1
|
Reynold de Seresin M, Roy A, Theveniaut C, Le Goff J, Chopin C, Rouger V, Roze JC, Flamant C, Muller JB. Assessing of executive functions in daily life in preterm children aged 3-4 years old from the "Behavior Rating Inventory of Executive Function-Preschool version" questionnaire. Front Pediatr 2023; 11:999100. [PMID: 37565238 PMCID: PMC10410931 DOI: 10.3389/fped.2023.999100] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/20/2022] [Accepted: 06/26/2023] [Indexed: 08/12/2023] Open
Abstract
Background Executive functions (EFs) are a set of neuropsychological skills permitting solving problems in a new situation by regulating action, behavior, and emotional response. As cerebral maturation remains vulnerable in preterm children, a higher risk of developing cognitive disorders including EFs exist compared to term children. Aims The aim of this study was to estimate the incidence of preschool EF impairments through proxy reports in children born preterm before 34 weeks of gestational age using the Behavior Rating Inventory of Executive Function-Preschool (BRIEF-P) version. Secondary aims were to report neonatal, child, or socioeconomic factors associated with EF disorders. Results Parents of 357 children born preterm aged 3-4 years old completed the BRIEF-P version. Impairment in EFs was clinically significant for 13.5% of preterm children (n = 47; 95% CI = 0.10-0.18) compared to 5.1% in term children. A low parental socioeconomic level was significantly associated with impaired parent-rated EF (19.1% vs. 5.3%, p = 0.003). Conclusions Proxy reports of EF impairment are about twice as frequent as in term children. EF difficulties are not related to neonatal or child severity factors in contrast with the parental socioeconomic level. Using a parent-rated questionnaire may be a useful and easy tool to identify early the daily life impact of EF disorders on clinical follow-up of preterm children.This study was recorded in the Clinical Trials Register under identifier NCT03700463.
Collapse
Affiliation(s)
- Magali Reynold de Seresin
- Pediatric and Neonatal Intensive Care Unit, Nantes University Hospital, Nantes, France
- Réseau “Grandir Ensemble”, Nantes University Hospital, Nantes, France
| | - Arnaud Roy
- Department of Psychology, Psychology Laboratory, University of Angers, Angers, France
- Reference Center for Learning Disabilities, Nantes University Hospital, Nantes, France
- Univ Angers, Nantes Université, LPPL, SFR CONFLUENCES, Angers, France
| | - Camille Theveniaut
- Pediatric and Neonatal Intensive Care Unit, Nantes University Hospital, Nantes, France
- Réseau “Grandir Ensemble”, Nantes University Hospital, Nantes, France
| | - Justine Le Goff
- Reference Center for Learning Disabilities, Nantes University Hospital, Nantes, France
| | - Coline Chopin
- Reference Center for Learning Disabilities, Nantes University Hospital, Nantes, France
| | - Valérie Rouger
- Réseau “Grandir Ensemble”, Nantes University Hospital, Nantes, France
| | - Jean-Christophe Roze
- Pediatric and Neonatal Intensive Care Unit, Nantes University Hospital, Nantes, France
- Réseau “Grandir Ensemble”, Nantes University Hospital, Nantes, France
- Epidemiologie Clinique, Centre d'Investigation Clinique (CIC004), Nantes University Hospital, Nantes, France
| | - Cyril Flamant
- Pediatric and Neonatal Intensive Care Unit, Nantes University Hospital, Nantes, France
- Réseau “Grandir Ensemble”, Nantes University Hospital, Nantes, France
- Epidemiologie Clinique, Centre d'Investigation Clinique (CIC004), Nantes University Hospital, Nantes, France
| | - Jean-Baptiste Muller
- Pediatric and Neonatal Intensive Care Unit, Nantes University Hospital, Nantes, France
- Réseau “Grandir Ensemble”, Nantes University Hospital, Nantes, France
| |
Collapse
|
2
|
Klein CC, Berger P, Goucha T, Friederici AD, Grosse Wiesmann C. Children’s syntax is supported by the maturation of BA44 at 4 years, but of the posterior STS at 3 years of age. Cereb Cortex 2022; 33:5426-5435. [PMID: 36408641 PMCID: PMC10152089 DOI: 10.1093/cercor/bhac430] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2022] [Revised: 09/07/2022] [Accepted: 09/26/2022] [Indexed: 11/22/2022] Open
Abstract
Abstract
Within the first years of life, children learn major aspects of their native language. However, the ability to process complex sentence structures, a core faculty in human language called syntax, emerges only slowly. A milestone in syntax acquisition is reached around the age of 4 years, when children learn a variety of syntactic concepts. Here, we ask which maturational changes in the child’s brain underlie the emergence of syntactically complex sentence processing around this critical age. We relate markers of cortical brain maturation to 3- and 4-year-olds’ sentence processing in contrast to other language abilities. Our results show that distinct cortical brain areas support sentence processing in the two age groups. Sentence production abilities at 3 years were associated with increased surface area in the most posterior part of the left superior temporal sulcus, whereas 4-year-olds showed an association with cortical thickness in the left posterior part of Broca’s area, i.e. BA44. The present findings suggest that sentence processing abilities rely on the maturation of distinct cortical regions in 3- compared to 4-year-olds. The observed shift to more mature regions involved in processing syntactically complex sentences may underlie behavioral milestones in syntax acquisition at around 4 years.
Collapse
Affiliation(s)
- Cheslie C Klein
- Max Planck Institute for Human Cognitive and Brain Sciences Department of Neuropsychology, , Stephanstraße 1a, Leipzig 04103 , Germany
- Max Planck Institute for Human Cognitive and Brain Sciences Research Group Milestones of Early Cognitive Development, , Stephanstraße 1a, Leipzig 04103 , Germany
| | - Philipp Berger
- Max Planck Institute for Human Cognitive and Brain Sciences Department of Neuropsychology, , Stephanstraße 1a, Leipzig 04103 , Germany
- Max Planck Institute for Human Cognitive and Brain Sciences Research Group Milestones of Early Cognitive Development, , Stephanstraße 1a, Leipzig 04103 , Germany
| | - Tomás Goucha
- Max Planck Institute for Human Cognitive and Brain Sciences Department of Neuropsychology, , Stephanstraße 1a, Leipzig 04103 , Germany
| | - Angela D Friederici
- Max Planck Institute for Human Cognitive and Brain Sciences Department of Neuropsychology, , Stephanstraße 1a, Leipzig 04103 , Germany
| | - Charlotte Grosse Wiesmann
- Max Planck Institute for Human Cognitive and Brain Sciences Research Group Milestones of Early Cognitive Development, , Stephanstraße 1a, Leipzig 04103 , Germany
| |
Collapse
|