly apparent under conditions of uncertainty when the face cue does not directly elicit relevant identity-specific contextual information, leaving the source of familiarity unspecified or ambiguous. Based on these findings, we propose that remembering faces is a constructive process that requires dynamic interactions between temporal lobe memory systems that operate in an automatic or bottom-up fashion and frontal executive systems that provide strategic top-down control of recollection. Executive memory control functions implemented by prefrontal cortex play a critical role in suppressing false facial recognition and related source memory misattributions.     

Measuring executive function skills in young children in Kenya

Interest in measuring executive function skills in young children in low- and middle-income country contexts has been stymied by the lack of assessments that are both easy to deploy and scalable. This study reports on an initial effort to develop a tablet-based battery of executive function tasks, which were designed and extensively studied in the United States, for use in Kenya. Participants were 193 children, aged 3–6 years old, who attended early childhood development and education centers. The rates of individual task completion were high (65–100%), and 85% of children completed three or more tasks. Assessors indicated that 90% of all task administrations were of acceptable quality. An executive function composite score was approximately normally distributed, despite higher-than-expected floor and ceiling effects on inhibitory control tasks. Children’s simple reaction time (β = –0.20, p = .004), attention-related behaviors during testing (β = 0.24, p = .0005), and age (β = –0.24, p = .0009) were all uniquely related to performance on the executive function composite. Results are discussed as they inform efforts to develop valid and reliable measures of executive function skills among young children in developing country contexts.     

侗歌经验对侗族中学生执行功能的影响

音乐训练对认知能力具有广泛的促进效应。本研究结合执行功能的三个成分(抑制控制、工作记忆和认知灵活性), 在我国民族音乐背景下, 匹配实验任务的视觉和听觉形式, 探讨侗歌经验对侗族中学生执行功能的影响。结果表明, 侗歌组被试在抑制能力和刷新能力上显著好于侗族非侗歌组被试和汉族被试, 这一优势在视觉任务中和听觉任务中均存在, 说明侗歌经验产生的认知优势具有跨感觉通道的普遍性。侗歌组被试和侗族非侗歌组被试的转换能力差异不显著。侗族非侗歌组被试的抑制能力和转换能力好于汉族被试, 这体现了语言和音乐的交互作用。     

Common mechanisms of executive attention underlie executive function and effortful control in children

Executive Function (EF) and Effortful Control (EC) have traditionally been viewed as distinct constructs related to cognition and temperament during development. More recently, EF and EC have been implicated in top‐down self‐regulation ‐ the goal‐directed control of cognition, emotion, and behavior. We propose that executive attention, a limited‐capacity attentional resource subserving goal‐directed cognition and behavior, is the common cognitive mechanism underlying the self‐regulatory capacities captured by EF and EC. We addressed three related questions: (a) Do behavioral ratings of EF and EC represent the same self‐regulation construct? (b) Is this self‐regulation construct explained by a common executive attention factor as measured by performance on cognitive tasks? and (c) Does the executive attention factor explain additional variance in attention deficit hyperactivity disorder (ADHD) problems to behavioral ratings of self‐regulation? Measures of performance on complex span, general intelligence, and response inhibition tasks were obtained from 136 preadolescent children (M = 11 years, 10 months, SD = 8 months), along with self‐ and parent‐reported EC, and parent‐reported EF, and ADHD problems. Results from structural equation modeling demonstrated that behavioral ratings of EF and EC measured the same self‐regulation construct. Cognitive tasks measured a common executive attention factor that significantly explained 30% of the variance in behavioral ratings of self‐regulation. Executive attention failed to significantly explain additional variance in ADHD problems beyond that explained by behavioral ratings of self‐regulation. These findings raise questions about the utility of task‐based cognitive measures in research and clinical assessment of self‐regulation and psychopathology in developmental samples.     

Aging and time-sharing aspects of executive control

A particularly important aspect of executive functioning involves the ability to coordinate two simultaneous activities. The role of this aspect of executive functioning in adult-age differences in cognitive performance was examined in a study involving 150 adults between 20 and 91 years of age who performed the same visual-motor tracking task with three different primary tasks. The participants also performed several additional cognitive tasks that allowed examination of the relation of time-sharing efficiency to other types of cognitive functioning The results were consistent with the existence of a distinct time-sharing ability because the time-sharing costs in the three dual-task combinations were significantly correlated with one another but only weakly correlated with other cognitive variables. Increased age was associated with reductions in time-sharing ability, and greater efficiency in performing two tasks at once was associated with better performance on tasks assessing spatial, reasoning, and memory abilities. Although this pattern is what one would expect if executive processes contribute to age differences in cognitive functioning, the effects were smaller than those associated with a perceptual speed construct.     

Intact emotion-induced recognition bias in neuropsychological patients with executive control deficits

In recognition memory tasks, emotionally negative words are judged more often as "old" relative to emotionally neutral words, suggesting a shift in response bias. We wondered whether this bias shift was due to the flexible regulation of executive control during memory retrieval. To address this question, we investigated individuals with high variability in executive control functions. As expected, we observed that emotional word meaning did indeed have a strong influence on the bias toward responding "old," independent of recognition accuracy and overall response bias. However, these effects were uncorrelated with executive control, as measured by the Trail Making Test, and were fully intact, even in a sample of hospitalized neurological patients with severe executive dysfunctions, some of whom had marked damage in fronto-thalamo-striatal networks. Having concluded that the emotion-induced bias must develop on different grounds, we went on to discuss alternative explanations.     

Hierarchical functional system development supports executive function

In this perspective, we describe how developmental improvements in youth executive function (EF) are supported by hierarchically organized maturational changes in functional brain systems. We first highlight evidence that functional brain systems are embedded within a hierarchical sensorimotor-association axis of cortical organization. We then review data showing that functional system developmental profiles vary along this axis: systems near the associative end become more functionally segregated, while those in the middle become more integrative. Developmental changes that strengthen the hierarchical organization of the cortex may support EF by facilitating top-down information flow and balancing within- and between-system communication. We propose a central role for attention and frontoparietal control systems in the maturation of healthy EF and suggest that reduced functional system differentiation across the sensorimotor-association axis contributes to transdiagnostic EF deficits.     

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.     

Development of theory of mind and executive control

Several recent studies have demonstrated a developmental link, in the age range of 3–5 years, between the acquisition of a ‘theory of mind’ and self control. In this review, we consider the existence of such a link in assessing five competing theoretical hypotheses that might help us to understand the nature of this developmental advance: (1) executive control depends on theory of mind; (2) theory of mind development depends on executive control; (3) the relevant theory of mind tasks require executive control; (4) both kinds of task require the same kind of embedded conditional reasoning; (5) theory of mind and executive control involve the same brain region. We briefly describe these theoretical accounts and evaluate them in the light of existing empirical evidence. At present, only account (3) can be ruled out with some confidence.