Co-occurring motor,language and emotional–behavioral problems in children 3–6 years of age

PurposeDevelopmental Coordination Disorder (DCD) has been shown to co-occur with behavioral and language problems in school-aged children, but little is known as to when these problems begin to emerge, or if they are inherent in children with DCD. The purpose of this study was to determine if deficits in language and emotional–behavioral problems are apparent in preschool-aged children with movement difficulties.MethodTwo hundred and fourteen children (mean age 4 years 11 months, SD 9.8 months, 103 male) performed the Movement Assessment Battery for Children 2nd Edition (MABC-2). Children falling at or below the 16th percentile were classified as being at risk for movement difficulties (MD risk). Auditory comprehension and expressive communication were examined using the Preschool Language Scales 4th Edition (PLS-4). Parent-reported emotional and behavioral problems were assessed using the Child Behavior Checklist (CBCL).ResultsPreschool children with diminished motor coordination (n = 37) were found to have lower language scores, higher externalizing behaviors in the form of increased aggression, as well as increased withdrawn and other behavior symptoms compared with their typically developing peers.ConclusionsMotor coordination, language and emotional–behavioral difficulties tend to co-occur in young children aged 3–6 years. These results highlight the need for early intervention.     

Contribution of stereopsis,vergence, and accommodative function to the performance of a precision grasping and placement task in typically developing children age 8–14 years

Upper limb reaching and grasping movements are performed more efficiently during binocular viewing; however, the distinct contribution of stereopsis, fusional vergence, and accommodation (binocular facility, amplitude and accuracy) has not been examined in typically developing children. This study examined binocular visual function in a cohort of 57 typically developing children, 8 to 14 years old. Hand kinematics were recorded using a motion capture camera while children performed a prehension task involving threading a bead onto a needle. Results showed that different aspects of binocular vision contribute to the control of distinct phases of upper limb movements. Specifically, fusional vergence was associated with higher peak reach velocity, stereoacuity was associated with shorter grasp execution, and accommodation was associated with shorter placement duration. These findings suggest that different aspects of binocular vision play an important role in optimizing the control of distinct phases of prehension movements during development.     

Development of temporal and spatial characteristics of anticipatory postural adjustments during gait initiation in children aged 3–10 years

This study aimed to analyze the development of direction specificities of temporal and spatial control and the coordination pattern of anticipatory postural adjustment (APA) along the anteroposterior (AP) and mediolateral (ML) directions during gait initiation (GI) in children aged 3–10 years. This study included 72 healthy children aged 3–10 years and 14 young adults. The child population was divided into four groups by age: 3–4, 5–6, 7–8, and 9–10 years. The GI task included GI using the dominant limb. The peak center of feet pressure (COP) shifts during APAs (APA_peak), initiation time of COP shifts (APA_onset), and the COP vectors in the horizontal plane were calculated to evaluate the direction specificity of spatial, temporal, and coordination control, respectively. A difference in direction specificity development was found for the APA_peak. The APA_peak in the mediolateral axis, but not in the anteroposterior axis, was significantly higher in the 7–8 years age group than in other groups. Although APA_onset was not found for direction specificity, a significant difference between the adult and children groups (5–6 years, 7–8 years, and 9–10 years) was observed in the direction of the COP vector. In conclusion, the developmental process of the spatial, temporal, and coordination control of APAs during GI varied with age. Furthermore, the spatial control and coordination pattern of APAs was found to be direction specific. All components of APAs, namely temporal and spatial control, coordination pattern, and direction specificities, should be analyzed to capture the developmental process of anticipatory postural control.     

Does the Animal Fun program improve motor performance in children aged 4–6 years?

The Animal Fun program was designed to enhance the motor ability of young children by imitating the movements of animals in a fun, inclusive setting. The efficacy of this program was investigated through a randomized controlled trial using a multivariate nested cohort design. Pre-intervention scores were recorded for 511 children aged 4.83 years to 6.17 years (M = 5.42 years, SD = 3.58 months). Six control and six intervention schools were compared 6 months later following the intervention, and then again at 18 months after the initial testing when the children were in their first school year. Changes in motor performance were examined using the Bruininks-Oseretsky Test of Motor Proficiency short form. Data were analyzed using multi-level-mixed effects linear regression. A significant Condition × Time interaction was found, F(2, 1219) = 3.35, p = .035, demonstrating that only the intervention group showed an improvement in motor ability. A significant Sex × Time interaction was also found, F(2, 1219) = 3.84, p = .022, with boys improving over time, but not girls. These findings have important implications for the efficacy of early intervention of motor skills and understanding the differences in motor performance between boys and girls.     

Gestational age and gender influence on executive control and its related neural structures in preterm-born children at 6 years of age

Within preterm-born children, being born male and at a lower gestational age (GA) have both been associated with a heightened risk for developmental difficulties. However, in this population little is known about the combined effect and the influence of these risk factors on cortical structures and executive control. In the present study, 58 preterm-born children (GA ranging from 24.0 to 35.1 weeks) were administered the computerized Child Attention Network Task at 6 years of age. Brain magnetic resonance imaging was performed and analyzed using Voxel-Based Morphometry (VBM) in all children. At a behavioral level, boys born <28 weeks of GA had significantly less executive control than preterm-born girls <28 weeks (p = .001) and preterm-born boys ≥28 (p = .003). The reduced executive control in preterm-born boys <28 weeks gestation was related to lower cortical densities in the inferior frontal gyrus (IFG) and dorsolateral prefrontal cortex (DLPFC). The current study links the higher incidence of reduced executive control in preterm-born boys to a higher degree of prematurity (low GA) and identifies brain structural abnormalities in the prefrontal cortex related to these deficits. The implications of these results are discussed.     

Unique designs,errors and strategies in the Five-Point Test: The contribution of age,phonemic fluency and visuospatial abilities in Italian children aged 6–11 years

Performances on the Five-Point Test of 161 Italian children aged 6 to 11 years were investigated, along with phonemic fluency, visual-motor integration, visual perception, motor coordination, visuospatial memory, and fluid intelligence. Five-Point Test accuracy was significantly related to phonemic fluency and visual-motor integration, while phonemic fluency was linked to motor coordination. The two fluency measures increased linearly with age, but the developmental progression of Five-Point Test accuracy was less influenced by age. Different age effects were also found on the relationship between fluid intelligence and the two fluency measures. The inspection of qualitative aspects of Five-Point Test performance (errors and strategies) suggested that strategy usage enhanced both productivity and accuracy in children; age-related changes were observed in the relationship between the number of errors and the total number of designs produced.     

Differentiating technical skill and motor abilities in selected and non-selected 3–5 year old team-sports players

This study examined the difference in 22 3–5 year old boys selected to an advanced or non-advanced group on an English community-based professional club training program. Time to complete 15 m linear sprint and 15 m zig-zag agility tests, with and without a ball, were used to assess the children’s technical skill and motor ability. Age and body mass of both groups were the same, whereas height was greater and BMI was lower in the selected group (p < 0.01). Linear sprint times without and with the ball were 3.98 ± 0.35 and 4.44 ± 0.36 s, respectively for the selected and corresponding times were 4.64 ± 1.04 and 11.2 ± 5.37 s for the non-selected (p < 0.01, ES 0.8, 1.8). Similar results were found when a change of movement was included, both with and without the ball. A model of selection indicated that performance in an agility test with the ball and height had the greatest discriminatory power and explained 95.5% of between group variance. Selected players performed significantly better in tests when ball control was required. These findings suggest that technical proficiency and physical differences may influence team selection in three to five year old children.     

Food rejection and the development of food category-based induction in 2–6 years old children

We studied children’s inductive inferences within the domain of food categories. There has so far been little research on inductive reasoning about food among children, despite the theoretical and practical importance of knowing what knowledge children bring to the table and how they use it. We tested the hypotheses that children’s food category-based induction performances and their food rejection are negatively correlated, and that these performances are influenced by the colour typicality of the food items. We recruited 126 children aged 2–6 years, and administered a category-based induction task. Participants were successively shown 8 sets of three pictures containing one target picture (a vegetable) and two test pictures (a vegetable dissimilar in colour to the target picture and a fruit similar in colour to the target picture). For each set, participants were told a novel property about the target picture and asked to generalise this property to one of the two test pictures. Additionally, the parents of each child filled out a questionnaire about his or her food rejection tendencies. Results on accuracy (i.e. if participants generalised the properties according to category membership, not perceptual similarity) provided the first empirical evidence in favour of a negative relationship between children’s food rejection and food category-based induction.     

Differences in the firing rate versus recruitment threshold relationships of the vastus lateralis in children ages 7–10 years and adults

Motor unit (MU) firing rates of the vastus lateralis in children and adults were examined. Seven healthy adult males (mean ± SD, age = 21 ± 2.6 yrs) and six healthy male children (mean ± SD age = 8.8 ± 1.7) volunteered. Surface electromyography (EMG) signals were recorded from 20% and 60% maximal voluntary contractions (MVC). Surface EMG signals were decomposed into firing events of individual MUs and slopes and y-intercepts were calculated for the mean firing rate (MFR, pps) at steady torque vs. recruitment thresholds (RT) relationships for each subject. Muscle cross-sectional area (mCSA) was measured, via ultrasonography, with specific torque calculated (MVC/mCSA). Adults possessed greater mCSA (p = .002; children = 11.5 ± 2.1 cm²; adults = 31.80 ± 12.15 cm²) and greater specific torque (p = .018; children = 4.63 ± 1.4 Nm/cm²; adults = 7.1 ± 1.8 Nm/cm²) compared to children. The y-intercepts were significantly (p < .001) greater during the 60% (28.91 ± 4.56 pps) than the 20% MVC (23.5 ± 4.9 pps) collapsed across groups while the children had significantly (p = .036) lower y-intercepts (23.9 ± 5.4 pps) than the adults (28.2 ± 4.8 pps) when collapsed across intensities. Slopes of the MFR vs RT relationships were greater for the 60% (−0.342 ± 0.127 pps/%MVC) contraction than the 20% (−0.50 ± 0.159 pps/%MVC) MVC when collapsed across groups. Adults had greater firing rates regardless of recruitment threshold than children. This may be due to lower recruitment potential and overall excitation to the motoneuron pool of children as indicated with differences in specific torque and/or differences in antagonist co-activation.     

Contribution of binocular vision to the performance of complex manipulation tasks in 5–13 years old visually-normal children

Individual studies have shown that visuomotor coordination and aspects of binocular vision, such as stereoacuity and dynamic vergence control, continue to improve in normally developing children between birth and early teenage years. However, no study has systematically addressed the relationship between the development of binocular vision and fine manipulation skills. Thus, the aim of this cross-sectional study was to characterize performance of complex manipulation tasks during binocular and monocular viewing. Fifty-two children, between 5 and 13 years old, performed 2 manipulation tasks: peg-board and bead-threading under randomized viewing conditions. Results showed that binocular viewing was associated with a significantly greater improvement in performance on the bead-threading task in comparison to the peg-board task and the youngest children showed the greatest decrement in task performance under the monocular viewing condition when performing the bead-threading task. Thus, the role of binocular vision in performance of fine manipulation skills is both task- and age-dependent. These findings have implications for assessment of visuomotor skills in children with abnormal binocular vision, which occurs in 2–3% of otherwise typically developing children.     

Swedish norms for the Strengths and Difficulties Questionnaire for children 3–5 years rated by parents and preschool teachers

The Strengths and Difficulties Questionnaire (SDQ) is a widespread tool for assessing behavior problems in children and adolescents. Despite being investigated thoroughly concerning both validity and reliability, peer reviewed studies that provide norms, especially for preschool children, are lacking. This paper provides Swedish norms using data from a large community sample of children aged 3–5, based on mothers’, fathers’, and preschool teacher’s ratings. Preschool teachers’ ratings were generally lower than parents’ ratings, which contradicts some previous studies. Differences between girls and boys were found, suggesting that boys display higher levels of behavior problems. Lower parental education and country of origin outside of Sweden were also associated with more difficulties. Cut-offs are presented for each age group, gender and rater category. Population-specific norms and percentile cut-offs provided in this study facilitate identifying children in need of interventions in paediatric care and enable cross-country comparisons of children’s mental health problems.     

Training compliance control yields improved drawing in 5–11 year old children with motor difficulties

There are a large number of children with motor difficulties including those that have difficulty producing movements qualitatively well enough to improve in perceptuo-motor learning without intervention. We have developed a training method that supports active movement generation to allow improvement in a 3D tracing task requiring good compliance control. Previously, we tested a limited age range of children and found that training improved performance on the 3D tracing task and that the training transferred to a 2D drawing test. In the present study, school children (5–11 years old) with motor difficulties were trained in the 3D tracing task and transfer to a 2D drawing task was tested. We used a cross-over design where half of the children received training on the 3D tracing task during the first training period and the other half of the children received training during the second training period. Given previous results, we predicted that younger children would initially show reduced performance relative to the older children, and that performance at all ages would improve with training. We also predicted that training would transfer to the 2D drawing task. However, the pre-training performance of both younger and older children was equally poor. Nevertheless, post-training performance on the 3D task was dramatically improved for both age groups and the training transferred to the 2D drawing task. Overall, this work contributes to a growing body of literature that demonstrates relatively preserved motor learning in children with motor difficulties and further demonstrates the importance of games in therapeutic interventions.     

The development of rapid online control in children aged 6–12 years: Reaching performance

Rapid online control during reaching has an important bearing on movement accuracy and flexibility. It is surprising then that few studies have investigated the development of rapid online control in children. In this study, we were particularly interested in age-related changes in the nature of motor control in response to visual perturbation. We compared the performance of younger (6–7 years of age), mid-aged (8–9), and older (10–12) children, as well as healthy young adults using a double-step reaching task. Participants were required to make target-directed reaching movements in near space, while also responding to visual perturbations that occurred at movement onset for a small percentage of trials. Results showed that both the older and mid-aged children corrected their reaching in response to the unexpected shifts in target location significantly faster than younger children, manifest by reduced time to correction. In turn, the responses of adults were faster than older children in terms of movement time and on kinematic measures such as time to correction and time to peak velocity. These results indicate that the capacity to utilize forward estimates of limb position in the service of online control of early perturbations to ballistic (or rapid) reaching develops in a non-linear fashion, progressing rapidly between early and middle childhood, showing a degree of stability over mid and later childhood, but then evidence for continued refinement between childhood and young adulthood. The pattern of change after childhood and into early adolescence requires further investigation, particularly during the rapid phase of physical growth that accompanies puberty.     

Comparing the efficacy (RCT) of learning a dance choreography and practicing creative dance on improving executive functions and motor competence in 6–7 years old children

ObjectivesThis study examined the effect of two different dance curriculums on executive functions and motor competence in 6–7 years old primary-school children across an 8-week period. One dance curriculum was underscored by creativity and the other was based on a choreographed dancing curriculum with high cognitive challenge.DesignRandomised-controlled trial.MethodsSixty-two primary-school children (6.6 ± 0.5 years old; 47% females) participated for a control period in the regular school PE lessons, after which they were randomly assigned to two experimental groups – choreography dance group or creative dance group. The two experimental groups practiced dance for 8 weeks, twice a week, learning either a choreographed dance sequence with high cognitive challenge or creating their own dance sequence in a creative dance curriculum. Executive functions (working memory capacity, inhibition, and flexibility) and motor competence were assessed at three time points – baseline, pre-intervention and post-intervention.ResultsThere was a time effect for inhibitory control (p < 0.01), with a high improvement during the intervention (d = 0.76) than baseline (d = 0.46); for working memory capacity (p < 0.01), with a higher improvement during intervention (d = 0.43) than baseline (d = 0.31) in the high challenging task; and for motor competence (p < 0.01), with a higher improvement during baseline (d = 1.7) than intervention (d = 0.75); no other significant effects. Group differences revealed weak evidence that the choreography group improved inhibitory control and working memory more than the creative dance group. However, a check for pedagogy fidelity revealed that the creative-dance curriculum was not adopted as planned (i.e., high volume of teacher's instruction and small use of music).ConclusionsAn 8-week dance intervention improved inhibitory control and potentially working memory capacity in grade one and two primary-school children. Contrary to prediction, the dance intervention did not improve motor competence beyond typical development. Discrepancy between the planned and adopted creative-dance curriculum suggests caution in interpreting results. This study provides new insights into the exercise-cognition relationship.     

Parent reports of children’s working memory,coping, and emotional/behavioral adjustment in pediatric brain tumor patients: A pilot study

Neurocognitive problems in childhood survivors of brain tumors are well documented. Further, research has shown that problems in cognitive functioning may be associated with impairment in the use of complex strategies needed to cope with stress, including secondary control coping strategies (e.g., acceptance and cognitive reappraisal) which have been associated with fewer adjustment problems. The present study measured cognitive function, coping strategies, and adjustment in children ages 6–16 years at the time of brain tumor diagnosis and at two follow-up time-points up to 1 year post-diagnosis. In a prospective design, working memory was assessed in a total of 29 pediatric brain tumor patients prior to undergoing surgery, child self-reported coping was assessed at 6 months post-diagnosis, and parent-reported child adjustment was assessed at 12 months post-diagnosis. Significant correlations were found between working memory difficulties and secondary control coping. Secondary control coping was also negatively correlated with child attention and total problems. Regression analyses did not support secondary control coping mediating the association between working memory difficulties and child attention or total problems. These findings represent the first longitudinal assessment of the association between working memory, coping, and adjustment across the first year of a child’s brain tumor diagnosis and suggest a possible role for early interventions addressing both working memory difficulties and coping in children with brain tumors.     

Caregivers’ emotional competence and behavioral responsiveness as correlates of early childcare workers’ relationships with children in their care

In the current study, we examined associations among early childcare workers’ emotional competence, observed responsiveness, comfort with socioemotional teaching practices, and the quality of their relationships with children in their care. The participants were 100 early childcare workers (72 center-based Early Head Start teachers and 28 family childcare providers). Results showed that caregivers’ emotion regulation ability was positively associated with caregiver–child relational closeness. Understanding and regulation of emotion were both positively associated with childcare workers’ comfort with socioemotional teaching practices. Their observed responsiveness was positively related to relational closeness and negatively related to relational conflict. Findings are consistent with aspects of the prosocial classroom model, which asserts that educators high in emotional and social competence tend to adopt childcare practices that result in supportive relationships with children. Results provide insight into whether childcare workers’ responsiveness to young children and their perceived socioemotional teaching practices provide a pathway between emotional competence and the quality of caregiver–child relationships.     

Theory of Mind and conduct problems in children: Deficits in reading the “emotions of the eyes”

A significant clinical feature of disorders of antisocial behaviour involves difficulties in social functioning. It has been suggested that deficits in “theory of mind” (ToM) reasoning—the ability to decode others’ emotions and thoughts—may underlie social difficulties in these populations. Success in demonstrating ToM impairment associated with antisocial behaviour and psychopathy in adults and children have been limited. In the current study, parent-reported conduct problems were concurrently measured with performance on an advanced test of ToM developed for children, the Child Eyes Test (Journal of Developmental and Learning Disorders, 5, 47–78). Preadolescent and young adolescent children (n=79) drawn from a community sample were required to identify emotions from photographic stimuli depicting the eye region of the face only. Findings suggested a generalised impairment in ToM in children with conduct problems, as indicated by a significant relationship between poor Eyes Test performance and conduct problems, even when IQ, sex and age were controlled for. The findings are discussed in the context of the amygdala theory of psychopathy, and the neural systems suggested to mediate performance on the Eyes Test.     

Effects of age,dysphoria, and emotion‐focusing on autobiographical memory specificity in children

Overgeneral autobiographical memory (OGM) is strongly associated with depression in adults and appears to reflect a stable cognitive bias. However, it is not known whether this bias exists in children or what factors contribute to its development. We examined the roles of age, dysphoria, and a new variable, emotion‐focusing (EF), on the production of specific autobiographical memory (AM) in children, using the standard Autobiographical Memory Test (AMT; Williams & Broadbent, 1986 Williams, JMG and Broadbent, K. (1986). Autobiographical memory in suicide attempters. Journal of Abnormal Psychology, 95: 144–149. [Crossref], [PubMed], [Web of Science ®] , [Google Scholar]). Results show that older children are more specific than younger children, irrespective of cue valence. Dysphoria was linked to less specific retrieval of positive memories in children. A three‐way interaction between age, valence, and dysphoria was also found, such that older dysphoric children demonstrated a difficulty in retrieving specific negative memories. In addition, emotion‐focusing was associated with specific AM recall, especially to negative cues. Results are discussed with reference to the development of depressogenic biases.     

Keeping the “cognitive” in cognitive neuroscience, the “affective” in affective neuroscience, and the “behavioral” in behavioral neuroscience: The CABN mission for the next five years

The fields of cognitive, affective, and behavioral neuroscience have been with us for many years now, and have served to spawn an ever growing body of research that has helped to clarify the mechanisms by which the brain gives rise to the diverse processes that govern our thoughts, emotions, and behaviors. These fields of research have grown exponentially as more and more tools have become available for invasive and noninvasive measures of brain function in both humans and animals, and as information about the human and animal genomes has increased. These advances in neurosciencebased tools have clearly advanced our knowledge and understanding of brain—behavior relationships. However, there is also a danger that lurks in the shadows of these methodological and empirical advances. This danger is that the enticement of understanding neural processes sometimes leads us to forget about the exact phenomena that we ultimately wish to understand and explain—namely, cognitive, affective, and behavioral processes. What do I mean by danger? I mean the concern that we often seem to prioritize the sophistication of our neural and genetic tools and theorizing over our psychological tools and theorizing, and that we may overlook the absence of linkage between neural (e.g., imaging results at a range of levels) or genetic findings and well—grounded psychological theories about specific cognitive, affective, or behavioral mechanisms. In other words, we can be seduced by the “call of the brain mechanism,” without a reminder of the phenomena we wish to explain.