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.     

Interactions between Callous Unemotional Behaviors and Executive Function in Early Childhood Predict later Aggression and Lower Peer-liking in Late-childhood

Callous unemotional (CU) behaviors are linked to aggression, behavior problems, and difficulties in peer relationships in children and adolescents. However, few studies have examined whether early childhood CU behaviors predict aggression or peer-rejection during late-childhood or potential moderation of this relationship by executive function. The current study examined whether the interaction of CU behaviors and executive function in early childhood predicted different forms of aggression in late-childhood, including proactive, reactive, and relational aggression, as well as how much children were liked by their peers. Data from cross-informant reports and multiple observational tasks were collected from a high-risk sample (N = 240; female = 118) at ages 3 and 10 years old. Parent reports of CU behaviors at age 3 predicted teacher reports of reactive, proactive, and relational aggression, as well as lower peer-liking at age 10. Moderation analysis showed that specifically at high levels of CU behaviors and low levels of observed executive function, children were reported by teachers as showing greater reactive and proactive aggression, and were less-liked by peers. Findings demonstrate that early childhood CU behaviors and executive function have unique main and interactive effects on both later aggression and lower peer-liking even when taking into account stability in behavior problems over time. By elucidating how CU behaviors and deficits in executive function potentiate each other during early childhood, we can better characterize the emergence of severe and persistent behavior and interpersonal difficulties across development.     

Examining the Regulatory and Reactive Temperamental Characteristics as Predictors of Low Income Preschool Children’s Executive Function

The current study is an examination of low income children’s reactive and regulatory temperamental characteristics as predictors of their executive function, with a particular focus on children’s regulatory temperament (i.e., inhibitory control and attentional focusing) as moderators of associations between reactive temperament (i.e., negative emotionality) and executive function. Participants were 291 children (159 boys) ages 37 to 70 months (M = 53.88 months, SD = 6.44 months) enrolled in 17 classrooms within 3 different preschools serving low income children in two Midwestern cities in the United States. Temperament was assessed via parent report during Fall 2014, and executive function were assessed via structured tasks implemented by independent researchers during Spring and Summer 2015. SAS PROC MIXED was used to test hierarchical regression models of children nested within classrooms. After controlling for child age, gender, ethnicity, and parent education, regulatory temperament moderated the association between reactive temperament and executive function. Children’s reactive temperament was inversely associated with their executive function. These findings suggest that understanding children’s regulatory and reactive temperamental characteristics may help to improve their executive functioning in early childhood.     

The Course of Childhood Anxiety Symptoms: Developmental Trajectories and Child-Related Factors in Normal Children

This three-wave longitudinal study explored developmental trajectories for various types of childhood anxiety symptoms (i.e., specific fears, social anxiety, generalized anxiety, and separation anxiety) and examined how these trajectories were associated with several factors thought to be involved in the pathogenesis of anxiety. Parents of a community sample of 224 children aged 4 to 11 years repeatedly completed a standardized questionnaire of anxiety symptoms during a 2-year period. At Time 1, parents also filled out scales for measuring children’s level of behavioral inhibition (BI), internalizing and externalizing symptoms, and prosocial behaviors, while an interview was conducted with children to assess Theory-of-Mind (TOM) ability. Growth Mixture Modeling identified multiple developmental trajectories in childhood anxiety symptoms of which the ‘stable-low’ or ‘stable-medium’ reflected the normative trajectories. Further, multinomial regression analyses indicated that the higher developmental trajectories of anxiety were associated with higher levels of BI and internalizing symptoms at Time 1. In sum, results show heterogeneity in the development of anxiety symptoms and underline the importance of early prevention programs for children at high risk for developing an anxiety disorder.     

Bidirectional relations between different forms of prosocial behaviors and substance use among female college student athletes

Bidirectional, longitudinal relations between alcohol and marijuana use and prosocial behaviors in women college student athletes were examined. Participants were 187 female college students (M_age = 19.87 years; 91% White) who completed questionnaires on their use of marijuana and alcohol, and six forms of prosocial behaviors across 6 years (2004–2010). The findings yield overall evidence that earlier marijuana use predicted lower levels of most specific forms of prosocial behaviors for women athletes in later young adulthood. Early expressions of altruistic behaviors predicted less marijuana use in later young adulthood. Expression of public prosocial behaviors early in young adulthood predicted higher levels of hazardous drinking in late young adulthood. These novel findings have important implications for links between prosocial development and substance use in women college athletes.     

Theory of Mind Understanding and Conversational Patterns in Middle Childhood

The author investigated the longitudinal relations between theory of mind (ToM) understanding and perceptions of self and social conversations in 17 school-aged children (12 girls, 5 boys, age 8–12 years). ToM was assessed at Time 1 (T1; M age = 8 years 5 months, SD = 8.7 months, and perceptions of self and conversational experiences assessed two years later at Time 2 (T2; M age = 10 years 4 months, SD = 7.9 months. Most importantly, longitudinal findings showed that children who scored relatively high on ToM at T1 reported relatively lower perceptions of self-worth and higher number of mental states verbs in their perceptions of peer and family conversations at T2. Significant negative longitudinal associations were found between children's number of siblings and their perceptions of self-worth (T1) and number of cognitive terms in their perceptions of peer and family conversations (T2). Frequency analysis suggested that girls’ perceptions of conversations referred to more social and psychological aspects of self and relationships, whereas boys focused mainly on physical activities. Most children were more likely to prefer listening to talking during social conversations. The majority of children reported feelings of mixed or ambiguous emotions during experiences of silence. Implications for socioemotional and cognitive development in early adolescents are discussed.     

Associations between parental gendered attitudes and behaviours and children’s gender development across middle childhood

The present study used a longitudinal, multi-informant approach to examine which specific elements of parents’ gendered attitudes and behaviours were predictive of multiple dimensions of children’s gender development. One hundred and six families with two children (older sibling M = 7.45 years and younger sibling M = 5.19 years at Time 1) were assessed at two time points four to five years apart. At Time 1, parents reported on division of household labour, their own gender-role attitudes (GRAs), and children’s gendered preferences. At Time 2, children reported on their gendered preferences, GRAs and gendered personality traits. Results from multilevel modelling showed that fathers’ egalitarian GRA and egalitarian division of household tasks were predictive of egalitarian child GRA and outcomes, but child sex did not moderate these relationships. As some gender measures were more strongly correlated than others, these findings highlight the importance of examining multiple dimensions of both children’s and parents’ gendered attitudes and behaviours.     

Associations of transcranial doppler velocity,age, and gender with cognitive function in children with sickle cell anemia in Nigeria

Children with sickle cell anemia (SCA) have elevated cerebral blood velocity relative to healthy peers. The primary aim of this study was to evaluate the association between cerebral blood velocity, measured by transcranial Doppler (TCD) ultrasound, age, and gender with cognitive function in children with SCA in Nigeria. Eighty-three children (M_age = 9.10, SD = 1.90 years; 55% female) with SCA in Nigeria completed cognitive assessments and a TCD ultrasound. The association between TCD velocity and measures of perceptual reasoning (Raven’s Progressive Matrices), working memory (WISC-IV Digit Span), and executive planning (Tower of London, TOL) were assessed. Results showed that elevated TCD velocity significantly predicted lower scores on TOL Time Violations and Total Problem-Solving Time when controlling for BMI, hemoglobin level, and parent education, suggesting that TCD velocity is related to the efficiency of executive function. Further, age was negatively related to children’s performance on the Ravens Matrices and TOL Total Correct, and boys showed greater deficits on the TOL Total Correct relative to girls. Moderation analyses for gender showed that there was a conditional negative association between TCD velocity and Digit Span for boys, but not for girls. Findings suggest that children with SCA in Nigeria with elevated TCD velocity are at risk for deficits in efficiency of executive planning, and boys with elevated TCD velocity are particularly at increased risk for deficits in auditory working memory. Implications of this study are important for interventions to reduce cerebral blood velocity and the use of TCD in this population.     

The relationship between habitual physical activity status and executive function in individuals with Alzheimer’s disease: a longitudinal,cross-lagged panel analysis

To determine whether habitual physical activity status specifically influences executive function change in Alzheimer’s disease (AD) over 1 year. In this longitudinal cohort study, 45 participants with AD were recruited and provided follow-up data approximately 1 year later. Executive function measures (map search task, digit symbol substitution task, controlled oral word association task, verbal fluency task) and habitual physical activity measures (Physical Activity Scale for the Elderly (PASE) and handgrip strength) were taken at baseline and follow-up. Individual composites were subsequently created. Additional demographic, lifestyle, and neuropsychiatric measures were also taken. In a structural equation model (χ²(26) = 9.84, p = .998, comparative fit index = 1.00, root mean square error of approximation = .00), a significant association was found between habitual physical activity and executive function change (β = .27, p = .04). In a cross-lagged panel analysis, a significant path was found between the PASE score and executive change (β = .22, p = .01). As higher habitual physical activity levels were associated with reduced executive function change, the promotion of low-intensity habitual physical activities in individuals with a diagnosis of AD may be warranted. Further research is needed, however, to explore the impact of habitual physical activity on the trajectory of change across cognitive domains, and how this relates to the progression of the underlying pathology associated with this disease.     

The Italian version of the Empathy Questionnaire for 18- to 36-months-old children: psychometric properties and measurement invariance across gender of the EmQue-I13

Empathy is the basic ability to respond affectively to the emotions of others and is observed early in human development. This study (N = 304) tested the Italian version of the Empathy Questionnaire (EmQue), which is a parent scale assessing empathy-related behaviors in toddlers. For this study, it was completed by participants’ mothers only. The EmQue measurement model and its factorial invariance across children’s gender were tested via confirmatory factor analysis. Highly satisfactory goodness-of-fit indexes were found for a three factor-structure (contagion, attention to the feelings of others and prosocial actions) with 13 loading items. Furthermore, the data supported invariance of measurement across gender groups. These results suggest that the EmQue-I13 is a reliable instrument for investigating empathy and prosocial behavior in 18- to 36-month-old children in the Italian context.     

Can television help to decrease stigmatization among young children? The role of Theory of Mind and general and explicit inserts

ABSTRACT

Past research has considered how exposure to certain media content affects children’s Theory of Mind (ToM). It is possible, however, that ToM also moderates the effects of exposure to televised narratives on children’s behavior. Previous work found that special inserts, designed to help children understand an inclusion message, were somewhat effective in promoting children’s comprehension of the moral lesson. Such inserts, however, may be most effective in promoting inclusion among children lowest in ToM, who would theoretically be least likely to engage in prosocial behaviors. To test this possibility, we use data collected from four- to six-year-old children in the Netherlands (N = 66). We randomly assigned children to one of three conditions: a control, a treatment condition with general information inserts, and a treatment condition with explicit moral lesson inserts. Results indicate that children’s prosocial intentions mediate the relationship between condition and stigmatization, but only among children in the explicit condition lowest in ToM. This suggests that explicit inserts can help children low in ToM to learn from inclusion narratives. Comprehension of the moral lesson did not mediate this relationship. We integrate these findings with existing research, discussing overall conclusions in the context of child development.     

Children’s Gender-Typed Behavior from Early to Middle Childhood in Adoptive Families with Lesbian,Gay, and Heterosexual Parents

Gender-typed behaviors—both gender-conforming and nonconforming—were investigated longitudinally among children in 106 adoptive U.S. families with lesbian, gay, and heterosexual parents at two times (Wave 1, preschool-age; Wave 2, school-age) over 5 years. At Wave 1 (W1), parents reported on children’s gender-typed behavior using the Pre-School Activities Inventory (PSAI; Golombok and Rust 1993), and children’s gender-typed toy play was evaluated using observational methods. At Wave 2 (W2), children reported on their own gender-typed behavior using the Children’s Occupations, Activities, and Traits Personal Measure (COAT-PM; Liben and Bigler 2002). Observations of children’s gender-conforming toy play and parents’ reports of children’s gender nonconformity (PSAI) in early childhood (W1) were associated with children’s self-reports of gender nonconformity (COAT-PM) in middle childhood (W2); toy play was most strongly predictive of gender nonconformity 5 years later. Children’s gender-typed behavior also varied by age and gender at both time points, but no significant differences were found as a function of parental sexual orientation across time. Informative to ongoing debates about same-sex parenting, our findings indicate that among children reared by lesbian, gay, and heterosexual parents, gender-typing appears to be similar, and predominantly gender-conforming, across early to middle childhood.     

Maternal sensitivity in responding during play and children’s pre-mathematical skills: a longitudinal study from infancy to preschool age

This longitudinal study explored how mothers’ sensitivity in responding to their child’s cognitive and emotional needs in infancy and toddlerhood predicts children’s pre-mathematical skills at early preschool age. The sample consisted of 65 mother–child dyads (N = 130 individuals) videotaped during joint play at ages 1;0 and 2;0. The children’s pre-mathematical skills were tested at age 3;0. The path analyses showed that, in infancy, mothers’ autonomy support and scaffolding are more strongly related than emotional support to children’s later performance on spatial and numerical tasks. The findings are discussed in relation to how maternal sensitivity in responding fosters children’s pre-mathematical development in an optimal way.     

Parenting and the dysregulation profile predict executive functioning in children with acquired brain injury

Background: Children with acquired brain injury (ABI) present with high rates of psychological disorders commonly accompanied by deficits in hot and cold executive functions (EFs). Impairments in EFs have been reported to precede mental health problems. Moreover, children who are vulnerable to developing mental health problems in adulthood frequently present with a dysregulation profile in childhood, characterized by impairments in cognitive, behavioral and emotional regulation. Objective: To identify profiles of behaviors associated with impairment in hot and cold EFs and compare injury factors, environmental stressors and dysregulation profile between them. Methods: A latent profile analysis was conducted with 77 children with ABI aged between 6 and 12. Injury factors, child IQ, environmental stressors and the dysregulation profile were compared between these behavioral profiles. Logistic regressions were conducted to predict profile membership. Results: Two profiles were identified: Profile M, with mild deficits (1–2 SD above the mean) in working memory and social skills, and profile C, presenting clinically significant deficits (2–3 SD above the mean) in shift, initiate, working memory, planning and social skills and mild deficits in inhibit, emotional control and task monitor. Proximal environmental stressors (dysfunctional parenting practices, parental stress, parent’s executive dysfunction, anxiety-trait, and depressive symptoms) and dysregulation symptoms predicted profile membership, whereas injury factors, child IQ and distal environmental stressors did not. Conclusion: Following ABI, children with profile C are at risk of mental health problems and present with more proximal stressors. The dysregulation profile may be useful as a proxy for risk for later mental health problems in children with ABI.     

BRIEF-P: analysis of executive functions according to informant / BRIEF-P: análisis de las funciones ejecutivas en función del informante

Abstract

Children progressively become more independent in their ability to control their own thoughts, actions and behaviour. This change can be associated with and linked to the development of executive functions, which are observed and contrasted by parents and teachers. The purpose of this study was to identify the perceptions that both parents and teachers have of the development of executive functions in children of different ages. Participants of the study included parents (N = 1,077), teachers (N = 902) and evaluated children (N = 1,979), whose ages ranged from two years to five years and 11 months. We applied the BRIEF-P test. Results showed that when comparing parents’ and teachers’ scores, there were statistically significant differences for all the clinical scales and indices. These data confirm that teachers are more sensitive to the development of executive functions than parents. We conclude that the BRIEF-P is an instrument that is sensitive to the development of executive functions and also to the informant interacting with the child.     

Experiential purchases and prosocial spending promote happiness by enhancing social relationships

Recent research on consumption and subjective well-being has revealed that experiential purchases and prosocial spending promote happiness by enhancing the purchasers’ social relationships. This study (N = 1523) explored whether undergraduate students’ consumption behaviors during summer break would be associated with their post-break happiness, and whether the consumption–happiness relationship would be mediated by a positive influence on their social relationships. The results showed that both experiential purchases and prosocial spending during summer break were associated with greater post-break happiness, but only when these purchases had a positive influence on the purchasers’ social relationships. These effects remained significant after controlling for respondents’ personality traits, financial standing, and sex. Moreover, both experiential purchases and prosocial spending were more likely to have a positive influence on social relationships than luxury purchases. These results are congruent with the recent exposition that experiential purchases and prosocial spending promote happiness by enhancing the purchasers’ social relationships.     

Conscientiousness and adherence to the oral contraceptive pill: A prospective study

Objective: We assess the association between conscientiousness and adherence to the oral contraceptive pill (OCP), and examine if such a relationship is independent of a measure of prospective memory and a range of social cognitive variables.

Method: Data were collected from 150 OCP users at baseline, and 99 provided follow-up data four weeks later. Conscientiousness, a range of social cognitive predictors and prospective memory were assessed at baseline. OCP adherence was measured at baseline, and again at Time 2. Data were analysed using correlation and multiple linear regression.

Results: Higher conscientiousness was associated with higher overall OCP adherence in both cross-sectional (r = ?0.28, p < 0.01) and prospective analysis (r = ?0.34, p < 0.01). Conscientiousness predicted OCP adherence at Time 2, adjusting for OCP adherence at Time 1 (R² change = 0.02, p = 0.04). The association was reduced to non-significance when social cognitive predictors and prospective memory were included in the multivariable model. Prospective memory was an independent predictor of OCP adherence at Time 2.

Discussion: This is the first study to identify an association between conscientiousness and OCP adherence. The association is not independent from social cognitive predictors and prospective memory. Facet-level analysis of conscientiousness and formal mediation analyses are recommended in future replications.     

Can children develop a dual identity when immigrant mothers feel homesick? A short-term longitudinal study among Turkish immigrants

Abstract

Turkish immigrant-origin youth in Western Europe often develop strong ethnic and weaker national identities. To advance our understanding of this pattern, we investigated the concurrent development and intergenerational transmission of both identities over time in conjunction with maternal homesickness. Our study was based on a sample of 176 Turkish mother-child dyads from Germany, Norway, and the Netherlands. Mothers (M _t1 = 38 years) reported on their identities and homesickness at T1 and children (M _t1 = 12 years) on their identities at T1 and T2. Our results showed that children’s ethnic and national identities became more incompatible over time, mother’s homesickness strengthened children’s ethnic identities, and mother’s ethnic identities in combination with high levels of homesickness weakened children’s national identities. We conclude that early adolescence is a critical time for Turkish immigrant youth’s identity development and that a focus on parental acculturative stressors can advance ethnic socialization and cultural transmission research.     

Predictors of psychological outcomes in a longitudinal study of Latina breast cancer survivors

Objective: This study sought to investigate the unique contributions of socio-ecological, cultural and cancer treatment-related factors in predicting depressive symptoms and cancer-specific distress among Latinas. Design: Participants were 140 English or Spanish-speaking Latinas (M_age = 50.6) with non-metastatic breast cancer who were assessed within two years of diagnosis (Time 1) and three months later (Time 2).

Main Measures: Hierarchical regression analyses identified predictors of depressive symptoms and cancer-specific distress at Time 1 and 2.

Results: Most women scored above the clinical cut-offs for depressive symptoms and cancer-specific distress. After adjusting for socio-ecological factors, greater Latino enculturation, measured by Latino ethnic identity, was significantly associated with greater cancer-specific distress at Time 1 (β = .20, p < .05). A significant interaction (p < .01) revealed that among women high on Latino identity, lower English language use was associated with more cancer-specific distress than higher English language use. After adjusting for socio-ecological factors, greater satisfaction with surgical treatment predicted improved depressive symptoms and cancer-specific distress across time (β_s range from ?.31 to ?.18, p_s < .01).

Conclusions: Findings elucidate the complex relationship between culture and psychological outcomes in the breast cancer context and suggest that treatment satisfaction might be an important intervention target for Latinas.     

Pregnancy hypertension and the risk for neuropsychological difficulties across early development: A brief report

Despite documented effects on fetal brain development, little is currently known about the relationship between maternal pregnancy hypertension and child neuropsychological outcomes. This brief report examined the association between maternal hypertension during pregnancy and children’s social cognition and executive functioning when children were 18 months, 3 years, and 4.5 years. A community sample of 501 families (23 hypertensive mothers; 478 nonhypertensive) was recruited when children were newborns. Social cognition (including theory of mind [ToM]) and executive functioning (EF) were measured using a battery of age-appropriate standardized and/or observational tasks. Information on pregnancy and prenatal factors were measured via maternal report when children were newborns. After controlling for prenatal and demographic covariates, the presence of hypertension difficulties during pregnancy was associated with all measures of social cognition, ToM, and EF. A secondary analysis comparing the hypertension group (n = 23) to a nonhypertensive matched control group (n = 23) supported the effect of pregnancy hypertension on children’s social-cognitive and EF development. Future studies using obstetrical records are encouraged based on these preliminary findings.