Executive Function,Intellectual Decline and Daily Living Skills

ABSTRACT

Understanding the cognitive changes associated with compromised daily living skills in elderly individuals is important for making appropriate recommendations about the capacity for independent functioning. To this end, we retrospectively examined data from 92 elderly individuals presenting with cognitive decline who were administered measures of executive functioning, general intelligence, and daily living skills. Multiple regression analyses were used to examine the relationship between executive functioning and daily living skills, while controlling for age, depression, and either IQ decline or current IQ. Executive functioning accounted for additional variance in a broad range of daily living skills after controlling for IQ decline. When FSIQ was used in the regression model rather than IQ decline, executive functioning was no longer uniquely associated with daily living skills. Executive functions appear to be important for daily living skills until a critical threshold of low intellectual functioning is reached, reflecting the combined influence of premorbid ability and the extent of intellectual decline. Our results suggest that understanding the relative contribution of different cognitive domains to functional decline in elderly individuals should take into account general intellectual functioning and estimated decline, and that the initiation and/or persistence of self-directed cognitive processes may be important for adaptive daily functioning. These findings have implications for making more evidence-based recommendations about the capacity for independent living.     

Visual scanning patterns and executive function in relation to facial emotion recognition in aging

ABSTRACT

Objective: The ability to perceive facial emotion varies with age. Relative to younger adults (YA), older adults (OA) are less accurate at identifying fear, anger, and sadness, and more accurate at identifying disgust. Because different emotions are conveyed by different parts of the face, changes in visual scanning patterns may account for age-related variability. We investigated the relation between scanning patterns and recognition of facial emotions. Additionally, as frontal-lobe changes with age may affect scanning patterns and emotion recognition, we examined correlations between scanning parameters and performance on executive function tests. Methods: We recorded eye movements from 16 OA (mean age 68.9) and 16 YA (mean age 19.2) while they categorized facial expressions and non-face control images (landscapes), and administered standard tests of executive function. Results: OA were less accurate than YA at identifying fear (p < .05, r = .44) and more accurate at identifying disgust (p < .05, r = .39). OA fixated less than YA on the top half of the face for disgust, fearful, happy, neutral, and sad faces (p values < .05, r values ≥ .38), whereas there was no group difference for landscapes. For OA, executive function was correlated with recognition of sad expressions and with scanning patterns for fearful, sad, and surprised expressions. Conclusion: We report significant age-related differences in visual scanning that are specific to faces. The observed relation between scanning patterns and executive function supports the hypothesis that frontal-lobe changes with age may underlie some changes in emotion recognition.     

Adequate proverb interpretation is associated with performance on the Independent Living Scales

The purpose of this study was to examine proverb interpretation performance and functional independence in older adults. From the limited literature on proverb interpretation in aging and its conceptualization as an executive function, it was hypothesized that proverb interpretation would be related to functional independence similar to other executive functions. Tests of proverb interpretation, additional executive functions, and functional ability were administered to nondemented older adults. Results showed that proverb interpretation accounted for a significant amount of unique variance of functional ability scores. This supports including a measure of proverb interpretation to the assessment of older adults.     

幼儿的坚持性与执行功能和负性情绪的关系

儿童的认知控制和情绪调节可能影响他们面对挑战任务时的坚持性水平,而后者与其学校适应能力密切相关。本研究采用实验法和问卷法对91名6岁幼儿进行研究,主要探讨学前班儿童的坚持性与执行功能和负性情绪之间的关系,试图从认知控制和情绪调节角度,为提高幼儿的任务坚持性提供有效的干预策略。结果表明：（1）幼儿执行功能发展得越完备,其坚持性水平越高;（2）幼儿表露的负性情绪越少,其坚持性水平越高;（3）幼儿执行功能与坚持性的关系受到负性情绪的调节,对于负性情绪水平较低的幼儿,执行功能可以预测坚持性发展水平。     

Developmental changes in the relations between inhibitory control and externalizing problems during early childhood

Deficits in executive function, and in particular, reduced capacity to inhibit a dominant action, are a risk factor for externalizing problems (EP). Inhibitory control (IC) develops in the later preschool and early childhood periods, such that IC might not regulate EP in toddlers and younger preschoolers. Aggression was observed during peer play for 66 girls and 49 boys, from 2.75 to 6.00 years (M=4.14, S.D.=0.78). Mothers reported on children's IC and EP concurrently and 12 months later, and concurrent teacher reports of EP were also collected. Factor analysis supported aggregation of mother and teacher‐reported EP and observed physical aggression into one measure of externalizing difficulties. Mothers reported lower IC for children with more externalizing difficulties, and the inverse relation between IC and externalizing difficulties strengthened over the toddler, preschool and kindergarten periods. Similar relations between IC and EP were observed 12 months later, and increases in IC also predicted reductions in EP over 1 year. These data demonstrate that the preschool years are a dynamic period of developmental change in the relations between IC and EP. Copyright © 2010 John Wiley & Sons, Ltd.     

Unfulfilled goals interfere with tasks that require executive functions

Even after one stops actively pursuing a goal, many mental processes remain focused on the goal (e.g., the Zeigarnik effect), potentially occupying limited attentional and working memory resources. Five studies examined whether the processes associated with unfulfilled goals would interfere with tasks that require the executive function, which has a limited focal capacity and can pursue only one goal at a time. In Studies  and , activating a goal nonconsciously and then manipulating unfulfillment caused impairments on later tasks requiring fluid intelligence (solving anagrams; Study 1) and impulse control (dieting; Study 2). Study 3 showed that impairments were specific to executive functioning tasks: an unfulfilled goal impaired performance on logic problems but not on a test of general knowledge (only the former requires executive functions). Study 4 found that the effect was moderated by individual differences; participants who reported a tendency to shift readily amongst their various pursuits showed no task interference. Study 5 found that returning to fulfill a previously frustrated goal eliminated the interference effect. These findings provide converging evidence that unfulfilled goals can interfere with later tasks, insofar as they require executive functions.     

The role of goal representation in preschoolers' flexibility and inhibition

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

Counterfactual thinking and false belief: the role of executive function

The purpose of the current study was to examine further the relationship between counterfactual thinking and false belief (FB) as examined by Guajardo and Turley-Ames (Cognitive Development, 19 (2004) 53-80). More specifically, the current research examined the importance of working memory and inhibitory control in understanding the relationship between counterfactual thinking and FB. Participants were 3-, 4-, and 5-year-olds (N = 76). Counterfactual thinking statements generated accounted for significant variance in FB performance beyond age and language. Working memory and inhibitory control each partially mediated the relationship between counterfactual thinking and FB performance. The maturation of executive functioning skills is important in children’s developing understanding of counterfactual reasoning and FB.     

The role of inhibitory control in behavioral and physiological expressions of toddler executive function

A total of 81 toddlers (24-27 months of age) participated in a biobehavioral investigation of inhibitory control. Maternal report measures of inhibitory control were related to laboratory tasks assessing inhibitory abilities under conditions of conflict, delay, and compliance challenge as well as toddler verbal ability. In addition, unique variance in inhibitory control was explained by task-related changes in brain electrical activity at lateral frontal scalp sites as well as concurrent inhibitory task performance. Implications regarding neural correlates of executive function during early development and a central organizing role of inhibitory processing during toddlerhood are discussed.     

Effects of attention on dichotic listening in elderly and patients with dementia of the Alzheimer type

This article presents an overview of our studies in elderly and Alzheimer patients employing Kimura's dichotic digits paradigm as a measure for left hemispheric predominance for processing language stimuli. In addition to structural brain mechanisms, we demonstrated that attention modulates the direction and degree of ear asymmetry in dichotic listening. Elderly showed increasingly more difficulties focusing attention on the left ear (LE) with advancing age. Alzheimer patients showed severe deficits to allocate attention to the LE, which could result in a right ear advantage. These results may be attributed to a breakdown of the cortical attentional network which is mediated by frontal (inhibitory control of attention) and parietal regions (spatial attention and 'disengagement processes'). Both interhemispheric disconnectivity (callosal atrophy) and intrahemispheric disconnectivity (subcortical white matter lesions) appear to be important factors contributing to these findings.