Children's Executive Control Research Articles

Children with ADHD Symptomatology: Does POET Improve Their Daily Routine Management?

Children with attention-deficit/hyperactivity disorder (ADHD) struggle with executive delays while managing their daily tasks. This is a secondary analysis of existing data from open-label research examining the efficacy of Parental Occupational Executive Training (POET). It further examines POET's efficacy in increasing young children's (3.83 to 7.08 years) executive control over daily routines, and in decreasing their ADHD symptoms. Additionally, the second analysis investigates which of the children's increased capabilities is better associated with the change in their daily routine management following the intervention. Parents of children with ADHD symptomatology (N = 72, 55 boys) received eight POET sessions. They completed standardised ADHD symptomatology, executive management of daily routines, and executive functions (EF) questionnaires at pretest, post-test, and 3-month follow-up. Children's ADHD symptoms and their management of daily routines significantly improved following the POET intervention. The children's score changes in EF accounted for 37% of the variance in their improved routine management. These findings suggest that interventions aiming to increase children's executive control over their daily routines should improve their broader array of EF besides decreasing core ADHD symptoms.

A Pilot Study of a Parent Emotion Socialization Intervention: Impact on Parent Behavior, Child Self-Regulation, and Adjustment.

Adequate emotion regulation in children is crucial for healthy development and is influenced by parent emotion socialization. The current pilot study aimed to test, for the first time in a Scandinavian population, whether an emotion-focused intervention, Tuning in to Kids (TIK), had positive effects on parent emotion-related socialization behaviors (ERSBs), and children's self-regulation, anxiety, and externalizing behavior problems. We conducted a controlled trial of the 6-week evidence-based TIK parenting program with 20 parents of preschool children aged 5–6 years and 19 wait-list controls. Assessments at baseline and 6 months after the intervention included parent-report questionnaires on parent ERSBs and child adjustment, as well as aspects of children's self-regulation assessed with two behavioral tasks, the Emotional Go/No-Go task (EGNG) and the AX-Continuous Performance Task (AX-CPT). Results showed a significant increase in reported parent emotion coaching behavior and an uncorrected significant decrease in parents' report of child externalizing problems in intervention participants compared to controls. The behavioral data showed an uncorrected significant improvement in child emotion discrimination in the control condition compared to the intervention condition, while measures of children's executive control improved from baseline to follow-up for both conditions but were not significantly different between conditions. These findings suggest that this emotion-focused parenting intervention contributed to improvement in parents' emotion coaching and their appraisal of child externalizing problems, while children's self-regulation showed mainly normative developmental improvements. Further research with a larger sample will be the next step to determine if these pilot findings are seen in an adequately powered study.

Authoritarian Parenting Effect on Children's Executive Control and Individual Alpha Peak Frequency

ABSTRACTThere is increasing evidence that the authoritarian parenting style has a negative effect on children's executive control, but little is known about the neurobiological mechanism behind this effect, especially the evidence of the resting‐state EEG related to children's brain function. The current study explored the relations between authoritarian parenting and children's executive control among 40 children aged 8–11 years old and examined associations between authoritarian parenting and individual alpha peak frequency (iAPF). Hierarchical regression analysis indicated that after controlling for children's age and parental socioeconomic status, authoritarian parenting style negatively predicts the children's executive control and iAPF in EEG. This study extends previous research on the effect of parenting styles on children's cognitive abilities and provides evidence at the level of neural mechanisms.

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 1year, 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.

A longitudinal study of antenatal and perinatal risk factors in early childhood cognition: Evidence from Growing Up in New Zealand

BackgroundPoor maternal health, disadvantageous exposures during pregnancy and unfavourable perinatal events are associated with adverse trajectories in offspring cognitive development. AimTo examine longitudinal associations between antenatal maternal, perinatal and maternal health characteristics and children's early cognitive development across executive control, motor ability and receptive language domains. Study design, subjects and outcome measuresAnalyses comprised interview and observational data from 4587 children and their mothers enrolled in the longitudinal Growing Up in New Zealand cohort study. Children's executive control (Luria hand clap task), motor skills (mothers' report) and receptive language ability (Peabody Picture Vocabulary Test) were assessed at age 4.5 years. Multivariate logistic regression analyses were conducted, controlling for sociodemographic factors. ResultsSmoking pre- and during pregnancy, no folate intake during first trimester and low birth weight were risk factors for poorer executive control. Perceived stress during pregnancy, no folate intake during first trimester and low birth weight were all risk factors for poorer motor ability. Smoking pre-pregnancy, antenatal anxiety and no folate intake during first trimester were risk factors for poorer receptive language ability. ConclusionAdverse ante- and perinatal environments are associated with poorer executive control, motor and receptive language abilities in early childhood. Improving maternal education and support especially for more disadvantaged mothers during pregnancy may reduce the potential deleterious impact of adverse ante- and perinatal conditions on children's early cognition.

Impairments in resource allocation and executive control in children with ADHD.

Children diagnosed with attention-deficit hyperactivity disorder (ADHD) show pronounced alterations in cognitive tasks, such as a highly variable mode of responding. There is an ongoing debate about the key driving mechanisms of such alterations (e.g. specific inhibition or working memory (WM) impairments or general impairments in the allocation of energetic resources). The aim of this study was to disentangle such process-specific versus general limitations in cognitive and energetic mechanisms in children with ADHD compared to typically developed (TD) children based on the performance in a task-switching paradigm. This paradigm allows for both a common measurement and a later segregation of different executive sub-processes. Task-switching performance, including performance variability, of 26 children diagnosed with combined-type ADHD (8-13 years) was compared against the performance of 26 age-matched/IQ-matched TD children. Results revealed that compared to TD children, ADHD-diagnosed children showed alterations in performance variability during task switching, both in general (indicating disturbances in resource allocation) and conditionally on WM demands (indicating a specific WM deficit). Hence, our study provides diagnostically relevant new insights into performance impairments in children with ADHD compared to TD children. Importantly, it seems mandatory to include information on performance variability when trying to phenotype alterations in cognitive performance in ADHD.

Executive Function Skills in School-Age Children With Autism Spectrum Disorder: Association With Language Abilities.

This article reviews research on executive function (EF) skills in children with autism spectrum disorder (ASD) and the relation between EF and language abilities. The current study assessed EF using nonverbal tasks of inhibition, shifting, and updating of working memory (WM) in school-age children with ASD. It also evaluated the association between children's receptive and expressive language abilities and EF performance. In this study, we sought to address variables that have contributed to inconsistencies in this area of research-including task issues, group comparisons, and participant heterogeneity. EF abilities in children with ASD (n = 48) were compared to typically developing controls (n = 71) matched on age, as well as when statistically controlling for group differences in nonverbal cognition, socioeconomic status, and social communication abilities. Six nonverbal EF tasks were administered-2 each to evaluate inhibition, shifting, and WM. Language abilities were assessed via a standardized language measure. Language-EF associations were examined for the ASD group as a whole and subdivided by language status. Children with ASD exhibited significant deficits in all components of EF compared to age-mates and showed particular difficulty with shifting after accounting for group differences in nonverbal cognition. Controlling for social communication-a core deficit in ASD-eliminated group differences in EF performance. A modest association was observed between language (especially comprehension) and EF skills, with some evidence of different patterns between children on the autism spectrum with and without language impairment. There is a need for future research to examine the direction of influence between EF and language. It would be beneficial for EF interventions with children with ASD to consider language outcomes and, conversely, to examine whether specific language training facilitates aspects of executive control in children on the autism spectrum. https://doi.org/10.23641/asha.7298144.

The Impact of Game-Based Task-Shifting Training on Motivation and Executive Control in Children with ADHD

Children diagnosed with ADHD show pronounced impairments in both “cold” executive and “hot” motivational control. Importantly, recent cognitive training studies suggested that practice in shifting between competing tasks in alternating runs can promote executive control functioning in ADHD children and may especially in a motivationally enriched training setting, such as by adding video game elements. The aim of the present study was to examine how a game-based training environment influences motivational variables, such as training willingness (i.e., voluntary motivation) and behavioral inappropriateness (i.e., involuntary drive), as well as executive control during a cognitive training invention (a task-shifting training) in children with ADHD. Therefore, children diagnosed with the ADHD combined subtype were trained in either a low-(LowMot) or a high-motivational (HighMot) training setting. Results revealed that the HighMot-setting compared to the LowMot-setting (1) led to higher voluntary motivational control, but also to more behavioral inappropriateness and (2) did in turn not enable larger performance improvements in task shifting. The lacking incremental benefit from a HighMot training setting on cognitive performance will be discussed in the light of notions on an adequate arousal-performance relationship. Based on these findings, directions for future training interventions in ADHD children will be discussed.

Inter-relationships between objective handwriting features and executive control among children with developmental dysgraphia

ObjectiveTo describe handwriting and executive control features and their inter-relationships among children with developmental dysgraphia, in comparison to controls.MethodParticipants included 64 children, aged 10–12 years, 32 with dysgraphia based on the Handwriting Proficiency Screening Questionnaire (HPSQ) and 32 matched controls. Children copied a paragraph onto paper affixed to a digitizer that supplied handwriting process objective measures (Computerized Penmanship Evaluation Tool (ComPET). Their written product was evaluated by the Hebrew Handwriting Evaluation (HHE). Parents completed the Behavior Rating Inventory of Executive Function (BRIEF) questionnaire about their child's executive control abilities.ResultsSignificant group differences were found for handwriting performance measures (HHE and ComPET) and executive control domains (BRIEF). Based on one discriminate function, including handwriting performance and executive control measures, 98.4% of the participants were correctly classified into groups. Significant correlations were found in each group between working memory and legibility as well as for other executive domains and handwriting measures. Furthermore, twenty percent of the variability of the mean pressure applied towards the writing surface among children with was explained by their 'emotional control' (BRIEF).ConclusionThe results strongly suggest consideration of executive control domains to obtain better insight into handwriting impairment characteristics among children with dysgraphia to improve their identification, evaluation and the intervention process.

Temperament, mothers' reactions to children's emotional experiences, and emotion understanding predicting adjustment in preschool children

AbstractIt is expected that both children and their parents contribute to children's development of emotion knowledge and adjustment. Bidirectional relations between child temperament (fear, frustration, executive control) and mothers' reactions to children's emotional experiences were examined to explore how these variables predict children's emotion understanding, social competence, and problem behaviors. Preschool‐aged children (N = 306) and their mothers were assessed across four‐time points. Children's temperament and mothers' non‐supportive reactions to children's emotional experiences were assessed when children were 36 and 45 months of age. Emotion understanding was assessed when the children were 54 months of age and teachers reported on children's problem behaviors and social competence when the children were 63 months of age. Covariates included family income, child cognitive ability, gender, and child adjustment at 36 months. Results from path analyses demonstrated that bidirectional relations between children's temperament and mothers' non‐supportive reactions were not significant. However, mother's non‐supportive reactions directly predicted fewer problem behaviors, and children's emotion understanding mediated the relation between children's executive control and their later social competence. As such, emotion understanding appears to be one mechanism through which executive control might impact social competence.

Neurophysiological variability masks differences in functional neuroanatomical networks and their effectiveness to modulate response inhibition between children and adults.

Executive functions are well-known to undergo developmental changes from childhood to adulthood. Considerable efforts have been made to elucidate the affected system neurophysiological mechanisms. But while it is well-known that developmental changes affect intra-individual variability, this potential bias has largely been neglected when investigating the neurophysiology underlying developmental differences between children and adults. We hypothesize that due to differences in intra-individual variability of neural processes between children and adults, reliable group differences will only be evident after accounting for intra-individual variability in neurophysiological processes. We, therefore, investigate response-inhibition processes as an important instance of executive control in children (between 10 and 14years) and adults (between 20 and 29years) and decompose EEG data on the basis of the latency and temporal variability. This was combined with source localization. Children showed more impulsive behavior than adults. Importantly, a reliable match between the neurophysiological and behavioral data could only be found when accounting for intra-individual variability in the EEG data. These decomposed data showed that children and adults use similar neurophysiological mechanisms at the response selection level to accomplish inhibitory control, but seem to engage different neuroanatomical structures to do so according to source localization results: In adults, these processes were related to the medial frontal cortex. In children, the same processes were reflected in a shift of the scalp topography and related to the superior parietal cortex. These shifts in neural networks were associated with lower effectiveness in exerting inhibitory control. However, these differences in the functional neuroanatomical architecture can only be seen when intra-individual variability is taken into account.

Child Executive Control as a Moderator of the Longitudinal Association Between Sleep Problems and Subsequent Attention-Deficit/Hyperactivity Disorder Symptoms.

To examine the longitudinal associations among sleep, executive control (EC), and attention-deficit/hyperactivity disorder (ADHD) symptoms in childhood. In this longitudinal study (N = 271), parents answered questions about sleep problems when children were 3 years old, children completed a comprehensive EC task battery at 4.5 years, and teachers completed standardized measures of child ADHD symptoms in 4th grade. Latent moderated structural equation models demonstrated that sleep problems at 3 years and EC deficits at 4.5 years were associated with ADHD symptoms in 4th grade. EC moderated the relationship between sleep problems and hyperactivity/impulsivity, such that children with both sleep problems and poor EC were particularly at risk for hyperactivity/impulsivity. Sleep problems and EC deficits early in development were associated with increased risk for ADHD symptoms in elementary school. Early assessment and intervention to promote healthy sleep and EC development may be helpful in ADHD prevention.

Bidirectional Relations Between Temperament and Parenting Predicting Preschool-Age Children’s Adjustment

Bidirectional associations between child temperament (fear, frustration, positive affect, effortful control) and parenting behaviors (warmth, negativity, limit setting, scaffolding, responsiveness) were examined as predictors of preschool-age children’s adjustment problems and social competence. Participants were a community sample of children (N = 306; 50% female, 64% European American) and their mothers. Observational measures of child temperament and parenting were obtained using laboratory tasks at two time points (children’s ages 36 and 54 months). Teacher-reported adjustment measures were collected at the first and third time points (children’s ages 36 and 63 months). Cross-lagged analyses were performed to examine whether child temperament and parenting predict changes in one another, whether they each contribute independently to children’s adjustment, and whether these transactional relations account for adjustment outcomes. Maternal negativity at 36 months predicted increases in child frustration at 54 months. Maternal negativity and child effortful control predicted decreases in each other from 36 to 54 months. Maternal warmth predicted increases in child effortful control over time. Child frustration, child effortful control, maternal warmth, and maternal negativity at 54 months each independently predicted child adjustment problems at 63 months, controlling for problems at 36 months. Child executive control at 54 months predicted increases in child social competence at 63 months. The findings suggest that temperament and parenting have independent and additive effects on preschool-age child adjustment, with some support for a bidirectional relation.

Emotional and organizational supports for preschoolers' emotion regulation: Relations with school adjustment.

Preschool teachers, like parents, support children in ways that promote the regulation capacities that drive school adjustment, especially for children struggling to succeed in the classroom. The purpose of this study was to explore the emotionally and organizationally supportive classroom processes that contribute to the development of children's emotion regulation and executive control. Emotion regulation and executive control were assessed in 312 3-, 4- and 5-year-old children. The 44 teachers of these children completed questionnaires asking about 3 components of children's school adjustment: Positive/Engaged, Independent/Motivated, and Prosocial/Connected. Observations of classroom emotional and organizational supports were conducted. Results of multilevel models indicated emotion regulation was significantly associated with the Positive/Engaged school adjustment component, but only when teachers' emotional and organizational supports were taken into account. Children with lower levels of emotion regulation, who were also in less supportive classrooms, had the lowest scores on the Positive/Engaged component. Children's executive control was associated with the Independent/Motivated and Prosocial/Connected components independently of teacher effects. In general, moderate support was found for the notion that teachers' supports can be particularly helpful for children struggling to regulate their emotions to be better adjusted to school. Children's emotionally salient classroom behaviors, and teachers' emotion scaffolding, are discussed.

Income, neural executive processes, and preschool children's executive control.

This study aimed to specify the neural mechanisms underlying the link between low household income and diminished executive control in the preschool period. Specifically, we examined whether individual differences in the neural processes associated with executive attention and inhibitory control accounted for income differences observed in performance on a neuropsychological battery of executive control tasks. The study utilized a sample of preschool-aged children (N = 118) whose families represented the full range of income, with 32% of families at/near poverty, 32% lower income, and 36% middle to upper income. Children completed a neuropsychological battery of executive control tasks and then completed two computerized executive control tasks while EEG data were collected. We predicted that differences in the event-related potential (ERP) correlates of executive attention and inhibitory control would account for income differences observed on the executive control battery. Income and ERP measures were related to performance on the executive control battery. However, income was unrelated to ERP measures. The findings suggest that income differences observed in executive control during the preschool period might relate to processes other than executive attention and inhibitory control.

Body Mass Index Mediates the Effects of Low Income on Preschool Children's Executive Control, with Implications for Behavior and Academics.

Children from low-income backgrounds are more likely to have cognitive impairments, academic problems, and obesity. Biological mechanisms for the relationship between adiposity and neurocognitive functioning have been suggested, but the direction of effects is unclear. The relations among income, BMI, and cognitive-behavioral functioning were modeled longitudinally. Children (n = 306) were assessed at 36-39 months (Time 1; T1) and 63-67 months (Time 4; T4) through anthropometry, measures of executive control (EC), delay ability (DA), and questionnaires on academic readiness, social competence, and behavioral adjustment. Income was positively related to T1 EC and DA and negatively related to T1 BMI. T1 BMI was negatively related to T4 EC, after controlling for T1 EC, but was unrelated to changes in DA. Neither T1 EC nor DA was related to changes in BMI. T4 EC predicted greater academic readiness and social competence and lower adjustment problems at T4. T4 BMI was related to higher T4 adjustment problems. There was an indirect effect of income on T4 EC through T1 BMI. There were indirect effects of T1 BMI on academic readiness, social competence, and adjustment through T4 EC. Children who were obese at T1 had a 19% lower rate of growth of EC, compared to nonobese children. BMI mediates the effect of income on children's EC and has negative implications for academic readiness, social competence, and behavioral adjustment. The dual impact of obesity and cognitive-behavioral problems underscores the importance of early identification of and intervention for overweight children which could have neurocognitive and social-emotional benefits. What's New: BMI mediates the effect of income on preschoolers' executive control (EC) and has negative implications for academic readiness and behavioral adjustment. EC and delay ability did not predict changes in BMI. Early identification of, and intervention for, overweight children may have neurocognitive and social-emotional benefits.

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.

Reliability and validity of the executive function and occupational routines scale (EFORTS).

Sustainable daily routines during childhood are important both for children and their parents. Although their affective completion requires well developed executive functions (EF), this issue has not been studied until now. The current study examined the reliability and validity of the Executive Functions and Occupational Routines Scale - EFORTS (developed in Hebrew) which measures children's executive control in their daily routines. Internal consistency and construct and convergent validity were examined by applying the EFORTS and the Behavior Rating Inventory of Executive Functions/preschool version (BRIEF/P) to 261 children (129 boys, 132 girls) between the ages 3 and 10 (mean=6.1, SD=1.43). The findings indicate that the EFORTS is a reliable and valid tool for examining children's executive control in three occupational daily routines, focusing specifically on metacognitive manifestations of EF. These findings suggest that the EFORTS can be a useful tool to assess children with EF deficits, and may serve targeting intervention programs toward the accomplishment of daily occupational goals.

Altered neural circuits related to sustained attention and executive control in children with ADHD: An event-related fMRI study

ObjectiveThe aim of this study was to investigate the neural basis of sustained attention, executive processing, and cognitive control in children with attention deficit hyperactivity disorder (ADHD). MethodsEvent-related functional magnetic resonance imaging (fMRI) was used to compare brain activation of 28 medication-naïve children with ADHD aged 7–12years and 31 healthy controls during a cued continuous performance task (AX-CPT) in three stimulus context conditions (Go, NoGo, Lure). ResultsThe children with ADHD showed increased activation in the left middle frontal gyrus, bilateral middle temporal gyrus, left precuneus and right cerebellum posterior lobe under the Lure condition compared to the controls. In the Lure condition, in contrast to the NoGo condition, an increased activation in the left inferior frontal gyrus, right medial frontal gyrus and right inferior parietal gyrus was observed in ADHD children. ConclusionsThe results demonstrate that medication-naïve ADHD children show spatial and temporal abnormalities in neural activities involved in sustained attention and executive control. SignificanceThese findings show that there are distinct alternations in neural circuits related to sustained attention and executive control in children with ADHD, and further improve our understanding of the neural substrates of cognitive impairment in children with ADHD.

Predicting individual differences in low-income children's executive control from early to middle childhood.

The present longitudinal study tested the roles of early childhood executive control (EC) as well as exposure to poverty-related adversity at family and school levels as key predictors of low-income children's EC in elementary school (n=391). Findings suggest that children's EC difficulties in preschool and lower family income from early to middle childhood are robust predictors of later EC difficulties as rated by teachers in 2nd and 3rd grades. Findings also suggest enrollment in unsafe elementary schools is significantly predictive of higher levels of teacher-rated EC difficulty, but only for those children who showed initially elevated levels of EC difficulty in early childhood. Implications for scientific models of cognitive development and poverty-related adversity are discussed.